Money and Medicine: Indivisible and Irreconcilable

Adashi, Eli Y.

doi:10.1001/journalofethics.2015.17.8.msoc1-1508

Cited by 3 publications

(1 citation statement)

References 33 publications

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“…Externalities are commonly encountered factors outside the practitioners and patients' control that shape their interactions. They include reimbursement schemes that preferentially reward throughput over humanistic care (66); in-room electronic medical record systems that divert attention from direct care of the patient (67); and educational systems that prioritize narrowly biomedical models of diagnosis and treatment to the exclusion of social and emotional determinants of care (68). Absent acknowledgment, consideration, and action, in the face of such externalities care may become overly transactional and symptom focused, leading to poorer overall outcomes for patients and reduced job satisfaction for practitioners.…”

Section: Externalitiesmentioning

confidence: 99%

Personalizing the BioPsychoSocial Approach: “Add-Ons” and “Add-Ins” in Generalist Practice

Ventres

Frankel

2021

Front. Psychiatry

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Generalist practitioners often find interacting with patients deeply satisfying and joyful; they also experience encounters that are challenging and complex. In both cases, they must be aware of the many issues that affect the processes and outcomes of patient care. Although using the BioPsychoSocial approach is an important, time-tested framework for cultivating one's awareness of patients' presenting concerns, recent developments suggest that additional frames of reference may enhance communication and relationships with patients. In this article, we describe several additions to the BioPsychoSocial approach, considerations we call “add-ons” and “add-ins”. We invite generalist practitioners and, indeed, all health care practitioners, to consider how they can improve their ongoing care of patients by personalizing these and other additions in their day-to-day work with patients.

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Section: Externalitiesmentioning

confidence: 99%

Personalizing the BioPsychoSocial Approach: “Add-Ons” and “Add-Ins” in Generalist Practice

Ventres

Frankel

2021

Front. Psychiatry

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Conflict of Interest in Medicine: Plausible Deniability?

Adashi

2017

The American Journal of Bioethics

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Reducing Postoperative Call Volume Through Verbal Preoperative Education

Chern

Haynes

Bennett

2020

Otology &Amp; Neurotology

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Objective: To improve patient satisfaction and understanding of what to expect after chronic ear surgery and reduce call volume to an otology clinic at an academic tertiary referral center. Study Design: Quality improvement initiative. Setting: A single-academic tertiary referral center. Patients: One hundred and ten patients who underwent chronic ear surgery in March to May 2018. Intervention: Preoperative counseling over the phone 1 week before surgery. Main Outcome Measures: Patient call volume to the clinic within a 2-week postoperative window, patient understanding, and satisfaction of perioperative course. Results: There was a significant increase in patient satisfaction (10.1% increase, 9.8 intervention vs. 8.9 no intervention, p = 0.0032) and in patient understanding of what to expect after surgery (6.7% increase, 9.5 intervention vs. 8.9 no intervention, p = 0.0275). There was a significant decrease in mean number of calls per patient to the clinic (57.6% decrease, 0.31 intervention vs. 0.72 no intervention, p = 0.0105) and in percentage of patients who made any number of calls to the clinic (20% intervention vs. 46%, no intervention, p = 0.00438). Conclusions: Verbal preoperative counseling over the phone was effective in significantly reducing unnecessary call volume to the clinic and in improving patient satisfaction and overall understanding of what to expect after surgery.

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Money and Medicine: Indivisible and Irreconcilable

Cited by 3 publications

References 33 publications

Personalizing the BioPsychoSocial Approach: “Add-Ons” and “Add-Ins” in Generalist Practice

Personalizing the BioPsychoSocial Approach: “Add-Ons” and “Add-Ins” in Generalist Practice

Conflict of Interest in Medicine: Plausible Deniability?

Reducing Postoperative Call Volume Through Verbal Preoperative Education

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