“…American health care is falling short on basic dimensions of quality, outcomes
ID: 1212918 • Letter: #
Question
“…American health care is falling short on basic dimensions of quality, outcomes, costs, and equity” (Institute of Medicine [IOM], 2013, p. 5). Identify two examples of a paradox in health care and pair each with an imperative for change from the Summary of the IOM Report, Best Care at Lower Cost: The Path to Continuously Learning Health Care in America: Recommendations. Discuss a possible policy solution to each paradox through implementation of the imperative. For example, if the paradox is a marked discrepancy in price of a brand name cereal and an identical generic product, what policy could the grocer implement to enable the customer to make the most cost effective choice? An example of a policy might be absolute transparency of price and contents in the cereal display to allow an informed choice. Use scholarly and professional literature to support your opinion. Use references. Post to the Discussion Board with your name and assignment in the subject line. Due on Wednesday of the module at 11:59pm (EDT). Read all of your classmates' posts on the Discussion Board. Respond to two posts. Remember that this is an academic exercise, so please critique in a professional and constructive manner. Again, use the literature to support your response. Use references.
Explanation / Answer
One of the main paradoxes in modern health care is the confidentiality paradox. On one side it is believed that information regarding the history of patients and the treatment is essentially important for treating potential or future patients, that information should also remain confidential. Professional regulations provide strict adherence to this privacy.
This adherence on one side, to the principles of the maximum utilization of information on the one hand, and rigorous confidentiality on the other side, presents a paradox, in the modern healthcare service in which exigency of fast and wide dispersal of information is greater than ever before.
Another paradox, a more real and easily observable is the perception of trust and accountability in the medical field. There is a trust, a ray of hope when patients allow themselves to be treated with a physicists on the basis of trust that nothing will go wrong. Simultaneously there is an implicit accountability forced on the physicists that if something goes wrong, he should be accountable for that.
On one hand there are peoplwe who believe that future medical profession will be reduced to an army of box-ticking automatons that will carry only managers' orders. On the other hand, there are accountability freaks who are more willing to demonstrate value for money, or had some bad personal experiences at the hands of doctors, will wish the doctors to get punishment.
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