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It seems every new decade brings another twist to financing health care. Over the past 30 years, terms such as managed care, diagnosis-related groups, and capitation have become part of the health care industry lexicon. Now come consumer-directed health plans.
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Even though hospice care touches the lives of more than 800,000 Americans with life-threatening illnesses and their families per year, many critics have questioned the dominant payment mechanism for such care, the Medicare Hospice Benefit, which was implemented 20 years ago this November.
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The National Hospice and Palliative Care Organization in Alexandria, VA, has issued a list of talking points hospices can use when discussing the New England Journal of Medicine-published study on Oregon patients who died after refusing food and water.
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Two severely ill patients in the emergency department of your hospital need admission to the intensive care unit (ICU), but only one bed is available. Who gets admitted first?
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For many years, institutions involved in training the nations bioscience researchers have spent a great deal of time and money ensuring that their graduates function at the cutting edge of science and technology.
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For many years, institutions involved in training the nations bioscience researchers have spent a great deal of time and money ensuring that their graduates function at the cutting edge of science and technology.
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Although all health care institutions and specialties are challenged by simultaneously rising costs and lack of financial resources, the problem is particularly acute in critical care, say experts.
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In teaching health care providers how to care for patients at the end of life, many institutions forget to teach the providers that they need to care for themselves as well.
