WGS250H5 Chapter Notes -Barbara Ehrenreich

115 views2 pages

roserat376

31 Mar 2012

School

UTM

Department

Women and Gender Studies

Course

WGS250H5

Professor

Bickford

For unlimited access to Textbook Notes, a Class+ subscription is required.

Document Summary

Exorcising the midwives- barbara ehrenreich and diedre english. > describes how in the united states at the turn of the 20th century, western medicine took away power, authority, and a livelihood from midwives and women healers in favour of mostly male physicians. > 1900- 50% of babies born still being delivered by midwives. > middle and upper class women had long since accepted medical idea of childbirth as a pathological event requiring intervention and supervision of a physician. > lower half of society which clung to the midwife- rural poor and the immigrant working class in cities. > early 20th century midwife was an integral part of her community and culture. > the problem, according to medical leaders, was that the midwife was in the way of development of modern institutional medicine. > obstetrics-gynecology was america"s fastest growing specialty and midwives would have to get ouf of the way.

Related Questions

Q29. According to your text, which of these is a major challenge that for-profit pharmaceutical corporations face in the future?

a. Maintaining an effective and long-lasting pipeline of new products

b. The possibility of being slapped by an anti-trust lawsuit

c. The stifling of innovation via overregulation by federal agencies

d. The discovery of a medical condition that is beyond the reach of current medical technology

Q30. A big problem a large portion of nursing home staff face is:

a. Patients do not respect them

b. They do not speak English

c. They experience substantial on-the-job stress

d. They have problems meeting the educational requirements of the job

Q31. The pharmaceutical industry is a complex system, with biomedical research, marketing, production, and distribution components.

a. true

b. false

Q32. Up until recent times, what category of physician provided the most health care services to ordinary citizens?

a. General practitioner

b. Cardiologist

c. Pediatricians

d. Emergency medicine

viridianantelope843

In the late 20^th century, many methods were used to pay physicians for services rendered. The most popular methods include all the following except payment

a) as a base salary.

b) according to a schedule of fee-for-service (FFS).

c) based on usual, customary, reasonable (UCR) charges.

d) based on resource-based relative values(RBRVs).

e) based on patient outcomes.

Which method(s) of payment to physicians will most likely result in higher total charges due to the volume of services provided?

a) Capitation.

b) Salary.

c) Fee-for-service (FFS).

d) RBRVs.

e) Methods based on patient outcomes.

The payment method to physicians that might cause concern about under provision of medical care is

a) capitation.

b) salary.

c) fee-for-service (FFS).

d) RBRVs.

e) outcomes.

The variation in salary and total compensation for hospital administrators is much greater than that of hospital emergency room physicians. The president of a large teaching hospital may earn multiples of the president's salary of a smaller community hospital. Physicians employed by hospital emergency rooms will have very a much smaller variation in salary. One reason for this is

a) physicians work more hours than administrators.

b) variability in skill levels between the best and the worst in the field.

c) similarity in certification requirements.

d) similarity in licensure requirements.

e) variability in educational backgrounds.

The agency relationship between physicians and patients is due to

a) uncertainty about the need for care.

b) uncertainty about treatment quality and outcomes.

c) licensure rules.

d) educational backgrounds of physicians.

e) nonprofit status of hospitals.

According to the quality hypothesis of licensure, one would expect the degree of licensure to be greater for __________ than __________.

a) eyeglass fitting; eye examination by an optometrist.

b) psychological counseling; psychiatric counseling.

c) treatment of open wound that requires stitches; cutting of fingernails on a diabetic patient.

d) contact lens sale; contact lens fitting.

e) flu shot; a blood test.

According to the monopoly rents hypothesis of licensure,

a,) physicians will seek to limit the use of foreign-trained physicians.

b) only physicians should dispense flu shots.

c) allergists should welcome the new supply of herbalists in the field of allergy treatment.

d) nurse practitioners should be welcome substitutes for physicians for performing annual gynecological exams.

e) insurance has little role in ensuring current profit levels are protected.

apricotcricket85

I will like you do grammar check, and rewrite it in another form. This is to avoid plagirsm. Thank you.

The purpose of this research is to explain some advantages and disadvantages of the implementation of the electronic medical record in a general hospital and specific units such as Neonatal intensive care unit. Also, it will emphasize different challenges that physician face when using the eMR as well as some solutions they offered in order to help them to overcome the challenge of typing. Most importantly, it will focus on the beneficial use of the eMR such as reduced time when charting specially in nursing as they spend a lot of time when documenting, it will reduce the time in half when using electronic medical record. Also, the research will review how the electronic medical record can enhance the quality of care to the patient. The electronic medical record will provide all the information needed by the physicians or any health care provider when giving care especially the critical patient who needs a quick intervention. This reseach will provide some information on how the eMR can improve quality of care. On the other hand, it will be discussed how the use of eMR can affect the relationship between a health care provider and the patient. As we know, health care providers have to keep a professional but close relationship with their patients in order to provide care and give the best intervention. However, when a health care provider uses electronic medical record some information might be lost when typing from a paper-based system into the eMR. The journals discuss multiple solutions to overcome and to reduce the risk of losing important information of our patient when typing or scanning the information into the eMR. Ventura, M.L., Battan, A.M., Zorloni, C., Abbiati, L., Colombo, M. Farina, S., & Tagliabue, P. (2011). The electronic medical record: pros and cons. The journal of maternal- fetal and neonatal medicine, 24(1), 163-166. doi: 10.3109/14767058.2011.607582 In this journal, researchers want to implement an electronic medical record in a neonatal intensive care unit. This system will enhance critical patientâs treatment because it will implement bedside clinical observation with machine monitoring data, and results from the laboratory. The time of charting for nurses was reduced but medical staff complained about the lack of automation in the reports. Through this journal researchers demonstrate that even though electronic medical record is beneficial because it reduces the charting time, it also can increase the risk for system error which can be fatal for the patients. In conclusion, electronic medical record should be reviewed for any complication that can influence patientâs life. Fox, G. S. (2014). The people versus the electronic medical record, last Thursday. Acad Pshychiatry, 38, 368-372. doi: 10.1007/s40596-014-0042-x In this journal, physicians express their concern about the use of electronic medical record. Physicians believe that the use of technology interferes with the face to face discussion between patients and doctors. Physician stated that the essential and precious communication has been diminished for both care givers and patients. Indeed, I believe with the use of electronic medical record, the lack of interaction and eye contact between the care giver and patient is increasing. This journal is really relevant within the nursing profession because it raises awareness of how important it is to keep the essential of communication between patients and health care providers. In brief, health care providers should find other way to obtain and record patient information to support the doctors and patient relationship. Ossoff, R. H., Thomason, C. D., & Appleton, J. (2010). Challenges with the electronic medical record. Journal of Health Care Compliance, 12(6), 51-54. Retrieved from http://search.proquest.com/docview/822639350?accountid=3455 The authors in this article examine the different challenges that doctors are facing with the use of electronic medical record. Firstly, physicians have to take training to learn how to use the system. However, to overcome the challenge of typing, physicians proposed an idea of creating well detailed templates that list all organs systems. Indeed, templates should be used just as a baseline of information, to help the users to remember the key elements while adding the patientâs information. This is a good point in documentation because even though templates are easier to fill out, medical staff should keep in mind that documentation should be well detailed. Although the templates might be well detailed, it is better to write your own finding when assessing a client. As the authors mention, templates should be used only as a baseline information. The population of interest regarding this journal will be health care providers and people that might want to go into the health care profession. Perez, S., & Keijzers, G. (2012). Missing data in the electronic medical record. Emergency medicine Australasia, 24 (4), 465. doi: 10.1111/j.1742-6723.2012.01564.x The authors of this research explain the problems that caused the transition from paper-based system to electronic medical record. With the implementation of the eMR all paper-based data are scanned into the eMR using pdf files and then destroyed. This caused many missing information in the eMR because they were destroyed before being verified in the eMR. Some solutions were addressed in this journal including; depositing the data collection sheets and separating them from the medical charts and placing them in the data collection boxes. This might decrease the loss of a patientâs important information. In brief, this journal addresses a very important topic about the importance of completely transferring the patientâs information into the eMR. Also, it creates an awareness to keep paper documentation even though the eMR is present. Hoffman, M.A., & Williams, M.S. (2011). Electronic medical records and personalized medicine. Hum genet, 130, 33-39. doi: 10.1007/s00439-011-0992-y The authors emphasize two important aspects of a fully functional electronic medical record. Firstly, it is necessary to present patients or clinicians with a high quality context detailed information when providing care. Secondly, the users must combine clinical information from different sources in order to guide the clinician to improve intervention for a given patient. According to this journal, the use of electronic medical record can increase quality of providing care. As health care professionals our main goal is to provide the best intervention to our patient and this journal proved that the use of eMR can improve the intervention given to the patient. This is because it can give doctors a quick access to patientâs information in a critical scenario or even when just proving care.

plumplatypus115

WGS250H5 Chapter Notes -Barbara Ehrenreich

Document Summary

Get access

Related Documents

GEN&SEX 50B Chapter Notes - Chapter 4: Hysterectomy, Barbara Ehrenreich, Sexually Transmitted Infection

SOSA 2503 Lecture Notes - Lecture 1: Allopathic Medicine, Joseph Delee, Natural Childbirth

HSS 2121 Lecture Notes - Lecture 7: New York Medical College, Charlotte Perkins Gilman, Dionne Quintuplets

Related Questions