Conflicted care :: doctors navigating patient welfare, finances, and legal risk /
"An eye-opening and compelling ethnography about how doctors make decisions The oath that doctors take to "do no harm" suggests that patient welfare is at the center of what it means to be a successful medical professional. It is also understood, however, that hospitals are not only v...
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Elektronisch E-Book |
| Sprache: | English |
| Veröffentlicht: |
Stanford, California :
Stanford University Press,
[2022]
|
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Zusammenfassung: | "An eye-opening and compelling ethnography about how doctors make decisions The oath that doctors take to "do no harm" suggests that patient welfare is at the center of what it means to be a successful medical professional. It is also understood, however, that hospitals are not only vessels for medical care--they are businesses, educational institutions, and complex bureaucracies with intricate codes of etiquette that dictate how each staff member should approach situations with patients. In Conflicted Care, Hyeyoung Oh Nelson provides an in-depth look at the decision-making processes of physicians at a large, prestigious academic medical center--that she calls Pacific Medical Center--and finds that more often than not patient well-being is only one of several factors governing day-to-day decisions. The steps physicians take reveal a kind of hidden curriculum of the medical world, one that is guided by status and hierarchy, bureaucracy, norms for consulting with third-parties, regulations for interactions with patients, and medical uncertainty. While at an institutional and individual level patient care continues to be integral to everything the physicians do, they are forced to reconcile that vow with these other, often-conflicting internal logics. Harm, Nelson argues, is thus built into the practice of medicine in the United States. This harm can take the form of unnecessary treatments and consultations or inadequate treatment for pain to motivate specialist intervention that would otherwise be resisted. These and other practices have the overall consequence of significantly driving up inpatient care costs, which then results in patients forgoing needed, ongoing treatment once they receive their medical bills. Drawing on a deep ethnography of physicians in the Internal Medicine Service unit, Nelson offers a sharp assessment of current policies aimed at alleviating medical costs and explains why they are ineffective. She concludes by offering novel policy and practice recommendations for health care practitioners, policy makers, and healthcare institutions"-- |
| Beschreibung: | 1 online resource (unpaged) |
| Bibliographie: | Includes bibliographical references and index. |
| ISBN: | 9781503633483 1503633489 |
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| 245 | 1 | 0 | |a Conflicted care : |b doctors navigating patient welfare, finances, and legal risk / |c Hyeyoung Oh Nelson. |
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| 505 | 0 | |a Doctors' dilemmas -- Conflicting logics -- Notation -- Consultations -- Discharge -- Costs. | |
| 520 | |a "An eye-opening and compelling ethnography about how doctors make decisions The oath that doctors take to "do no harm" suggests that patient welfare is at the center of what it means to be a successful medical professional. It is also understood, however, that hospitals are not only vessels for medical care--they are businesses, educational institutions, and complex bureaucracies with intricate codes of etiquette that dictate how each staff member should approach situations with patients. In Conflicted Care, Hyeyoung Oh Nelson provides an in-depth look at the decision-making processes of physicians at a large, prestigious academic medical center--that she calls Pacific Medical Center--and finds that more often than not patient well-being is only one of several factors governing day-to-day decisions. The steps physicians take reveal a kind of hidden curriculum of the medical world, one that is guided by status and hierarchy, bureaucracy, norms for consulting with third-parties, regulations for interactions with patients, and medical uncertainty. While at an institutional and individual level patient care continues to be integral to everything the physicians do, they are forced to reconcile that vow with these other, often-conflicting internal logics. Harm, Nelson argues, is thus built into the practice of medicine in the United States. This harm can take the form of unnecessary treatments and consultations or inadequate treatment for pain to motivate specialist intervention that would otherwise be resisted. These and other practices have the overall consequence of significantly driving up inpatient care costs, which then results in patients forgoing needed, ongoing treatment once they receive their medical bills. Drawing on a deep ethnography of physicians in the Internal Medicine Service unit, Nelson offers a sharp assessment of current policies aimed at alleviating medical costs and explains why they are ineffective. She concludes by offering novel policy and practice recommendations for health care practitioners, policy makers, and healthcare institutions"-- |c Provided by publisher. | ||
| 588 | |a Description based on online resource; title from digital title page (viewed on October 14, 2022). | ||
| 650 | 0 | |a Medical care |z United States |x Decision making |v Case studies. | |
| 650 | 0 | |a Clinical medicine |z United States |x Decision making |v Case studies. | |
| 650 | 0 | |a Physicians |z United States |x Psychology |v Case studies. | |
| 650 | 0 | |a Academic medical centers |z United States |v Case studies. | |
| 650 | 6 | |a Médecine clinique |z États-Unis |x Prise de décision |v Études de cas. | |
| 650 | 6 | |a Médecins |z États-Unis |x Psychologie |v Études de cas. | |
| 650 | 6 | |a Centres hospitaliers universitaires |z États-Unis |v Études de cas. | |
| 650 | 7 | |a MEDICAL / Education & Training. |2 bisacsh | |
| 650 | 7 | |a Academic medical centers |2 fast | |
| 650 | 7 | |a Clinical medicine |x Decision making |2 fast | |
| 650 | 7 | |a Medical care |x Decision making |2 fast | |
| 650 | 7 | |a Physicians |x Psychology |2 fast | |
| 651 | 7 | |a United States |2 fast | |
| 653 | |a commodification of care. | ||
| 653 | |a ethnography. | ||
| 653 | |a hidden curriculum. | ||
| 653 | |a legal risk. | ||
| 653 | |a organizations. | ||
| 653 | |a patient-doctor interactions. | ||
| 653 | |a physicians. | ||
| 653 | |a professionalization. | ||
| 653 | |a socialization. | ||
| 653 | |a status hierarchies. | ||
| 655 | 2 | |a Case Reports |0 https://id.nlm.nih.gov/mesh/D002363 | |
| 655 | 7 | |a Case studies |2 fast | |
| 655 | 7 | |a Case studies. |2 lcgft |0 http://id.loc.gov/authorities/genreForms/gf2017026140 | |
| 655 | 7 | |a Études de cas. |2 rvmgf | |
| 776 | 0 | 8 | |i Print version: |a Nelson, Hyeyoung Oh. |t Conflicted care |d Stanford, California : Stanford University Press, 2022 |z 9781503611474 |w (DLC) 2022022353 |
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| adam_text | |
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| author | Nelson, Hyeyoung Oh |
| author_GND | http://id.loc.gov/authorities/names/no2022059366 |
| author_facet | Nelson, Hyeyoung Oh |
| author_role | aut |
| author_sort | Nelson, Hyeyoung Oh |
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| contents | Doctors' dilemmas -- Conflicting logics -- Notation -- Consultations -- Discharge -- Costs. |
| ctrlnum | (OCoLC)1333689347 |
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| dewey-search | 362.10973 |
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| discipline | Soziologie |
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| spelling | Nelson, Hyeyoung Oh, author. http://id.loc.gov/authorities/names/no2022059366 Conflicted care : doctors navigating patient welfare, finances, and legal risk / Hyeyoung Oh Nelson. Stanford, California : Stanford University Press, [2022] 1 online resource (unpaged) text txt rdacontent computer c rdamedia online resource cr rdacarrier Includes bibliographical references and index. Doctors' dilemmas -- Conflicting logics -- Notation -- Consultations -- Discharge -- Costs. "An eye-opening and compelling ethnography about how doctors make decisions The oath that doctors take to "do no harm" suggests that patient welfare is at the center of what it means to be a successful medical professional. It is also understood, however, that hospitals are not only vessels for medical care--they are businesses, educational institutions, and complex bureaucracies with intricate codes of etiquette that dictate how each staff member should approach situations with patients. In Conflicted Care, Hyeyoung Oh Nelson provides an in-depth look at the decision-making processes of physicians at a large, prestigious academic medical center--that she calls Pacific Medical Center--and finds that more often than not patient well-being is only one of several factors governing day-to-day decisions. The steps physicians take reveal a kind of hidden curriculum of the medical world, one that is guided by status and hierarchy, bureaucracy, norms for consulting with third-parties, regulations for interactions with patients, and medical uncertainty. While at an institutional and individual level patient care continues to be integral to everything the physicians do, they are forced to reconcile that vow with these other, often-conflicting internal logics. Harm, Nelson argues, is thus built into the practice of medicine in the United States. This harm can take the form of unnecessary treatments and consultations or inadequate treatment for pain to motivate specialist intervention that would otherwise be resisted. These and other practices have the overall consequence of significantly driving up inpatient care costs, which then results in patients forgoing needed, ongoing treatment once they receive their medical bills. Drawing on a deep ethnography of physicians in the Internal Medicine Service unit, Nelson offers a sharp assessment of current policies aimed at alleviating medical costs and explains why they are ineffective. She concludes by offering novel policy and practice recommendations for health care practitioners, policy makers, and healthcare institutions"-- Provided by publisher. Description based on online resource; title from digital title page (viewed on October 14, 2022). Medical care United States Decision making Case studies. Clinical medicine United States Decision making Case studies. Physicians United States Psychology Case studies. Academic medical centers United States Case studies. Médecine clinique États-Unis Prise de décision Études de cas. Médecins États-Unis Psychologie Études de cas. Centres hospitaliers universitaires États-Unis Études de cas. MEDICAL / Education & Training. bisacsh Academic medical centers fast Clinical medicine Decision making fast Medical care Decision making fast Physicians Psychology fast United States fast commodification of care. ethnography. hidden curriculum. legal risk. organizations. patient-doctor interactions. physicians. professionalization. socialization. status hierarchies. Case Reports https://id.nlm.nih.gov/mesh/D002363 Case studies fast Case studies. lcgft http://id.loc.gov/authorities/genreForms/gf2017026140 Études de cas. rvmgf Print version: Nelson, Hyeyoung Oh. Conflicted care Stanford, California : Stanford University Press, 2022 9781503611474 (DLC) 2022022353 FWS01 ZDB-4-EBA FWS_PDA_EBA https://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&AN=3360258 Volltext |
| spellingShingle | Nelson, Hyeyoung Oh Conflicted care : doctors navigating patient welfare, finances, and legal risk / Doctors' dilemmas -- Conflicting logics -- Notation -- Consultations -- Discharge -- Costs. Medical care United States Decision making Case studies. Clinical medicine United States Decision making Case studies. Physicians United States Psychology Case studies. Academic medical centers United States Case studies. Médecine clinique États-Unis Prise de décision Études de cas. Médecins États-Unis Psychologie Études de cas. Centres hospitaliers universitaires États-Unis Études de cas. MEDICAL / Education & Training. bisacsh Academic medical centers fast Clinical medicine Decision making fast Medical care Decision making fast Physicians Psychology fast |
| subject_GND | https://id.nlm.nih.gov/mesh/D002363 http://id.loc.gov/authorities/genreForms/gf2017026140 |
| title | Conflicted care : doctors navigating patient welfare, finances, and legal risk / |
| title_auth | Conflicted care : doctors navigating patient welfare, finances, and legal risk / |
| title_exact_search | Conflicted care : doctors navigating patient welfare, finances, and legal risk / |
| title_full | Conflicted care : doctors navigating patient welfare, finances, and legal risk / Hyeyoung Oh Nelson. |
| title_fullStr | Conflicted care : doctors navigating patient welfare, finances, and legal risk / Hyeyoung Oh Nelson. |
| title_full_unstemmed | Conflicted care : doctors navigating patient welfare, finances, and legal risk / Hyeyoung Oh Nelson. |
| title_short | Conflicted care : |
| title_sort | conflicted care doctors navigating patient welfare finances and legal risk |
| title_sub | doctors navigating patient welfare, finances, and legal risk / |
| topic | Medical care United States Decision making Case studies. Clinical medicine United States Decision making Case studies. Physicians United States Psychology Case studies. Academic medical centers United States Case studies. Médecine clinique États-Unis Prise de décision Études de cas. Médecins États-Unis Psychologie Études de cas. Centres hospitaliers universitaires États-Unis Études de cas. MEDICAL / Education & Training. bisacsh Academic medical centers fast Clinical medicine Decision making fast Medical care Decision making fast Physicians Psychology fast |
| topic_facet | Medical care United States Decision making Case studies. Clinical medicine United States Decision making Case studies. Physicians United States Psychology Case studies. Academic medical centers United States Case studies. Médecine clinique États-Unis Prise de décision Études de cas. Médecins États-Unis Psychologie Études de cas. Centres hospitaliers universitaires États-Unis Études de cas. MEDICAL / Education & Training. Academic medical centers Clinical medicine Decision making Medical care Decision making Physicians Psychology United States Case Reports Case studies Case studies. Études de cas. |
| url | https://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&AN=3360258 |
| work_keys_str_mv | AT nelsonhyeyoungoh conflictedcaredoctorsnavigatingpatientwelfarefinancesandlegalrisk |