Are we all "medical citizens" in the social, ethical and organizational stakeholder systems, as potential or actual patients, with our doctors, insurance companies, pharmaceutical companies, government agencies and others?
Today, with the advent of the Internet, high-speed bandwidth, social media, support groups and self-care protocols, patients for the first time in medical history have the ability to make themselves, families, disease, and disease outcomes for members, friends, and important people.
This article attempts to solve the most compelling problems of our time. Are medical self-help groups and self-care methods useful, or do they pose challenges to the delivery of traditional medical services? How do they differ and what are the consequences of this debate?
In addition, how has the emergence of the Internet and social media changed the medical field? What are the limitations of this new era of information technology and social communication? To what extent do they challenge traditional care models? Can patients or their advocates become experts in their own medical conditions rather than their own doctors? If the patient uses all the tools available now, the answer to this question is yes.
Various published estimates have consistently estimated that hundreds of thousands of patients have died, and millions of people have been injured due to medical procedures, drug errors or their side effects, and improper medication or failure to take instructions. This is not only the suffering of the infirm, but their family, their loved ones, friends and employers must endure the sorrows and changes in life, and these are often accompanied by these mistakes.
In addition, on May 8, 2013, the National Policy Analysis Center stated in a press release that the first diagnostic error rate is growing at an alarming rate:
• It is estimated that between 10% and 20% of cases are misdiagnosed, drug errors are exceeded, and the wrong patient or body part has been operated, both of which have received more attention.
• A report found that 28% of 583 diagnoses were life-threatening or have been resolved in death or permanent disability.
• Another study estimates that the fatal diagnostic error in the US intensive care unit is equal to the number of breast cancer deaths per year - 40,500.
Therefore, the second opinion is often the necessary preventive measure, just as the third opinion of the first three opinions is different. In fact, health insurance and insurance companies usually pay a third opinion in this case, because in the long run, it can save billions of dollars.
Be cautious and ask "medical citizens" to be wary of these traps because their lives may depend on it.
In addition, through the patient review and rating system on our own smartphones, we must question whether the doctor's decision is also affected. For example, the surgeon knows that his or her treatment decisions may lead to saving lives or ending life leading to social media judgments, whether legal or not, which may harm their medical behavior? Does this cause prejudice that may change or tarnish the doctor's judgment? There is currently no data available to provide an answer.
So, because of this new landscape, will doctors become more risk-free? Now, doctors are increasingly compensating for better output, lower costs, lower readmission rates and other variables – not staff friendships or less waiting time, many doctors evaluate websites measuring.
Since the average doctor has about 2,000 patient medical records [the healthiest], and when we don't get the output we want, the complaints are human. Therefore, the 5-star rating system usually receives few patient evaluations, and consumers are unlikely to praise positive. The experience, as we naturally expect top-level services, therefore ignores the release of active patient reviews, but is more likely to post negative reviews to retaliate providers. Therefore, patient evaluation is not a very good or objective source of an overall assessment of the fairness and balance of physician performance.
How to solve this dilemma when the surgeon completes everything perfectly but the patient becomes a victim of a drug error, the care compliance of the medical instruction is poor or sometimes infected with a hospital-infected infection or other adverse events of the doctor? Even if the doctor works very well, can he control it? Despite this, these doctor review sites often blame doctors. Therefore, patients need better tools to judge their own health care, regardless of the plan chosen or which treatment option to choose.
If the patient does use a rating website, they should ensure that it is a government or private website based on large amounts of data, where the doctor nominates other doctors and uses these "doctor's doctors" to provide friends and relatives who care about themselves.
Doctors on other sites commented on strict criteria such as waiting time, staff friendliness, waiting room decoration and other issues not related to the best results, only making money for their operators.
In modern times, it is not uncommon for patients to challenge doctors in terms of diseases and diseases. After all, according to Tejal Gandhi, MD, chairman of the National Patient Safety Foundation and associate professor of medicine, "preventable medical errors remain the third-biggest killer in the US – second only to heart disease and cancer – killing about 400,000 lives each year. It costs more than one trillion dollars a year."
Self-help groups and self-care can be traced back to the dawn of civilization in which humans live in a tribal environment. These groups deal with all life issues related to the survival and political stability of the group. With the publication of the Hippocratic Oath, the dawn of medical ethics may date back to 2,300 years.
But nowadays, due to major technological advances in medicine and the tremendous advances in the Internet, it has now become a major source of medical information for medical consumers, and the game has undergone tremendous changes. With the explosive growth of social media, people have the ability to communicate and share information on an unprecedented or imagined scale.
In addition, all new competing stakeholders, such as insurance companies, employers, managed care institutions, Obamacare, biotechnology companies, governments, and of course pharmaceutical companies and healthcare policy makers. The challenges faced by medical citizen and social policy planners have never been so daunting.
Postmodern medicine may have emerged after the emergence of the medical insurance system in 1965, when medical insurance was signed into law by President Linden Johnson in 1965, and a third-party payer insurance company soon emerged. By the 1970s, medical practice became a pharmaceutical business, and third-party payment systems led to a surge in demand for services, and the cost of health care services soared. In addition, the debate about what is a disease and what is a disease must now be more sociologically better than ever, as it affects any place where treatment can be provided and the costs of third-party payers.
A self-help group is usually a group of people or a group of people who share or suffer from similar diseases that can cause enormous personal costs and pains for themselves and those who care for them.
Self-care seems to be clear in the sense. We got a cut and we put a band aid on it. Headache, taking aspirin. But it's really so clear, because the drugs on the shelves of the pharmacy that are now filled are only available through prescriptions and medical devices, and can be used for self-diagnosis and self-care, for measuring body functions and vital signs such as blood sugar levels, blood pressure, and pulse. Oxygenation and the like have been resolved in the patient's self-diagnosis and treatment, and there is usually no medical advice. Defibrillators have become the fixtures of most large organizations, and non-medical designated company personnel have been trained and authorized to shock the hearts of workers in addition to cardiopulmonary resuscitation.
Nowadays, ordinary blood coagulation powders, special bandages, and diabetic compression socks have not been supplied in pharmacies before. However, many of these products can cause equally good damage if not used properly.
In at least many versions, self-care often includes certain connections to the health care system, teaching people when they need them, and self-examination and care without medical supervision. For example, changing wound dressings and bandages without home care assistance.
With the advent of new and non-labeled drugs for FDA-approved drugs, TV commercials are full of advertisements for advertising new drugs and treatments, including incredible benefits such as Viagra, which are explained in the stampede of male patients. Things make Viagra one of the most profitable medicines ever.
TV advertising for pharmaceutical companies is now directed at consumers in order to create demand for their products, which can only be opened by doctors and is commonplace. In addition, in fine printing and low-speed, high-speed speech, pharmaceutical companies trying to take responsibility directly to consumers in these cases may have side effects that could seriously disrupt one person and even cause death, and they also try to get consumers to The doctor asked about these drugs. This is a fundamental change in the supply chain and distribution of new drugs and agreements.
So what is a medical citizen? Turn to the Internet...
Orignal From: Modern healthcare and social medicine in the Internet age
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