Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Economic pressures can lead to unequal treatment of patients

17.10.2006
Two studies in Florida show that pressure from hospitals and insurance companies to minimize health care costs can negatively affect the quality of care for some people.

Human factors/ergonomics researchers compared medical treatments for incarcerated and unincarcerated (paying) patients and found a startling difference. Findings from the second study will be presented on Wednesday, October 18, 2006, during the HFES 50th Annual Meeting at the Hilton San Francisco Hotel. The meeting dates are October 16–20.

U.S. health care costs are increasing faster than inflation and are estimated to reach 20% of GDP in less than 10 years. Insurance companies and hospitals have created new medical plans and promote self-care technology in hopes of minimizing costs, but doctors resist this rationing system. Nevertheless, economic pressure is shown to have sometimes unconscious effects on physicians' provision of care.

In Study 1, residents and fellows at a major urban hospital provided 50 incarcerated and free diabetes patients with medical treatment based on standards set by the American Medical Association and the American Dental Association. Both groups of patients should have received identical time, attention, and care.

The researchers found that incarcerated patients received significantly less care than free patients. For example, no incarcerated patients received a flu shot or cholesterol screening, but all the free patients did. In Study 2, a random sample of 100 doctors completed a questionnaire, and some were interviewed in more detail about their responses.

When asked what affected their treatment decisions, both the first-year and more experienced residents cited significant financial pressure to cut costs, the correctional status of the patient, obstacles in treating incarcerated patients (for example, shackles and guards), demographics such as socioeconomic status, and assumptions that patients from lower socioeconomic levels and those in prison would be less likely to comply with posttreatment medical care.

Whether conscious or not, some decision-making bias was evident in the provision of care. Paying patients were more likely to be given priority. Explicit bias was identified with regard to both low-income and incarcerated patients whom the doctors assumed were more likely to ignore medical advice.

The researchers suggest that the creation of standard protocols (including patient scheduling), decision support systems, training regimens, and decision support interventions could help to prevent bias and prioritizing in patient care.

Lois Smith | EurekAlert!
Further information:
http://www.hfes.org

More articles from Studies and Analyses:

nachricht WAKE-UP provides new treatment option for stroke patients | International study led by UKE
17.05.2018 | Universitätsklinikum Hamburg-Eppendorf

nachricht First form of therapy for childhood dementia CLN2 developed
25.04.2018 | Universitätsklinikum Hamburg-Eppendorf

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Molecular switch will facilitate the development of pioneering electro-optical devices

A research team led by physicists at the Technical University of Munich (TUM) has developed molecular nanoswitches that can be toggled between two structurally different states using an applied voltage. They can serve as the basis for a pioneering class of devices that could replace silicon-based components with organic molecules.

The development of new electronic technologies drives the incessant reduction of functional component sizes. In the context of an international collaborative...

Im Focus: LZH showcases laser material processing of tomorrow at the LASYS 2018

At the LASYS 2018, from June 5th to 7th, the Laser Zentrum Hannover e.V. (LZH) will be showcasing processes for the laser material processing of tomorrow in hall 4 at stand 4E75. With blown bomb shells the LZH will present first results of a research project on civil security.

At this year's LASYS, the LZH will exhibit light-based processes such as cutting, welding, ablation and structuring as well as additive manufacturing for...

Im Focus: Self-illuminating pixels for a new display generation

There are videos on the internet that can make one marvel at technology. For example, a smartphone is casually bent around the arm or a thin-film display is rolled in all directions and with almost every diameter. From the user's point of view, this looks fantastic. From a professional point of view, however, the question arises: Is that already possible?

At Display Week 2018, scientists from the Fraunhofer Institute for Applied Polymer Research IAP will be demonstrating today’s technological possibilities and...

Im Focus: Explanation for puzzling quantum oscillations has been found

So-called quantum many-body scars allow quantum systems to stay out of equilibrium much longer, explaining experiment | Study published in Nature Physics

Recently, researchers from Harvard and MIT succeeded in trapping a record 53 atoms and individually controlling their quantum state, realizing what is called a...

Im Focus: Dozens of binaries from Milky Way's globular clusters could be detectable by LISA

Next-generation gravitational wave detector in space will complement LIGO on Earth

The historic first detection of gravitational waves from colliding black holes far outside our galaxy opened a new window to understanding the universe. A...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

Save the date: Forum European Neuroscience – 07-11 July 2018 in Berlin, Germany

02.05.2018 | Event News

Invitation to the upcoming "Current Topics in Bioinformatics: Big Data in Genomics and Medicine"

13.04.2018 | Event News

Unique scope of UV LED technologies and applications presented in Berlin: ICULTA-2018

12.04.2018 | Event News

 
Latest News

When corals eat plastics

24.05.2018 | Ecology, The Environment and Conservation

Surgery involving ultrasound energy found to treat high blood pressure

24.05.2018 | Medical Engineering

First chip-scale broadband optical system that can sense molecules in the mid-IR

24.05.2018 | Physics and Astronomy

VideoLinks
Science & Research
Overview of more VideoLinks >>>