The Dilemma of Modern Medicine In The United States

Saad Bin Jamil
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Abstract

The healthcare organizations in the United states (US) are either public or private entities. For-profit healthcare organizations constitute a large segment of healthcare infrastructure. Since the market based pattern of healthcare services can lead to significant profits, investment in the healthcare sector can be beneficial from an investor's standpoint. However, there can be a concern among the medical community and the public in general regarding amalgamation of business with health care. Furthermore the cost of healthcare expenditure is ever increasing in the US which may be driven with this model as well. The integration of business models with healthcare may lead to standardization algorithms with the expectation from healthcare providers to meet key metrics as well as targets which may result in compromised patient care. This has prompted the provision of value based care to patients instead of pay for service model. However, the balance between provision of optimal healthcare which is cost effective can be challenging from the hospital administration and healthcare provider’s perspective with ethical, moral, logical and practical aspects to keep in consideration. In this article we discuss a few factors which may raise ethical dilemmas for the hospital administration and physicians.
美国现代医学的困境
美国的医疗保健组织要么是公共实体,要么是私人实体。营利性医疗保健组织构成了医疗保健基础设施的很大一部分。由于基于市场的医疗保健服务模式可以带来可观的利润,因此从投资者的角度来看,对医疗保健部门的投资可能是有益的。然而,医学界和一般公众可能对商业与保健合并感到关切。此外,美国医疗保健支出的成本也在不断增加,这可能也是这种模式的驱动因素。业务模型与医疗保健的集成可能导致算法标准化,医疗保健提供者期望满足关键指标和目标,这可能导致患者护理受损。这促使向患者提供基于价值的护理,而不是付费服务模式。然而,从医院管理和医疗保健提供者的角度来看,提供具有成本效益的最佳医疗保健之间的平衡可能具有挑战性,需要考虑伦理、道德、逻辑和实践方面的问题。在本文中,我们讨论了一些可能引起医院管理和医生伦理困境的因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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