Bringing Doctors On Board

Health and legal experts from England and Canada consider the influence of medical doctors on reforms in this comparative study. With reflections on participation since the inception of publicly-funded healthcare systems, they show how the status of doctors affects change.

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When launching cost-saving or quality improvement efforts, healthcare payors and providers often fail to consider one major factor: the resistance they are almost certain to encounter from their medical staffs. Intent upon patient responsibilities, many physicians are neither cost-focused nor open to administrative changes. In this special report, "Bringing Doctors On Board: Cultivating Physician Leaders and Reducing Pushback," a panel of experts describes a variety of tools including skills assessment, communications, incentives and marketing that can turn physician "push-back" into support, ensuring the success of new programs while developing physician leadership at their organizations. You'll hear from Mary Anne Graf, Vice President, Women's & Children's Services, Bon Secours Health System; Dr. Manuel Lowenhaupt, National Practice Leader, CapGemini; and Dr. Mark Wenneker, Consulting Manager, The Bard Group on theories, application and results of physician engagement programs. This report is based on the January 26, 2005 audio conference "Physician Engagement: Tools and Strategies to Get Reluctant Physicians on Board" during which Graf, Lowenhaupt and Wenneker described how to engage physicians, including strategies and case studies. You'll get details on: -Tools and strategies to motivate physicians; -Keys to physician engagement; and -Creating physician alignment through marketing.Table of Contents Tools and Strategies to Motivate Reluctant Physicians -Seven Key Physician Engagement Tactics -Put Yourself in Your Physicians Shoes -Sample Physician Survey on Order Entry Use -Sample Hospital/Medical Staff Relationship Scorecard -Methods to Gain Physician Buy-In -Recommended Methods for Incenting Doctors -The Ladder of Learning -Getting the Message OutFive Keys to Physician Engagement -Case Study Overview -Blueprint for Success -Identifying Potential Physician Leaders -Coaching Strategies for Developing Leaders -Using Physician Input Effectively -Organizational Benefits of Engaging PhysiciansStrengthening Physician Alignment through Marketing -Barriers to Physician Alignment -Overcoming Roadblocks to Physician Engagement -Critical Components of a Succcessful Marketing Strategy -Physician Alignment Examples in Marketing and Public Relations -A New Attitude Toward Screening -Measures of Marketing SuccessQ&A: Ask the Experts -Physician Engagement in an Ambulatory Setting -Overcoming Competing Agendas in a Private Practice Model -Softening the Blow Around Financial Reality -Engaging Physicians in IT and Pay for Performance -When Physicians are Competing with Hospitals -Best Practices for Communications Programs

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Offering a compendium of case studies in bioethics, Choosing Well demonstrates real ethical dilemmas that can occur in health care settings. Instructors can draw upon the scenarios in this concise and highly effective resource to encourage analysis, critique, discussion, and debate of hot-button ethical issues. The authors present a diverse selection of complex case studies in bioethics to stimulate in-depth analysis on topics ranging from distributive justice, research ethics, reproductive technologies, abortion, and death and dying, to the health care professional–patient relationship and ethics in the workplace. The text also features case studies that move through time to reflect real-life decision making and cases that present multiple perspectives to illustrate the challenges that can arise from disputes in health care settings. Utilizing the DECIDED strategy for analyzing case studies, instructors can guide students through the steps needed to work through a wide variety of ethical dilemmas and encourage reflection on their own ethical assumptions. Accessible, practical, and highly engaging, Choosing Well offers a helpful and interesting way to explore central issues in contemporary bioethics, making it an indispensable resource for instructors and students of bioethics, biomedical ethics, and health care ethics. FEATURES: - Includes a brief introduction to ethics, the role of case studies, and some of the most important bioethical principles, as well as a glossary of key terms - Features Canadian-focused content and themes reflecting the challenges of modern health care settings - Provides a framework for case study analysis, along with sample analyses of three full case studies using the DECIDED approach

Collaborations of physicians and researchers with industry can provide valuable benefits to society, particularly in the translation of basic scientific discoveries to new therapies and products. Recent reports and news stories have, however, documented disturbing examples of relationships and practices that put at risk the integrity of medical research, the objectivity of professional education, the quality of patient care, the soundness of clinical practice guidelines, and the public's trust in medicine. Conflict of Interest in Medical Research, Education, and Practice provides a comprehensive look at conflict of interest in medicine. It offers principles to inform the design of policies to identify, limit, and manage conflicts of interest without damaging constructive collaboration with industry. It calls for both short-term actions and long-term commitments by institutions and individuals, including leaders of academic medical centers, professional societies, patient advocacy groups, government agencies, and drug, device, and pharmaceutical companies. Failure of the medical community to take convincing action on conflicts of interest invites additional legislative or regulatory measures that may be overly broad or unduly burdensome. Conflict of Interest in Medical Research, Education, and Practice makes several recommendations for strengthening conflict of interest policies and curbing relationships that create risks with little benefit. The book will serve as an invaluable resource for individuals and organizations committed to high ethical standards in all realms of medicine.