Is health care payment reform impacting nurses' work settings, roles, and education preparation?

2017 ◽  
Vol 33 (6) ◽  
pp. 400-404 ◽  
Author(s):  
Mary Val Palumbo ◽  
Betty Rambur ◽  
Vicki Hart
Keyword(s):  
Health Care ◽  
Payment Reform ◽  
Work Settings ◽  
Health Care Payment

scholarly journals Balancing Incentives and Professionalism in Health Care Payment Reform

2014 ◽  
Vol 10 (6) ◽  
pp. 363-364
Author(s):  
Barry Meisenberg
Keyword(s):  
Health Care ◽  
Medical Costs ◽  
Medical Professionalism ◽  
Payment Reform ◽  
Health Care Payment ◽  
Oncology Practice

Through the frame of medical professionalism, the author discusses the reform of oncology practice in terms of protecting patients and society at large from financial harm caused by high medical costs.

A Preliminary Study of Nursing Practice Patterns Concerning Dysphagia Diet Modification: Implications for Interprofessional Education With SLPs

2021 ◽  
pp. 1-15
Author(s):  
Naomi Gurevich ◽  
Danielle R. Osmelak ◽  
Sydney Osentoski
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Interprofessional Education ◽  
Practice Patterns ◽  
Improve Patient Care ◽  
Treatment Method ◽  
The United States ◽  
Diet Modification ◽  
Work Settings ◽  
Swallowing Dysfunction

Purpose Speech-language pathologists (SLPs) are trained to evaluate and treat dysphagia. One treatment method is to modify diet consistency or viscosity to compensate for swallowing dysfunction and promote a safer intake; this typically involves softening solids and thickening liquids. Thickening liquids is not safer for all patients, and modification of dysphagia diets without adequate training may reduce the quality of dysphagia patient care. Over 90% of SLPs working in health care report exposure to nurses who regularly downgrade dysphagia diets without an SLP consult. This study explores dysphagia diet modification practices of nursing staff with and without dysphagia training. Method Practicing nurses and student nurses ( N = 298) in the United States were surveyed regarding their dysphagia diet modification training and practice patterns. Additionally, a pre-/posttest design was used to determine the efficacy of a short general tutorial on willingness to modify diets without an SLP consult. Results Downgrading diets without an SLP consult is a common practice. Fewer than one third of nurses (31.41%) would avoid it, whereas 73.65% would avoid upgrading without SLP consult. Formal dysphagia training made little difference to this practice. The short general tutorial also had no beneficial effect, in fact slightly reducing the willingness to consult SLPs. Conclusions Dysphagia diet modification practice by nurses is pervasive in U.S. health care. This is a previously unexplored but common issue SLPs face in work settings. This study identifies a need to clarify guidelines and increase interprofessional education between both professions to improve patient care.

Making the Case for Value-Based Payment Reform in Children’s Health Care

2018 ◽  
Vol 172 (6) ◽  
pp. 513 ◽  
Author(s):  
Charlene A. Wong ◽  
James M. Perrin ◽  
Mark McClellan
Keyword(s):  
Health Care ◽  
Children's Health ◽  
Children’S Health ◽  
Payment Reform ◽  
Children’S Health Care
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