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Using Learning Outcome Measures to assess Doctoral Nursing Education
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[Optimal care needs daring doctors].

H J Meijman1,2

  • 1Huisartsenpraktijk Meijman en Pijbes, Amsterdam: H.J. Meijman, huisarts.

Nederlands Tijdschrift Voor Geneeskunde
|December 21, 2018
PubMed
Summary

Doctors should prioritize patient well-being over disease-focused treatment for optimal care. Current systems encourage maximal, not optimal, care, leading to overdiagnosis and overtreatment, necessitating bolder medical practice.

Area of Science:

  • Medical Ethics
  • Healthcare Management
  • Clinical Practice

Background:

  • Current healthcare systems often prioritize disease management over holistic patient well-being.
  • Financial pressures, rigid guidelines, and defensive medicine contribute to suboptimal care delivery.

Purpose of the Study:

  • To advocate for a shift from maximal care to optimal care, focusing on patient well-being.
  • To identify systemic factors hindering the delivery of optimal patient care.
  • To emphasize the need for courageous action from physicians to achieve optimal care.

Main Methods:

  • Conceptual analysis of current medical practice and healthcare structures.
  • Ethical evaluation of care delivery models.
  • Discussion of the impact of financial incentives and defensive medicine.

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Main Results:

  • The current system incentivizes maximal care (overdiagnosis, overtreatment) rather than optimal care.
  • Physicians face systemic barriers to providing patient-centered, optimal care.
  • Acting daringly is presented as a necessary approach for physicians to achieve optimal care.

Conclusions:

  • A paradigm shift towards patient well-being is crucial for optimal healthcare.
  • Systemic reforms are needed to support physicians in delivering optimal care.
  • Physicians must embrace a more courageous approach to overcome barriers and ensure patient-centered care.