Barriers to primary care coverage and access still exist for a significant number of people despite coverage expansions following enactment of the Affordable Care Act, according to a study published in Health Equity.
The relatively recent submissions by state policymakers requesting to close their Medicaid formularies highlighted ethical concerns regarding access and treatment of patients who are poor or vulnerable.
Researchers used information they gleaned from a systematic review of articles focused on discharge instructions in the ED to assess differences in comprehension or recall of verbal, verbal plus written, and verbal plus video discharge instructions.
The American College of Physicians endorses the necessity of a comprehensive process for disclosure of potential conflicts of interest to ensure the integrity of clinical guidelines and guidance statements.
Developing and implementing evidence-based mitigation strategies specifically targeting preventable patient harm could lead to major service quality improvements in medical care which could also be more cost effective.
In cases in which an error is made in the care of an unrepresented patient, the absence of a surrogate does not preclude the clinician’s ethical responsibilities to document, disclose, and, insofar as possible, rectify the mistake.