181–190 of 1001 posts
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I doubt that it's as simple as that. Nurses are also leaving in Canada and we don't have insurance breathing down their neck.
Are they? Leaving to do what, exactly? For every story of 'X leaves to do Y', there are a thousand people claiming they'll leave, that never do.
The survey sample was 200 RNs in the USA.
Standard error in this case, assuming the 200 are randomly sampled is: sqrt((p*(1-p)/n) sqrt((0.9*0.1)/200) = 0.021 So 95% confidence interval for this ~ 0.86 - 0.94 Does that radically change the message of this article?
Wages need to go up. Also I think there will be a big push to open up immigration to nurses and doctors over the coming decades Kind of weird that the usa prioritizes software developers over healthcare workers in the immigration system .
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Insurance is the only industry where they agree to pay for something (in this case, "medical care"), but then after service has been rendered can decide to pay less, or not pay at all, or stop paying that provider altogether, etc. This combined with hospitals being run by non-physicians*, and people thinking being able to Google and read WebMD qualifies them to argue with their doctor about treatment plans**, healthc…
The "only physicians should run hospitals" doesn't make that much sense to me. Reminds of the technocratic argument you used to see a lot on the internet that instead of politicians we should have scientists and engineers in legislature. The issue is if you have someone with a scientific background doing politics, what you have at the end is still a politician. Same thing here. An MD doing hospital administration is…
Indeed! Whereas a doctor might say yes, give that patient with cancer the treatment they need, the MBA is going to say no, it costs to much, let them die. If the goal is to maximize profit, the MBA is doing a better job. If the goal is to maximize the health of your patients, the doctor is. We must realize that these two goals are fundamentally in conflict with one another.
The question isn't whether a doctor or an MBA should be running a for profit hospital, it's whether we should even have for profit hospitals. If we care about people more than profits, then clearly we should not.
While it's anecdote, every single peer in bedside medical care I know without exception has either left the field, or has immediate plans to as soon as student loan debt is repaid. The few older medical professionals in my family are simply sticking out the last few years until they can retire early. This was generally the case prior to pandemic due to how poor the work environment has become, but the pandemic seems…
Until I saw hospital nursing, I had never seen a company run by HR.
Every decision starts and ends with HR. From hiring, to wages, to discipline and promotion, to IT and pay-roll, to reorganization and spending priorities, there is a rule for that. Maybe that rule originally came from the CEO or the CNO, but they say things like "may" and get interpreted as "shall" (or the manager faces a bad review and/or termination) or they are interpreted beyond any rational meaning. My best explanation is that it comes from a fear of litigation and a lack of leadership at the top. The final hilarious story is the CEO negotiating a big deal with lawyers and VPs shaking hands... and then saying without joking, "but I'll have to get HR's approval". The meeting wasn't important enough for HR to show up, but they had the last say.
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> lost their professional agency to do-nothing administrators You just summarized the decline of Western civilization in one phrase. This has happened almost everywhere and efforts to push back have proven extremely difficult. I personally place a lot of the blame on the educational system for overproducing administrative skill sets and underproducing practical skill sets. There is some role for those things of cours…
See also: California’s plan to eliminate algebra 2 and calculus from the highschool curriculum. It is being spearheaded by someone without a math degree, in the name of improving marketability of the kids for data science positions, or something. See also (2): Monty Python’s bicycle repairman sketch.
For a while now it feels like the left and the right are attempting to one-down each other on how stupid they can get. That proposal seems like an example of the left trying to out-stupid Trump and the alt-right. Don't worry I'm sure the right is working on things even dumber than this, and then those will have to be topped, and so on. In 2024 we will have Dr. Oz and Marjorie Taylor Greene running against Oprah Winfrey and Kamala Harris.
I'm not sure how this downward spiral ties into the administrative position over saturation problem, but I have the intuition that it does somehow. Maybe what we have are a whole ton of people who don't really know how to do things who vote. Voting is ultimately a hiring decision, so what we get is a voting process that hires a whole bunch of either administrators who themselves don't know how to do things or crackpots because people without practical knowledge can't spot a crackpot.
Earlier quoted context omitted.
Insurance is the only industry where they agree to pay for something (in this case, "medical care"), but then after service has been rendered can decide to pay less, or not pay at all, or stop paying that provider altogether, etc. This combined with hospitals being run by non-physicians*, and people thinking being able to Google and read WebMD qualifies them to argue with their doctor about treatment plans**, healthc…
> I strongly believe that only physicians should be running hospitals. This is how it is for other professional industries. As an attorney, you can lose your license for sharing any profits with someone who isn't a lawyer. I believe states typically require accounting and engineering firms to either be wholly or two-thirds owned by such professionals as well.
What states are these, Canadian states?
In the US, many many many SaaS shops are wholly owned by businessmen / bean counters. It's like, weird, to be an engineer who runs a software company.
Not surprising. My partner is a DNP and has pretty strongly considered leaving the entire profession. From my perspective, the entire healthcare industry is set up to treat any frontline worker without an MD after their name as completely expendable, nothing more than a row in a spreadsheet that can be optimized for middle management to hit next quarter's bonus targets. You can meet all metrics management sets out fo…
here are some "articles" on the subject:
https://www.bmj.com/content/373/bmj.n1594
https://www.beckersasc.com/benchmarking/22-of-physicians-con...
https://www.medpagetoday.com/practicemanagement/practicemana...
And one of these articles (the last) is from 2013, talking about a change in healthcare practices (corporate unification), the ACA (limits on accepting medicare patients) and the health reform law (liability reform). So, I guess medical burnout has been coming log before Covid and we have just been ignoring it?
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> 2. Patients in COVID have become downright mean. Add this to the problems nurses have management and doctors (who are often rude and arrogant) and it's a poor culture. The quality of the environment, from a mental health standpoint, is on the decline. Mean customers, and rude coworkers? I sympathize, but this is a reality in a lot of industries. I have no reason to believe that healthcare here is worse than average…
Most industries are neither tasked with restoring health nor with being the bearer of hard truths about a person's health. I think it stands to reason that healthcare can be a particularly toxic environment for those reasons.
There's a culture problem there.