Ayesha Rajbhandari

 

What Would You Do?

1.You have been diagnosed with a rare bone marrow disorder that affects only 2 people out of 1 million. The disease is potentially life threatening, but your symptoms are currently only mild and do not yet present a major concern. Your physician recommends that you go to the Mayo Clinic in Rochester, Minnesota, for further diagnosis and possible treatment. As you do some research on the Internet, you find a support group for those afflicted by this rare disease. You are alarmed to hear that the disease can cause a very rapid decrease in the quality of ones life, with many victims confined to a wheelchair or bed and in great discomfort for the last months of their life. When you meet with specialists at the Mayo Clinic, they provide a much more optimistic outlook and claim that medical breakthroughs in treating the disease have been made. You do not know what to believe. You wonder about reaching out to the support group to get further information or to convey what doctors have told you. What would you do?

I would do what my doctors told me because they are the real doctor who knows about the disease and their cure.

 

2. You are in your local computer store and see a low-cost laptop selling for just $299. There is a note on the price tag stating that $50 of the purchase price will be used to subsidize the cost of this computer to students in developing countries. How do you feel about paying an extra $50 for this purpose? Would you attempt to negotiate a lower price? Would you be willing to pay the additional $50?

I am a college student, I would not pay extra for a laptop. I would negotiate the price.

 

Cases

Kaiser Permanente Implements Electronic Health Record (EHR) System

1. What do you think are the greatest benefits of the Health Connect system for Kaiser Permanente subscribers? Can you identify any potential risks or ethical issues associated with the use of this system for Kaiser healthcare plan subscribers? How would you answer these questions from the perspective of a physician or nurse?

the benefits the subscribers are getting are they get their results easily and do not have to rely on the doctor. They can also easily read their reports by themselves. The risk include like the system might go down and might give the patient wrong information.

 

2. This system took over seven years to implement and is estimated to have cost at least $4.2 billion. Would you say that this was a wise investment of resources for Kaiser Permanente? Why or why not?

Yes, this was a wise investment for resources for Kaiser Permanente because they are providing a nice and easy ways for the patient to get their results and not rely on the doctor. But patient would rather trust the real doctor than the machine. This might be the greatest disadvantage for the Kaiser Permanente.

 

3. Researchers associated with Kaiser Permanente have used the patient record database to make numerous worthwhile discoveries in the areas of preventing whooping cough, determining the correlation between HPV vaccination and sexual activity in young girls, improving methods of cancer detection, avoiding blood clots in women using birth control pills, and lowering cholesterol. Do you think that access to this valuable data should be granted to 1. What do you think are the greatest benefits of the Health Connect system for Kaiser Permanente subscribers? Can you identify any potential risks or ethical issues associated with the use of this system for Kaiser healthcare plan subscribers? How would you answer these questions from the perspective of a physician or nurse?

it is not good idea for Kaiser company to share the patient data to the other company. The patient might sue the company and the company might go in loss. Even if they are accessing the patient files then they must ask for permission to the patient before taking any information.

 

Decision Support for Healthcare Diagnosis

1.What concerns might a physician have about using a decision support system such as Isabel or Watson to make a medical diagnosis? How might those concerns be alleviated?

the diagnosis might fail which will affect the patients life and their money. which is very dangerous. The company must alleviated by doing lots of experiments and make sure it wont affect any people. They should also hire the most trained physicians.

 

2. Is it possible that in a decade this type of technology could be easily accessible by laypeople who could then perform self-diagnosis, thus helping to reduce the cost of medical care?

it is accessible unless the technology has no effects. People can spend lots of money for the sake of their health. Therefore, if the technology is very accessible they will pay any amount and get the advantage of it.

 

3. Does the use of decision support systems to support healthcare decisions seem like an effective way to reduce healthcare costs? Why or why not?

yes, it is effective way to reduce healthcare costs, because the patient does not have to pay for their doctors visit which is very expensive. The healthcare provider also does not have to hire the high educated doctors with great fee.