For
this exercise, I accessed an article from the New York Times website titled “House
calls are making a comeback” by Milt Freudenheim, published online on April 19,
2014. This article details the rise in
the use of palliative care to treat those with chronic conditions that are not
necessarily better addressed within a hospital setting. Freudenheim has been the Times’ health care
reporter for quite a while, since 1993, based on a Google search I did, and has
been with the Times since 1979, based on his LinkedIn profile, so while he is
not offering medical opinion, I believe his years of experience reporting on
issues within the health care sector makes him a reliable source.
Within
the article, Freudenheim utilizes not only the experiences of patients who have
utilized palliative care services, but also physicians who head the palliative
care services departments of various well-regarded hospital systems throughout
the country. Palliative care is often
confused with end of life or hospice care, a misconception that Freudenheim
attempts to rectify within his article as he details the holistic approach to
not only making and keeping patients comfortable and free from pain, but also
attending to their mental well-being. The
article links to a study, completed in 2007, which tracks the level of satisfaction
patients with terminal illnesses experienced with the use of palliative care
services. Today, doctors and health care
organizations are using this model to expand the scope of service to cover
patients who would benefit from such high touch care without the need to be in
a hospital setting. Within the
palliative care spectrum, physicians and care managers work with primary care
physicians and specialists including mental health specialists to manage the
overall care of the patient to ensure that the quality of life is the highest
possible. All of this is done with the
intended goal of not only caring for the patient, but lessening hospital
re-admittance issues that can be so prevalent with patients with chronic
conditions such as heart disease.
With
the passage and subsequent implementation of the Affordable Care Act (ACA),
there was much rhetoric surrounding what some perceived to be “death panels”
within the bill, and a great deal of attention was paid to such claims. However, under the ACA, Accountable Care
Organizations, or ACOs, which are a by-product of the law, offer services such
as palliative care, as a way to serve the needs of the patient and help to
lower the health care costs associated with hospital stays. While ACOs are an added level between the
patient and their physicians, serving in a more administrative role, they
hardly sounds like the supposed “death panels” that were being touted by those
who opposed the ACA as a body of bureaucrats that would decide which patients
would receive care and which would not, thus determining who would live and who
would die. As the process moves further along, articles
such as this can only help to dispel the great deal of myth and misinformation
that continues to surround this legislation even as more milestones toward its
full implementation are passed.
However, as with all online resources, as Montecino states, “it
is imperative for users of the Web to develop a critical eye to evaluate the
credibility of Internet information” (1998).
Freudenheim, M.
(2014, April 19). House calls are making a comeback. Nytimes.com.
Retrieved April 20, 2014, from http://www.nytimes.com/2014/04/20/business/house-calls-are-making-a-comeback.html?ref=us
Montecino, V. (1998, August).
Helpful hints to help you evaluate the credibility of web resources. Retrieved
April 2014, from http://mason.gmu.edu/~montecin/web-eval-sites.htm