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With different reforms to the nation's healthcare delivery moving into place, increasing emphasis is often on the midlevel practitioners. The physician-owned hospitals are becoming more present in the United States. They are finding new ways to expand despite them being banned from the acceptance of Medicare and Medicaid patients. Physicians are known to run efficient hospitals as they are known to understand the needs of the patients and consequently they make sure that there is consumer satisfaction that in turn leads to consumer loyalty.
More physicians are retiring or thinking about selling their practices to hospitals. However, there is a group of practitioners that are seeing an opportunity in taking their place as small business movement. It is of the essence to understand that ownership structures in this start-up can be complex, and there is a need for the physicians to have adequate knowledge regarding the members on the various states, which often determine the different medical practices. In fact, in some states, physicians may own them outright a licensed profession or through a professional limited liability corporation. However, there are other states that allow minority ownership. Therefore, it is of the essence to know where one falls.
There are several issues that often lead to one starting his or her private practice; the first is delayed an entry into the workplace, secondly, there is regulatory pressures that come because of income and expenses. Therefore, the private practice often helps them to come out of debt and be able to pay their bills on time. One of the cons of opening a physician-owned specialty is that they are often barred from entering Medicare. These restrictions have stopped the development of new physician-owned hospitals.
However, the market growth in the sector is growing as hospitals find new ways to expand. For example, in Texas, the lack of certificate-of-need encourages the creation as well as the expansion of the physician-owned facilities. According to section 6001 of the Affordable Care Act, it effectively bans new physician-owned hospitals from starting up, and it keeps existing ones from expansion. However, the supporters argue that they provide quality care without necessarily interfering with the community-based hospitals and that the conflict of interest can be described as minimal.
I think this is the case, and they should be given a chance to blossom as they often focus on an area of specialization. The physician that start their private practice often are specialized in one sector and consequently provide high-quality services in these areas. In the creation of a physician-based clinic there is a need for a person to have an exact business plan which specifies exactly what, and how one intends to operate the clinic, and the goals as well as objectives of the clinic.
In conclusion, the number of physician-owned hospitals has been on the increase, and this is expected to increase even further with future years. This might be because of the specialization that exists in these hospitals as well as the fact they often have a personal touch with the patient that further increases consumer satisfaction. According to a report by the American Medical Association, as of 2012, there were about 60% of physicians working in physician-owned practices.
Clinician-client relationship in therapy
Clinician-client relationship is an important aspect that should be considered when it comes to therapy. Research has proved that, patients feel more comfortable being treated by someone who they feel they can trust. When a patient builds and gains a trustworthy relationship with a clinician, the patients tend to feel more secure when talking to the clinician. Therefore, the trust generated in the relationship between the clinician and the patient creates a good environment, in which both the clinician and the patient feel comfortable. It is correct to say that a good relationship between a clinician and a patient depicts the two as good friends. Therefore, the patient feels comfortable being treated by the clinician and feels free to talk about all that has been bothering them. The clinician-client relationship has a great effect on the results of the therapy (Clarkson, 2003, 56). If the patient has a good relationship with the clinician, it is common for the outcome of the therapy to be successful.
The positive result may come because the patient feels comfortable with the clinician, and, therefore, will not shy about disclosing every bit of information required for him or her. However, if the patient does not have a good relationship with the clinician, he might tend to hide some information from the clinician. In such a case, the therapy may end up not being successful since the patient chose not to reveal some information that might have been vital in their treatment. Therefore, clinicians are always advised to ensure that they build a healthy relationship with their patients. A solid relationship between patients and a clinician is a good sign of a compatible therapist and a sign of the recovery of the patient. Most patients seeking therapy have disorders like depression are disorders related to disconnection. Therefore, for such patients with disorders related to disconnection, the ability to build a healthy relationship with the clinician is seen as a sign of recovery.
The use of good clinician-client relationship for effective therapy is referred to as emotion-focused therapy (EFT). The clinician is supposed to offer the patient empathy, congruence, acceptance, and show him or her that they have time to listen to their problems. The effect of a good relationship with the patient is to create an affect-regulating bond with the clinician. Over time, the patient can internalize the affect-regulating bond offered by the presence of the therapists, as well as the treatment they offer (Leslie, 2014, 351). The clinician-client relationship also offers an easier way of emotional processing. The effect on the patient creates a safe relationship with the clinician that can be approached, accepted and tolerated. The creation of a good relationship allows the clinician to fit in the emotional void of the patient. Therefore, with achieving this, the clinician can answer the patient effectively as well as guide them in solving their issues.
Traditional techniques that have been used for therapy treatments
There have a number of traditional techniques that have been used for therapy treatments, and the approaches and techniques are considered very robust. It would be significant for clinicians to consider new methods and techniques of therapy. The new methods being used currently have been proven through research to be more effective than old methods. However, this does not imply that the traditional methods that were in use are not functional. Therefore, therapists should consider incorporating the traditional methods with the new age methods (Jon, 2014, 264). The combination of the traditional methods and the new methods can deliver a combined method that can be more successful than any of the methods being used individually. Therefore, the traditional methods should not be eliminated completely instead the good aspects of the techniques should be retained. The retained techniques should be incorporated into the modern methods to create a combination of methods that caters for all problems.
Factors for Creation of good and healthy clinician-client relationships
In the creation of good and healthy clinician-client relationships, there are a number of factors that need to be considered. The clinicians or therapists first need to ensure that they create an emotional connection with the patients. The clinician or therapist needs to offer the patient with a positive and genuine attitude. The creation of a positive and genuine attitude makes the client feel that the clinician or therapist is highly responsive, respective and present when the patient needs him or her. Therefore, the client or patient tends to develop a positive attitude towards to the clinician or therapist and also learns to trust him or her. The effect of a good relationship between a client and a clinician allows the client to undergo growth and change; this is in regards to the treatment (Leslie, 2014, 351). The clinician needs to offer the patient with therapeutic presence, during the therapy sessions. Therapeutic presence refers to the ability of the therapist to be engaged fully at the moment, without any expectations or judgments against the patient.
The therapists also need to use different techniques to handle different emotions that the patients might experience. The use of different techniques creates another platform, which further strengthens the relationship between the clinician and the client. The clinician needs to ensure that the therapeutic bond is strong between him or her and the client. A therapeutic bond creates a channel of communication, care, empathy and warmth to the client. Therefore, the client, on the other hand, feels welcome and comfortable to talk about what might be bothering them without shying away (Clarkson, 2003, 156). The client-clinician relationship creates a platform for task collaboration. The use of task collaborations makes it possible to get the two parties involved in the goals and tasks set for the therapy. The initiative of the clinician to achieve the goals and tasks for the therapy together with the patient also strengthens the bond between the two parties.
Clarkson, P. (2003). The therapeutic relationship. London: Whurr.
Leslie, G. (2014). The therapeutic relationship in emotion-focused therapy. Psychotherapy: Theory, Research, Practice. Special issue: Therapeutic Relationship. Special Section: Relational Foundations of Psychotherapy, 51(3), 350-357.
Jon, G. A. (2014). Beyond the therapeutic alliance. Spirituality in Clinical Practice, 1(4), 263-265.
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