Physicians in a Small Urban Hospital Are Reluctant to Discharge

question 15

Multiple Choice

Physicians in a small urban hospital are reluctant to discharge older adult patients because many of the patients lack private insurance and the resources to travel distances for follow-up care.The hospital administration pressures the physicians to discharge patients sooner and to be more consistent with the number of hospitalization days specified within the DRGs.Which of the following would most likely prompt the action of administrators?

• A) The hospital is incurring a deficit related to a gap between the PPS and the DRGs and costs of care.
• B) Local home care services are expressing concern about the increased acuity of patients being discharged into their care.
• C) The resource-based relative scale for physicians does not account for the increased length of stay.
• D) Acute care patients are being denied entry to the hospital because of the increased stay of patients.

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Definitions:

Retroflector

A psychological mechanism where an individual keeps back impulses or feelings towards others and redirects them towards themselves, often discussed in Gestalt therapy.

Introjector

An individual who unconsciously incorporates the attitudes, values, or ideas of others into their own personality.

Accepting Responsibility

The act of acknowledging one's own actions and their consequences, often seen as a crucial step in personal development and conflict resolution.

Gestalt Therapy

A form of psychotherapy focused on personal responsibility and experiencing the present moment, emphasizing the holistic nature of the self.