Julio Avael III works in the healthcare industry providing mental health care to children and adolescents. In the following article, Julio Avael investigates how health care providers can prioritize their patient’s needs while remaining financially viable. Additionally, more on this conflict, its effects on patients and the ethical implications that are involved.
Healthcare is a trillion-dollar industry that is essential for society's well-being. Unfortunately, profit and quality care often conflict. This dilemma poses important questions about the balance between profitability and patient welfare as healthcare costs continue to rise, and commercialization becomes more prevalent.
Julio Avael III on Motivation and Healthcare Services
Julio Avael III says that one of the primary concerns in healthcare is the potential conflict between profit motivation and patient welfare. In a for-profit system, providers may be incentivized to spotlight profits over patient needs. According to the Kaiser Family Foundation, cited in the Annals of Internal Medicine,
24% of U.S. hospitals were for-profit institutions. The United States has an unusually high proportion of healthcare facilities with this status, potentially creating an inherent conflict of interest between patients and providers. Furthermore, Julio Avael says that profit-oriented practices, such as overcharging, under-treating, or denying care to those who cannot pay, can occur within such a system.
The Dilemma of Profit vs. Patient Welfare
Healthcare providers must find a balance between profitability and patient welfare. On the one hand, they need to generate revenue to cover expenses and invest in new technologies and treatments; on the other hand, they must guarantee that their focus on profits does not lead to neglecting patient needs.
Julio Avael III says that healthcare providers can address this dilemma through cost containment and efficiency initiatives. By eliminating waste, eliminating unnecessary procedures, and streamlining operations, providers can save money while still providing high-quality care.
Another approach is to transition to value-based care models that prioritize patient outcomes over the number of services provided. With value-based care, Julio Avael explains that providers are rewarded for keeping patients healthy and avoiding unnecessary treatments rather than for simply providing more services. The Centers for Medicare & Medicaid Services have implemented several value-based care initiatives like the Medicare Shared Savings Program and Hospital Readmission Reduction Program as incentives for providers to adopt such models.
Impact on Patients
Julio Avael III says that when healthcare providers prioritize profits over patients, the consequences can be profound. When costs, access, and quality decline, patients may feel less trust in the system and be less inclined to seek assistance when needed. According to a Kaiser Family Foundation report,
one in four Americans experience difficulty affording healthcare services—with lower-income individuals particularly feeling the pinch.
Conversely, Julio Avael III says that when healthcare providers prioritize patient welfare, patients reap the rewards of better outcomes, lower costs, and greater access to care. Patients also tend to trust their providers more and follow their recommendations more faithfully—which, in turn, leads to better overall health outcomes. A study published by the Journal of Nursing Care Quality revealed that patients who received patient-centered care reported higher levels of satisfaction with their care than patients in the control group.
Ethical Considerations
The conflict between profitability and patient welfare poses important ethical dilemmas for healthcare providers. At its core, healthcare is about helping people, so providers have an ethical obligation to prioritize the needs of their patients. One way providers can balance profitability with ethical responsibilities is by taking a patient-centric approach to care—that is, focusing on each individual's needs and preferences rather than the bottom line.
Julio Avael says that providers can prioritize transparency and communication with patients. By being truthful about costs, treatment options, and potential outcomes, healthcare providers build trust with their patients and can better guarantee that informed decisions are being made. Furthermore, healthcare providers engage in ethical decision-making by considering how their decisions might affect both individuals and society as a whole.
Addressing the conflict
Julio Avael III explains that healthcare providers can work to resolve the conflict between profitability and patient welfare in a number of ways.
- Focus on cost containment and efficiency: Healthcare providers can reduce expenses by eliminating wasteful or unnecessary procedures, streamlining operations, and streamlining supply chain management.
- Adopt Value-based Care Models: Providers can adopt value-based care models that put patient outcomes in the center instead of the number of services provided. This means putting the focus on keeping patients healthy and avoiding unneeded treatments instead of just offering more services.
- Promoting Transparency and Communication with Patients: Providers can be upfront with patients about costs, treatment options, and potential outcomes. Doing this helps establish trust between them and ensures patients make well informed decisions about their care.
- Adopt a patient-centric approach to healthcare: Healthcare providers can focus on a patient's individual needs and preferences instead of only the financial aspect of care. This means tailoring each patient's care according to their specific requirements, while including them in the decision-making process.
- Consider the potential impact of decisions on patients and society at large: When making ethical decisions, providers should take into account both patients' rights and society at large. This involves weighing the benefits and potential risks of treatments or interventions, as well as how their decisions might influence other aspects of healthcare like reimbursement rates or patient safety. Furthermore, providers must take into account how these decisions might influence other healthcare systems beyond those directly affected by them.
Julio Avael III says that by adopting these strategies, healthcare providers can prioritize patient welfare while remaining financially viable. Balancing profitability and patient well-being is a complex issue in healthcare, but those who take steps to resolve it can help guarantee that all patients benefit from access to quality healthcare—not just those who can afford it.
Conclusion
Balancing profitability and patient welfare in healthcare is a complex challenge. Providers must negotiate competing priorities, ethical considerations, and more to provide the highest level of care while remaining financially viable. While there is no simple solution to this dilemma, healthcare providers can take steps to prioritize patient well-being and promote transparency and trust within their system.