The Mismanagement of Complaint

The Need for Improving A Patient's Concern and The Protecting of Medical Necessities within the Healthcare Industry

Authors

  • Research Tscion Tscion.
  • M.G. Connell, Ph.D. Tscion Research

DOI:

https://doi.org/10.58525/tsd.v1i3.21

Keywords:

Health Disparities, Patients' Rights

Abstract

Current methods of patient rights and the process used to investigate formal complaints are reviewed to determine if the present form of reporting is accessible and if the proper function of concern to file a complaint is appropriately formulated. The review includes the percentage of filed complaints when healthcare providers violate patients' rights (Larijani, 2011) and the success rate of resolving the matter that educates the patient and enhances provider policies (Reader, 2014). This method of filing instantly escalates a concern without equitable review on behalf of all parties involved. Reviewing procedures of The Joint Commission and the internal review of the health care provider allows the report to determine inconsistencies with the presumption of patient rights or the deficiencies in creating an informed patient (Bendell-Lyons & Power, 2001). In contrast, providers can abuse patient ignorance to avoid complaints and marginalize concerns that prolonge the post-COVID-19 interest in repairing health disparities and improving racial and cultural biases within healthcare trust and morale (Poland & Harihara, 2022). The method of concern also determines the burden of the patient to fight for wellness while fighting for equitable health simultaneously, which continues to perpetuate health disparity (Haye, V., 2020).

References

Bendall-Lyon, D, & Powers, T (2001). The Role of Complaint Management in the Service Recovery Process. Joint Commission on Accreditation of Healthcare Organizations. Elsevier Inc. https://doi.org/10.1016/S1070-3241(01)27024-2

Haye, V. (2020). 'We all bleed the same color': Why do Black women in the UK experience disparities in gynecological care? Medical News Today. Retrieved August 16, 2023, from https://www.medicalnewstoday.com/articles/we-all-bleed-the-same-color-why-do-black-women-in-the-uk-experience-disparities-in-gynecological-care#The-case-studies

Larijani, B. (2011). Unsatisfied patient's rights: A survey on the views of patients, nurses, and physicians. Journal of Medical Ethics and History of Medicine, p. 5. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3714124/

Poland, L., RHIA, CCS, & Harihara, S., CPC, PGPAIML (2022). Claims Denials: A Step-by-Step Approach to Resolution. Journal of AHIMA. Retrieved August 15, 2023, from https://journal.ahima.org/page/claims-denials-a-step-by-step-approach-to-resolution

Reader TW, Gillespie A, et al. (2014). Patient complaints in healthcare systems: a systematic review and coding taxonomy. BMJ Quality & Safety, 23:678-689. http://dx.doi.org/10.1136/bmjqs-2013-002437

Published

2023-08-16

How to Cite

Tscion, R., & Connell, Ph.D., M. (2023). The Mismanagement of Complaint: The Need for Improving A Patient’s Concern and The Protecting of Medical Necessities within the Healthcare Industry. The Sustainable Desk, 1(3). https://doi.org/10.58525/tsd.v1i3.21