From the patient’s perspective, the main things that a patient expects from healthcare are to be treated well when ill and that too immediately, so there should also be timeliness in treatment. In case of impossible looking situation patients expects doctors to maintain hope and provide them with alternative options. Care from the same person or team is important, theu continuity and coordination should be there. Patients want to pay as little as possible. People seek treatment once they feel the threat of symptom. Once the threat of symptom is established, they tend to analyse the cost and benefits of treatment and then these are balanced against perceived impact of symptoms on quality of life. As result of this patients decide where to go for treatment. There are factors which decide which hospital to choose. These include patient’s experience and word of mouth, reputation and brand of the hospital, location and accessibility ice patients prefer those hospitals more that are nearby located and are easily accessible whenever an emergency occurs.
From the doctor’s perspective, doctors expect to be paid according to the service they provide which is known as fee for service compensation. It also incentivizes physicians to provide additional treatments. Many arguments against fee for service compensation are in favour of fee for performance compensation model where quality is of utmost importance. Doctors do not have the right o choose which patients to treat or do discrimination related to patient’s race, colour, gender, sexual orientation, or political affiliation. He is mandated to see anyone who walks through the emergency department. He is also obligated to use his clinical skills to stabilize and treat anyone requiring immediate medical attention. One exception o this are the rare cases of disease for which the doctor do not have any specialization or a little knowledge. He can refer the patient to another doctor in such cases. Greater threats to physician autonomy arise from increasing competition from other doctors, new forms of practice organizations, and the rise in malpractice litigation, particularly the rise of for-profit hospital chains, than from patients. Though physicians are restless, they will learn to adapt to the new conditions of practice.
From the hospital’s perspective, hospitals and doctors share a common and genuine interest in the quality and continuous improvement of patient care. Most physicians relied on hospitals to provide inpatient and outpatient facilities for their patients. Hospitals are increasingly hiring physicians in full-time and part-time executive and clinical management roles all to ensure effective leadership and management of medical and surgical care. Physicians have become owners of entities directly competing with hospitals for patients. PHYSICIANS TRADITIONALLY HAVE BEEN relatively independent of hospitals and have used them as “workshops” in which to carry out their professional services. Hospitals began to shift their focus from building physician-hospital organizations to benefit from high-margin, specialized services and to try to avert potential competition with physicians in delivering outpatient services. There is also physicians’ growing reluctance to take Emergency department call. The not for profit hospitals are dominant because individuals who control the firm do not have the right to that firm’s earnings. Private not-for-profit hospitals dominate because of lower costs of contracting with consumers. A hospital expects one thing form its patients is to have full trust on the services of the hospital and its physicians and to cooperate with the hospital in cases of misunderstandings and when it come to payment of bills. A hospitals duty differs from a physician duty in the sense that a hospital is obliged to provide all sort of medical care to each patient who has come to be served or treated no matter what the disease or illness. A physician duty is limited to his know how of the particular disease or illness, but he is also obliged to perform his duties in the best way possible