The first advantage is to streamline teamwork and cut down wasteful practices. Services are delivered more efficiently because health care providers are able to work together in a network. The second advantage is allowing health care to be more affordable especially in HMO. Financial risks are reduced because subscribers pay set fees which prevent frequent patients from going broke. Incentive to keep patients healthy is the third advantage. Managed care organizations save more money if people don't require expensive treatments - practicing prevention is less expensive than curing a disease. Fourth, new health professionals don't have to stress about attracting new patients because the organization have the ability to market them to a whole array of patients within the network. Fifth, practitioners are less loaded with administrative works. Everything from maintenance, support staff to billing procedures and facility works are handled by the organization network. Because the organization handles most of the administrative works, confidential informations can also be compromised, this is one of the disadvantage or managed care. Second, the choice of health care providers are limited within the network which affects the patient-caregiver relationship. Some patients would switch healthcare providers just to save money. Third, in return of frequent switching of caregivers or dropping of …show more content…
"The caregiver does most of the talking, choose conversational topics, and begin and end communication episodes." (52). They also practices Therapeutic Privilege - keeps interviews brief and refrain from sharing information that might confuse or does harm to the patients. In terms of behavior, the caregiver is assertive, superior and patronize towards patients. In some cases, the doctor interrupts or block complaints by shifting the direction of the topic. The patient is viewed as ignorant and childlike in this model. Even if the patient is not satisfied, he or she is more reluctant to criticize for inadequate care. In the collaborative communication model, the caregiver and the patient shares equal power. "Providers and patients treat each other as peers who openly discuss health options and make mutually satisfying decisions; a partnership." (59) The caregiver encourages two-sided conversations instead of just taking over the active role, this leads to deeper interactions. The patient or health citizen, is acknowledged as capable decision makers. Both the caregiver and the patient are able to learn something from each other in this