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Providers’ concerns often fall on deaf ears.
I don’t have any problem speaking up, but those who make the rules aren’t listening. Our concerns get lost in the administrative chain. And so many of the rules are handed down to us so second hand, that we can’t even figure out who made the rule in order to complain.
Too much bureaucracy to enact changes which would benefit the patient. The system is mired in “the way we do things.” Those may not always be the best practices for patients.
worse than not being heard: punishments meted for “not being a team player”
motto at our VA: keep your head low…and your voice lower
I’m not even confident this e-mail will be protected. In the seven years I have been at the VA no one has ever asked for an opinion about the quality of health care we provide. There is a “learned helplessness” as we are constantly told to change the way we practice to meet some new bureaucratic mandate.
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Chair of Psychiatry
Wright State University Boonshoft School of Medicine, Dayton, Ohio
Suicide in Military Personnel: Risk, Awareness, and Resources in the Federal Healthcare Settings
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