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Health Care Delivery

Analyze how each has changed healthcare delivery on both the macro and micro levels. Provide specific examples of how both macro and micro impacts/changes: (a) Managed care and (b) Total quality improvement.

What are the three most ethical controversies relating to stem cell research and human cloning? Why?

The American Academy of Pediatrics wants to conduct a survey of newly graduated family practitioners to assess why they did not choose pediatrics for their specialization. Provide a definition of the population, suggest a sampling frame, and indicate the appropriate sampling unit.

A new group of primary care physicians have decided to locate in a suburb of Washington, D.C. Having had some primary market research conducted of the area, the research characterized the community as comprised primarily of Boomers, Gen Xers, and a significant number of N-Gen white collar workers, all employed by high tech consulting firms who work in the outer belt that surrounds Washington, D.C. What are the implications of this market profile in terms of how: (a) The office setting might be configured? (b) The office scheduling and hours might be construed? (c) A plan might be developed to make the market aware of the new group opening its practice?

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Analyze how each has changed healthcare delivery on both the macro and micro levels. Provide specific examples of how both macro and micro impacts/changes: (a) Managed care and (b) Total quality improvement.

On a micro level, although many Americans say they're satisfied with healthcare and healthcare plans, they still worry about the future. Teixeira (2005) states that they are worried "about treatment that could be denied them, about costs that could ruin them, and about loss of coverage." Healthcare reform is important for both patients and healthcare facilities.
Mainly, as a result of managed care in the 1990's, the healthcare system is perceived to be on the decline, i.e. increased cost, poor quality care, increased number of uninsured, mistrust of the providers and insurers, unethical behavior by both insurers and providers, etc (Fottler & Malvey, 2004). On the macro level, insurers shaped these perceptions by high insurance premiums and those that are out of reach for many Americans (who remain uninsured). Unethical behavior by insurers hasn't helped the matter either. Healthcare executives should develop better leadership and public relations savvy. Many institutions have incurred a world of trouble when they were perceived as violating fundamental values. The introduction of managed care resulted in the eroding of public trust and perceptions of a steady decline (due to medical errors, increased workload, eroding physician-patient relationship, less people insured, etc.) in the healthcare system (Teixeira, 2005). Low levels of trust amongst providers and insurers also lead to mistrust, low level care, etc. The level of trust in the industry has dipped to a critical level. Nurses distrust doctors. Doctors hate insurers and managed care organizations. Patients, meanwhile, are terrified by reports on medical errors and sometimes driven into bankruptcy by medical bills. Improving care with healthcare reform, however, could ultimately improve overall trust in the healthcare system.

Managed care has influenced and changed the ways in which healthcare providers make medical decisions. With the introduction of managed care, the control of the decision making has shifted from the physicians to the managed care organizations (Fottler & Malvey, 2004). Managed care has been accused of focusing more on costs and ...

Solution Summary

This solutions explains how managed care has changed healthcare delivery on macro and micro levels and provides specific examples. It further lists ethical controversies relating to stem cell research and human cloning. Assistance is also provided in the topics of Sampling and Implication of a Market Profile. Includes 4 references.

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