What are some of the critical healthcare policy issues related to access to care, cost of care, and quality of care within an organized hospital system? Evaluate this question from the perspective of each of the following: A hospital administrator, a physician, a patient, a politician, a tax payer, a Board Member and a Staff.
First of all, let begin with the quality of healthcare. The quality of care has been a major focus in health care in the US for decades now. The America's medical professionals have continually tried to improve practices and provide the best care for all patients in the world. The approach to guaranteeing the high quality of care is to shift the medical workforce from the fee-for service model of health care reimbursement to the pay-for performance. The pay-for performance is an "umbrella term for initiatives that give incentives or penalties measured by patient outcomes and readmission rates." (1) The research shows that the number of physicians in the United States is associated with better quality and better outcomes. Furthermore, some research studies have shown that the states with the higher "physician to resident ratios" will fare better under the pay for performance system, increasing inequality, and disparity in the nation. The inadequate staffing levels can affect the quality of care, and the low nurse staffing levels. Higher nurse-to-patient ratios have been shown to increase the rate of morbidity and mortality. The working conditions has increased pressure to perform workforce shortages, and increased demand for services that will negatively affect health care institution in the pay for performance system. Studies have shown that about 40 percent of hospital have seen the unsafe conditions, delays in patient admissions and discharge, and failure to discuss treatment options. The Institute of Medicine (IOMO) had defined quality of care as a multidimensional concept in that people should get the care they need when they don't underuse it at all.
Care should be provided safely and in a timely manner, which means that patients should not experience unreasonable or unacceptable delays. Care should be patient-centred, which means that patients should experience the healthcare system as unresponsive to their needs and preferences. Care ...
The quality of care has been a major focus in health care in the US for decades now. The America's medical professionals have continually tried to improve practice and provide the best care in the world. The ACA approach to guaranteeing quality is to move the medical workforce from the fee for service model of health care reimbursement to pay for performance.