Gatekeeping in terms of the healthcare sector has been debated throughout the years on whether the process has resulted in the contribution to the improvement of healthcare of a population. The term, gatekeeping is defined as the general public having to go through ‘doors’ in the health care system. This means that referral is required from primary care sectors such as General Practitioners (GP) being the first point of contact, in order to have authorised access to receive secondary and/or tertiary care sector service, these services include specialists such as dermatologists, cardiologist and oncologist. The idea of gatekeeping was originally developed to control the amount of money that is spent on healthcare and as a response to the shortage
1. To make sure the care and treatment can continue to be given safely no matter which staff are on duty, 24 hours a day, seven days a week 2. To record the care that has been given to the patient/client 3. To make sure there is an accurate record to be used as ‘evidence’ when there is a complaint from a patient/client about the
The government has strived to achieve equity in access and provided a comprehensive range of affordable and quality care. At the same time, it has not neglected services that are in the realm of public goods. The importance of quality and standards of care is without question. Important quality and innovation will attract inward investment and generate income to the nation through many opportunities in the health sector and industry e.g. health tourism, but pose challenges in marketing and branding. The MOH has an established and transparent quality assurance programme but this is not the case in the private sector.
However, the metric indicate that aspects such as consumer convenience and efficient handling of the patients have been noted. On the other hand, most of the employees are developing resistance towards the new system due to the high level of accountability required. The report therefore looks into the suitable decision that the hospital management should consider. What are the key decisions that have to be made at GGH?
" Government management could result in patients having fewer choices about what doctors they can see. It would also mean that patients would receive worse care or have to wait longer to receive care. " This evidence provided is found through observation and reasoning by the author.
NICE proposes that there are ‘’significant benefits’’ to this and it’s even safer. Shah even correlates these guidelines to the US and UK’s healthcare systems. He takes notice to the quality of healthcare in the United States and the rebuttal received from the guidelines of NICE. ‘’I soon realized that this rebuttal largely hinged on flaws
Phase 2: Decision and Engagement In the second phase, thought is required of inside limit and capacities of the hospital, neighbourhood responsibility for the issue, and probability of creating 'do-capable' arrangements. Phase 3: Environmental scan and identification of strategic issues This stage includes a point by point examination of the present circumstance. Firstly, suppliers (private, open and non-government hospitals), neighbourhood government, industry and other important hospitals to workshop the issue and main drivers, recognize a procedure or procedure to advance, characterize parts and obligations of organizations to advance critical thinking, and create more extensive correspondence technique.
PROBLEM SOLUTION With patients today using the threat of reporting low satisfaction rates in the hopes of receiving faster or higher quality care, they seem to have taken the upper hand in some of the decision making of what takes place in the healthcare world today (Sullivan). But is it really the survey results that will make the drastic changes that are needed? Instead of questioning whether providers spend enough time with patients, ensuring that the provider gives the patient the option of which medical treatment or drug is best for them, or simply having the patient rate the provider from 0-10, zero being “worst provider possible” to ten being “best provider possible,” (Ganey) patients should simply be asked to leave comments or concerns about their visit. It is understandable and unfortunate that not everyone in the healthcare field can do their job professionally and appropriately, and those people should be reported.
Implementation will need to increase by medical staff to decrease disadvantages
“Managed Care is a health care delivery system organized to manage cost, utilization, and quality (Medicaid, n.d).” Managed care is set up for easy affordable access to healthcare, the care is regulated so that needed procedures are performed on the patients within the limits of network providers available. There are many undesirable and helpful aspects of managed care. For example, a managed care system provides lower costs, quality service, employer opportunities to make available insurance for their employees, in network provider connections allowing for easy finds of doctors for the patient’s specific plan (Cyrene, n.d). There are however many disadvantages, those include not having the accurate provider or lack of provider for the required
Having accessibility to any form of healthcare is important to everyone in the world. Despite the fact that it is available to most countries, it does not mean that it is available to everyone. Being able to possess healthcare is seen as a gift in some parts of the world. In some countries, healthcare is free and accessible for all inhabitants, while in other countries one would have to pay for their own health insurance. Specifically, when focusing on Italy and America, there are major differences regarding their healthcare systems.
The modern healthcare system has been talked about for a while now on the best way to make it a better, more reliable system. With criticism coming from both political sides, and no sure way on how to fix it, the topic of different systems has started being discussed. Maybe add more intro? The discussion of healthcare has been around since the Industrial Revolution when unions began to form, though most advancement on the topic of healthcare was brought on by organizations outside of the government. However, the debate didn’t really begin to heat up until after WWI when healthcare prices began to rise to where an average household could not afford insurance.
For instance, some downfalls include minimal access to prescription drugs and long waits for the treatment of non-life threatening procedures (LJones, 1998). The main reason why Canada’s healthcare system is effective is because all people are covered. Each citizen or resident of Canada actively participates in the cost for their care (Lammers, 1998). Also, the Canadian universal healthcare system is effective because the doctors and staff have little administrative duties to handle. For example, they do not need to fill out insurance paperwork, which gives the doctors more time to care for their patients (Bouzane, 2011).
(Reid 3) The United States isn’t the only country that rations health care. Even the countries that provide medical coverage for all of their people have to rationalize, because there is no way they can afford to pay for thousands and thousands of people’s medical expenses. It’s unreal. According to Reid, in the U.S., in contrast, some people have access to just about everything doctors and hospitals can provide.