Type of paper:Â | Essay |
Categories:Â | Medicine Healthcare Human services |
Pages: | 6 |
Wordcount: | 1506 words |
Reason for the final case
The goal of the case is to support the patient find the most appropriate healthcare facility she can access quality healthcare at an affordable cost.
Summary of the case
The patient is elderly, with chronic diseases and a unique health condition. The patient has multiple physicians who don't communicate with each other. The patient is going through a lot of expenses and wasting a lot of time following up on her health.
Outpatient care services
Outpatient care service does not necessarily need a patient to stay overnight in a health care facility. This care constitutes therapeutic, diagnostic, and treatment to a patient who can be able to walk. Outpatient is more like community-based care, meaning the outpatient services intended to help the nearby community, providing easy and convenient availability to health care to the members of that municipal (Shi & Singh, 2019). However, there are cases whereby the patient may not be able to walk to the hospital; hence, the facility itself might be required to transport services to the patient at his home. The provision of these services is made through home health care or mobile diagnostic units.
Inpatient facilities and services
Inpatient facilities offer service to a patient who stays in a health facility overnight. The primary function of the inpatient facility is to deliver critical care services. More so, this kind of service has expanded its scope of service to include outpatient care and nonacute services. Inpatient institutions must have a minimum of six beds whose main purpose is to deliver diagnostic, patient services, and therapeutic for a general medical condition. Inpatient facility can refer to an institution like a hospital, which must be licensed, have a staff of physicians, and provide nursing services that are continuously under the supervision of recognized nurses.
Primary care services
This kind of health service is built on scientifically sound, practical, and socially accepted technology and approaches made universally available to families and individuals in society. This health care is affordable to the nation and the community and can be maintained at every level of development. Primary care helps in a central part of the health care delivery scheme (Shi & Singh, 2019). Apart from this level, there is a secondary and tertiary level. Primary responsibility is notable from tertiary and secondary care in reference to its frequency, period, and degree of concentration. The service focuses typically on concentrations like health education, minor surgery, health counseling, diagnostic, prevention, and therapeutic services.
Home and community-based services
Financing for this kind of health service comes from private payments, Medicare, Medicaid, and other public sources. Some services offered are homemaker servicers, nutrition plans for the elderly, and transportation services. This kind of service is available to those over sixty years, especially those with exceptional economic needs.
Specialized care facilities
These facilities provide services for persons with a specific medical condition. For example, some subacute care facilities and nursing homes have dedicated units for patients that need would care, ventilator care, or intensive rehabilitation.
Managed care
Managed care is an organized method to deliver a comprehensive collection of health care services to a specific group of registered members through well-organized management of services needed by members and negotiation of payment or price arrangement with the service providers (Shi & Singh, 2019). Managed care has formal regulation overutilization, and it features insurance, financing, delivery, and payment function within one body setting.
Integrated Organizations
Integrated organizations are health care facilities that focus on various approaches to achieve economies of operation, spread standard procedures by offering new services and products, or increase market share. These organizations result from hospital acquisition and mergers. The reason why hospital consolidates is because of technology advancement, reimbursement effects, and progress of services in other delivery settings. Following hospital mergers, physician groups also align themselves with hospitals to preserve their self-sufficiency and find protection from the rising influence of managed care. The integration strategy offers a huge slice of the patient market to the hospitals that have merged. The main aim of the integrated organization is to attain diversification through the addition of new services that the organization had not provided earlier on.
Long term care
This type of service is well-coordinated with diverse of customized services that encourage the utmost conceivable independence for individuals with functional limitations and are given over a prolonged period in agreement with a holistic approach while maximizing the quality of life to the recipient patient (Shi & Singh, 2019). The long-term care uses available evidenced-based practices and current technology to deliver service to the patient. This type of care is multidimensional and unique in the delivery of health care.
Health Services for a particular population
Specific, more significant challenges are facing certain groups of people compared to other general population. This group faces a higher risk of social health, psychological, and poor physical health. Ethnic and racial minorities, women, uninsured children, homeless individuals, people living in a rural area, the chronically ill, and mentally ill individuals are considered as some of the unique population. There is special health care for this group of people where they access quality health services at a lower cost or for free.
Cost of healthcare
Cost is a term that carries a different meaning in health care delivery. Cost to financiers and consumers meant the value of health care. This value includes the cost of health insurance premium, cost of prescriptions, or the fee charged by the physician (Shi & Singh, 2019). Cost from a national viewpoint denotes how much the nation spends on health care. From the standpoint of health care providers, the cost is the cost of creating health care services. This cost comprises rental of space, capital costs for equipment and building, staff salaries, and purchase of supplies.
Access to care
The ability of an individual to get health care service when required is referred to as access. On an extended version, access can also refer to the ability to obtain required, convenient, affordable, effective, and acceptable personal health care promptly. More so, we can extensively look at it on whether a person has a source of health care, that is a physician. Access to medical care is a critical element of health, along with lifestyle, environment, and hereditary factors. Access is an essential standard in evaluating the efficiency of the health delivery system. Measures of access indicate whether health care delivery is equitable.
Quality
Quality is the grade to which health services for populations and individuals intensify the possibility of anticipated health results and are steady with present professional knowledge. (Shi & Singh, 2019). Quality may be assessed from the perception of communities or society and individuals.
Analysis
Outpatient care services is an applicable principle in this case because the patient visit doctors and numerous health care fractionates.
Inpatient facilities and service is an immaterial principle in this case because she doesn't suffer acute health condition, and she does not sleep in the hospital.
Primary care service is an applicable principle in this case because the patient can get essential health care built on scientifically sound, practical and socially accepted technology and methods made universally available to families and individuals in the community
Home and community-based services are an applicable principle in this case because the patient is over sixty years; therefore, she can be a beneficiary of the under this principle.
Specialized care facilities an applicable principle in this case because the patient is suffering from Alzheimer's diseases, which are cared under this principle.
Managed care is an immaterial principle in this case because the patient is not enrolled as a member.
Integrated Organizations is an immaterial principle in this case because the patient is visiting different doctors who do not communicate with each other
In this case, long-term care is an immaterial principle because the patient is not a beneficiary of the policy.
Health Services for the unique population is an applicable principle in this case because the patient can access this service because she is an older woman who is considered under the principle
Cost is an applicable principle in this case because the patient is a benefit of Medicare.
Access is an immaterial principle in this case because the patient does not get adequate healthcare
Quality is an immaterial principle in this case because the patient does not get the anticipated health care.
Recommendation
I would recommend the patient to access home health care and specialized care facilities. The reason for supporting her to home-based health care is that she is old and she should be walking around to health facilities. If she enrolls in-home health care, she will receive quality health from t her home, and there will be no medication confusion because she will be dealing with one physician. Also, I would recommend she enroll in specialized care facilities; the facilities provide services for persons with a unique medical conditions. For example, Alzheimer's disease, which she is suffering.
Reference
Shi, L., & Singh, D. A. (2019). Delivering health care in America: a systems approach. Burlington, MA: Jones & Bartlett Learning.
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