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Patient participation in decision making
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Hospitals are shifting to a more customer-focused culture not only because of healthcare reform provisions, but also because patients themselves are changing and forcing hospitals to respond (Rodak, 2012). Today’s patients are customer focus driven, getting what they need or taking their business elsewhere. As hospitals recognize patients as a customer who have a choice of where to seek care, they also need to treat patients as necessary partners in their care (Rodak, 2012). The partnership that the staff builds with the patient is key to increasing customer satisfaction. One of the triple aims of healthcare reform is improving population health, which requires the engagement of patients in making healthy decisions (Rodak, 2012).
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as customer: "Rising tide of consumerism” (Rodak, 2012). Meaning the patient wants to be treated like a paying customer getting their needs met verse a patient getting whatever the Doctor’s feels they need. Patient as partner: Understanding patients' needs (Rodak, 2012). Meaning the patient would like to be partners with the healthcare provider, having a say in their plan of care. Patient Family: Meaning some patient are under age or elderly and their family members are the decision maker, it’s important for them to feel satisfaction. Research shows that patients get better faster when the family is happy with the services a patient is receiving, and so patient and family satisfaction becomes a very important key in treatment and recovery (Farris, 2013). Customer-focused is the approach that all hospital should invest a lot of time energy with customer satisfaction. References Rodak, S. (2012, December 07). Should Hospitals Treat Patients as Customers, Partners or Both? Retrieved July 31, 2017, from http://www.beckershospitalreview.com/strategic-planning/should-hospitals-treat-patients-as-customers-partners-or-both.html Farris, D. (2013, March & april). Patient, Family Satisfaction Improve Outcomes . Retrieved August 03, 2017, from https://www.chausa.org/publications/health-progress/article/march-april-2013/patient-family-satisfaction-improve-outcomes https://search.proquest.com/openview/6052f2a38cd4c49a140f9e03061d6f03/1?pq-origsite=gscholar&cbl=7080
SGH has been plagued with patient quality issues, therefore SGH finds itself in a situation which is inherently antithetical to the mission of the hospital. The costs of healthcare continue to rise at an alarming rate, and hospital boards are experiencing increased scrutiny in their ability, and role, in ensuring patient quality (Millar, Freeman, & Mannion, 2015). Many internal actors are involved in patient quality, from the physicians, nurses, pharmacists and IT administrators, creating a complex internal system. When IT projects, such as the CPOE initiative fail, the project team members, and the organization as a whole, may experience negative emotions that impede the ability to learn from the experience (Shepherd, Patzelt, & Wolfe, 2011). The SGH executive management team must refocus the organization on the primary goal of patient
Due to the increasing financial implications, patient satisfaction has become a growing priority for health care organizations, as well as transitioning the health care organization’s philosophy about the delivery of health care (Murphy, 2014). This CMS value based purchasing initiative has created a paradigm shift in health care in which leaders and clinicians must focus on patient centered care and the patient experience which ultimately will result in better outcomes. Leaders and clinicians alike must be committed to the patient satisfaction. As leaders within the organization, these groups must be role models and lead by example for front-line staff. Ultimately, if patients are satisfied, they are more likely to be compliant with their treatment plans and continue to seek follow up care with their health care provider, which will result in decreased lengths of stay, decreased readmissions, increased referrals and decreased costs (Murphy, 2014). One strategy employed by health care leaders to capture the patient experience, is purp...
Patients expect instant response to call lights due to today’s technological advancements. This can negatively impact nurse stress and cause contempt toward the patient. However, the expectation to respond promptly improves safety and encourages frequent rounding. Also, aiming for high patient satisfaction scores on the HCAHPS/Press Ganey by fulfilling patient requests can overshadow safe, efficient, and necessary healthcare. Although patient satisfaction is important, ultimately, the patient’s health takes precedence over satisfying patient and family requests, especially when those requests are unnecessary, harmful, or take away from the plan of care (Junewicz & Youngner, 2015). The HCAHPS/Press Ganey survey focuses on the patient’s perception of care. The problem with this aspect of the survey is that the first and foremost goal of nurses should not be to increase a patient’s score based on perception. According to an article in Health Facilities Management, the nurse’s top priority is to provide the safest, most quality care possible for patients with the resources they are given (Hurst, 2013). Once this has been accomplished, the nurse can then help the patient realize that the most
Carol finishes her story with a plea for a better communication among the different healthcare providers and the system in general. There is no perfect system, and health care, the system that constantly evolves, deals with life and death, and employs people to fill such diverse niches is probably the most complex of them all, the most difficult to assess, comprehend, and change. As big, complex, and sometimes scary as it seems, it can be changed: talking to a colleague, taking a moment and asking a patient’s opinion. “Be the change you wish to see in the world”, said Gandhi. This is my motto.
Patient satisfaction surveys have been in debate being that the concept of ‘patient satisfaction’ is not clear and because this term means something different to everyone (Junewicz & Youngner, 2015). However, Junewicz and Younger (2015) discuss how these surveys can improve aspects of a patient’s care such as humanism, communication, safety, and confidentiality. The part that is still not covered is that these aspects patient satisfaction has no clear relationship with the technical quality of healthcare such as nosocomial infections, surgical complications, and readmission rates (Junewicz & Youngner, 2015).
For decades, one of the many externalities that the government is trying to solve is the rising costs of healthcare. "Rising healthcare costs have hurt American competitiveness, forced too many families into bankruptcy to get their families the care they need, and driven up our nation's long-term deficit" ("Deficit-Reducing Healthcare Reform," 2014). The United States national government plays a major role in organizing, overseeing, financing, and more so than ever delivering health care (Jaffe, 2009). Though the government does not provide healthcare directly, it serves as a financing agent for publicly funded healthcare programs through the taxation of citizens. The total share of the national publicly funded health spending by various governments amounts to 4 percent of the nation's gross domestic product, GDP (Jaffe, 2009). By 2019, government spending on Medicare and Medicaid is expected to rise to 6 percent and 12 percent by 2050 (Jaffe, 2009). The percentages, documented from the Health Policy Brief (2009) by Jaffe, are from Medicare and Medicaid alone. The rapid rates are not due to increase of enrollment but growth in per capita costs for providing healthcare, especially via Medicare.
In her paper emerging model of quality, June Larrabee discusses quality as a construct that includes beneficence, value, prudence and justice (Larrabee, 1996). She speaks of quality and value as integral issues that are intertwined with mutually beneficial outcomes. Her model investigates how the well-being of individuals are affected by perceptions of how services are delivered, along with the distribution of resources based on the decisions that are made (Larrabee, 1996). She speaks of the industrial model of quality and how the cornerstone ideas of that model (that the customer always knows what is best for themselves) does not fit the healthcare model (Larrabee, 1996). Larrabee introduces the concept that the patient va provider goal incongruence affects the provide (in this case the nurse) from being able to positively affect healthcare outcomes (Larrabee, 1996). The recent introduction of healthcare measures such as HCAHPS: Patients' Perspectives of Care Survey has encouraged the healthcare community to firmly espouse an industrial model of quality. HCAHPS is a survey where patients are asked questions related to their recent hospitalization that identifies satisfaction with case based solely on the individuals’ perception of the care given. This can lead to divergent goals among the healthcare team or which the patient is a member. Larrabee’s model of quality of care model
Today patients are encouraged to be active in their care. Patient involvement has led to quality
Healthcare has been a topic of discussion with the majority of the country. Issues with insurance coverage, rising costs, limited options to gain coverage, and the quality of healthcare have become concerns for law makers, healthcare providers and the general public. Some of those concerns were alleviated with the passing of the Affordable Care Act, but new concerns have developed with problems that have occurred in the implementation of the new law. The main concerns of the country are if the Affordable Care Act will be able to overcome the issues that plagued the old healthcare system, the cost of the program, and how will the new law affect the quality of the health delivery system.
Patients make up a huge part in achieving service excellence for the healthcare industry. My healthcare facility helps the patients redeem themselves and correct with sensitivity. The patients are my customers, and my healthcare facility must remember our mission and vision of giving spectacular healthcare to our customers who are our priority. By giving quality customer service, my healthcare facility earns the gratitude and patronage of its patients. The patients pass their experiences to their families and that keeps my healthcare facilities’ reputation successful
Health Care Reform There has been a lot of talk and debate lately over Health Care Reform, as people are trying to answer the question – Should a universally accessible health care system be implemented in the United States (US)? This ongoing highly debatable issue remains a hot topic among US citizens from all walks of life, from the very poor to the very wealthy. Health Care Reform affects everyone. The vast majority of the US population is very dissatisfied with the current state of health care.
What does it mean to be a “patient” in future healthcare? To answer this question, the medical communities, including doctors, nurses, educators, and policymakers, all have to agree on the designation of a person/patient and what patient-centered care is. When all concede, then and only then, can patient-centered care (PCC) be mapped out for the future? Specifically, in regards to nursing and PCC, Cody and Parse believe that the Human Becoming principal is a guide to practice where nurses are “…with persons” as they enhance their own quality of life (Cody 1994 & Par...
Hippocratic Oath is one of the oldest binding documents in history, and it is still held sacred by physicians to help the ill, to preserve a patient's privacy, but most importantly it is taken by doctors swearing to practice medicine ethically. Practicing medicine ethically might have been very sacred centuries ago, but unfortunately it is not the case in today's society especially in the United States. Doctors in the United States face more than just high education costs, liability insurance payments, and long hours of work just to stay on top of the latest advancement in medical technology, but many of them also have to deal every day with insurance companies that do not want to cover their patients recommended treatments. A doctor's duty is to help people and practice medicine ethically, but that is impossible with the chaos that is happening in the American health care industry and a serious reform is needed such as the accepting the Patient Protection Affordability Care Act. The Patient Protection Affordable Care Act was signed into law on March 23rd, 2010 by Barrack Obama, but some do not agree with the "obamacare" are on the fast track to repeal the bill. The law would focuses on the health care reform in the United States by providing better coverage for those with pre-existing conditions, improving prescription drug coverage, but most importantly giving every person access to recommended preventative services without cost. (Department of Health and Human Services)
Health care must be fully accountable for quality and the patient experience is simply the patient's perception of quality. Society should question and debate on how healthcare organizations should show improvement for consumers. This can help organizations create reliable health coverage cost and evaluate medical performances for families and individuals in the future. Physicians and organizations are now evaluating patients with collection of electronic data to improve a patient’s...
Cliff, B. (2012, May/June). Excellence in patient satisfaction within a patient-centered culture. Journal of Healthcare Management, 57, 157-159. http://dx.doi.org/Retrieved from