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Importance of hospitals
Importance of hospitals
Importance of hospitals
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1.1 Perspectives that stakeholders relate to in health and care regarding quality
Perspective Stakeholders in health and social care can be referred to a person, group or organization that has interest or concern in an organization. Stakeholders can affect or be affected by the organizations actions, objectives, and policies. Some examples of key stakeholders in health and social care are inspecting bodies, managers, employers, government and its agencies, owners of care services, owners of local businesses, suppliers, trade unions, service users, and the community which the organization serves. For example, a local health and well-being strategy may be developed by;
Internal stakeholders;
Internal stakeholders who participate in the co-ordination,
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funding, resourcing, and publication of the strategy from a local health and well-being partnership. External stakeholders; External stakeholders who engaged in contributing their views and experiences in addressing the issues that are important to them as patients, service users, carers and members of the local community Internal Stakeholders External Stakeholders • Director of Public Health • Head of Health Intelligence and Information • Procurement • Director of Nursing • Public Health Strategists • Public Health Management Analyst • Director of Programmes and Services • Research Scientist • Communications • Environmental Health Intelligence Analyst • Public Health Manager • Trustees • Board committee members • Local Authority/council • Providers • Acute trusts • Patients • Service users • Customers • Suppliers • Funders • Quality assessors • LINk group • Special interest groups • Health visitors/school nurses • Wider public health workforce • Media • The perspectives of external bodies- regarding the quality of health care by the CQC is very high.
In this case study, the CQC proves there was high demand for hospital service from hospital, there was shortage of staff to give food work (Melissa, 2012). To ascertain the quality of events, the CQC associate with the public to know what good and bad health care to provide excellent service.
The users of London NHS hospital are more concerned with having quality service from the hospital. In case of an emergency they prefer to check in and register and get treated as soon as possible and get treated for emergency with much care. And according to the case study it means that the patient survey was positive.
The perspectives of GPs in the hospital depends on their trait. What they are after is getting proper training on the job and working in a friendly environment with good atmosphere which is the key to providing quality service to
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patients. • Perspectives of service seekers- The individuals who seek the services of the Royal United Hospital Bath NHS Trust have their own perspective regarding the quality of the services.
The quality of the home care must meet the essentials of the patients or service seekers. But it never means to fulfil the basic needs or requirements of the individuals who are seeking the service. On the other hand, if the home care is not able to meet the basic needs of the patients then this is important to analyse the certain reasons behind this (Janamian, et. al., 2014).
• Perspectives of workers or staff members- Workers who are providing the services to the service seekers or we can say the health service practitioners as well as professionals have the responsibility and liability to maintain the quality of the Royal United Hospital Bath NHS Trust. This can be done only when the staff of the home care is motivated enough to perform the practices efficiently. For this the monetary and non- monetary reward can provided to the employees of the home
care. • Perspective of technicians- Effective as well as efficient performance of the Royal United Hospital Bath NHS Trust also depends on the technical services. For this in the home care total quality management (TQM) can be established i.e. in this system the whole working staff of the organisation maintain the high quality standards. Other than this the functional qualities of the home care like auditing, recording of data, supervision as well as feedback from the customers also needs to be maintain in documents, which are helpful in providing the information etc.
This group is more focused on satisfaction, access and quality of care. Providers, or practitioners, are also key stakeholders within an organization. The term provider can encompasses not only physicians and surgeons, but also nurses, physical and occupational therapists, technicians, and other members of a clinical staff. Providers fall into two categories, primary, which includes hospitals and health departments and secondary, which includes educational institutions and pharmaceutical companies. Providers are focused on the best treatments for patients and are involved in delivering health services and products. The final element of the MCQ model is the employer who by far is the largest paying and purchasing stakeholder of an organization. The employers focus is primarily on their return on investment within an organization. Cost and quality is a focus for employers when choosing health benefits but are mindful that access is just as important. Within the Patient Healthcare model, MCQ explains the interactions between the four elements of employer, patient, provider and payer while the Iron Triangle focuses on the factors of cost, quality, and access. The Patient Healthcare model charges healthcare leaders with the task of balancing satisfaction with the stakeholder (employer, patient, provider, and payer) in relation to cost, quality and access. This may be very difficult since stakeholders may have competing priorities. Changes and variations made in how healthcare organizations operate may have profound effects on how stakeholders perceive the quality, access and cost. For instance, a patient may consider cost to be a top priority when seeking healthcare and at the same time the healthcare organization may consider raising costs and therefore devaluing access and quality. Patients who begin to incur high out-of-pocket costs may begin to perceive a financial
Healthcare organizations must inhere a strategy to stay ahead of their competitors so that they can maintain their patient volume. By measuring the quality of care through performance, patient satisfaction, and experience, and cost all play a role of having patients to choose your hospital. Today, many healthcare organizations have adopted the triple aim strategy of great quality, great patient experience for a reasonable cost. With the tracking of their patient experience and continuously improving the quality of care at a reasonable cost to stay one step ahead of their competitors and to maintain and increase patient volume has been successful help in the healthcare
According to Fred Lee (2004) hospitals use clinical results and process improvement as a gauge of quality as this data can be readily measured and objective. Conversely, patients judge the quality of care by individual perception. Therein a gap of what the patient’s perception of quality care and how the healthcare providers perceive quality of care is created. The purpose of this paper is to discuss the Gaps Model of Service Quality while comparing the findings of the work done by Fred Lee in the book, If Disney Ran Your Hospital: 91/2 Things You would Do Differently.
‘Since its launch in 1948, the NHS has grown to become the world’s largest publicly funded health service. NHS employs more than 1.7m people and deals on average with 1m patients every 36 hours. It is also one of the most efficient, most egalitarian and most comprehensive. Even though NHS services in England, Wales, Scotland and Northern Ireland are managed separately and each might have some system differences, they remain similar in most respects and belong to a single, unified system. The NHS core principle is that good healthcare should be available to all, regardless of wealth.’ (NHS, 2010) Success of NHS depends on how well the organisation balance quality and customer (patient) satisfaction with adequate financing and long-range goals. Health care organisations such as NHS must deal with government oversight, managed care, new technologies, and increasing pharmaceutical prices.
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
...essionals are giving quality care to patients by allowing them the opportunity to voice their opinion of the care they feel was given to them. By reviewing this data, health care facilities can encourage their employees to address areas of concern and strive for success in satisfying their customers.
2.3 Explain how the health and social care practitioner own values, beliefs and experiences can influence delivery of care.
Overtime, sociology has played an essential role in the aid of healthcare policies and procedures, along with playing a fundamental role in one’s understanding of health inequalities. This paper explores how sociology has played such a role in healthcare, whilst including discussions regarding the influence of social structures and inequalities in the health of an individual, their family and community, with the topic of health variations between social classes being the main focus of the discussion. A structured overview, review and evaluation of a specific health policy in the UK will also be provided within this paper. Sociology in healthcare. Sociology can be defined in a number of ways, due to its almost limitless scope (Denny, Earle,
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
With the rapid growth of the healthcare industry, especially considering the recent on-going policy changes, it is no surprise to the general public that healthcare providers are spending less time with the patients. This is due to the broad spectrum of inattentiveness to healthcare quality. The Donabedian Model classifying healthcare quality is crucial in understanding the areas in which quality is present, or in this case, not present. As far as structures go, they are inherently involved as the environment in which patients are treated plays a significant role in satisfaction and overall outcome. The processes involving the provider and the patient are lacking necessary interpersonal relationships for physicians to effectively diagnose and treat patients. The current problem in healthcare quality is the lack of patient centeredness in ambulatory care. This problem is resulting in low patient satisfaction and sub-optimal outcomes from discrepancies in care.
Those that held a higher level of education were a less satisfied with care received than those with the least amount of education. The expectations that patients already had about how their healthcare was going to procede was a determining factor in their level of satisfaction and the level of involvement in their own care was also a factor. Patients’ who developed a trusting, honest and respectful relationship with their nurse reported a higher level of satisfaction and expressed receiving quality nursing care when the nurse took time to listen. The final indicators for quality care, was the competence and knowledge of the nursing staff and the organization of the facility in regards to continuity of care. Patients expressed greater satisfaction when the staff worked together to care for them and the staff appeared skillful and knowlegable in their
Nevertheless, when patients arrive at the A&E Department, a trained triage nurse will help determine the relative priority due to the patient's condition. There are five categories for nurses to classify, such as critical (immediate treatment), emergency (waiting time within 15 minutes), urgent (waiting time within a half hour), semi-urgent and non-urgent. Yet, it trend to treat the triage nurse as a McDonald’s Customer Service Ambassador in charge of the system carries out smoothly and conveniently. Apart from that, specialist out-patient clinics also have the same problem. In general, patients visit general out-patient clinics or private family doctors which make referrals due to special cases.
A health care system exists to address the health care issues of its community. To do so equitably it must recognise, plan for and implement necessary changes to cater for the diverse needs of the community. It is when the community engages in dialogue with the providers of health care that the specific needs are revealed and can then be planned for and implemented. However it is often those who have no voice in the community who have the greatest need of health care. Their lower socio economic status, as well as their lower educational levels, deters them from accessing appropriate health care. Consumer participation is one way to address this lack of representation.
Macro Context The macro context consists of four components (Fig. 1, McCormack & McCance 2017) in which the health and social care policy is setting sets the agenda for to which the extent to which the carers are able to meet many of the needs discovered in this study. The financial framework controls the conditions for service delivery from home care services. Organizational structure will also influence the standard for the service provided in each home care district. With the introduction of new public management in the early eighties (Klijn 2012) the focus became the efficiency of the public sector through management principles from the private sector.
In healthcare system, all stakeholders have different role, interest and need. All members are important to regulate the activities. These are: patients, providers for example doctors, midwives, nurse, pharmacies. Then payers for example health insurance companies, banks, funds. Industry like Pharmaceutical companies, biotech industry, distributors like wholesalers, large retail chains, Government institutions, and Non-Governmental Organizations.