What are yout thoughts on improving process in the healthcare sytstem in the U.S
ID: 456833 • Letter: W
Question
What are yout thoughts on improving process in the healthcare sytstem in the U.S..... or what do you think of the below statement?
If we can improve processes so that less mistakes are made, costs can go down so that more people can be hired at facilities, which will alleviate the work fatigue, which will increase quality of care. With appropriate staff, with the ability to work efficiently, in an environment that focuses on high standards, stability becomes eminent and the facility, again, becomes attractive to more and more medical workers.
Explanation / Answer
Health care reform in the United States has a long history. Reforms have often been proposed but have rarely been accomplished. In 2010, landmark reform was passed through two federal statutes enacted in 2010: the Patient Protection and Affordable Care Act (PPACA), signed March 23, 2010,and the Health Care and Education Reconciliation Act of 2010(H.R. 4872), which amended the PPACA and became law on March 30, 2010.
Future reforms and ideas continue to be proposed, with notable arguments including a single-payer system and a reduction in fee-for-service medical care.The PPACA includes a new agency, the Center for Medicare and Medicaid Innovation, which is intended to research reform ideas through pilot projects.
There is significant debate regarding the quality of the U.S. healthcare system relative to those of other countries. Physicians for a National Health Program, a political advocacy group, has claimed that a free market solution to health care provides a lower quality of care, with higher mortality rates, than publicly funded systems.The quality of health maintenance organizations and managed care have also been criticized by this same group.
According to a 2000 study of the World Health Organization, publicly funded systems of industrial nations spend less on health care, both as a percentage of their GDP and per capita, and enjoy superior population-based health care outcomes.However, conservative commentator David Gratzer and the Cato Institute, a libertarian think tank, have both criticized the WHO's comparison method for being biased; the WHO study marked down countries for having private or fee-paying health treatment and rated countries by comparison to their expected health care performance, rather than objectively comparing quality of care.
Some medical researchers say that patient satisfaction surveys are a poor way to evaluate medical care. Researchers at the RAND Corporation and the Department of Veterans Affairs asked 236 elderly patients in two different managed care plans to rate their care, then examined care in medical records, as reported in Annals of Internal Medicine. There was no correlation. "Patient ratings of health care are easy to obtain and report, but do not accurately measure the technical quality of medical care," said John T. Chang, UCLA, lead author.
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