While researching for this project, I have run into several ethical conflicts. Looking from the outside in, writing up the perfect healthcare plan appeared to be an easy task, so I thought. As I have stated I was hindered by several decisions that could either A save a life, or either B save a dollar. While I would never have seen myself ever questioning whether or not to put a dollar before a human life that is exactly, what this project has forced me to do.
I have an even greater deal of respect for those who have a hand in running the country, especially the president, as I have no idea what I would do if faced with some of the dilemma’s, both ethical and financial, that I faced with writing this healthcare plan. Money is not everything, but it certainly makes the world go round and you are certainly nothing without it. I never knew money held such clout over human life. The ideal healthcare system would have the ability to provide research, care, and even basic information to its patients.
This health care system would be one that works for the country and the individuals living in that country. In this paper key factors when developing a health care system, factors such as researchers, trained doctors and nurses, teachers, and a willing country, need to be addressed and some of the ways that these needed services can be paid for. A model healthcare system cannot be created without first having the right people. Starting with the healthcare professionals, well trained doctors are needed to provide the care the patients need, as well as nurses to assist them.
Services will be rendered at facilities that these doctors will be working in. In some areas of the world only if their dying will some people go to the hospital, having an at home style care can help the people that would not normally go the hospital for general care. For insurance reasons too many people get their medical care at a hospital instead of at a regular Primary Care Physician or even a clinic because a hospital has to take you whether you are insured or not. The uninsured are three or four more times likely to go without preventative services.
Uninsured children are less likely to have a regular source of cared as opposed to insured children, which down the road can lead to a alarming amount of health issues such as diabetes, high blood pressure, and or hyper tension as well as a list of other thing that cost more than it would to educate them on preventative services. The next factor would be public health. This factor is definitely one of the most important factors, because if we can educate the public about their health and safety, in my opinion that would be half the battle.
Through the organized and informed efforts of promoting health, prolonging life, and preventing diseases we can secure great public health. Health economics, behavioral health, community health, environmental health, occupational health etc. are all parts of public health. We have to spread the word about public health through education. Teachers and researchers need to lend their knowledge to the county so the people of the country can understand the importance of regular doctor’s visits, and also preventative services. The hardest part about creating a great health care system is where is the money going to come from?
Sometimes when the government gets involved so does a lot of red tape and many needy people may get left behind although government grants are a good step to take. Investors in doctors and help could even be sought out through philanthropists and or other people that are wanted to get involved. When trying to find funders a business plan is a wonderful first step. Fund raisers are also a good way to raise money with the goal being healthcare at no cost surely people will be generous with the donations. For this type of funding even asking for donations from local businesses is acceptable for funding of this sort.
You can always go to other places and ask for funding if the area in which you are in is impoverished. The best way to get anything you need is to first ask, planning is always key. For families who are a little better off than some I would recommend the Retrospective Payment Method. This methodology is a combination of insurance companies and other third parties making payments after the provider has rendered services, based on what the provider charges for the service. Based on an individual service rendered, fees for this methodology are reimbursed.
The idea behind retrospective payment method is to give the maximum required freedom of choice in services for the patient and provider. In 2002, according to the HCUP fact book hospitalization in the U. S. , the most common reason for hospitalization for medicare beneficiaries was congestive heart failure with 745, 000 discharges in 2002. Decisions on how much care to provide at the end of life has a significant impact on the cost of healthcare. In most countries you don’t on average see a seventy year old having heart surgery mainly because you don’t really know how much time they have left.
Although this poses as an ethical issue, it must be addressed. Depending on age and lifestyle end of life care should cautiously be taken into consideration. If you are otherwise healthy it is worth considering aggressively treating any treatment at any age, but if there are other health issues that may pose as a problem and will only cost money, buy you time, and pro long death aggressive treatment should be reevaluated. In the safety and care of patients there are many things that need to be considered when devising a healthcare system. Safe, high quality healthcare is the goal to patients in all clinical environments.
Clear communication is one of the tools needed to run a safe and effective medical clinic, doctor’s office, or any type of medical facility. Making sure that changes in orders and information are transmitted in a timely fashion and are made clear to all of the patient’s providers who are privy to the information will help things run smooth. All of these things and more are what will help a facility run smoothly but, also a well trained staff. A key factor in getting quality staff that are serious about what they do and have the best training in accessing care is compensation levels for healthcare professionals.
If the wages are relatively low you are more than likely to see a plummet in the numbers of healthcare providers as they may select other professions or practice in other countries. Management and organization in healthcare is very important. As the management is looked upon for guidance, direction, and leadership the organization comes with that as well. If an establishment, especially a medical establishment where someone’s health is in jeopardy and lives are on the line is anything less that organized things could fall apart quickly and easily.
Similar to many industries, the individual that has a healthcare leadership or management role must have the specific set of skills it takes to be professional, accurate, and have people skills as they will be working with many different types of individuals with many different types of personalities. Some skills this individual must attain are project and program management ,the ability to lead staff, flexibility and budgetary oversight, because the job of a healthcare manager involves fiscal oversight. This individual must be highly trained and will be what holds these medical facilities together.