In: Nursing
Discussed the UK healthcare system, Including areas that need to improve in healthcare services, The different types of healthcare access to services, The cost of healthcare provided, government influences, Alternative healthcare options (if any), and How might policy affect the types of care provided to patients?
In Britain, there's a state funded system called the National
Health Service, or NHS, which guarantees care for all. That means
everything from ambulance rides and emergency room visits to long
hospital stays, complex surgery, radiation and chemotherapy are all
free. They are paid for with payroll taxes.Despite there being
separate health services for each country, the performance of the
National Health Service (NHS) across the UK can be measured for the
purpose of making international comparisons. In a 2017 report by
the Commonwealth Fund ranking developed country healthcare systems,
the United Kingdom was ranked the best healthcare system in the
world overall and was ranked the best in the following categories:
Care Process (i.e. effective, safe, coordinated, patient-oriented)
and Equity.The UK system was ranked the best in the world overall
in the previous three reports by the Commonwealth Fund in 2007,
2010 and 2014.The UK's palliative care has also been ranked as the
best in the world by the Economist Intelligence Unit.On the other
hand, in 2005-09 cancer survival rates lagged ten years behind the
rest of Europe, although survival rates continue to increase.In
2015, the UK was 14th in the annual Euro health consumer index. It
was criticised for its poor accessibility and "an autocratic
top-down management culture".The index has in turn been criticized
by academics, however.The total expenditure on healthcare as a
proportion of GDP in 2013 was 8.5%, below the OECD average of 8.9%
and considerably less than comparable economies such as France
(10.9%), Germany (11.0%), Netherlands (11.1%), Switzerland (11.1%)
and the USA (16.4%).The percentage of healthcare provided directly
by the state is higher than most European countries, which have
insurance-based healthcare with the state providing for those who
cannot afford insurance.In 2017 the UK spent £2,989 per person on
healthcare, the second lowest of the Group of Seven, but around the
median for members of the Organisation for Economic Co-operation
and Development.The NHS has a reasonable claim to be the most
efficient healthcare system in the world.
Effective: Match care to science; avoid overuse of ineffective care
and underuse of effective care. Patient-Centered: Honor the
individual and respect choice. Timely: Reduce waiting for both
patients and those who give care. Efficient: Reduce waste.
In many ways Service Improvement, defined as: 'the combined and
unceasing efforts of everyone, to make changes that will lead to
better patient outcomes (health), better system performance (care),
and better professional development (learning)' (Batalden &
Davidoff 2007), is the latest in this long line of approaches.
Service improvements in health care canimprove provision, make cost
savings, streamlineservices and reduce clinical errors. To
understand the concept of service development within health care,
it is necessary to explore the national context and how the NHS has
adopted improvement initiatives.
Challenges Facing Healthcare Workers
Lack of advancement opportunities.
Work overload.
Poor salary. Too few staff. Poor organizational culture. Lack of
mentoring.
Poor personal fit with boss. Limited or not enough access to
technology.
The views of physicians on factors affecting quality of medical services were grouped into three main categories and nine themes. Factors related to both the provider (physician) and the receiver of medical services (patient) and the environment in which medical services are provided, affect the quality of provided medical services. The healthcare organization environment can be classified into internal and external environments. Internal environment refers to the working environment in which a healthcare service is provided (healthcare organization) and the resources and facilities required for providing services. External environment refers to the environment surrounding healthcare organizations that affects their performance and quality of services.