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In: Nursing

Discussed the UK healthcare system, Including areas that need to improve in healthcare services, The different...

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?

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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.


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