Summary: The Importance Of Quality In Health Care

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Before the 1980s hospitals grew from 178 in 1872 to 4359 in 1909 (Shi & Singh, 2005). One of the significant reasons to the growth of hospitals points to the government and The Hill-Burton Act. This act provided federal grants to states for the construction of new community hospital beds. Because of the severe shortage in hospital beds after World War II, the act was put in place to improve the utilization of beds. Later this act would result in greater consequences due to the downsizing of healthcare in the mid 1980s. The change in reimbursements, impact of Managed Care, and hospital closures would lead to the maid forces responsible for hospital downsizing.
Hospital reimbursements had the most dramatic affect on hospital utilization
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Quality can be measured in three key areas. These areas include structure, process, and outcome. According to the Donabedian Model, structure looks are resource inputs, i.e. staffing levels and staffing qualifications; process looks at the actual delivery of health care, i.e. treatment procedures; and outcomes look at the final results, i.e. patient satisfaction. Quality measurement is important in health care because it can play a significant role in outcome improvements, process improvements, cost control, and give the consumer choice as well as information regarding the health care delivery system they are involved in. Effectiveness and efficiency can sometimes be used interchangeably when looking at quality assessments, but they do not necessarily mean the same thing. A service is cost efficient when the benefit received is greater than the cost incurred. Effectiveness is when an organization produces particular outputs. Quality should include both effectiveness and efficiency in order to improve quality and provide quality …show more content…
The idea behind it is that you can affect one aspect without affection the other two aspects. The iron triangle means that in equilibrium, increasing the performance of the health care system along any of the dimensions can compromise one or both of the other dimensions (Lesser & Ginsburg, 2003).
Private Long Term Care (LTC) Insurance has not gained popularity with consumers for four reasons. These reasons include the many variables involved in trying to find the right coverage, the premiums can be unaffordable, most people think Medicare pays for LTC services when needed, and public policy has created few incentives to spur growth of LTC (Shi &Singh, 2015).
Due to the number of Baby Boomer Generation, I think the need for LTC will increase in the future. I also think there will be a gap between the number of available caregivers and the number of people who need LTC services. Because of the erosion of social security benefits, family members will have to cover the cost of LTC out of their own pocket. LTC cost will continue to increase in the future, which will makes it less affordable in the future. This will more than likely lead to a dependence on

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