Discuss about the Lack of Funding For Health Care Services for ER Admissions.
Several health care organizations in developed nations have been encountering elevating rate of pressure because of the increasing numbers of patient appearances and Emergency Room (ER) admissions. The causes of life threatening or severe health conditions which necessitate urgent focus at ERs are copious and involve patient-centric, illness-related and system related factors(World Health Organization, 2015). Furthermore, compounding the immense rate of demands that these vital factors place on ER admission rates has been insufficient funding access to health care provisions within the community which further result to the undertreated health conditions in order to rise up to critical levels(Aluttis et al., 2014). The primary objective of this paper is to explicitly estimate the lack of funding and endowment for health care services that has developed as a global issue. In addition to this, it will examine the way shared responsibility and lack of communication and proper support among stakeholders fail to reveal its competence for the common good. The paper also intends to propose certain approaches in order to address such areas of challenges within the professional community.
Health care organizations across the world have to take decisions about which services and care to provide. However, these services are often referred as rationing by the national bodies, local commissioners, contributors as well as by clinicians(Mosadeghrad, 2014). Certain reports implement useful framework in order to comprehend various ways in which proper accessibility of high-quality care can be limited by financial providers(Eijkenaar et al., 2013). Certain financial providers refuses to treat any patient or pay for their care and further ‘redirects’ them elsewhere in the system(Levesque et al., 2013). However, for the targeted patients, such complexities can create certain degree of indecision and anxiety as they are shifted between organizations. Furthermore, these tend to result in obtaining proper care and treatment as these patients have to reiterate the same information multiple times(Bernabeo & Holmboe, 2013). It has been noted that patients often are deprived of receiving appropriate treatment because of the lack of resources denied by local commissioners or health care supplier. However, these decisions usually tend to rely on evidence related to clinical and cost productivity. Furthermore, it has been recognized that any government-aided health care system comprise a limited resource which fail to pay for every vital prospective treatment (Busse et al., 2014).
While certain nations have reportedly established the package of profits which patients are entitled to, however there can be identified no specific list of services in which individuals utilizing private or governmental health care guaranteed access. Even though individuals constitute variety of legal rights and privilegeswhich are established in the constitution of health care systems of Australia, there can be witnessed no national list of low value treatments care in order to guide decisions and judgements(Kim et al., 2013). Furthermore, the major segments of the local areas tend to impede their own exclusion lists based on their evaluation of the evidence. Certain studies further revealed the chances of the Australian health care system have reduced its utilization of low-value health care treatments since the decelerationin funding development in 2013(Tomlinson et al., 2013).
The need for development in the delivery of health services can further be witnessed as a significant gap between what available funds or financial resources which could attain and what they deserve between the available funds and technologies could attain and what the health care systems do obtain in specific nations, districts as well as communities. In different countries, the child immunization program has been largely aided by the national government at equivalentlevels across the states (Kim et al., 2013). However, as per the national survey, the rate of coverage ranged from around 26.8 in the lowest performing state to around 94.7 percent in the highest(Tomlinson et al., 2013). Furthermore, within states pertaining to this performance range similar wide-encompassing variations across districts can easily be evaluated by individuals as well as the variations which persist across the catchment domains of health care services(Pecora et al., 2017).
It has been noted that the vital participation of WHO in all facets of health and health care systems comprises a comparative beneficial factor. However, in certain instances, comprehensive aid and support received from WHO can be fragmented between important suggestions emphasizing health conditions as well as decisions related to particular aspects of health systems provided in isolation(Bernabeo & Holmboe, 2013). Furthermore, various forms of productive associations have been established integrating both ‘programme’ and ‘systems’ expertise in order to improve the amount of financial resources for health care services(Seys et al., 2013). These involve work on costing and cost-effectiveness such as Treat, Train and Retain systems (TTR) approaches linking systems which aim to perform on health service funding by enhancing adequate access to health care and treatment and the work across WHO encouraged by the Global Alliance on Vaccines Initiatives Health Systems with sufficient funds obtained from health care contributors(Gereffi& Fernandez-Stark, 2016).
Effective sustainability of Australia’s health system pertaining to restricted resources along with increasing costsreveals the significant need for reform in order to develop the funding system in the Australian health and aged health care system(Bernabeo & Holmboe, 2013). However, restructuring is recognized as a driving factor to productivity increase and accountability for health care financial resources and challenging performance targets. Nurses being vital health care professionals tend to have the greater degree of achievement or incompetence of the health care system(Mosadeghrad, 2014). However, playing vital roles of advocating people, their families as well as the community, nurses or other health care professionals have long underpinned health care developments which effectively results to the growth in the rate of health excellence and access(Aluttis et al., 2014). As health proficient effectively plan, strategize and implement a wide encompassing array of services and initiatives purposed to develop the health outcomes, patient level of satisfaction and more significantly using scarce funding, nurses rise to challenges at times of need of patients.
These nurses are thus recognized as the fundamental aspect of the health systems across the world and further play an integral role in the delivery of treatment and care throughout the wide range of health care system (Gereffi& Fernandez-Stark, 2016). Furthermore, in Australia, the nursing profession is identified as the most flexible as well as wide-encompassing health and aged care contributor of financial resources and thus has been fundamental to health care delivery regardless of time, establishment or service level.
Both public and private healthcare sectors across the world have significantly being associating service quality with provider financial resources(Tomlinson et al., 2013). As patient care experience and satisfaction are considered as key outcome metric for quality evaluation as well as financial incentives, these funding services are driving towards patient-sensitive treatment or care(Pecora et al., 2017). Several health care systems across the world have initiated new frameworks in order to enhance the level of excellence of care in hospitals as well as other healthcare institutions.
Conclusion
Thus to conclude, it can be stated that in order to earn adequate funding for health care services, contributors of severe patients, ambulance and other learning disability facilities implement national agreements which further agree to the scheme with the funding organizations. The paper emphasized on the importance of incorporating significant goals and objectives in the domains of quality, efficacy as well as patient experience related to the health care services and further reflect on the level of innovation. Furthermore, the paper noted the vitality of both private contributors and purchasers to incorporate significant approaches as a fundamental way to accomplish the development financial resource goals for health care systems.
References
Aluttis, C., Bishaw, T., & Frank, M. W. (2014). The workforce for health in a globalized context–global shortages and international migration. Global health action, 7(1), 23611.
Bernabeo, E., & Holmboe, E. S. (2013). Patients, providers, and systems need to acquire a specific set of competencies to achieve truly patient-centered care. Health Affairs, 32(2), 250-258.
Busse, H., Aboneh, E. A., & Tefera, G. (2014). Learning from developing countries in strengthening health systems: an evaluation of personal and professional impact among global health volunteers at Addis Ababa University’s Tikur Anbessa Specialized Hospital (Ethiopia). Globalization and health, 10(1), 64.
Eijkenaar, F., Emmert, M., Scheppach, M., & Schöffski, O. (2013). Effects of pay for performance in health care: a systematic review of systematic reviews. Health policy, 110(2-3), 115-130.
Gereffi, G., & Fernandez-Stark, K. (2016). Global value chain analysis: a primer.
Kim, J. Y., Farmer, P., & Porter, M. E. (2013). Redefining global health-care delivery. The Lancet, 382(9897), 1060-1069.
Levesque, J. F., Harris, M. F., & Russell, G. (2013). Patient-centred access to health care: conceptualising access at the interface of health systems and populations. International journal for equity in health, 12(1), 18.
Mosadeghrad, A. M. (2014). Factors influencing healthcare service quality. International journal of health policy and management, 3(2), 77.
Pecora, P., Whittaker, J., Barth, R., Maluccio, A. N., DePanfilis, D., & Plotnick, R. D. (2017). The child welfare challenge: Policy, practice, and research. Routledge.
Seys, D., Scott, S., Wu, A., Van Gerven, E., Vleugels, A., Euwema, M., … & Vanhaecht, K. (2013). Supporting involved health care professionals (second victims) following an adverse health event: a literature review. International journal of nursing studies, 50(5), 678-687.
Tomlinson, M., Rotheram-Borus, M. J., Swartz, L., & Tsai, A. C. (2013). Scaling up mHealth: where is the evidence?. PLoS medicine, 10(2), e1001382.
World Health Organization. (2015). WHO global disability action plan 2014-2021: Better health for all people with disability. World Health Organization.
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