Gaining Quality Care

I strongly believe that healthcare is a basic human right; however, the reality is that health care is often based on privilege and/or driven by employer benefits. There are many factors to consider when discussing healthcare as a basic human right. All individuals, regardless of income, race, or status should be treated equally when it comes to safe, effective, and quality health care. Even though I believe healthcare should be a human right, we have to consider how this would be feasible among different populations and societies. According toMaruthappu, Ologunde, and Gunarajasingam (2012) “a fundamental difficulty with considering healthcare as a right is that this right, unlike many others, is dependent upon the resources of a society,

As humans, the right to medical care is something that should be seen as a privilege. No one should have to worry about if they are able to receive the healthcare that they require. Everyone has the right to receive the care that they should need. The only way to provide equal care for everyone in America is if healthcare were to be free. Though many countries around the world are able to provide free healthcare, this is something that is unfortunately not possible for all countries. There would be many issues that would arise if free healthcare were provided here in America. Due to the fact that quality care would be difficult to find, taxes would be increased, and much more, health care should not be free.

From a social justice perspective, quality healthcare is perceived as an innate right of every individual. The problem with this perspective is it is not a universally held sentiment. For example, individuals would argue from an economic standpoint that social justice is a “value” and healthcare is a commodity which drives our nation’s economy, thus presenting

Everyone knows that right now it is a right to have healthcare. However, I believe that it should go back to a privilege. The reasons why I believe it should go back to a privilege is because I can not afford healthcare right now. I have no healthcare insurance which I am fine without but I will be penalized and fined every year because everyone must have healthcare insurance. I believe that if a person wants healthcare that person will get it no matter what the cost is. Being forced to pay for healthcare in my opinion is unnecessary because I know I will never go to the hospital unless I am dying or have a broken bone.

I believe that everyone has the right to health care, especially if health conditions calls for it. I do not think income level or the type of insurance should dictate the eligibility or quality of care. By using that criteria, we are implying that certain groups of people deserves to be taken care of and have good health while others do not deserve it. I believe healthcare should be accessible to all as a basic human right.

Quality improvement in healthcare is “the use of a deliberate and defined improvement process” in order to respond to organization needs to improve the health of the population through quality (Bialker, Beitsch, Cofsky, 2010). Quality Improvement tools and techniques have been used considerably in Health Care Organizations in order to solve many major problems that the organization may have. One tool that is often used to analyze a successful process to analyze quality is the Cause and Effect Diagram. This Cause and Effect Diagram can then be turned into a Success and Effect Diagram. However, instead of using the “5 Why’s” like in a Cause and Effect Diagram,

In order to reverse that truth there must be a counterpart working in efforts to justify the right to health care for all individuals. A right to health care is a necessary foundation of a just society especially for those with low resource like income. According to Norman Daniels, PhD, Professor of Ethics and Population Health at Harvard University, "healthcare preserves for people the ability to participate in the political, social, and economic life of society. It sustains them as fully participating citizens." If life is a right then so should the right to preserve it. This right would benefit all the individuals’: women, men, and children. What this right implies is that basic health care should be accessible to all without labels without any problems because they are entitled in need of caring for their life.

Improving patient care is a process that always has room for improvements. It is important to make sure patients receive the best quality care available. "Studies suggest that high quality patient care relies on careful documentation of each patient 's medical history, health status, current medical conditions, and treatment plans" (Glandon, Smaltz, & Slovensky pg.3). To help with the process of quality care for patients HIPAA laws have been set in place. "The Administrative Simplification provisions of the Health

Quality: the standard of something as measured against other things of a similar kind; the degree of excellence of something

I agree with you. In order to improve quality care, it is important to evaluate outcomes, structure and process. The six aims from the IOM should be considered when planning quality care and that is done in process and structure. There are times when outcome are positive but the process or structure might be poor.

▪ Excellent intervention skills performed on pediatric, adult, and geriatric patients (i.e. NG tubes, Foley catheters insertions, wound care…)

The healthcare industry bases its existence on the health and quality of life of patients. People essentially entrust healthcare organizations with their lives every second of the day, which is why they have become increasingly aware of the need for eliminating variation in quality. Any minute error has the potential to lead to harmful outcomes and even fatal results for patients. When a procedure has been established and is performed repeatedly, the slightest percentage of variance represents a much larger string of errors. The quality of life of the individual is dependent on the organization’s ability to provide efficient care and even more accurate treatment, all while minimizing variation. Patient care revolves around services rendered by humans, which makes errors more difficult to identify and quantify. An increasing number of healthcare organizations have been adopting quality improvement (QI) measures to ensure that such errors are caught and eliminated.

In recent years despite the focus on quality and safety improvements mandated for healthcare organizations, there continues to problems with maintaining and implementing the procedures. A greater emphasis related to team organization and support conditions are required for effective quality and safety collaborative efforts (Matthaeus-Kraemer, Thomas-Rueddel, Schwarzkopf, & Poidinger, 2015). The measuring of quality healthcare has increased because of the competition between organizations causing consumers to remain loyal to a service provider they perceive provides higher quality and safety care (CITE). The impact of deficient quality care is greater than the loss of a customer but the ability to attract new customers (CITE).

This past year, The United States has been taking on challenges with a new presidency. With a new president, there are modifications in health care policies for it’s citizens. Is health care a privilege or a right? I believe that health care should be a right. The definition of privilege is a special right, benefit, or advantage available only to a specific person or group of people (Merriam-Webster). Shouldn’t all of us as citizens in this country have equal right to health care? Is it ethical to unevenly distribute health care? Our former president Barack Obama cited that not entitling citizens to health care coverage due to their inability to pay, was unjust (Maruthappu, Ologunde, & Gunarajasingam, 2013). Since the Affordable Care Act passed

Quality is what individuals seek in health care services. Health care should meet the highest quality standards possible. Quality is a result of many factors which include patient satisfaction, provider involvement and also costs. High quality health care requires services that are expensive. Thus, health care payers have a tremendous impact on health care quality. The quality received in health care depends on the amount of money spent on the care. If health care providers are not paid enough for the services they provide, they will not provide those services anymore. In the past, there was a visible gap between the health care provided depending on socioeconomic status. What type of insurance one has impacts the type of health treatment that individual received. A study done in New York compared the differences between health care quality for the underprivileged and the wealthy. In the comparison among women who lived in the southwest Bronx and upper eastside of Manhattan, the women who lived in Bronx were more likely to die of diabetes than the women who lived in Manhattan (Calman, 2005). Various factors contribute to these finding but these women resided only two subway stops apart and because of the economic status they have, the quality in the health care they received differed. This causes preventable deaths to occur due to the lack of quality related to costs. Health care payers affect the quality of care. Health care facilities treat health care payers differently.