Quality Of Patient Satisfaction In Hospitals. Introduction.

Health care expenditure accounted for an estimated 11% (214.9 billion) of Canada’s GDP in 2014 (CIHI, 2014). Canada boasts a universal, cost-effective and fair health care system to its citizens (Picard, 2010). However, despite great claims and large expenses incurred Canada’s health care system has been reported inefficient in it’s delivery to the population (Davis, Schoen, & Stremikis, 2010; Picard, 2010). As inconsistencies exist in health care delivery across the country, choosing priorities for the health of the Canadian people becomes of vital importance. In Ontario, progress toward a better health care system has been stated to be moving forward by putting the needs of the “patient’s first” (Ministry of Health and Long-Term Care [MOHLTC], 2015). This policy brief will give a background of health care issues in Canada related to Ontario. Three evidence-based priorities will be suggested for Ontario’s health policy agenda for the next three to five years. Furthermore, through a critical analysis of these issues a recommendation of the top priority issue for the agenda will be presented.

The Kirby and Romanow Reports were commissioned by different subsections of the Canadian government to give an overall view of the nation’s health care status and future recommendations for bettering the health care system. Senator Michael Kirby released the Final report on the state of health care in Canada on October 23, 2002 on behalf of the State Senate Committee on Social Affairs, Science and Technology (Kirby, 2002). The Commission on the Future of Health Care in Canada chose former Saskatchewan premier Mr. Roy Romanow to ask citizens across the country their issues, thoughts and concerns regarding current and future status of the nation’s health care system. This inquiry resulted

This paper will discuss the Canadian healthcare system compared to the United States healthcare system. Although they’re close in proximity, these two nations have very different health care systems. Each healthcare system has its own difficulties, and is currently trying to find ways to improve. Canada currently uses the Universal Health Care system; which provides healthcare coverage to all Canadian citizens (Canadian Health Care, 2007). The services are executed on both a territorial and provincial basis, by staying within the guidelines that have been enforced by the federal government (Canadian Health Care, 2007).

The three issues that these experts notice include: the very poor management with lack of leadership, overspending on medication, doctors, and facilities; and lack of information being circulated throughout the health care service. Rachel Mendleson of the Canadian Business archive explains some of the problems with our current health care system in detail. To start off with, management is labelled as being very inefficient. Money is being wasted, there is a lack of desire to scavenge valuable information for better treatment, keeping records of treatment outcomes, and reducing the chances of unnecessary duplicate treatments. (Mendleson) It is argued that our health care system would benefit more if it would be viewed as a corporation with strong and co-ordinated leadership, planning, and spending. It is clear that the state of the health care system right now appears to be disorganized and poorly managed. An effective solution would be to introduce a system of corresponding responsibilities among different members in this field. This way, someone will be liable to provide effective management and explanations how the money will be spent. (Mendleson) This brings up the next issue of overspending towards medication, doctors, and hospitals. Rachel Mendleson writes, “the share of drugs in the total health expenditure increased from 9.5% to 16.5%... evidence suggests that Government

Satisfaction scores are based on the percentage of participants scoring a question given with the highest possible response such as “definitely yes or always”. These scores are then used to make improvements to the services that the hospital provides. The marks are compared to other hospitals in the area with the same specialty service during the period of July 2016 until December of 2015. The Sterling Heights Medical Center location scored above average in the following areas: Overall satisfaction with the physician 88.2 % with the other Michigan hospitals scoring 87.0%. How well the patient’s pain was controlled was 84.7% with other local hospitals scoring 80.9%, and the nursing care satisfaction was 89.5% with other local hospitals scoring 88.2%. Henry Ford Hospital is located on W. Grand Blvd in downtown Detroit was one of the HFHS locations that scored below average as compared to other Southeast Michigan Hospitals. The results are as follows: Overall satisfaction with physician was 84.9% with local hospitals scoring 87.0%. How well the patient’s pain was controlled scored 75.5% as compared to 80.9%, and nursing care came in at 83.3% with the local average being 88.2% (Patient Satisfaction Survey,

This paper will describe current quality outcome measures and the significance for improving medical care. Organizational accountability and transparency has improved with the emergence of Hospital Inpatient Quality Reporting (IQR) programs and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPs). This article will review the role of the nurse manager in creating a culture for quality care as well as the nurse for meeting organizational and patient expectations. Organizations like The Joint Commission (JC), Agency for Healthcare Research and Quality (AHRQ), Centers for Medicare and Medicaid Services (CMS), and The American Nurses Association (ANA) have been critical in establishing standards for quality. This paper will also report on the most recent hospital statistics and steps taken to improve HCAHP scores and reduce readmission rates at the University of Tennessee Medical Center in Knoxville (UTMCK). Statistics at UTMCK will also be compared to the Tennessee and National averages found on the Medicare website Hospital Compare. The aim of this paper is to explore if healthcare system initiatives are improving quality and enhancing patient outcomes.

Most Canadians are very proud of their health care because it provides citizens universal coverage on the basis of need. However, in the recent decade, Canadians have observed obvious deterioration in the quality of the system in regards to waiting times, availability of the best technology, and adequate numbers of doctors and nurses. The apparent decline within the system has made many Canadians more open to a variety of options than they were a decade ago, provided that the core elements of the system are preserved and that these changes lead to tangible improvements in quality without damaging accessibility. In the article Canadians’ Thoughts on Their Health Care System: Preserving the Canadian Model through Innovation by Matthew Mendelsohn, he stated that 1/3 of Canadians support the two-tiered healthcare system, which offers its citizens an option of public or private health care. Canada will benefit from a two-tier health care system because it will shorten waiting times, other countries with two-tier healthcare have proven to be successful, will encourage doctors to return and stay in Canada, introduce competition and give citizens freedom to choose.

We should encourage new methods of delivering health care under the public universal insurance (Sebal 171). Coming up with different and unique methods will help the country prosper and elevate. This premise proves that we need to advance the Canadian Ideal through

In Canada, there appears to be a publicly funded health care system whose main role is to help create healthier communities. However, how healthcare is being funded is very crucial to the Canadian system because they have been controversies over how health policy is dispersed between the levels of government. The Canadian health care system gives an advantage to those who have equitable access to necessary physician and hospital, without the ability for an individual to pay for services. This ideal is tremendously great because access and services are ensured to patients who have the same opportunity and medical conditions. This essay is going to explicate on how privatization will be detrimental to the health care system, and why publicly funded health care is the best criteria that should be associated with the Canadian system.

Accessibility and quality are being threatened due to cutbacks coupled with a lack of funding. There is a consensus now between medical professionals, the public, and the government that the health care system is deteriorating. It is failing to provide the quality of care promised in the CHA and prided by so many Canadians.

Canadians often find a great source of pride in our health care system because it is “free”. When living next to a country that loudly boasts about its freedom and other such aspects, it is hard to stand out on a global level. That is why most citizens are misguided when they try to compare our health system to that of the United States. Indeed, if you look at the facts, we do have a better system but it is quite irrelevant to compare the two since we are both organized and financed differently. The United States spends more money on their system but does not reap the benefits that more money should offer. Often, the only gain from the comparison is a political one. The federal government’s as well as the provincial governments’ funding has lead to the provinces being too hospital heavy, meaning that there aren 't enough low cost/more efficient facilities in existence such as long-term care facilities, which causes more patients to go to the hospital, which in turn causes more money to be spent than if the patient had been able to go elsewhere. Two key reasons why our health care system is so expensive are the cost of the drugs and the compensation that doctors receive. In order to keep up with the rising cost of our health care, Dalton McGuinty privatized services like physiotherapy and optometry and, “…Also froze the budgets of twelve departments other than health. There was the classic health-care spending trifecta: higher

A balance between public expectations, medical knowledge, technological change, economic and human resources, and political will. This site is designed to present a narrative history of the people, politics and programs that have contributed to making Medicare a distinctive thread in the web of social progress in Canada (Canada, 2012). The basic values of fairness and equity that are demonstrated by the willingness of Canadians to share resources and responsibility are displayed in Canada’s healthcare system. Also, the system has been and continues to be modified as the country’s population and circumstances change, and as the nature of health care itself evolves. Canada’s publicly funded health care system is dynamic-- reforms have been made over the past four decades and will continue in response to changes within medicine and throughout

Canada’s health care system “can be described as a publicly-funded, privately-provided, universal, comprehensive, affordable, single-payer, provincially administered national health care system” (Bernard, 1992, p.103). Health care in Canada is provincial responsibility, with the Canada Health act being a federal legislation (Bernard, 1992, p. 102). Federal budget cuts, has caused various problems within Medicare such as increased waiting times and lack of new technology. Another problem with Medicare is that The Canada Heath Act does not cover expenditures for prescriptions drugs. All these issue has caused individuals to suggest making Medicare privatized. Although, Canada’s health care system consists of shortcomings, our universal

Over the years Canada has been making efforts to adopt an integrated health care system. There is existence of disconnected sections in the healthcare system that involves hospitals; doctor’s working conditions, community service groups among others. Various provinces in Canada are taking risks and experimenting with different structures and approaches in an effort to provide better services and overall improved healthcare to its residents. Examples include: Regional Health Authorities and Local Health Integration Networks. Despite all these efforts, Canada’s regional health authorities still do not have characteristics of a fully integrated system. (Hospital Management Research Unit 1996, 1997). In contrast to Canada, most developed countries

To help improve this situation, the government can implement a two-tiered system where the patients have the option to choose between a private healthcare provider and the public system we currently have nationwide. This will then create a competitive edge in Canada’s medical sector, therefore resulting in an increase in passionate doctors. This “passion” is triggered by one thing - money. At the end of the day, we are all human beings and the most important aspect of our lives is health, it is the most important contribution we, as Canadians, as a nation, can make to not only ourselves, but future generations to