Introduction Health care systems across the world are facing a number of challenges, which include changing patterns of diseases, a shortage of health care professionals, inaccessibility of services, and insufficient resources. Given that an increasing population creates a greater demand for healthcare services, the shortage of hospital beds due to high admission rates and increased length of stay are some of the challenges that the healthcare system of Saudi Arabia is struggling to overcome. The Saudi Arabian government funds 244 hospitals that have a capacity of 33,277 beds (Almalki, Fitzgerald, & Clark, 2011). However, there was a forecast of bed capacity shows that, by 2013, the healthcare system in Saudi Arabia will require about 14,700 additional beds to meet the increasing demand for healthcare services (RNCOS, 2011). The shortage of beds implies that the healthcare system needs to formulate ways of increasing hospital bed capacity. The problem being investigated is the Saudi Arabian hospital bed shortage due to increased length of stay in hospitals by patients with chronic illnesses, the elderly, and the disabled. The purposes of the proposed study are to describe the post-acute care needs and also the need for effective discharge planning.
The government of Saudi Arabia has identified its first two priorities as healthcare services and education. A huge part of the Saudi’s government budget goes to the Ministry of Health every year. Hence, the Ministry of Health
The overall process of discharging a patient from a hospital and the transition back home or to a care facility are critical advancements in the overall course of both acute and long-term care. It is important that the hospitals releasing these patients have ensured the proper overall course of care from beginning to end. The lack of consistency with both the discharge process and the quality of discharge planning has led to many avoidable readmissions. To reduce the amount of hospital readmissions, it is imperative that hospitals recognize the need for focused patient care and that programs are being implemented to assist in the care transition.
In the Middle East, Saudi Arabia is the largest arid country (Al-Ibrahim, 1991). The country covers some 80 percent of the Arabian Peninsula (Al-Hamzi, 1992). The area of Saudi Arabia is 2.25 million square kilometers, equivalent (1.4) million square miles (Batayneh, 2012). The total number population in Saudi Arabia is 25.7 million (Al-Shayaa et al., 2012). Saudi Arabia climate is broiling in the summer and chilly in the winter, and Saudi Arabia does not have well-defined season. In addition, Saudi Arabia is waterless country, and it does not have rivers or lakes (Al-Shayaa et al., 2012).
One of the biggest issues in the medical field sector in United Arab Emirates is the lack of work forces such as doctors, nurses, and pharmacists (Gov of the UAE). According to Ministry of health statistics, the number of doctors in United Arab Emirates is 1.75 per 1000 people which is a very low ratio. While the nurses represent 2.7 per 1000 people ( MOH of the UAE,2014 ) . The country had realized the huge gap that impaire the health care system. Thus , the priority was set on its agenda for the plan of the year 2030. where it focuses on the issue and state the following " The Authority is also working on a comprehensive plan to attract, train and retain health care professionals with the focus on increasing the number of Emirati work force" (HAAD,2014).On the other hand the main obstacle that is facing Singapore heath care system is finance . The government is only responsible for the basic health care services. Therefore each individual is expected to take responsibility for his/her own health requirements (Lee & Wong ,2008 ).This issue has the major impact on the health care system of Singapore .However an outstanding country as Singapore would not stay still while such a problem exists in its system
In terms of resources and finances, inpatient care is the most costly form of healthcare. It not only requires the medical supplies, but basic care supplies such as food, bedding, etc. It requires more practical resources in terms of electricity and other services, as well as more human resources, as the patients require round the clock care and availability. Hospitals and centers providing inpatient care therefore need a minimum of two shifts, and possibly three in order to avoid unnecessary and costly mistakes due to the workers’ exhaustion.
When overcrowding occurs, patients are placed in the hallway waiting for room to be transferred to. Any time overcrowding occurs most ambulances divert away from the closest hospital to the patients and in this situation hospitals lose a lot of revenue. Data published in the US Department of Health and Human Services (HHS) in 2004 report national hospital ambulatory medical care survey on ED summary depicted that ED in United State are approaching a boiling point in terms of increasing patient demand and shrinking bed capacity, Levin et al (Fall,2006). According to the Institute of Healthcare Improvement, a recent survey conducted by the American College of Emergency physician of about 200 hospital administrators, majority pointed at overcrowding as their major constraint and about 60% said overcrowding in their facility forces the diversion of patients with urgent need
Decreasing the rate of hospital readmissions has been targeted as a high priority for United States healthcare reform. Proper discharge planning that utilizes an interprofessional team, while determining appropriate patients that will benefit from such models will go a long way in reducing readmissions, meeting the patients at the level of their needs, meeting a performance measure that has been saddled with discouragement by the staff, and finally opening up access to care of patients otherwise that will have ben occupied with those that did not need or could not use it.
The following databases were reviewed for this systemic review: CINAHL Plus, MEDLINE, ERIC and Cochrance. The following journals were reviewed and information obtained for this systemic review: Nursing Times, Journal of Gerontological Nursing and The American Journal of Nursing. The following expert organizations were reviewed: World Health Organization (WHO) and Centers for Medicare and Medicaid Services (CMS). This systematic review was conducted by searching for “Effective discharge planning; does it decrease hospital readmission rates?”. The search was further limited by information that was published within the last five years and in the United States.
The term globalization can be defined as a process by which societies, regional economies and cultures have been integrated via a global network of transportation, communication and trade. It has both positive and negative impacts in all the areas that it touches on be it economical, social, technology, cultural, political, environment, health or any other. Globalization started to have an impact on businesses world wide in the eighteenth century since that time marks the merging of modernity and globalization. However, in the modern sence, globalization kicked off after the end of Second World War since its during that time that leaders felt the urge to break down the borders
The cost of the health care industry has always been rising since the early 1980s. It has been a growing concern in both the industry and society. Massachusetts General Hospital (MGH) is no exception. Even though the average length of stay (LOS) for the patients in MGH has been declining (Exhibit 10), it is still the highest compared to their competitors (Exhibit 6). Besides the cost, there is no uniformity of process and standardization across different facilities and departments of the hospital. MGH lacks communication and coordination between the facilities.
The health care system in Palestine currently faces significant challenges. Poor political and economic circumstances and the instability of the Palestinian Authority, combined with a lack of strategic health care planning and corruption in the Palestinian health care system have negatively influenced the provision of comprehensive diabetes care for diabetics and for Palestinian communities at large. The Palestinian health care system is extremely fragmented. Many health care providers provide health care services without coordination, unified care protocols, or referral criteria. The main health care providers for Palestinians in West Bank and East Jerusalem are the Palestinian Ministry of Health (MoH), Military Health Services, the United Nations Relief Works Agency (UNRWA), as well as private sector, and other non-governmental organizations. Diabetes services
Two other aspects in the health category are life expectancy and infant mortality rates. The United Arab Emirates has a life expectancy rate of 76.96 years and an infant mortality rate of 12.7%, which this mortality rate seems high, but sadly are much higher ones out there. Oman has a life expectancy rate of 76.59 years and an infant mortality rate of 16.8%, a little higher than the UAE’s. Saudi Arabia has a life expectancy rate of 75.50 years and an infant mortality rate of 11.5%, a little lower than the UAE’s. But when comparing the UAE to countries like Brazil and India, they are lucky. India’s life expectancy is 66.21 years, which is the lowest of all six of the countries that have been compared throughout this paper, and an infant
In the present scenario achieving effective and efficient health care services is an acute issue that needs an immediate attention. In developing countries this problem is mostly common as the government alone is not fully capable in undertaking different challenges to meet the heath needs of fast growing populations. There was a need to develop an
Students and preceptors agree that there is a need for clinical instructors from the university 9
The Kingdom of Saudi Arabia has committed vast resources by allocating more than 13 percent of its annual budget in improving the Kingdom’s medical care system, with the ultimate goal of providing free medical care for everyone. This commitment has been translated to more than 330 hospitals operated by the government and the private sector, with a capacity of more than 50,000 beds. Of these hospitals, 184 are run by the government, with more than 16 thousand doctors, 40 thousand nurses, and more than 25 thousand assistant nurses according to the Ministry of Health (2003). Based on these figures and the Saudi population of 20 million people, to satisfy and maintain the current health care standard, one out of every