Lately, there has been a fair share of debate around the safety and quality of the current healthcare system. Shortcomings were detected in many areas be it patient satisfaction, complication rate, or treatment efficiency. An impetus to further development would be goal-setting by government bodies and policy-makers. This essay will discuss the most efficient ways of introducing accountability to healthcare organizations.
We will write a custom Essay on Healthcare Organizations Accountability specifically for you
301 certified writers online
Accountability is a complex phenomenon, and while it is attainable, holding healthcare providers responsible involves making meaningful changes and taking numerous measures. Denis (2014) argues that there are three key elements to ensuring accountability: setting relevant, well-defined goals, monitoring progress and revising outcomes, and communicating the consequences for health providers if the goals are not met. The only issue that Denis (2014) points out in his article is the unclear concept of goal-setting: to him, quantitative goals only reflect the volume of care. A more effective approach would focus on the quality of care instead.
Deber (2014) outlines three major approaches toward promoting accountability. First, the author claims the efficiency of financial incentives as they can be both a tool for encouragement and punishment. Second, regulations play a significant role in health care as they standardize the services. Lastly, the researcher reasons that the government should allow the market to decide which providers are the best.
It is assumed that health providers have great potential for aligning their practice with the highest standards of care, which constitutes the concept of accountability. Accountability can be interpreted as responsibility for care quality and awareness of bigger goals. A practical approach toward ensuring accountability would include a set of measures among which are financial incentives, legislation, and information provision to compel customers to make independent choices.
Deber, R. B. (2014). Thinking about accountability. Healthcare Policy, 10(SP), 12.
Denis, J. L. (2014). Accountability in healthcare organizations and systems. Healthcare Policy, 10(SP), 8.
The medical field is developing rapidly, and as science makes significant advancements, it is only reasonable to make sure that newly acquired knowledge is translated into practice. The implementation of new methods which take origin in relevant, robust research is called evidence-based practice. This essay will discuss the advantages and particularities of evidence-based practice and will also examine patient-oriented and disease-oriented research.
Evidence-based practice does not only help to bridge the gap between laboratory findings and bedside care but also eliminates the possibility of double standards. This approach facilitates the promotion of scientific knowledge and contributes to the creation of better healthcare guidelines (LoBiondo-Wood & Haber, 2014). For medical practitioners, the introduction of EBP means continuing education so that they expand their scope of expertise and refine their competencies.
The concepts of patient-oriented and disease-oriented research are related to evidence-based practice. Patient-oriented research is seen as a scientific method that would help to rid the discrepancy between theoretical knowledge and medical practice. Within this type of research, a physician should seek for the expression of disease in a patient while perceiving him or her in his wholeness – as opposed to studying body parts and tissues in a laboratory (Carayon et al. 2014).
The disease-based research is the opposite of patient-centeredness: it prescribes medical practitioners to see individuals as “cases” while ignoring contributing sociocultural and humanistic factors.
In many countries, healthcare experts observe a situation when due to the lack of comprehensive legislation, health providers base quality standards upon what is convenient and habitual as opposed to relevant and efficient. While patient-oriented researchers consider a variety of factors when studying a diseased person, evidence-based practice ensures implementation in the workplace. Focusing on diseases while ignoring a person’s complexity was found to be a receipt for failure in a long perspective.
Carayon, P., Wetterneck, T. B., Rivera-Rodriguez, A. J., Hundt, A. S., Hoonakker, P., Holden, R., & Gurses, A. P. (2014). Human factors systems approach to healthcare quality and patient safety. Applied Ergonomics, 45(1), 14-25.
LoBiondo-Wood, G., & Haber, J. (2014). Nursing research-e-book: Methods and critical appraisal for evidence-based practice. St. Louis, MI: Elsevier Health Sciences.