Nov 20, 2020 in Health

Health Care Administration Among Stakeholders
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Introduction

Advances in healthcare have transformed the competing visions of health care administration among stakeholders: patients, physicians, hospitals, payers, and the community. Modern medicine provides advanced form of treatment to patients, and has achieved the great success in this. At the same time, many stakeholders worry about rising costs of healthcare services and patients needs. The rising tension among stakeholders requires policymakers to implement more efficient health programs, which would reshape the present healthcare system. In fact, the USA spends about $7,500 per capita on health care in the U.S, yet in 2016, that will rise to an astounding $12,800 per person. Many researchers recognize that the government should find out new approaches to support people and maintain their expenses on healthcare. This problem has become an issue for debating for last decades and needs further investigation.

 

The Competing Visions of Health Care Administration

According to Finsterbusch, thoughtful people may worry that Americans are unbalancing their economy and that it is not a wise national policy to spend $1 out of every $7 on health. This new moral vision challenges long-held assumptions of unlimited resources and ever-rising standards of living. Health care administrators owe a duty to the individual patient, but they also have much broader responsibilities toward a much larger group of stakeholders. There are ever-lasting debates about new insurance plans. Officials worry not only that the new insurance will be a heavy burden on poor families, but that the increased rates will dampen business expansion and development, driving away the very tax base that they will need to pay for levee repairs. For most U.S. families, medical costs are substantial and rising. Different studies show that American health care should be improved by rising costs on health care services while others consider that costs should be cut in order to support poor citizens.

Young observes that fees tend to rise as physicians need to charge each patient more. During the last few decades, there is a shortage of physicians in the United States. The research asserts that patients worry about this as well as about rising costs for their treatment. Many experts consider that medical care today does not improve the health status of populations. Of most concern to the government that pays for the health care is increasing costs. It was found that when the supply of physicians increases, so does utilization of services. Moreover, fees tend to rise when physicians need to charge each patient more. Additionally, when they perform more services per patient, their income is not higher. Even though each added physician results in increasing health costs, over $1 million per year in terms of what they order and charge for their patients, it is difficult to turn off the spigot of producing more physicians, nurse practitioners, and physicians assistants.

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Imbalance in Health Care Needs and Incentives

Many experts recognize that nowadays there is an imbalance in health care needs and incentives. Therefore, different health care stakeholders have conflicts relating such an important issue like substantial imbalance in some specialties. Thus, a few number of patients complaint about the lack of special therapists in the public hospitals. Many health care stakeholders admit that the geographic distribution of physicians is uneven what, consequently, creates difficulties for patients as well as physicians. Moreover, the public worries about uncertainty of the economic motivation and geographic choice. It should be noting that mostly the poor part of the population complaint about these problems while those who can afford private medical establishments do not feel the lack of physicians. The projected surplus of physicians and their extenders is of great importance for hospital management and can be looked at as both an opportunity and a threat. Doctors should be more receptive to basing their practice in a hospital setting, and, in its turn, doctors should be able to facilitate their professional interests and security.

 
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Hospitals and other medical institutions also have to guard against unnecessary surgery, fad medicine, and gimmicks to attract patients in competition with other services. Many authorities consider that with fewer clinical options for physicians and increased importance of organizations, managerial positions become more attractive to them. Another potential conflict exacerbated by manpower surpluses will be demands by limited licensure personnel, such as podiatrists, clinical psychologists, and chiropractors for some type of medical staff membership. Though hospitals may be prone to bring in such persons to expand revenue sources, physicians will likely oppose such moves, just as they may also tend to limit privileges of other physicians, such as family practitioners. Limited licensure personnel may logically be excluded based on arguments for maintaining quality. On the other hand, bringing them in under hospital controls, education programs, and consultations may help to improve and integrate quality of care in the community.

Health Care Delivery System

The need for continuous improvement of quality and safety in the provision of patient care has become axiomatic. There is a certain imbalance in health care delivery system in the USA today. The research asserts that the United States is a leader in the health care delivery system. The great amount of health care stakeholders admit the fact that the USA health care system as a rule provides high quality, but at a very high cost. This fact has become a real problem for many Americans. Of course, many people are covered with some form of health insurance, which will at least pick up all or most of the hospital cost. Although insurance can help reduce personal costs, serious long-term illnesses still may wipe out the savings and break the spirit of even the most-financially-well-off families. When it comes to health concerns, people want to get the medical care they need, not be forced to go to court.

On the other hand, the fact that health care insurance companies will not be able to satisfy the health care needs of retired Americans has worried a lot of people. Wolper noted that retired people will be lucky if Medicare and social security will be still in existence in the nearest future. Thus, every working person in their teens to sixties fortunate enough to have a job will never experience retirement as it is today. The self-satisfied private sector workers who believe that their retirement is protected because they have private corporate plans have huge anxieties and worries that they would work. Many stakeholders worry that a federal default will affect social security, Medicaid and Medicare. According to Rouse & Cortese, retirement money benefits fall far short of meeting the need due to the high cost of health care. One of the major concerns of health care stakeholders is that their insurance companies would not be able to cover their expenses.

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Conclusion

Modern medicine provides advanced form of treatment to patients, and has achieved the great success in this. At the same time, many stakeholders worry about rising costs of health care services and patients needs. The rising tension among stakeholders requires policymakers to implement more efficient health programs, which would reshape the present health care system. Health care administrators owe a duty to the individual patient, but they also have much broader responsibilities toward a much larger group of stakeholders. There are ever-lasting debates about new insurance plans.Advances in health care have transformed the competing visions of health care administration among stakeholders: patients, physicians, hospitals, payers, and the community.Though, the United States is a leader in the health care delivery system, there is still a certain imbalance in health care delivery system in the USA today.

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