3205MED Healthcare Systems

3205MED Healthcare Systems

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3205MED Healthcare Systems

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3205MED Healthcare Systems

0 Download10 Pages / 2,386 Words

Course Code: 3205MED
University: Griffith University

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Country: Australia

Question:
Task
Identify human factors that impact on work performance and then critically analyse the relationship between these and quality and safety in health care provision.
Answer:

Introduction
Patient safety may be defined as discipline that encourages and emphasizes safety in the healthcare through the reduction, prevention, reporting and measuring of medical error that often leads to negative effects. Various human factors also put direct effect on the safety and work performance of the followers in healthcare sector. Thus, it is essential for the business to ensure the safety and health to maximize productivity and quality. The talented and skilled workforce is needed to protect the safety and security of the patient in healthcare.
Aim of the report
The major aim of the report is discussed below.

To analyze the concept related to human factors and work performance
To analyze and explore the key issues related to human factors
To identify and measure that how human factors are interconnected with patient health and safety.

Thesis statement
“Human factors that put impact on the labor performance and productivity and critically analyze and identify the relationship between these factors and quality and safety in health care”
The paper outlines various concepts of human factors and key issues related to patient health and safety in the workplace. It depicts that how these factors further affect the work performance and productivity of the healthcare. At the end, conclusion has been drawn to discuss the various individual elements and its effects on the patient health and safety. The relationship between human factors and patient wellbeing and security also has been explained in the task.
Major concepts and issues related to human factors and work performance
It is stated that there are ample of concepts related to human factors and work performance, some of the concepts and issues and have been discussed below.
Work environment and issue: It is one of the vital and unique concepts of the human factors that focus on the risks and challenges. Work environment helps to identify challenges and hazards embedded in their procedures and system. Healthcare delivery entails complex series of interaction between the healthcare employee and the patient. Those interactions could be systematically and effectively investigated using analysis tools and techniques adapted from the industry after or before a negative event or failure occurred (Group of Who patient safety, 2009). It is a responsibility of healthcare sectors to focuses on the working environment to encourage and improve the performance and productivity in the marketplace. Various tools and techniques such as hazard analysis, omission assessment and simulation method are used to overcome the various issues and to enhance the productivity of the workers.
A literature review shows the impacts of labor environment factors on the patient safety and medical errors. Working environment can be influenced by many factors at the workplace that can put direct impact on the profitability of the firm. Lack of potential staff and training are significant issues that can affect the working environment of healthcare sector to a large extent. Poor and ineffective culture and lack of innovative opportunities are another issues or challenges that could also influence the efficiency and effectiveness of the followers. It is noted from the various studies that approx 40% of healthcare employee are entertained issues to provide work at their employment. Equipment design is further significant part of issue for patient wellbeing, for instance readability of medication labeling and packaging, usability of mixture pumps and laparoscopic methods.
Team leadership and issue: Team leaders are also known as front line managers or supervisors are dynamically accountable for working together with various employees to attain a ordinary goal and objective. In healthcare, the managers or leaders of recognized groups like ward change nurses and managers of temporary groups such as operating theatre team. These managers or leaders commonly are accountable for executing the work and achieving the objectives (Leggat, Bartram & Stanton, 2011). The literature on safety and supervisors emphasizes the significance of strong and open communication, the requirement to develop trust and to care about the team members and need to set the various safety standards and principles where there is unique and effective production or cost reduction goals. The leaders will have to concentrate on the social requirements and tasks of the employees within the organization. It is stated that leaders further need to assess the commitment, task competence and skills of the workers for aiming to enhance profitability and returns (Group of Who patient safety, 2009).
It is elucidated that work performance in healthcare sector can be affected by poor leadership. Due to poor and ineffective leadership, the leaders could fail to make decision effectively in health care sector. Leadership could further be affected by fatigue, stress and dissatisfaction. Leaders need to focus on the qualities to make unique decisions in regards to patient safety and security. Lack of alignment and accountability are major issues in leadership that may impact on the decision making process of leaders. Due to poor leadership, the leaders further fail to communicate and collaborate with workers in health care sector ((Dul et al, 2012).
Individual and issue: At this level, there are various physiological and emotional elements which may affect employee’s actions and behaviors that contribute to safety outputs in the organization. The individual plays a fundamental role in providing services to the patients in healthcare sector (Carayon et al, 2014). The working environment, culture and values can affect the productivity of the individuals in this sector.
The individuals face ample of issues while performing tasks and duties at the workplace. The concept of non-technical skills and capabilities came from the airline industry, where it is treasured that accidents are not only due to failures in technical proficiency or equipment. Many mistakes are caused by various issues relating to the management, decision making, teamwork and exhaustion. All these issues may influence the individual capacity and productivity to a large extent. There are several example of bad decision making that affect the progress and success in the international market. One of the significant and remarkable examples is aircraft accidents which occurred in USA. From this accident, it is noted that approx 47% cases are uncovered due to poor leadership, team judgment and decision making (Group of Who patient safety, 2009).
Workgroup and issue: It is stated that the teams are exploring and flourishing aspects and attributes of the company, as the managers or leaders need to perform roles and responsibilities effectively and efficiently. The people who are enough to handle roles and responsibilities, the sector needs to assign tasks and duties those people in order to minimize risks and challenges. All the type of work generally is performed by the group of people including clinics, operating room team and nurses. A communication team is also hired to communicate and collaborate with internal executives at the workplace. The behavior and action of group can put direct impact on the performance and behavior of the individuals. Workgroup behavior affects the individual roles and responsibilities negatively in healthcare sector (Thenationalacademies, 2018).
Communication, collaboration, decision making and conflict management issues are being entertained by the group members while functioning. Decision making is one of the vital skills of group members that help in serving the patients in a hassle free manner. Decision making and judgment are methods for healthcare experts and decision mistakes could occur in various types of patient care situations. There are various functions which could be performed by human. These functions or incidents are divided into healthcare infection, medication and blood products (Proctor & Van Zandt, 2018).
Relationship to quality and safety in healthcare
The relationship of major human factors with quality and safety in healthcare has been discussed below.
Relationship of work environment with quality and safety in healthcare: It is stated that there is a great and high relationship of labor environment with quality and safety in the healthcare (Carayon, Alyousef & Xie, 2012). Without effective and cordial environment, the healthcare sector cannot provide unique services to the patients across the globe. A research is conducted which explains the relationship between excellence of nurse work environment and turnover and nurse contentment. Potential and dynamic improvements in health care working situations that helps in increasing and improving the patient safety and security. Positive and favorable working environment have also been interconnected to better nurse outputs and profitability. It also provides nurse job satisfaction, opportunities for promotion and personal development (Vicente, 2013). Based on the various studies and research on Magnet hospital and hospital reformation, Aiken and her colleagues built and enhanced a conceptual structure for supportive culture and work environment to maximize returns and revenue (NCBI, 2013). Strong working environment further reduces high employee turnover and absenteeism issues in the healthcare sector. In order to handle and tackle the environment issues, quantitative risk assessment tools and techniques were built and improved that begins with modeling the undesirable and unexpected output instead of the development. PRA methods are a combination of procedure analysis tools, methods and decision making process (Barton, 2009).
Relationship of an individual with quality and safety in healthcare: The nature and behavior of individual may put direct impact on the quality and safety in healthcare globally. There is ample of elements including fatigue, stress and dissatisfaction (Weaver, Dy & Rosen, 2014). Decision making tool is also influenced by behavior and action of individual in the healthcare sector. Wrong decision taken by the individual also are affected the working environment and culture of healthcare. Individual behavior also has direct impacted on the productivity, effectiveness and work of the group and nurses. The individual needs to make strong culture at the workplace and they live happily while serving the services to patient in the healthcare. It will help in managing stress, dissatisfaction and fatigue issues in healthcare sector. If an individual possess positive behavior and nature then it will help to make unique decisions within the organization (McFadden, Henagan & Gowen III, 2009).
Relationship of team leadership with quality and safety in healthcare: The significance of strong and good relationship is becoming increasingly apparent and unique in healthcare. Effective and unique medical leadership have been interconnected to a wide range of operations and functions. Leadership is an ability to improve and enhance the capabilities and effectiveness of the subordinates and nurses in healthcare sector (Leggat, Bartram & Stanton, 2011). Leadership is a prerequisite of hospital care including timely care delivery, organization performance, and accomplishment of health reform, efficiency and system integrity (Richardson & Storr, 2010). Leadership helps in deciding and identifying the roles and responsibilities of the workers in this sector. The significance of effective and unique clinical leadership is ensuring a high excellence health care scheme at the workplace (Carayon, 2010).
Relationship of workgroup with quality and safety in healthcare: The success and performance of healthcare sector is dependent on the workgroup. Without workgroup, the organization is unable to fulfill the expectations, needs and wants of the patients and employees as well (Kaufman & McCaughan, 2013). If top management and supervisors are good enough to handle the problems and issues of the workers then they can easily perform roles and responsibilities in a hassle free manner in health care sector. Further, it also motivates the nurses and other technicians to perform tasks and duties successfully. Group leaders maintain reciprocal relationship with subordinates to overcome the rivals internationally (Holden et al, 2011).
Conclusion
To conclude, human factors play a major role in healthcare sector for serving maximum patients globally. Human factors are further needed in improving and boosting the performance and effectiveness of the employees at the workplace. The analysis shows that how human factors create various issues in the healthcare due to lack of poor leadership and management. It is stated from above mentioned study that there is a close relationship between human factors and patient health and safety. Leadership and working environment also play a major role in identifying and analyzing the human factors issues and challenges in the global market. Personnel’s perceptions and needs of better safety climate predicted lower risk of experiencing at the workplace.
References
Barton, A. (2009). Patient safety and quality: An evidence?based handbook for nurses. Aorn Journal, 90(4), 601-602.
Carayon, P. (2010). Human factors in patient safety as an innovation. Applied ergonomics, 41(5), 657-665.
Carayon, P., Alyousef, B., & Xie, A. (2012). Human factors and ergonomics in health care. Handbook of human factors and ergonomics, 1574-1595.
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.
Dul, J., Bruder, R., Buckle, P., Carayon, P., Falzon, P., Marras, W. S., & van der Doelen, B. (2012). A strategy for human factors/ergonomics: developing the discipline and profession. Ergonomics, 55(4), 377-395.
Group of Who patient safety.,(2009). Human factors in patient safety review of topics and tools [Online], Retrieved from https://www.who.int/patientsafety/research/methods_measures/human_factors/human_factors_review.pdf
Holden, R. J., Scanlon, M. C., Patel, N. R., Kaushal, R., Escoto, K. H., Brown, R. L., … & Karsh, B. T. (2011). A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life. BMJ quality & safety, 20(1), 15-24.
Kaufman, G., & McCaughan, D. (2013). The effect of organisational culture on patient safety. Nursing Standard (through 2013), 27(43), 50.
Leggat, S. G., Bartram, T., & Stanton, P. (2011). High performance work systems: the gap between policy and practice in health care reform. Journal of health organization and management, 25(3), 281-297.
McFadden, K. L., Henagan, S. C., & Gowen III, C. R. (2009). The patient safety chain: Transformational leadership’s effect on patient safety culture, initiatives, and outcomes. Journal of Operations Management, 27(5), 390-404.
NCBI., (2013). The relationship between hospital work environment and nurse outcomes in Guangdong, China: nurse questionnaire survey [Online], Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3392025/
Proctor, R. W., & Van Zandt, T. (2018). Human factors in simple and complex systems. CRC press.
Richardson, A., & Storr, J. (2010). Patient safety: a literative review on the impact of nursing empowerment, leadership and collaboration. International nursing review, 57(1), 12-21.
Thenationalacademies.,(2018). Work environment for nurses and patient safety [Retrieved from https://www.nationalacademies.org/hmd/Activities/Quality/nurseandpatientsafety.aspx
Vicente, K. J. (2013). The human factor: Revolutionizing the way people live with technology. Routledge.
Weaver, S. J., Dy, S. M., & Rosen, M. A. (2014). Team-training in healthcare: a narrative synthesis of the literature. BMJ Qual Saf, 23(5), 359-372.

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3205MED Healthcare Systems

3205MED Healthcare Systems

Free Samples

3205MED Healthcare Systems

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3205MED Healthcare Systems

0 Download10 Pages / 2,297 Words

Course Code: 3205MED
University: Griffith University

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: Australia

Question:
Identify a recent health reform of your choice, within the last five years or less, on the National Health Reform. Students may analyse the recent Australian health reforms or select a reform from another country after discussion with and approval by the lecturer. Using a report format interpret the objectives of the reform, critically evaluate the strategy and explore opportunities for further reform development. 
Answer:

Introduction
Australia has associatively set publicly funded health system that is connected by the “universal access” principle. In the context of the healthcare system of Australia, there is an effective hybrid of a universally-exist public system along with the regulated and managed the private system. Australian Government is spending more than $150 billion each year to the public healthcare services but it is necessary for the government to focus on the reform of policy as it will help to increase the attention towards chronic conditions (Cameron, Earnest, Farivar, Strauss & Gao, 2015).
The main aim of this paper is to consider the ongoing state of the financing of health services in Australia, related to chronic disease and the issue related to the aging of the population. Along with that, this paper will propose the major public discussion on the financing of health and care services in Australia, which main focus on the conditions of the chronic health. It has been analyzed that there are numerous requirements which need to be focused by the healthcare system of Australia for the purpose of bringing better facility related to the healthcare in Australia. The discussion will be made on the recent health reform in Australia which is chronic conditions of the population. The elaboration will be made on health reform in Australia along with objectives, strengths, and weaknesses. At last the strategy and the recommendations will be provided so that the future implication can be done in an efficient manner.
Description of Health Reform
The major issue for Australia is how to regenerate the remaining health funding and service management by better design to be comprehensive of and the long term care needs of disease related to the chronic. There is another need for prevention of chronic disease and early involvement in the route of chronic diseases to prevent bad conditions of the health, entailing in economic and social impacts and costs. Health reform in Australia regarding chronic disease has been made in 2018. According to this improvement, it has been analyzed that the health care is not a concern for a few as 1 in 3 Australians who age is more than 45 are having a chronic disease and 1 in 5 have a number of chronic conditions. Australia has realized that there is a need to bring improvement in such condition through healthcare systems because the treatment of such chronic condition will cost money. It has been found that Australia government invest more than $150 billion on the health care system but there is not firmly opinion held regarding where this money goes (Bartlett, Butler & Haines, 2016). To improve this concern, the Australian Health Policy Collaboration was formed in 2015 to create from the task of the program of the health at Mitchell Institute over last two years. the collaboration is considered as the independent think tank that targets is to focus on needed attention to the significant requirement for considerable policy reform which is focused on the addressing the health issue related to the chronic disease on the national level.
There are key chronic conditions such as cancers, diabetes, and chronic obstructive disease, musculoskeletal and mental disorder (Swerissen, Duckett & Wright, 2016). These chronic diseases are not taken into serious consideration by the government of Australia while it has the same kind of risk factors that impact the lifestyle of the citizen of Australia. In the context of the health reform in Australia, the chronic disease model has been produced in order to recognize and elaborate the vital aspects for developing the health systems at the organization and community. According to Australia’s Health 2014 (AIHW, 2014), there is a massive rate of morality in 2011 which was being done by heart disease and another chronic disease. The health reform in Australia can improve the condition of the people who are suffering from chronic conditions.
The objective behind Health Reform
The main objective of the health reform in Australia is to focus on the public and private doctors and their training towards the reduction of the chronic conditions so that the impact of the health issues can reduce the death rate of people due to this condition. The improvement in the policy should have a strong focus on the concerns related to the health of prevention of chronic disease. It has been analyzed that these concerns have become the major confront and this has been accepted by the Government of Australia. However, Australia health care concerned towards the various kinds of diseases but there are an ample of complexity such as healthcare demand, preventable chronic disease, service delivery and rising health costs which become the reasons of annoyance in the view of the governments and individuals alike (Dennis, et. al., 2008). That is why the improvement in the health policy and the services for chronic conditions are entailed under this reformation. In conjunction with, there is the aim of the reform in Australia regarding the chronic conditions which are elaborated below:

The providers of health service are to discover and come back with to a variety of factors connected to the risk that put into the development of the avoidable chronic disease by taking deliberation of the chronic disease.
To make an effectual harmonization between health service providers so that patients can get a high standard of behaviour from the public and private healthcare organizations.

The strength of health reform
The healthcare system of Australia is amended as there is a big demand for mental health services. The major strength of the reformation in Australia regarding the chronic condition is that it took a different area which was not concerned by any other health care services (Battersby, 2005). to consider this strength, it is necessary for the health care service to keep the focus on the funding arrangements and policy that should be relied on the evidence of what type of work are able to accomplish the ongoing confronts (Mossialos, et. al., 2015). As per this reformation, it has been found that there are many changes have been done in the technologies especially in diagnostic imaging that leads the business in driving better and earlier diagnosis. The expenditures of pharmaceutical per person are assumed to amplify from $420 in 2014-15 to $474 in 2027-28 (AHPC, 2015). The funding of Australian governments in public hospitals has amplified in present years to $568 per person. In the context of the private sector, it has been found that the health expenditure per person rebate on health insurance is fairly stable (Donato & Segal, 2013).
It is necessary for Australia to redevelop the policy and the funding arrangements of the country so that they can become more focused and inclusive on the long-running needs of chronic diseases. There is another major strong factor that the protection in the curve of chronic disease to turn away towards away preventable ill-health and its results, entailing social as well as economic influences and costs. Along with that, there is another major positive aspect in the amendments in the policy of the healthcare system of Australia is that it has developed high standards healthcare services to the patient of the country (Nolte & McKee, 2008). The healthcare system of Australia is breakdown into valuable factors such as Medicare, Medicare safety net, Medicare rebates, Medicare levy, public healthcare, and private healthcare. The rebate of the public as well as private services is fixed but it is not necessary that entire cost should be formed.
Weaknesses of health reform
There is major apprehensive regarding this reform as healthcare policy of Australia is due to the planned enlargement in expenditure in that much by which explanation can be done in a valuable mode with the improved ending for a lesser amount of input (Louviere & Flynn, 2010). It has been analyzed that the costs are not stable and it would not be possible to similar the amount for the long period. There is a huge burden on the Australian healthcare services due to chronic diseases that lead the death rate in the number of nations, including Australia. It has been evaluated that still 1 in 10 patients has to wait for the long time of surgery in more than 8 months and 1 in 30 patients would wait for a year to be treated well (Tinetti, Fried & Boyd, 2012). There is a weakness of this reform of mixture of public and private funding that makes the Australia health system hybrid by nature. It has been found that the Ageing populations, with associated developing population burden of chronic disease, have become confront to the national health because of the increased demand of the health services. It has been found in the context of the challenge that patients with chronic conditions are not given proper treatment by the national health system. The charge of health services is also increasing at double the pace of GDP. 
Strategy and explore opportunities for further reform development
It is required for the healthcare services of Australia to put the customer at the middle of reform by developing the customer-focused models which will help out to make sure that Australia is delivering quality outcomes on a constant basis for its residents by entailing better patient health outcomes, lower costs, and satisfaction (Kronick, Bella & Gilmer, 2009). The strategy of concerted focus on prevention and wellness will provide the exciting potential to decrease the death rates from heart disease, cancer, stroke, and diabetes. Encouragement modernism diagonally the healthcare significance chain is entailing the huge importance of the public-private partnership which would be helpful to make sure about the long-term sustainability in the healthcare system of Australia. The health sector of Australia can provide as the model for different countries and give to the development of the economy in the form of the export market, especially in Asia (Ward, Schiller & Goodman, 2014).
For further reform development, it is required by the health system of Australia to involve below mentioned five policy levers.
Integrated funding and management: it is the move to a gathered source of government funding to get rid of bureaucratic cost shifting and duplication that is connected with the private sector alignments.
Consumer Empowerment and Responsibility: this principle should cover the empowerment and self-awareness regarding health issues for the purpose of decreasing the health concerns. There should be patient-centric care and smarter lifestyles which should be adopted by the citizens of Australia.
Optimized care pathways: it would be the policy which will entail the optimized pathways to facilitate make sure ‘the right care, at the right place, at the right time’. This will give a fundamental for private as well as public re-investment indefinite care setting mix with various-disciplinary teams.
Wellness and prevention: put much huge importance on anticipatory approached to deliberate the development in demand for health services.
Information-enabled health networks: it shows that there should be the proper adoption of the broad range of application of developing technologies to encourage consumers, facilitate clinicians develop outcomes of the patient, accept face-to-face confronts and connect the analytic strength while making sure fortification from cybersecurity risks.
With the help of the above mentioned five policies, Australian health care services will be able to constant to have global access to improve affordable healthcare, with integrating high standards of quality services.
Conclusion
It can be concluded from the above discussion that healthcare services in Australia are improved by government’s contribution of Australia. This report has entailed healthcare reform in Australia in which the chronic diseases are highlighted because it has been found from the above analysis that 1 in3 Australian who age is more than 45 are having a chronic disease. The cost of medications is cutting under this reform. The strength and weaknesses of this health reform have been mentioned in this report.
References
AHPC, (2015). The Case for Change Towards Universal and Sustainable National Health Insurance & Financing for Australia. Retrieved from: https://www.vu.edu.au/sites/default/files/AHPC/pdfs/pathways-towards-a-universal-and-sustainable-chronic-care-financing-model.pdf.
Bartlett, C. Butler, S. & Haines, L. (2016). Reimagining health reform in Australia: Taking a systems approach to health and wellness. Retrieved from: https://www.strategyand.pwc.com/au/report/health-reform-australia.
Battersby, M. W. (2005). Health reform through coordinated care: SA HealthPlus. BMJ: British Medical Journal, 330(7492), 662.
Cameron, R., Earnest, J., Farivar, F., Strauss, P., & Gao, G. (2015). Skilled migration in a resource rich state of Australia. Work and Learning in the Era of Globalisation: Challenges for the 21st Century.
Dennis, S. M., Zwar, N., Griffiths, R., Roland, M., Hasan, I., Davies, G. P., & Harris, M. (2008). Chronic disease management in primary care: from evidence to policy. Medical Journal of Australia, 188(8), S53.
Donato, R., & Segal, L. (2013). Does Australia have the appropriate health reform agenda to close the gap in Indigenous health?. Australian Health Review, 37(2), 232-238.
Kronick, R. G., Bella, M., & Gilmer, T. P. (2009). The faces of Medicaid III: Refining the portrait of people with multiple chronic conditions. Center for Health Care Strategies, Inc, 1-30.
Louviere, J. J., & Flynn, T. N. (2010). Using best-worst scaling choice experiments to measure public perceptions and preferences for healthcare reform in Australia. The Patient: Patient-Centered Outcomes Research, 3(4), 275-283.
Mossialos, E., Courtin, E., Naci, H., Benrimoj, S., Bouvy, M., Farris, K., … & Sketris, I. (2015). From “retailers” to health care providers: transforming the role of community pharmacists in chronic disease management. Health Policy, 119(5), 628-639.
Nolte, E., & McKee, M. (Eds.). (2008). Caring for people with chronic conditions: a health system perspective. McGraw-Hill Education (UK).
Swerissen, H., Duckett, S. J., & Wright, J. (2016). Chronic failure in primary care. Grattan Institute.
Tinetti, M. E., Fried, T. R., & Boyd, C. M. (2012). Designing health care for the most common chronic condition—multimorbidity. Jama, 307(23), 2493-2494.
Ward, B. W., Schiller, J. S., & Goodman, R. A. (2014). Peer reviewed: Multiple chronic conditions among us adults: A 2012 update. Preventing chronic disease, 11.

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3205MED Healthcare Systems

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3205MED Healthcare Systems

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The Blue Button was an original initiative within the Veterans Administration (VA) as a directive symbol for veterans and beneficiaries to access the VHA’s personal health record (PHR) portal. The Blue Button image was adopted by the Department of Health and Human Services (DHHS) Office of the National Coordinator (ONC) for Health Information Technology (HIT) in 2012. The adoption of the Blue Button Image foretold the Blue Button Movement. The Blue Button Movement is a marketing campaign aimed at patient empowerment and engagement.
Develop a press release on the topic of patient access to health data via the Blue Button Movement, which a client physician group recently joined. Your release should describe the Blue Button Movement & Pledge and discuss the expected patient benefits, a description of the increased security measures to uphold the privacy, security, and confidentiality of patient data, and an outline of the procedure to access patient data. 

Answer:

Overview of Blue Button Movement:         
Healthcare is striving hard to incorporate improvisations pertaining to adopting digitalization in order to make medical facilities more readily available to people all over the world. The Blue Button Pledge movement is an initiative where in various healthcare organizations ranging from medical insurance companies, medical service providers, companies dealing with medical technology to organizations advocating patient rights (Austin et al.,2014). The concept of Blue Button Pledge was introduced in the year 2010 within the Veteran administration and was launched for the first time in the month of August in 2010 (Hogan et al.,2014). The initiative was undertaken in order to develop an online portal and provide a convenient online access to patients all over the United States so that the patients can easily download their entire healthcare data as one electronic file present over the internet. What initially started as an initiative restricted to the Veteran administration has now spread to other parts of the United States with 450 healthcare organizations being an active participant of the ‘Blue Button Pledge’, with the striking success rate of the movement, the National Coordinator For Health Information Technology was entrusted with the responsibility of popularising the pledge and developing participation of an increased number of governmental and private healthcare organizations.
Expected Patient Benefits:
The electronic data file that is available for the patient to download contains personal health details of the patient ranging from pedigree history, immunizations, military health history, allergies and reactions, blood sugar level, blood pressure level, body weight, medical insurance policies and emergency contact information (Walker et al.,2015). In addition to the personal details entered by the patients, the miscellaneous information also include patient information pertaining to VA care in terms of Patient problem list, appointment list, up to date medical reports including radiology reports, surgery reports and fitness reminders.
Privacy and Security measures:
In addition, the portal is designed in a way that ensures strict privacy of all the patient information included in the database (Ricciardi et al.,2013). The Blue Button initiative has been solely undertaken in order to provide ease of access to patients and it provides two access options, the first includes details of all patient health information and the second includes options that would provide patients with the choice of either sharing their information with other people or with medical professionals whose help they wish to seek.
Procedure to access patient database:
Recently the ‘XYZ group of private healthcare physicians from Minnesota’ registered under the Blue Button Pledge Program and started working with the updated online database of the patients seeking healthcare. The database included every minute detail about the patients ranging from the health concerns to the latest treatment undertaken and it helped the physicians to develop a crystal clear overview about the physical state of the patients and thus the treatment procedure became extremely convenient. Also, it must be noted here that the medical data of the patients are strictly confidential and a registered user can keep a track of the downloaded files under the Account History Settings and in case of any discrepancy can report unauthorised use of the account. Therefore, it can be concluded that patients can now access all heath care facilities making use of the ‘Blue Button Pledge’ which was initially restricted for the use of Veterans but now can be used by any individual seeking health care in the United States Of America. Registering as a user is hassle free and only requires a one-time registration process and saves the time and messed up paper filing of patient history to seek expert advice. The success rate of the Blue Button Pledge is slowly traversing to different parts of the world to incorporate a similar concept for the ease of medical treatment.
References:
Austin, R., Hull, S., &Westra, B. (2014). Blue button movement: engaging ourselves and patients. CIN: Computers, Informatics, Nursing, 32(1), 7-9.
Hogan, T. P., Nazi, K. M., Luger, T. M., Amante, D. J., Smith, B. M., Barker, A., …& Houston, T. K. (2014). Technology-assisted patient access to clinical information: an evaluation framework for blue button. JMIR research protocols, 3(1).
Ricciardi, L., Mostashari, F., Murphy, J., Daniel, J. G., &Siminerio, E. P. (2013). A national action plan to support consumer engagement via e-health. Health Affairs, 32(2), 376-384.
Walker, J., Meltsner, M., &Delbanco, T. (2015). US experience with doctors and patients sharing clinical notes. Bmj, 350, g7785.

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I have conducted a survey at my workplace maned Lady’s Hospice and Care Services to observe the working environment. The aim of the survey is to find if it is a safe, healthy, secured and fulfilling place to work. A visual survey was conducted to locate and record the safety signs in the workplace. The objective of the survey is to observe and list different types of signs, location, their prom…
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Introduction
Palliative care services are designed to improve the life of patient with progressive disease. People receiving palliative care have illness that has no prospect of cure.  As per the World Health Organisation, palliative care is a care given to patient suffering from life threatening illness to improve their quality of life by preventing and providing relief from sufferings by early recognition , assessment and trea…
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Human Immunodeficiency Virus Infection and Acquired Immune Deficiency Syndrome (HIV/AIDS) is the spectrum of medical conditions caused due to human immunodeficiency virus (HIV) following which the patient suffers from a series medical complications due to suppression of the immune system of the body. With the progression of the disease, the patient is likely to suffer from a wide range of infections like tuberculosis and other opportu…
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Introduction
Leadership in the hospital is the ability to influence the staff toward providing quality health care. Leadership involves influencing human behavior to create a positive working environment (Langlois, 2012). Good leadership enables healthy relationships among staffs in the hospital enhancing quality delivery of health care services. Leadership is responsible to building teams that have trust, respect, support and effecti…
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Introduction
According to the researchers, it can be said that the management of the health care organizations has become a difficult task nowadays and the reason behind this is the occurrence of various issues in this sector (Hall et al., 2014). Therefore, the administrative employees of the organization should incorporate various revolutionized strategies for enriching the worth of care provided by the hospital to its clients and re…
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3205MED Healthcare Systems

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Question:
You are to research and analyse health care performance data in at least two countries one of which must be Australia (if you are studying in Australia) or Singapore (if you are studying in Singapore) and write an essay  comparing the following five (5) areas for each country. (Be careful to pick the other country that is comparable and has the quality of data required to complete the comparison).The areas for comparision are listed below:Funding System (including health insurance systems)Governance SystemSelected Population Health IndicatorsMaternal Mortality RateInfant Mortality RateLife Expectancy at BirthHealth StatusLow birth weightObsesityDiabetesAsthmaHypertension (High Blood Pressure)CancerHealth System Performance% GDP Spent on HealthDefine each of the following measures and provide the results and commentary for comparison that the countries use to demonstrate that health care is:AcceptableAppropriateEffectiveEfficientSafe
Answer:

In this essay we would compare, analyze and research about the healthcare systems of the two countries that are Australia and United States of America. We would compare their Health care system on the basis of five areas that are Funding system (including health insurance systems), Governance system, life expectancy at birth, health system performance and percentage of GDP spent on health.
Australia is a culturally diverse country with a population of over 20 million. Australians have the highest life expectancy and it is because of the comprehensive and high quality health care system. The country has the most assessable, affordable and comprehensive healthcare system in the world. The cost effective healthcare is due to the tax funded system that supports healthcare at a universal level. Australians have access to a good healthcare funded through the general taxation. Australian health care system is a mix of state and federal government responsibility and funding. It is a web of providers, organizational structures, services and recipients. It is a complex system that is achieving great results as a universal health care system (Braithwaite et al., 2017).
The federal, territory and state along with local government are collectively providing for the people. The government in Australia has a federal form where it has functional and fiscal responsibilities that are divided between the government and the two territories and six states. The government subsides the primary care through the Pharmaceutical Benefits Scheme (PBS) and Medicare Benefits Scheme (MBS). Complexity cannot be avoided when a multifaceted system with an inclusive approach is meeting the needs of varied residents with varied age, location, cultural background, health history, behavior and socio economic background. Behind every healthcare system there is a network of support and governance mechanism that enable the legislature, regulation, funding aspects, policies and coordination (Grant et al., 2017).. The healthcare in Australia is divided into Primary, Secondary health care and Hospitals. Primary Healthcare is the first contact that the person has when he or she is ill. The expenditure on these services accounts to almost 36 % in the year 2011-2012.  Secondary health care system operates with the primary health care system, as this system works with the referral and assessment of the primary care service (Dave, 2016). This care is provided by the referral of a primary care physician for a specialist or facility. Hospitals and their emergency departments are a major portion of the health system. These services provide emergency care to patients that are in need for surgical and medical care. The expenditure on these services was a total of 6.7 million with a 18000 admissions every day. (Warren, 2017), (West-Oram, P., & Buyx, A., 2015).
Intergovernmental decision making and collaboration led by council of Australian Government (COAG) that is represented by the Prime Minister and ministers from each state govern the healthcare system. The MBS and PBS are all federal governed national programs and policies. Medicare that is a tax funded scheme that offers subsidized healthcare for the population. This scheme gives subsidized pharmaceuticals, out of hospital care, and free subsidized access to the doctor in case of out of hospital care. About 68% of the expenditure comes from public sources, (46% is from the Australian government and the state government funds 22%). The remaining 32% is being funded from private sources. This all level provision of services includes the three major schemes which are the Pharmaceutical Benefits Scheme, Medicare and 30 % Private Health insurance rebate. The Pharmaceutical Benefits Scheme and Medicare Schemes cover all citizens to guarantee subsidized payments for prescription medicines and private medical services. Although all the public hospitals are funded by the government whether it be territory, state or Australian government, the private hospitals are operated by private sector. The government fund many services such as community health services, medical research and population health programs about the Aboriginal and Torres Strait Islander Health services, health infrastructures and mental health services. Medicare is a health insurance program that has Australian citizens covered. This plan was introduced by the Whitlam government in the year 1975 but it was Hawke who introduced the universal healthcare in the year 1984. This insurance pays 100 % for the general practitioner fees and about 85% for any specialist under the Medicare Benefits Scheme or MBS. Medicare covers private hospital costs, hospital and medical costs incurred overseas, hospital and medical services that are clinically or surgically necessary and even ambulance services. Medicare insurance does not cover dental treatment, home therapy, contact lenses, glasses, occupational therapy, eye therapy, psychology services, chiropractic services, and physiotherapy. Pharmaceutical Benefit Scheme is a scheme that provides prescription medicines at a subsidized rates. This scheme is governed by the National Health Act 1953 and it covers medications supplied by medical practioners and pharmacists. The cost of the medications are negotiated between the supplier, government and Department of Health. Under this scheme the patient pays the “Co-payment”, that is the patient contribution. This scheme covers all Australian citizens as well as the foreign visitors under the Reciprocal health care Agreement. The citizens can get subsidized medications if they have a Medicare card, PBS safety net card, concession card, Department of Veteran Affairs card and Health care card. Private health insurance is also available for the citizens who want to be partially or fully covered for health services. It is not compulsory to take private insurance but people prefer to mix and match the type and level of cover. These private insurances tend to cover the services that are not covered by Medicare such as ambulance services, prescription glasses, physiotherapy and dental services (Hsieh, & Bazzoli, 2012).. These patients enjoy the freedom to choose their doctor more freely and also enjoy less waiting time for any surgery or treatment (Ward et al., 2017). According to the data provided by Private Health Insurance Administrative Council for the year 2013 about 11 million Australians that is around 47% of the Australian population has some kind of private cover.
The data of AIHW or the Australian Institute of Health and welfare show that health expenditure data for the year 2014-2015 shows around 161 billion was spent on health, that is about 4 .4 Billion higher than the year 2013-2014. This is reportedly the 3rd increase in three consecutive years. The health share of GDP has reached 10% for the year 2014-2015 so if inflation is taken into account it shows that health expenditure has grown by 2.8 % but GDP has only grown by 2.3%. The ratio of health and GDP was up by 10 % for the year 2014-2015 which shows that price rise in the health sector is to blame.  Expenditure has continuously increased from 6753 $ for year 2013-2014 to 6846 $ per person for the year 2014-2015. Total health expenditure has increased on average by 5.4% over ten years while the GDP has grown by 3.1% each year. But this growth is still less in comparison to the OECD where it grew from $4078 to $5691 that is $1613 increase for the same period. Health has become a crucial part of the economy and for the year 2014-2015 the highest expenditure was for hospital services that was provided for both the private and public providers. These hospital services include everything from pharmaceuticals and the services from the specialists of the hospital.  For expenditures “cardiovascular diseases”, “mental health” and “oral health” have the highest spending. Indigenous people also have higher per person expenditure as compared to non-indigenous people, in the year 2010-2011 the expenditure on the Torres Strait Islander and Aboriginal people was $7995 per person (Coretti,& Ruggeri, 2015). These numbers are around 1.5 times of that in non-indigenous Australian. For hospitals and health services in the community the expenditure was highest for the indigenous people. The data shows that average expenditure on the Indigenous Australian was $ 3631 in comparison to only $1683 for a non-indigenous Australian. Aging population is another factor that attracts more expenditure as according to the data from OECD, 2013 survey and Productivity commission survey for the year 2015 expenditure on older population greater than age 85 is almost 20 times higher than that of children between the ages 5-14 years. For the year 2014 United States has the highest spending on health in OECD countries that has a spending of about 16.6 % of their GDP. The average expenditure on health per person is double in United States than in Australia. ( Kotzian, 2008), (Layton, 2014).
Life expectancy at birth has been used to measure the population health of any country as it reflects the mortality rate of the country’s population. In Australia the life expectancy has increased drastically over the last century. According to AIHW (Authoritative information and statistics to promote better living) data about a century ago the life expectancy of an average Australian was in their 60’s. Whereas people who are born between the year 2013-2015  are expected to live up to 80 years of age (Kynoch, 2013).. It is mostly due to the access to sophisticated and innovative healthcare that had made treatment, diagnosis and detection easier. Australia is ranking 6th in the OECD countries in life expectancy in males and 7th in life expectancy in females. But this also creates an aging population that is growing in Australia due to increasing life expectancy at birth and low level of fertility. Good numbers are recorded for infant death rate which has decreased by 4.7%. according to the national health survey that is a 3 year household survey that is conducted by the Australian Bureau of Statistics the risk of dying has decreased for all ages in the country. Where the decline was notable in the males between 10-14 years in which mortality rates decreased by 60% in the past 20 years. Female specific mortality rates were a decline of 50% for infants and of 47 % for the ages between 50-54 years. Most deaths in Australia are now reported in people over 70 by non-communicable diseases.
The healthcare system in United States is unique for industrialized countries. They do not have a uniform healthcare system and they do not have a universal healthcare coverage like Australia. The healthcare system has no nationwide approach for health insurance like Australia ( Hall, 2005). Well the word “system” is misleading for the country as it is being run by individual organization that includes non-profit, government and for profit organizations. 26% of the citizens were covered by public insurance and 70% of them were covered by private insurance. The 26 % that are covered by public insurance are covered by two major plans that are “Medicare” and “Medicaid”. Both of these insurances were introduced in the year 1966. Medicare is a healthcare plan that is uniform for disabled and aged individuals. This is a federal health insurance scheme for 65 years or older adults or for adults with disabilities. It is divided into four parts that are:-Part A that is for hospital insurance, Part B that is for medical insurance, Part C that has Medical advantage plans that cover hospital and medical costs for private hospitals, and Lastly Part D that covers prescription medicines (Foley & Steel, 2017),( Yeung et al., 2017). Part A is funded by the Medicare Tax that is like the Social Security Tax whereas the other parts are covered by monthly premiums that account to 25 % and general taxes that account to 75% of the funds. But the patient is not fully covered even then as they have to pay a deductible for most of the services as well as for long hospital stays. Therefore many people purchase a Medigap Insurance that is a private insurance that is being provided by insurance companies where they pay or reimburse the medical bills that are not covered by Medicare. Another public health insurance that is Medicaid is for the economically weak sections of the society. It is jointly funded by the state and the Federal Government. It is governed by each state. The federal government matches funds for the state government that can range between 50%-77% that depends on the state per capita income (Ridic et al., 2012).. The coverage under this public insurance varies from state to state. Therefore the eligibility varies too, usually the aged, disabled and dependent children families are covered under this plan. The federal government has a basic package for health insurance where they cover nursing home services, physician, and hospital fees but some states have more coverage (McCalman et al., 2017). So some states provides a more generous coverage and benefit package under the Medicaid. This is the only insurance program that provides long term hospital stays but it only covers 12 % of the United States population. In this about 61% of the insurance was employment related insurance which ensures huge savings in group plans for the employer. Sometimes they do not buy insurance from an external party but sponsor an internal health insurance system with the premiums from the employee and employer. A firm that is fully insured sponsors all health care costs for the employees, whereas a partially insured firm purchases “stop loss” coverage that protects them from excess expenditure over a given amount. Less than 30 % of the employees enjoys the benefit of the conventional health insurance plan where unrestricted coverage for health is provided. But even this coverage has mandatory second opinions for surgery, preadmission certificate, and reviews for long hospital stays. Usually the employment plans depend on the deductibles and co-payments that are being made by the employer and the employee. The employers prefer to use the services of managed healthcare insurance plans where some selected providers integrate finances and delivery of services by selecting a tailor made set of services for members. These are called as MCO’s or Managed Care organization that are HMO’s or Health Maintenance Organizations and PPOs or Preferred Provider Organizations.  HMO is an organization that combines the producer and insurer functions. These are usually prepaid and therefore provide numerous services to the users. PPOs are third party payers that provide incentives to users in financial terms by providing low out of pocket prices for a list of pre decided list of hospitals and doctors. (Randall, 2013).
There are about 16% of the United States population that is uninsured which means these individuals lack health cover but this does not mean that they cannot access health services. As there are numerous health clinics, and other healthcare services that are being funded by charities. In terms of production methods the United States Health care system is diversified. Undocumented immigrants are the only section of the population that is without health access but hospitals that are under the Medicare funds are to provide emergency medical services to any patient in need. Therefore many states do allow the undocumented immigrants to benefit from this and also provides beyond “stabilization” care. United States unlike Australia has a fragmented governance of its healthcare system where even the funding is fragmented and is very complex to even work smoothly. ( Greenfield et al., 2017).
The healthcare system is financed by the public spending that accounted for about 48% for the year 2013. Medicare is financed through a combination of federal general revenues, payroll taxes, and premiums. Medicaid is fully tax funded. According to the data made available for the year 2013 by OECD, United States per capita expenditure was the highest in OECD countries that was about $9086. For the year 2015 the GDP percentage spent on health climbed to 5.8% that accounts for $3.2 Trillion being spent. It stands for $9990 per capita (Gandjour, 2013). But even after spending so much they are on a flat trajectory when it comes to life expectancy. As figures show that the three times higher spending on health than any other developed country is not ensuring higher life expectancy. Life expectancy is United States is 78.94 in comparison to Australia where it is 82 even when they are spending way less per capita. According to a research done by Imperial college of London and World Health Organization US was among the lowest life expectancy countries in the list of rich countries. This study also predicted that by 2030 they would manage to reach to 83 years for women and 79 years for men. Which is similar for Mexico and Croatia. This may also be dependent on the fact that it is only OECD country that does not have a universal health coverage. They are subjecting their citizens to high inequality in healthcare which may be responsible for poor life expectancy rate in comparison to other OECD countries. (Oberlander, 2010).
According to the Bloomberg Index that shares the results of the surveys done on health care spending, GDP and life expectancy United States healthcare system is among the world’s most inefficient. They conducted a survey for 55 countries in the year 2015 and United States was 50th on that list. With the per capita spending of $9990 for the year 2015 these numbers are poor. Only countries like Azerbaijan, Russia, Jordon, Brazil and Colombia ranked lower than the United States of America (Karamitri et al., 2015), (Musich et al., 2016). This is due to the fact that the healthcare system of United States is less coordinated due to its fragmented structure. It cannot be organized which makes it less efficient. Healthcare expenditures of countries like Czech Republic, and Cuba are way less but their life expectancy rates are similar to US. Among all the measures such as Acceptable that is  for “able to be agreed on or just being suitable”, appropriate that is being proper or suitable for a situation, effective that is being successful in creating a desired outcome, Safe that is not likely to cause harm and the last being efficient that is a system which is achieving the maximum productive outcome Australia’s Healthcare system is efficient in every way. Through this essay and the data that was made available, we know that the healthcare system in Australia is way more efficient and cost effective in comparison to United States of America. Australia healthcare with programs like Medicare provides cradle to Grave healthcare to all its citizens. Public hospitals provide free treatment and even after that people who purchase private insurance enjoy exclusive benefits. The country has a high standard of living and an excellent health care system that is covering the health of majority of the population. Data predicts that by the year 2055 the life expectancy of an average Australian would cross 95 years. The recent addition of Affordable Care Act by the US will move the country towards a system that is more efficient. With the right management and policy direction even United States can enjoy such an efficient healthcare system (Bakris, 2010)..
Reference:
Bakris, G. (2010). Forging Ahead with Lessons from the Past. American Journal Of Nephrology, 31(1), I-I.
Braithwaite, J., Hibbert, P., Blakely, B., Plumb, J., Hannaford, N., Long, J., & Marks, D. (2017). Health system frameworks and performance indicators in eight countries: A comparative international analysis. SAGE Open Medicine, 5, 205031211668651. 
Coretti, S., & Ruggeri, M. (2015). Healthcare Expenditure On Prevention In The Spending Review Era. Value In Health, 18(7), A537.
Dave, D. (2016). Health Care: Multi-Payer or Single-Payer?. Eastern Economic Journal, 43(1), 180-182.
Foley, H., & Steel, A. (2017). The Nexus Between Patient-Centered Care and Complementary Medicine: Allies in the Era of Chronic Disease?. The Journal Of Alternative And Complementary Medicine, 23(3), 158-163.
Gandjour, A. (2013). Health care expenditures from living longer-how much do they matter. The International Journal Of Health Planning And Management, 29(1), 43-51. 
Grant, A., Studholme, I., Verma, R., Kirkwood, L., Paton, B., & O’Connor, S. (2017). The impact of leadership coaching in an Australian healthcare setting. Journal Of Health Organization And Management, 31(2), 237-252.
Greenfield, D., Iqbal, U., & Li, Y. (2017). Healthcare improvements from the unit to system levels: contributions to improving the safety and quality evidence base. International Journal For Quality In Health Care, 1-1.
Hall, J. (2005). Healthcare lessons from Australia: what can Michael Howard learn from John Howard?. BMJ, 330(7487), 357-359.
Hsieh, H., & Bazzoli, G. (2012). Medicaid Disproportionate Share Hospital Payment: How Does It Impact Hospitals’ Provision of Uncompensated Care?. Inquiry, 49(3), 254-267. 
Karamitri, I., Talias, M., & Bellali, T. (2015). Knowledge management practices in healthcare settings: a systematic review. The International Journal Of Health Planning And Management, 32(1), 4-18.
Kotzian, P. (2008). Control and performance of health care systems. A comparative analysis of 19 OECD countries. The International Journal Of Health Planning And Management, 23(3), 235-257. 
Kynoch, K. (2013). Connecting evidence with clinical policy in a large tertiary referral multi-site health service in Brisbane, Australia. International Journal Of Evidence-Based Healthcare, 11(3), 229. 
Layton, N. (2014). Problems, Policies and Politics: making the case for better assistive technology provision in Australia. Disability And Rehabilitation: Assistive Technology, 10(3), 240-244. 
McCalman, J., Jongen, C., & Bainbridge, R. (2017). Organisational systems’ approaches to improving cultural competence in healthcare: a systematic scoping review of the literature. International Journal For Equity In Health, 16(1), 78.
Musich, S., Wang, S., Hawkins, K., & Klemes, A. (2016). The Impact of Personalized Preventive Care on Health Care Quality, Utilization, and Expenditures. Population Health Management, 19(6), 389-397.
Oberlander, J. (2010). Beyond Repeal — The Future of Health Care Reform. New England Journal Of Medicine, 363(24), 2277-2279.
Randall, D. (2013). Implementation of ACA and Health Insurance Exchanges: The Challenges Ahead. Health Care : Current Reviews, 1(2).
Ridic, G., Gleason, S., & Ridic, O. (2012). Comparisons of Health Care Systems in the United States, Germany and Canada. Materia Socio Medica, 24(2), 112. 
Yeung, K., Basu, A., Hansen, R., Watkins, J., & Sullivan, S. (2017). Impact of a Value-based Formulary on Medication Utilization, Health Services Utilization, and Expenditures. Medical Care, 55(2), 191-198.
Ward, P., Rokkas, P., Cenko, C., Pulvirenti, M., Dean, N., Carney, A., & Meyer, S. (2017). ‘Waiting for’ and ‘waiting in’ public and private hospitals: a qualitative study of patient trust in South Australia. BMC Health Services Research, 17(1),333.
Ward, P., Rokkas, P., Cenko, C., Pulvirenti, M., Dean, N., & Carney, S. et al. (2015). A qualitative study of patient (dis)trust in public and private hospitals: the importance of choice and pragmatic acceptance for trust considerations in South Australia. BMC Health Services Research, 15(1), 297-300. 
Warren, M. (2017). Defining Health in the Era of Value-Based Care: The Six Cs of Health and Healthcare. Cureus, 9,(2), e1046.
 West-Oram, P., & Buyx, A. (2015). Conscientious Objection in Healthcare Provision: A New Dimension. Bioethics, 30(5), 336-343. 

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3205MED Healthcare Systems

3205MED Healthcare Systems

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3205MED Healthcare Systems

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3205MED Healthcare Systems

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In the world scenario, there is a symbiotic relationship between the improvements made in health and its potential societal and economic gains. For the developing countries, the investments in health are a crucial investment that not only save lives, but also enhances the productivity, job prospects and human capital development (Barro 2013).

Answer:

Introduction: 
In the global scenario, the strategic health investments not only deliver betterment in health and improvement in the well-being of the people, but also create jobs, bolster economics and enhance the productivity of the nation as a whole. This shows that investing in health is economic and acts as a social catalyst. In the world scenario, there is a symbiotic relationship between the improvements made in health and its potential societal and economic gains. For the developing countries, the investments in health are a crucial investment that not only save lives, but also enhances the productivity, job prospects and human capital development (Barro 2013). The health investments are considered a debit or an economic drag for the developing countries; however, there is an increase in the evidence and notions that investments in healthcare provide economic growth for the developing countries. Therefore, the following report deals with the discussion highlighting the importance of investments in health by the developing countries and its associated opportunities and benefits for the economic growth in these countries.
Trends of health investment in developing countries 
Despite of the progressive development made in the developing countries in the healthcare system, there is little being spend and health assistance is required in the low and middle-income developing countries. There is premature death and burden of illness that need to be addressed for controlling the communicable diseases and advancement in the health technologies. There is requirement of broader investments that also channelize the health workforce shortages and low productivity, information system and health management along with supply of commodities and drugs (Stenberg et al. 2014). Financing is the main crisis in the developing countries due to low domestic investment and stagnant international aid that left millions of people under crisis for access to healthcare services (Dieleman et al. 2015). In the low-income countries like Africa, tuberculosis, AIDS and malaria are the topmost threats to the health and well-being of the population.
The average health spending is low in the developing countries that range from US $164 to US$9019 in low and high-income countries respectively (Dieleman et al. 2014). This is substantially low in the developing countries like Somalia that is not expected to reach the minimum basic level and global target by the year 2040. The health spending in the developing countries nearly did not reach even the 50% of the average spending by the high-income countries from 1995, 2013 up to 2040 (Pickett and Wilkinson 2015). This shows that while the challenge for the developing countries to investment in health is daunting, there is a need for the sustainable financing and universal health coverage that would itself lead to the economic growth and productivity through strategic efforts.
Impact of health on the economy 
The economic development of a country is strongly dependent on the healthcare performance and the healthcare systems as a whole. The health impacts like ageing populations, chronic illnesses prevalence and expensive health technologies usage pose tough challenges to the healthcare system and productivity of the nation (Keehan et al. 2016). The economic performance and health performance are interlinked. Poverty, mortality and infant malnourishment adversely affect the life expectancy and productivity of the developing countries, as these are the basic truth in these countries.  Poor health education is also a major hindrance in the economic growth and in achieving the sustainable growth in the developing countries (Cutler, Huang and Lleras-Muney 2015). The illnesses hinder the institutional performance as low life expectancy damages productivity and adult training discouragement. The emerging communicable diseases are also an obstacle for the development of the countries along with the policy choices. Good health has a sizeable, positive and significant effect on the productivity and gross output of a country. Health is considered crucial in terms of human capital and an essential ingredient in the economic growth of a country. Unhealthy workers are mentally and physically less productive and earn lower wages. This also results in absenteeism from work, reduced working hours that strongly affect the developing countries where a major proportion of the workforce is involved in the manual labor as compared to the industrial countries (Hartman et al. 2014). Therefore, this shows that health has a great impact on the economy of a country, especially in developing countries that requires broader investments in the healthcare sector.
Health and income 
There is a well-established relationship between income and health. Income is related to the health in three different ways; the individual income, gross national product of the developing countries and income inequalities among the countries. Income has a causal relationship with the health where there is direct effect on biological survival that requires material conditions, social participation and ways to control the life circumstances. The life expectancy has a direct effect on the income at the individual and at the national level. The severity of illnesses and high incidence of communicable diseases contribute to earlier deaths resulting in low life expectancies in the countries. Low income in the families makes it difficult for them to pay for the doctors, diagnostics, treatments and medications, as they have to struggle with the essentials like food, housing and utilities (Linden and Ray 2017).
The developing countries have high levels of poverty with low-income levels that tends them to dwell in substandard living conditions, less access to healthy food and great risk for chronic illnesses like heart diseases as compared to the high-income groups and developed countries. Income greatly affects the health and well-being of the people as high income would provide them an opportunity to buy healthcare goods and services in improving health and positive outcomes. It also has great psychosocial and behavioral impact as low income being at the bottom of social ladder and reverse causation in terms of poorer health outcomes in the low and middle-income countries. Poor health results in low income as poor health hinders people to participate in employment among the working age groups as witnessed in the developing countries (Gannon et al. 2015). Moreover, childhood health also affects the education, limiting of job opportunities and earnings. This illustrates that health and income are inter-related and affect each other at the individual and national level in the developing countries that faces poverty and prevailing low-income groups and requires greater investments in the health sector.  
Health and economic welfare
Health greatly affects the growth and welfare of a country through economic burden of the diseases and labor productivity. It has direct impact where child health affects the population’s future income through health education. It also has indirect impact that is witnessed at the family level. The macroeconomic studies at the country level suggest that increase in life expectancy would enhance the growth rate and decrease in life expectancies would decrease the gross domestic product (GDP) per capita affecting the economic growth of the developing countries (Meara et al. 2015). In the developing or middle-income countries, the increase in maternal and child mortality rates is affecting future of these countries that is compelling them to invest in health and enhance economic welfare. In the developing countries, the detrimental effects of health is accountable in terms of production losses, illnesses among the workers, malnutrition among the adults and children leading to absenteeism from schools and inequality in assessing the healthcare services for treating illnesses.
According to Organization for Economic Co-operation and Development (OECD) states that there is a relationship between health investments and health policies that drives efficient economic growth. The addressing of the health financing and investors is greatly associated with the health and economic welfare. Poor health outcomes hamper the GDP by reducing the labor force and productivity as a whole. Lower GDP is linked to reduction in the labor productivity and factors like adult illness, malnutrition that reduce the investment in the national capital (?tef?nescu-Mih?il? 2015). Healthier populations can make better contribution in the economy of the country that would boost the economic development in the developing countries. This depicts that positive health outcomes contribute to the economic welfare of the developing countries with healthy workforce and progress towards economic development.
Importance of investment in health 
There are many addressable challenges that developing countries face in terms of investment in health. There is lack of private and foreign investment, mismatch in capital, adequate healthcare insurance coverage, health policies and human capital pipeline. The health sector requires opportunities to invest in the healthcare sector in the developing countries by the potential investors to assess the market failures and sound organization for addressing the targeted population healthcare needs (Sengupta 2016). The following section deals with the importance and opportunities of investment in health as the most critical investment that can be made by the developing countries.
The health investments provide opportunities along with education that acts as great equalizers in the access to health that aid in pursing the economic growth and development in the developing countries. It also translates into productivity where healthy populations are associated with populations that are more productive. For example, United States survived the economic crisis due to the healthcare sector that added jobs at the time of recession. On the other hand, the Ebola crisis not only hampered the West African economics into deep tailspin, but also affected the foreign investment scenario in Africa that depressed the economic growth and trade in the country. The investment in healthcare sector can minimize, if not eliminate the economic crisis and severe economic jerks. Investments in health also benefit competitiveness for the emerging countries (Jamison et al. 2013). A competitive healthcare with innovative health ecosystem would have better competitors internally and internationally. Developing countries need to understand their own innovation and multitudes of venture capital, suppliers and healthcare facilities at the first level and ways to support them.
Investment in healthcare infrastructure by the developing countries is necessary through private and foreign direct investment (FDI) like in India (Flora and Agrawal 2014). It is an integral part of an effective and open economic system and a major societal catalyst. An effective and transparent policy is required that attract the foreign investors to invest in the healthcare infrastructure of the developing countries to build the human capital and productivity. It provides better access to technology and international markets with policy coherence through use of overseas development assistance (ODA) that builds the investment capacity and enhanced economic productivity. Health investment is an independent value that raises the standard of living of a country and better health conditions increase the efficiency and labor output of the emerging countries that can head towards economic development. Funding is also required as it is directly linked with the cost-effective interventions such as primary care and preventative measures that address the healthcare market failures.
Conclusion and Recommendations 
For addressing the market failures in the health investment, there is requirement of economic strategies that enhance the health investment, labor force and economic productivity. There is requirement of health coverage for the poor that focuses on the cost-effective interventions. FDI is also a potent source of enhancing the health investment, economic growth and in raising the income level of the developing countries. The attracting of the foreign investors helps to address the poor health investment issue and maximize the benefits in the foreign presence in the domestic economy of the emerging countries. Therefore, it can be concluded that investment in health infrastructure is beneficial and crucial investment for the developing countries for their economic growth and nation’s productivity.
References: 
Barro, R.J., 2013. Health and economic growth. Annals of Economics and Finance, 14(2), pp.329-366.
Cutler, D.M., Huang, W. and Lleras-Muney, A., 2015. When does education matter? The protective effect of education for cohorts graduating in bad times. Social Science & Medicine, 127, pp.63-73.
Dieleman, J.L., Graves, C., Johnson, E., Templin, T., Birger, M., Hamavid, H., Freeman, M., Leach-Kemon, K., Singh, L., Haakenstad, A. and Murray, C.J., 2015. Sources and focus of health development assistance, 1990–2014. Jama, 313(23), pp.2359-2368.
Dieleman, J.L., Graves, C.M., Templin, T., Johnson, E., Baral, R., Leach-Kemon, K., Haakenstad, A.M. and Murray, C.J., 2014. Global health development assistance remained steady in 2013 but did not align with recipients’ disease burden. Health Affairs, 33(5), pp.878-886.
Flora, P. and Agrawal, G., 2014. Foreign direct investment (FDI) and economic growth relationship among highest FDI recipient Asian economies: A panel data analysis. International Business Management, 8(2), pp.126-132.
Gannon, B., Harris, D., Harris, M., Magnusson, L., Hollingsworth, B., Lnder, B., Maitra, P. and Munford, L., 2015. New Approaches To Estimating The Child Health-Parental Income Relationship (No. 15-31).
Hartman, M., Martin, A.B., Lassman, D., Catlin, A. and National Health Expenditure Accounts Team, 2014. National health spending in 2013: growth slows, remains in step with the overall economy. Health Affairs, pp.10-1377.
Jamison, D.T., Summers, L.H., Alleyne, G., Arrow, K.J., Berkley, S., Binagwaho, A., Bustreo, F., Evans, D., Feachem, R.G., Frenk, J. and Ghosh, G., 2013. Global health 2035: a world converging within a generation. The Lancet, 382(9908), pp.1898-1955.
Keehan, S.P., Poisal, J.A., Cuckler, G.A., Sisko, A.M., Smith, S.D., Madison, A.J., Stone, D.A., Wolfe, C.J. and Lizonitz, J.M., 2016. National health expenditure projections, 2015–25: economy, prices, and aging expected to shape spending and enrollment. Health Affairs, pp.10-1377.
Linden, M. and Ray, D., 2017. Aggregation bias-correcting approach to the health–income relationship: Life expectancy and GDP per capita in 148 countries, 1970–2010. Economic Modelling, 61, pp.126-136.
Meara, J.G., Leather, A.J., Hagander, L., Alkire, B.C., Alonso, N., Ameh, E.A., Bickler, S.W., Conteh, L., Dare, A.J., Davies, J. and Mérisier, E.D., 2015. Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development. The Lancet, 386(9993), pp.569-624.
Pickett, K.E. and Wilkinson, R.G., 2015. Income inequality and health: a causal review. Social Science & Medicine, 128, pp.316-326.
Sengupta, K., 2016. Significance of Health Financing and Investment for Health Economics. In Determinants of Health Status in India (pp. 57-85). Springer India.
?tef?nescu-Mih?il?, R.O., 2015. Social Investment, Economic Growth and Labor Market Performance: Case Study—Romania. Sustainability, 7(3), pp.2961-2979.
Stenberg, K., Axelson, H., Sheehan, P., Anderson, I., Gülmezoglu, A.M., Temmerman, M., Mason, E., Friedman, H.S., Bhutta, Z.A., Lawn, J.E. and Sweeny, K., 2014. Advancing social and economic development by investing in women’s and children’s health: a new Global Investment Framework. The Lancet, 383(9925), pp.1333-1354.

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