DQ 4-1

DQ4 -1

Response 1

According to the article, the three key attributes are affordability for patients and families, employers, and the government, acceptability to key constituents, and adaptability. Affordability is a major issue in healthcare (Massachusetts Medical Center, 2014). When it comes to patients being able to afford medical care and medications, this topic is very costly. Even when patients are on Medicaid and Medicare it does not cover all the cost and it still can be costly for patients. My grandma has Medicaid and one of her medications costs her over a hundred dollars and that is for an elderly lady with a fixed income and insurance. An example of acceptability and adaptability would be the shift from emergency departments as a primary care to health care clinics. Many homeless and general population use emergency departments as primary care for any and all conditions. For example, my healthcare organization has made several primary care clinics all around the county in an effort to combat use of emergency departments as a primary care.

 

References:

Massachusetts Medical Center, 2014. Proquest. Shattuck Lecture: A Successful and Sustainable Health System -- How to Get There from Here. Retrieved from:  https://search-proquest-com.library.gcu.edu:2443/docview/929159711?accountid=7374

Response 2

According Harvey 2012,  a sustainable health system  has three key attributes: affordability, for patients and families, employers, and the government (recognizing that employers and the government ultimately rely on individuals as consumers, employees, and taxpayers for their resources); acceptability to key constituents, including patients and health professionals; and adaptability, because health and health care needs are not static (i.e., a health system must respond adaptively to new diseases, changing demographics, scientific discoveries, and dynamic technologies in order to remain viable).  

 Potential savings from increased efficiencies in the health care system are no small matter. Several previous efforts have promoted integrative strategies, emphasizing the need to accomplish many things simultaneously in order to achieve a successful and sustainable health system. In 2005, for example, "the Commonwealth Fund inaugurated an ongoing Commission on a High Performance Health System; its 2007 report identified 15 changes in federal policy related to information, prevention, pricing, and payment that, when combined, were projected to save an estimated $1.5 trillion over a period of 10 years". 

Reference:   

Harvey, F. (2012). A Successful and Sustainable Health System -- How to Get There from Here. Retrieved 2017, from https://search-proquest-com.library.gcu.edu:2443/docview/929159711?accountid=7374

Response 3

This reading explained three key attributes as: affordability (for employers to provide to their employee at an affordable rate as they are the patients and their families as well). Acceptability (for health professionals and patients) and adaptability (health care needs to change as new diseases arise). (Fineberg, 2012).

To obtain sustainability there needs to be many different strategies tried to reach the main goal. Health care can help with costs by learning to make small changes with improving patient cares and smoother patient flow, over time this can lead to many thousands of dollars saved. Provide quality care and allow patients the right to make requests regarding their cares. Health care is forever changing and to save monies health care providers needs to continually think of clever ways to provide quality cares sand continue to push toward ways of change and improvement without giving in. The health system in this country must respond adaptively to new diseases, changing demographics, scientific discoveries, and dynamic technologies to remain viable. (Fineberg, 2012).

Reference:

Fineberg, Harvey V. M.D., PhD. (2012). Shattuck lecture: A successful and sustainable health system. How to get there from here. The New England Journal of Medicine, 366(11), 1020-7. Retrieved from: http://search.proquest.com/docview/929159711

Response 4

A successful health care system has been noted to having three attributes. The attributes are healthy people, superior care, and fairness. Healthy people is defined as a population that attains the highest level of health possible. This means through self-motivated healthy lifestyle changes. The second attribute is Superior care meaning that care that is effective, safe, timely, patient-centered, and efficient. The third attribute is fairness, which means that care is applied without discrimination or disparities to all individuals and families. This is an important component in the time we live in where cultural differences might hinder adequate or high-quality care. (Harvey, 2012) To attain a sustainable and successful health system, we need to do and try so many things that are different. This is because the reforms require more kinds of changes to succeed not only changing the reforms such as changing the way we pay the doctors.

Harvey, F. (2012). A Successful and Sustainable Health System -- How to Get There from Here. Retrieved 10/17/2017, from https://search-proquest-com.library.gcu.edu:2443/docview/929159711?accountid=7374

response 5

“A sustainable health system also has three key attributes: affordability, for patients and families, employers, and the government (recognizing that employers and the government ultimately rely on individuals as consumers, employees, and taxpayers for their resources); acceptability to key constituents, including patients and health professionals; and adaptability, because health and health care needs are not static (i.e., a health system must respond adaptively to new diseases, changing demographics, scientific discoveries, and dynamic technologies in order to remain viable)” (Fineberg, H. V. 2012). 

The recommendations that are offered to ensure efficiency, sustainability, and optimal functioning include being open to trying different things. “But therein lies a unifying idea: do many things. No single stroke will solve this problem. A successful and sustainable health system will not be achieved by supporting prevention, it will not be achieved by championing competition, it will not be achieved by comparing the effectiveness of different practices, it will not be achieved by striking commercial influence from professional decision making, it will not be achieved by changing the way we pay doctors, and it will not be achieved by just reengineering the system. It requires all these changes and more. We need the cleverness of the fox and the persistence of the hedgehog. We must be willing to adopt many strategies and use them to reach one big goal” (Fineberg, H. V. 2012). I think by being open to trying out a variety of different things in order to find out what does work, is the best way to get the most optimal outcome.

Reference:

Fineberg, H. V. (2012). A Successful and Sustainable Health System � How to Get There from Here. New England Journal of Medicine, 366(11), 1020-1027. doi:10.1056/nejmsa1114777