Unit 4 Assignment 1 Draft Written Paper-Management Affiliation
jmjewett
Unit3Assignment1ManagementAffiliationLiteraryReview.docxRunning Head: MANAGEMENT AFFILIATION 1
LITERATURE REVIEW HEALTHCARE PUBLIC OR PRIVATE
Literary Review
Juanita M Jewett
Unit 3 Assignment 1 Management Affiliation
Management Affiliation
Literature review
Introduction
The mode of governance applied in an institution determines whether the healthcare becomes private or public. The setting and care standards between private and public healthcare vary greatly because they determine the mode in which an institution will be controlled. Operations and working differ significantly from private to public healthcare care sectors with more differences arising in regulation training and payments. Peer-reviewed journals, non-governmental published reports and library database were collected systematically and the scope was narrowed down by the question "difference between Public and Private Healthcare.” This paper sought to examine the difference between Public and Private Healthcare in terms of its mode of operation, career progression, and cost of services, quality of services and efficiency and accountability.
Mode of operation
Public healthcare is normally funded fully by the government. They also operate solely on the finances collected from the taxpayers. The money collected is used in funding healthcare initiatives. In public healthcare, administrators stay above the spending and are responsible for giving out a set of limited services. This is because the construction of new facilities, payment of staff as well as the prescription are normally catered for from the budget that the local government sets aside (Torchia, Calabrò & Morner, 2015). Public healthcare remains a better option for individuals who have medical insurance and those who are not wealthy enough.
Private healthcare, on the other hand, are operated and funded by the owners. Typically, the owner is an individual or a group. Facility owners are in charge of establishing budgets and also managing the finances. The owners are also responsible for ensuring compliance with ethical codes and standards, federal laws and regulation. Working staff recruitment and purchase of the required staff is also done by the owners (Sommers et al, 2016).
Career progression
On matters concerning career progression, working with public healthcare gives one more room for development due to NHS. However, the private sector tends to be limited in this respect. This does not directly imply that workers can easily move from one sector to another with more strain on the NHS. Research revealed that it is easier for private healthcare workers to move to public healthcare than the public staff moving to private healthcare. When requesting regular offs, annual leaves and study leaves, there is more scope in the private sector than it is in public healthcare. This points out that employees will hardly negotiate whatever plans the owners have laid down (Papanicolas, Woskie & Jha, 2018). In public healthcare, employees are able to negotiate on the periods in which they can take their annual leave.
Cost of services
Cost is one of the major distinction between private and public healthcare centres. Research pointed out that there can exist a big gap in terms of the cost for the same surgery as well as the same quality of treatment (Curto et al, 2017). The difference exists because private healthcare sets their own prices and margins. Due to the fact that prices of the private healthcare centres are not subsidized, they, therefore, have the permission of choosing any cost they are comfortable with. The case is different for public healthcare since they only charge a basic price that can cater to their costs. This, therefore, makes treatment costs in private healthcare are higher when compared to public healthcare centres.
Quality of the services
A survey that was carried out in Bangladesh patients revealed that most patients prefer private healthcare more than the public if all other factors are kept constant. According to the sampled patients, private healthcare pays more and close attention to their children more than in public healthcare. Besides, patients need not wait for long periods for them to be served or to meet the doctor (Kondasani & Panda, 2015). Such a reputation tend to attract more customers although the cost is slightly higher. One of the non-governmental published reports depicted that the notion that public healthcare workers have a secured job that calls for state intervention to suck them, makes them lazy when dealing with patients. This is different from the private healthcare centres in which the owner can easily suck staff members if they fail to deliver as per the set standards. Increased number of, customers resulting in the flourishing of private centres. As a result, they try the much they can to increase the number of patients. For the case of public healthcare, funding is provided by the local government. Therefore, regardless of staff adherence to ethical codes, funding is readily available.
Efficiency and accountability
Private healthcare centres majorly focus on establishing its brand name and reputation. This is however different when it comes to public healthcare. Efficiency in operations and upholding accountability in the entire process that is undertaken in the healthcare centre will attract more patient. This is because of the satisfaction that they get. Financial related problems are very minimal in the private sectors, in addition, incidents of corruption are almost negligible (Morgan, Ensor & Waters, 2016). Public healthcare centres are prone to corruption rates.
Conclusion
In conclusion, this review has pointed out that patients tend to be satisfied when receiving treatments in private healthcare centres than they do in the public. This is due to more attention that they receive and a few delays when they wait to meet the doctors. Efficiency and accountability in private healthcare have enhanced their reputation.
References
Curto, V., Einav, L., Finkelstein, A., Levin, J. D., & Bhattacharya, J. (2017). Healthcare spending and utilization in public and private Medicare (No. w23090). National Bureau of Economic Research.
Kondasani, R. K. R., & Panda, R. K. (2015). Customer perceived service quality, satisfaction and loyalty in Indian private healthcare. International Journal of Health Care Quality Assurance, 28(5), 452-467.
Morgan, R., Ensor, T., & Waters, H. (2016). Performance of private sector health care: implications for universal health coverage. The Lancet, 388(10044), 606-612.
Papanicolas, I., Woskie, L. R., & Jha, A. K. (2018). Health care spending in the United States and other high-income countries. Jama, 319(10), 1024-1039.
Torchia, M., Calabrò, A., & Morner, M. (2015). Public-private partnerships in the health care sector: a systematic review of the literature. Public Management Review, 17(2), 236-261.
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