Business Finance - Management Week 10 Assignment- Delivery of Healthcare

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Community, Diagnosis, and Comparison Context

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Community, Diagnosis, and Comparison Context

The Netherlands is used as a comparative nation of a US community healthcare continuum of type 2 diabetes mellitus due to its high value-based care and condition-centered care delivery. The presence of chronic diseases such as diabetes puts undue pressure on healthcare systems and demands combined, patient-based interventions to improve outcomes and reduce costs (Shi and Singh, 2022).

Organizing Care Around Medical Conditions

Value-based healthcare plans medical conditions by organizing care around them in order to leave behind the fragmentation and provider-centered model of care and adopt multidisciplinary team-based care, which considers the entire cycle of care. A large number of towns in the U.S. do not manage to incorporate primary care, specialists, nutritional programs, and local resources to provide diabetes care. Shi and Singh (2022) state that fragmentation leads to inefficiencies, duplication of services, and poor health outcomes among patients with chronic illnesses. The Harvard Business School Institute of Strategy and Competitiveness notes that an organization should organize care based on such conditions as diabetes to enhance continuity, align incentives, and enable providers to measure outcomes along the care pathway as opposed to a single encounter (n.d.).

The community continuum of care would be enhanced by integrating the primary care clinicians, endocrinologists, nurses, dietitians, and care coordinators into integrated diabetes care teams. The models of international value-based care prove that organizations that focus on conditions and emphasize the consistency of monitoring and alignment of decisions enhance quality and minimise complications (Mjåset et al., 2020).

Advancing the IOM Aim of Patient-Centered Care

The Institute of Medicine (2001) opines that patient-centeredness requires healthcare systems to honor patient choices, needs, and values and apply them to make therapeutic decisions. Patient-centered care of diabetes is associated with shared decision-making, culturally relevant education, and personalized self-management. Patient-centered care is challenging to implement in healthcare systems in the United States due to time constraints, reimbursement forms, and insufficient coordination across contexts (Shi and Singh, 2022).

Evidence-based improvement should be incorporated in the continuum of care, where systematic patient education and self-management programs are included. The IOM concept of Crossing the Quality Chasm states that the patient-centered systems should approach the patient as an equal partner but not as a recipient (Institute of Medicine, 2001). Operational responsiveness, continuity, and effective communication enhance patient goal-adherence to chronic illnesses and outcomes (Heslip, n.d.).

Lessons from the Netherlands’ Healthcare Delivery Model

The primary care, care coordination, and condition-based management systems in the Netherlands are robust that making the country a good point of comparison. The Commonwealth Fund (n.d.) concludes that general practitioners organize the treatment of chronically ill patients throughout the spectrum of Dutch healthcare. According to value-based care, this is an outcome-oriented, coordinated, patient-oriented strategy, not a volume-based strategy.

The Netherlands demonstrates the way a care organization based on medical conditions can lessen fragmentation and enhance efficiency in contrast to the U.S. community approach. The U.S. communities can learn the following system-level integration and accountability of the results provided by the provider. Direct adoption, however, may be hindered by money and governance. Nevertheless, the management of chronic illnesses can be enhanced in the U.S. context by introducing interdisciplinary care pathways and better primary care leadership (Mjåset et al., 2020).

References

Harvard Business School Institute for Strategy & Competitiveness. (n.d.). Organize care around medical conditions.

Heslip, N. (n.d.). Crossing the quality chasm.

Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. National Academy Press.

Mjåset, C., Ikram, U., Nagra, N. S., & Feeley, T. W. (2020). Value-based health care in four different health care systems. NEJM Catalyst, 1(6), 1–23.

Shi, L., & Singh, D. A. (2022). Delivering health care in America: A systems approach (8th ed.). Jones & Bartlett Learning.

The Commonwealth Fund. (n.d.). Country profiles.