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美国医疗健康事业相关essay写作-Healthcare organizations and environments-医疗机构私有化进程，Healthcare organizations and their environments医疗机构和他们的环境
本文致力于医疗发展的分析,现有的趋势和后果的病人组织。
众所周知,私有化进程和实践发展医疗机构的数量已经目睹了保健专家。一方面,这是一个积极的趋势,因为患者带来了更多的选择类型的医疗保险计划,最后,专家。另一方面,连同数量的增长水平和医疗机构的医疗从业者的碎片已经增加了。这似乎是一个积极的趋势,因为成为某方面的专家的各个方面似乎不可能的药物;一般来说,越是在支离破碎的医疗制度是更高的是优质的服务。
但在近考虑,会带来负面的影响分裂,现在已经超出了阳性结果。在1994年,美国的初级保健政策团契说:“三个障碍医疗保健分享:隔离弱势群体的护理、破碎的护理、和文化上的迟钝的部分保健提供者”。高水平的破碎性增加卫生保健系统的自动化,降低医疗保健专业人士的能力去思考和行动在危急时刻,变得更加标准化方法相比,医疗保健的个性在过去。
一般转移到私人的资金来源已经造成了“优化”劳动的医疗体系,导致观测时间的缩短,这一倾向作为许多患者尽可能的这种做法等。虽然提供了高薪水的卫生保健系统,医疗保健服务的质量都受到了分裂。因为越来越多的盟军的医疗费用和长度的停留时交付为个别病人保健是四分五裂的,等待医院病床患者血管疾病双打,在一年的空间,从3个星期6周。
学院也出现问题,分享个人护理专业人员,主要制度保护他们感兴趣的领域:有一些情况下,人使用服务的一个金币,就需要使用一个医疗机构的服务,这样的人被迫成为当地的一个医生诊断,继续治疗。这些倾向降低医疗保健服务的质量。
在我看来,虽然这个分离的部分是工作在健康照护系统相对最优性条件,整个系统不patient-oriented。政府需要引进改革医疗保健制度,这就会给可能的范围团结成一个逻辑与医疗服务体系,国家要提供必要的信息传输,在系统。
有几个具体措施,可以提高医疗保健服务的质量服务,主要的是以下几点:
•在资金转到一个主要来源;
•有支持的Bill-the科美国健康保险代理国家健康计划
•有全面的病人记录所有医疗保健服务
•信息技术需要被介绍给加强医疗机构之间的沟通
文学:
1。Zajac进发。公立医院的未来。J Aust杂志,2003,5:179 - 252
2。Campos-Outcalt D,费尔南德斯R、中空W,丁晓萍。提供高质量的医疗保健弱势人群。美国公共医疗卫生服务的初级保健政策联谊,1994。
This essay is dedicated to analysis of healthcare development, the existing trends and their consequences for the patients and the organizations.#p#分页标题#e#
美国医疗健康事业相关essay写作-Healthcare organizations and environments-医疗机构私有化进程，Healthcare organizations and their environments医疗机构和他们的环境
It is common knowledge that with the privatization of healthcare organizations and practices the growth of the number of healthcare specialists has been witnessed. On one hand, this is a positive tendency because patients received more possibilities to choose the type of healthcare, the insurance program, and finally, the specialist. On the other hand, together with the growth of number of healthcare organizations and practitioners the level of healthcare fragmentation has increased. This seems to be a positive tendency as well, because being a specialist in all spheres of medicine seems to be impossible; and in general, the more fragmented the health system is, the higher is the quality of service.
But at closer consideration, there are negative consequences of the fragmentation, which nowadays have exceeded the positive result of it. In 1994, the US Primary Care Policy Fellowship stated: “Three barriers to health care are shared by all vulnerable populations: inaccessibility of care, fragmentation of care, and cultural insensitivity on the part of care providers” . High level of fragmentation increased the automation of the healthcare system, reduced the ability of healthcare professionals to think and act in critical situations; the approach to healthcare became more standardized compared to individual character of healthcare in the past.
The general shift to private source of funding has caused the “optimization” of labor in healthcare system, which leads to the shortening of observation time, the tendency to serve as many patients as possible etc. Though this practice has provided high salaries in healthcare system, the quality of healthcare has suffered because of the fragmentation. Because of increasing allied health costs and lengths of stay when healthcare delivery for individual patients is fragmented, the wait for hospital beds for patients with vascular conditions doubles, within the space of a year, from 3 weeks to 6 weeks .
There also appear problems when institutes are sharing care with individual professionals; mostly the institutions protect their areas of interest: there are cases when people that were using the services of a GP, needed to use the services of a healthcare institution, and such people were forced to be diagnosed by a local physician to continue their treatment. These tendencies reduce the quality of healthcare.
In my opinion, though the separate parts of the healthcare system are working in comparatively optimal conditions, the whole system is not patient-oriented. The government needs to introduce reforms to healthcare system which would give the possibility to unite the range of healthcare services into one logically linked system, and the state has to provide the necessary transmission of information within the system.
There are several specific measures that can be done to enhance the quality of healthcare service, the main of them are the following:
• The funding has to shift to a general source;
• There has to be support of the Conyers' Bill-the U.S. Health Insurance Act for a National Health Plan#p#分页标题#e#美国医疗健康事业相关essay写作-Healthcare organizations and environments-医疗机构私有化进程，Healthcare organizations and their environments医疗机构和他们的环境
• There have to be an overall patient record for all healthcare services
• Information technologies need to be introduced to enhance the communication between healthcare organizations
Literature:
1. Zajac JD. The public hospital of the future. Med J Aust 2003; 179: 250-252
2. Campos-Outcalt D, Fernandez R, Hollow W, et al. Providing quality health care to vulnerable populations. US Public Health Service Primary Care Policy Fellowship, 1994.
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