Tag: Future of Hospitals

Hospital Management

Dr. S.T. Han, Director in the World Health Organization said, ‘You may have the best infrastructures, the most contemporary and up to date technological innovation, and the best management and funding techniques, but without well-motivated and experienced employees, none of these will have valuable impact on the health of people’. Despite the changes and enhancement in medical care distribution designs and techniques, many nations are still relatively conventional when it comes to individual resources. This area it seems still continues to be just like how it was more than 50 years ago. This is because, while different areas of healthcare professionals are progressively helping the personal interests within their career, few are seeking it with the objective of helping the medical care system as a whole. The outcome is that the inspiration for health care professionals continues to be that of self-interest, rather than to enhance the lives of the community.

But with that in mind, U.S. hospitals are currently going through a transformation and for doctors, highly disruptive change in their management viewpoint. Prior to the 1980’s, medical centers were refunded on the basis of their costs, so management’s focus was on having the beds and equipment necessary to increase occupancy.  Physicians were the principle customers and medical centers drawn them by offering the facilities and sources they needed to confess and manage their sufferers.

The change in the 80’s from a cost restoration to potential transaction system changed that strategy.  With the introduction of a single transaction to cover an entire episode of care, medical centers had an incentive for shorter lengths of stay and more effective use of resources.  Directors began moving their attention from offering physician-friendly facilities to the functional performance of the hospital models and process that reinforced physician decision-making.  This new strategy highlighted improving the use of analytic and healing resources employed in care distribution. Individual care choices, however, stayed the exclusive region of the doctor.  What mattered was the effective use of the hospital’s resources; the doctor choices that created the demand for those resources were not definitely handled.

Future of Hospitals in the U.S.

According to the latest Presidential vote, we as a country do actually wish to nationalize medical care.  We do believe that a bigger government is the response to our problems and lastly, it is ok to ask for more taxation to allow this to go on. Bottom line prediction:  Under pressured work programs, physicians will keep medical care, hospitals and other Government programs in huge figures. Individuals will have government protected medical care but less physicians will be available to care for them. Following the latest Presidential election, this position will be more strongly and quickly actualized.

I often listen to the discussion that other “civilized nations” such as Canada and Britain has socialized health care and that it is a pity that America does not follow their lead and assure health care to all individuals. Unfortunately, no one is asking, “If these nations provide free care, does this mean that most individuals are getting good care”? If asked this query, they would see that sufferers are declined services in hospitals every day while the program is still paying for their “care”. I think we can say politically, we are offering for all and we do not need to ask the next query “are the individuals really getting care?” I have suggested all along that assuring everyone does not mean actually offering health care. Saying that a socialized health care program is “covering everyone” does not mean that proper health care is being provided. Perhaps we should ask ourselves, “if the nationalized health care design is looking after everyone, then why is it in these socialized nations, the rich go outside of the nation or outside of the socialized health care program to get their needs met”?

Before this vote, but many years into the PPACA law, we can now say that in the US, there is a “silent exodus” of doctors in the labor force. Can this be relevant to the point that the country is going towards only one payer, (Medicare/Medicaid) system which is allowing hospitals and other large organizations (i.e. wellness insurance coverage companies) to be the only heirs of a bureaucratic wellness plan which is staging a coup against its people. Other data reveals that there is a lot more hospital employed doctors. Hospitals are now currently using 20% of practicing doctors. Many others are in group methods owned by health systems.