This website uses cookies to ensure you have the best experience. Learn more

Inefficiency And Lack Of Quality In Healthcare

1207 words - 5 pages


When Medicare and Medicaid were enacted in 1965, the gross domestic product (GDP) attributable to health care was just under 6 percent. However, according to Davidson (2013), the United States now spends 17.2 percent ($8,608 per American per year) of GDP on health care. Out of 48 countries ranked, the U.S. landed in second place (behind Switzerland) for dollars spent. On the other hand, health care quality in the U.S. ranked 46 out of 48, just in front of Serbia and Brazil. Although Switzerland pays more per capita for health care than the U.S., Switzerland’s quality ranks in the top 10 (Davidson, 2013). The organization I work for, Novant Health, is not immune to the aforementioned statistics. The problem: The U.S. health care system is costly, highly inefficient and lacks quality compared to other industrialized nations. Why has this decline in the U.S. health care system and thus Novant Health left us towards the bottom of the barrel?
Methodology and Analysis
The Delp-type model systems approach presented at the end of this report (Figure 1, page 6) describes the interrelationship between health care system operations, health behaviors and socioeconomic conditions and the impact each has on Novant Health’s efficiency and quality of care. Included in Figure 1 are the following contributing factors:
• Chronic medical conditions
• Lack of healthy lifestyles
• Fee-for-service system
• Fragmented health care delivery
• Government subsidized insurance coverage (Medicare and Medicaid)
• Uninsured due to lack of affordable health insurance
• Inconsistent use of best medical practices
• Limited access to primary care
• Lack of preventive care
• Overuse of costly medical procedures
These factors can be subdivided into three segments: behavioral conditions, socioeconomic conditions and health care system operations. Each of these will be discussed further.
Behavioral Conditions – In North Carolina (where the majority of Novant Health operates), there is a high prevalence of citizens who lack healthy lifestyles. The following behaviors are proven to be a primary cause of chronic medical conditions: improper nutrition, lack of exercise, smoking, alcohol consumption, and improper drug use (illicit and prescription medications). In addition, there are a high number of North Carolina residents who do not take advantage of preventive care.
Socioeconomic Conditions - According to DeNavas-Walt et al. (2011) the number of impoverished (defined as income less than 100% of the established poverty level) U.S. citizens is estimated to be 46.2 million. Children under the age of 18 account for 16.4 of the 46.2 million. According to the North Carolina Institute of Medicine (2013), there is an estimated range of 15.6 to 22.3 (broken down by county) percent of the North Carolina population who are uninsured. In addition, 15.9% (48.6 million) people in the U.S. are covered by Medicaid and 14.5% (44.3 million) people are covered by Medicare.

Find Another Essay On Inefficiency and Lack of Quality in Healthcare

Components of the Quality of Healthcare

1707 words - 7 pages Once defined as “the degree of conformity with preset standards”...the standards of which care were judged was implicit and existed solely in the mind of evaluators (Sultz & Young, 2014). Quality of care is a measureable aspect of healthcare though challenging, it can classify and enumerate poor and high-quality care. Measures are used to analyze how healthcare institutions perform in quality and in finance; the organization has a basis for

Improve the Quality of Healthcare for Americans

1786 words - 7 pages flaws already in our healthcare system; it’s clear that we, as a country, need an immediate plan to improve things for the quality of life for Americans. Almost one-fourth of the U.S population lacks any variety of healthcare insurance. Many are even under-insured. The illegal population in this country also contributes to lack of insurance (Census Bureau, 2010). As a result, many Americans receive little or no healthcare at all. Some are

The Judge and Pervasive Lack of Morality in Blood Meridian

639 words - 3 pages Within the first few pages of the novel, McCarthy already introduces the reader to the bleak and uninviting world in Blood Meridian. The maliciousness of the judge’s speech about the reverend in the opening scene and the surprising lack of response from the crowd once the judge reveals his deceitfulness both establish the atmosphere of the novel and exposes the cruel and mysterious nature of the judge. At the beginning of the opening scene

Oppression: Citizen’s Neglect and Lack of Participation in Government

1776 words - 8 pages Throughout the history of the world, oppression has existed side-by-side with humanity. It is engrained into culture and has become inseparable to human nature, just as war has. Like war, humanity struggles against it and longs for transcending unity among all. The fight against oppression is found in every classroom, workplace, nation, race, etc. Many individuals have risen from the masses advocating in favor of peace for all. They stand for

Blindness and Sight - Lack of Vision in Oedipus The King

928 words - 4 pages Blindness in Oedipus The King (Rex) What is sight? Is it just the ability to recognize one’s surroundings or is there more? Is it knowledge? Is it understanding? Can a blind man see? Can the sighted be blind? And beyond, when the truth is too terrible, do we choose not to see? The phrase "too see" has so very many connotations. One meaning is to know or to understand and the other is based on the physical aspects of things. As humans, we

Lack of Protection in Sports

1185 words - 5 pages In sports today, big hits and fighting seems to be a source of worship for most spectators. From events like boxing to football, most people only focus on the protective side of the issue when it comes to injuries, but fail to look at the big picture. Therefore, the lack of protection in sports is not the cause of injuries in athletes; instead useless protective gear and the athlete’s behavior are the causes of injuries to a player. Protective

Lack of Concentration in Students

1203 words - 5 pages Kids of all ages around our country, have some difficulty to concentrate in school and get their task done. Some children start in an early age which develops a bad habit later on in life. Reason why this occurs in children and some adults is result of ADHD, a disorder that creates lack of concentration and lack of controlling energetic behavior. It can also mean that it’s hard for the person to be organized with their life and turns it into a

Healthcare Information Technology: Effects On Cost Access And Quality

1986 words - 8 pages technology from an administration standpoint, the question becomes; in what way will the use of such practices produce a worthwhile benefit? The foundation of healthcare delivery consists of three major elements: cost, access, and quality (The Triad)[5]. Therefore, this paper will focus on the relationship between these three elements and the effects healthcare information technology will/can have on them. Healthcare cost is defined in three ways

Using Grim's Framework of Reflection on the Healthcare Quality Strategy

1642 words - 7 pages Introduction The aim of the Healthcare Quality Strategy (HQS) is to deliver excellent healthcare to the citizens of Scotland, and in the process brand NHS Scotland as a world leader in healthcare (Scottish Government, 2010). A key ambition of the HQS is to provide compassionate and person-centred care which encompasses the needs of service users, therefore, allowing their values to direct decisions (Scottish Government, 2010). A HQS improvement

Standardization of Healthcare Supplies in Healthcare organizations

1244 words - 5 pages AbstractResearch has proven that the healthcare organizations need to be more attentive to their code pricing list in order to avoid over charges and low revenue of their supplies and encouraging their staff members to utilize one vendor will decrease costs. Quarterly inventory was examined to decipher the problem. Spreadsheets (graphs) were also conducted to provide a complete view of where the losses occurred. The research has proven that

Quality in Healthcare. This essay describes how my institution improved quality across its enterprise

6963 words - 28 pages identification and elimination of defects in production" led to studies of applicability in the nursing and medical area. The results of these works supported the utilization of TQM as a quality program by many provider organizations and accreditation institutions as the Joint Commission on Accreditation of Healthcare Organizations (Kinney, 2001). Laffel et al, in his article in 1989 also connecting the industrial experience in quality control and

Similar Essays

Question)How The Directors Of Paramount Healthcare Can Improve Efficiency, Productivity And Quality In Their Organisation?

2286 words - 9 pages Assignment 1My aim for this assignment is to provide useful advice as to how the directors of Paramount healthcare can improve efficiency, productivity and quality in their organisation. The management syndicate which owns Paramount wish to establish them as an independent, quality healthcare service. Their first target is to achieve the ISO9003 standard within the next twelve months. Unfortunately Paramount suffers from a great number of

Managing Quality Improvement In Healthcare Essay

1112 words - 4 pages of control to begin with. They believe there is a failure for most healthcare administrators to see the true nature of the relationship between quality, efficiency and the competitive advantage because of a lack of TQM philosophy in health care. The study used the constant market share (CMS) approach, which is a model used for analyzing growth of an economic variable during set periods into various components. Using this method was an attempt

Improving The Quality Of Healthcare Essay

1047 words - 5 pages industries and policy makers came together for the implementation of paying healthcare providers as incentives for achieving health care performance measures to help improve quality (Hahn, 2006). In order for the program to be successful in any health care setting provider participation is needed and that the objects of the program are obtainable and fair. Without participation from the providers the success of the program will be unattainable

Quality Of Care In The U.S. Healthcare Delivery System Franklin University; Healthcare Management 735 Essay

2243 words - 9 pages intention of the design and the skill with which the treatment was executed determines the effectiveness of the treatment. To improve effectiveness, either the design of the treatment or the skill of the provider must be improved. Equity, the third dimension of quality, refers to fairness. In healthcare, all patients should be treated equally regardless of their race, age, ethnicity, sex, socioeconomic status, education level, or health status