Requirements for Future Reform of the Healthcare System

Coverage expansion of health insurance can improve access to healthcare, and lower charges cannot do much in the promotion of quality healthcare in any country. The most crucial requirement is the improvement on how the delivery of healthcare is done. The current system of healthcare in most developed and developing countries has no severe approach to lowering healthcare costs and improving quality services (Obama, 2016). There is need to fund health care research activities to find out the best methods of financial assistance that the government should give to the medical sector to boost quality healthcare provision. Research helps in comprehending healthcare policies and systems, formulation of policies where there are well-defined hypotheses, and finding resolutions to challenges facing the health sector (Halfon, Larson, Lu, Tullis & Russ, 2014). This analysis paper discusses how healthcare progress can work by application of medical reforms. Community advocates and those who make health care decisions can benefit from the information provided to conduct a turnaround in the healthcare system in both developing and developed countries.

Healthcare Systems Funding

There is minimal funding for medical research in third world countries. According to research studies, there is an approximate percentage of 0.02% in spending on healthcare research in most of developing nations (Atun, De Andrade, Almeida, Cotlear, Dmytraczenko, Frenz & De Paula, 2015). Such low funding cannot create any possible impact on the need to improve the quality of healthcare provision. National health systems should start giving enough funds for medical research. Another body that should assist is the science and technology docket. Development goals in the Ministry of Health must give priority to research requirements to reform future healthcare. There should be set-goals and deadlines for achieving them. Currently, there are numerous constraints within the healthcare sector, an industry full of opportunities and solutions to challenges. There are many relevant data that medical research can reveal when well-funded. For instance, private sector firms have managed to implement contracts so that they can make a quick response in scaling up their healthcare services. Evaluation of such agreements is happening, and according to provisional reports, the strategy is likely to become successful (Halfon, Larson, Lu, Tullis & Russ, 2014). Most public health agencies in many countries have not ventured on motivating their workers, and there is limited research to why the healthcare sector cannot perform well like other economic sectors.
Most hospitals in developing countries concentrate on specific reforms in healthcare like the expansion of reproductive medical services. The program entails dealing with family planning, prevention of HIV infections, safe childbearing and pregnancy, etc. (Beland, Rocco & Waddan, 2016). Concentrating on such issues while trying to achieve the reform goals and standards can be challenging. Working healthcare reform should entail necessary preventive mental approach where there is a wide availability of reproductive medical assistance and services. Healthcare reform needs to focus on the needs of patients and clients. Serious health care reform also needs to address the questions concerning funds allocation and raising (Mayne, 2017). Resource constraints have affected many healthcare sectors of different countries because of poor policies and implementation tactics. There is a need for a precise definition of who benefits from healthcare reforms, how much each client pay for the services, and who makes the payment.

Alternatives for Healthcare Funding

Partnerships and capacity addition can increase the complexity of how medical players coordinate health care. The delivery of primary health care should be the priority in future health reforms (Bland, Rocco & Waddan, 2016). Care management and the use of information technology requires an elaborate integration. There are natural benefits of employing safety-net systems, especially in health care coordination (Mayne, 2017). Transformation of a delivery system in any healthcare organization without proper funding can be full of challenges, especially when most patients come from a vulnerable population. Examples of funded systems that have worked out include Parkland and Montefiore Medical Center in the U.S. Players concerned with Parklands emphasized on the use of team-based medical care spanning, a setting for both outpatient and inpatient (Obama, 2016). The project led to the creation of a doctor-led diabetes project. As a result, the program set universal medical care standards like standardized procedures for the titration of insulin where they use regular provider feedback system and electronic decision support. At Montefiore Center, the management created a system of organization management where the client is the priority as they responded to client needs faster than other organizations. The establishment of the operation happened in 1996 as they used house calls, centralized contact center, and telehealth that enables faster feedback and communication between the organization and their clients. (Atun, De Andrade, Almeida, Cotlear, Dmytraczenko, Frenz & De Paula, 2015).

Some measures can help boost reforms in the extended run management of healthcare sector by mobilizing funds to be used effectively to enable more patients to get health benefits from such services as the sector also boosts the quality of their services. Long run operation of an implemented program is the success of such a reform program (Mayne, 2017). It involves strengthening of set systems as public health providers assist those in dire need of their services and subsidies. Such a strategy can work well when people risk and cost-share as alternative ways of handling the financial factor of healthcare reforms. Cost delivery or sharing of expenses happens when user fees are imposed on some or all of the healthcare services to make patients share the costs (Beland, Rocco & Waddan, 2016). When a client pays for assistance, he/she will demand quality medical service and healthcare organizations will be forced to use funds in meeting such demands. Another benefit of cost-sharing is that wealthy clients can pay fees that are used to treat those individuals who come from humble backgrounds. Waiver system can now come through in this process to assist the most deprived patients who are in need of serious medical attention (Mayne, 2017). Arriving at such a decision or making it can be difficult in most cases. Most organizations who have used such a system have experienced a decline in a subscription to their services as people start to question whether there is a quality improvement.

Risk Management through Health Insurance

Arrangements for risk-sharing can be managed through the use of insurance companies that can either be under public or private management. Risk-sharing helps in preventing the situation where indigent patients have to meet valuable healthcare services when they incur severe injury or illness (Mayne, 2017). A basic insurance plan is where a subscriber remits regular payments as insurance institutions take the responsibility of holding such funds. Whenever the client or a member of his/her family falls sick, the insurance body pays the healthcare organization that treats the patient. The use of insurance lowers liability since it spreads the risk where a group of people subscribed to the similar plan contributes equally. There are some disadvantages of using protection as an alternative in health reform requirement, e.g., the situation whereby a patient can decide to overuse the benefits of the plan (Mayne, 2017). Furthermore, individuals who use a lot of money during treatment are always excluded from the insurance plan. Careful designing of health insurance can help in preventing such setbacks, making insurance firms to respond to their organizational goals as they include indigent clients in their coverage.

Emergency departments

Every person has a right to receive healthcare in public hospitals, whether rich or poor and whether they are under private insurance cover or not. The emergency department of public hospitals receives more than a half of the total number of patients that get admitted to public hospitals. According to most insurers, most of the patients who are under private insurance covers get admitted to public hospitals through the emergency departments but fail to get help by use of such insurance covers (Obama, 2016). Since those private insurers charge these individuals, they need to get proper care when they attend public hospitals for international healthcare sector to achieve the quality healthcare reforms as a target. A typical health system under the management of the government tend to offer a fixed amount of salaries, wages, and allowances to their healthcare providers that give limited motivation of hospital staffs (Beland, Rocco & Waddan, 2016). On the other hand, privately-managed hospitals might also fail to monitor the operations within the hospital compound, making physicians to work tirelessly under the fee-for-service system as they also increase prices, making it more expensive than before. They can also decide to offer more services than required for a single healthcare provider so that they make extra money. The use of alternative payment approaches like insurance can discourage this behavior and improve quality of services (Beland, Rocco & Waddan, 2016). Governments should also use funds in motivating public hospital physicians or come up with a different motivational policy to promote health care reforms within the public sector.

In conclusion, the realization of healthcare reforms in the future will entail a lot, but the most critical part for a full realization of the dream is the total funding of these hospitals and the healthcare industry as a whole. It is a fact that all medical centers receive Medicare disbursements and not all of these reforms focused on safety-net medication systems. However, it will be a disaster when the government decides to reduce funding for such a system.

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