Essay on "Healthcare Management. Allocation Health Care"

Essay 4 pages (1326 words) Sources: 4

[EXCERPT] . . . .

3. Ethics of resource allocation

So far in the discussion, it was mentioned that the health care resources should be allocated based on the ability of the institution to put them to good use -- to serve patient needs and to generate a return on the investment. Nonetheless, the allocation of the resources should also consider the characteristics of the population it targets. In other words, an ethical component of resource allocation should be represented by the quality of life and the quality of health life for the targeted population. This need is even more so impending as studies have shown that the social and demographic features of the population impact their access to health care. People of a lesser educational level, of a lesser income, as well as minorities groups are more prone to the lack of adequate access to medical services (Lubetkin, Jia, Franks and Gold, 2005). In other words, a major ethical underpinning with resource allocation revolves around the means in which the resources would improve the quality of life for the population.

Another important ethical underpinning in the allocation of the resources is represented by the quality-adjusted life year. This virtually refers to the weighting of the costs and benefits of a medical intervention. The costs are paid by the medical sector and the benefits are enjoyed by the patient. The tradeoff between the two is a crucial determinant when allocating resources to the health care acts, but the ethics behind these activities are questionable as the life of a person would be decided based on a statistical analysis of probabilities (Hirskyi).

4. Business opportunities for health care providers
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In the setting of the problems encountered by the health care system, the changing social, economic and demographic conditions and the features of the public and private health care sectors, the partnership between the institutions in the two sectors is more and more plausible. In other words, the public and private sector have started to collaborate in order to improve the quality of the medical act and to ensure its financial stability. The partnership between the private and public institutions is only expected to solidify within the years to come.

In light of this partnership, the health care providers are presented with opportunities for development. They could for instance benefit from additional resources from the state budgets, which would in turn help them develop their business. The additional investments from the state budgets could be used to attract more patients through integrated marketing campaigns; they could be used to purchase new medical equipments or to hire new medical specialists. Aside from the money, another opportunity is presented by the ability to gain access to specialized input and consultancy from the players in the public health care sector.

All in all, the contemporaneous health care system is negatively affected by the multitude of changes occurring within the micro and macro environments. From a financial standpoint, the resource allocation decisions ought to be made based on the criterion of economic analyses of the health care sector. From the standpoint of the patients and ethical conduct however, the resources should be allocated based on the surveys over the quality of life. In such a context, the final recommendation would be that of using a combination of the two in order to create an ethical and efficient medical sector.

References:

Douglas, H.R., 2005, Economic valuation: what does a nurse manager need to know? Journal of Nursing Management, Vol. 13, No. 5, pp. 419-427

Fuchs, V.R., Emanuael, E.J., 2005, Health care reform: Why? What? When? Health Affairs, Vol. 24, No. 6

Hirskyi, P., 2005, QALY: an ethical issue that dare not speak its name, Nursing Ethics, Vol. 14, No. 1, pp.227-239

Lubetnik, E., Jia, H., Franks, P., Gold, M.R., 2005, Relationship among sociodemographic factors, clinical conditions and health-related quality of life: examining the EQ-5D in… READ MORE

Quoted Instructions for "Healthcare Management. Allocation Health Care" Assignment:

ISSUES IN HEALTHCARE MANAGEMENT.

Allocation of Health Care Resources From your review of the readings this week, provide a critique of using quality-of-life surveys and health care economic analysis to determine allocation of health care resources. Your paper should include the following components: 1. Allocation for public (aka "community-based) health vs. private (aka "personal") health services 2. Incremental vs. comprehensive reform 3. Ethical underpinnings of resource allocation 4. Business development opportunities for health providers Each component should be between one and two pages (250 words)

Suggested Week Readings

Quality of Life

Watson, W., Ozanne-Smith, J., Richardson, J. (2005) An evaluation of the Assessment of Quality of Life utility instrument as a measure of the impact of injury on health-related quality of life. International Journal of Injury Control & Safety Promotion, 12 (4), 227-239. Hirskyi, P. (2007). QALY: an ethical issue that dare not speak its name. Nursing Ethics, 14 (1), 72-82. Lubetkin, E., Haomiao, J., Franks, P., Gold, M. (2005) Relationship among sociodemographic factors, clinical conditions, and health-related quality of life: Examining the EQ-5D in the U.S. general population. Quality of Life Research, 14 (10), 2187-2196. Marden, S. (2005). Technology dependence and health-related quality of life: a model. Journal of Advanced Nursing, 50 (2), 187-195.

Health Care Economics

Douglas, HR, Normand, C. (2005). Economic evaluation: what does a nurse manager need to know? Journal of Nursing Management, 13 (5), 419-427. Enthoven, A., Fuchs, V. (2006). Employment-Based Health Insurance: Past, Present, And Future. Health Affairs, 25 (6), 1538-1547. Fuchs, V., Ezekiel, J. (2005). Health Care Reform: Why? What? When? Health Affairs, 24 (6), 1399-1414.

Health Care Ethics

Goodman, T. (2005). Is There A Right to Health? Journal of Medicine & Philosophy, 30 (6), 643-662. De Lemos, M. (2004). Rationing costly treatments: can it be fair? Journal of Oncology Pharmacy Practice, 10 (3), 141-144.

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