Improving the health care quality is a subject of discussions formany years. Commissioned and individual reports have highlighted theneed to match the high costs incurred in the United States by anelaborate quality. Transitional changes in Medicare due to theAffordable Care Act (ACA) cannot be downplayed, though achievingbetter quality is no exception (David et al., 2451-2458). Thisannotated bibliography focuses on the journey towards qualityhealthcare.
Kovner Anthony and Knickman James, “Health care delivery in theUnited States,” Affordable Care Supplementary to Jonas &Kovners, 2013
Kovner and Knickman explain the role of the government in theprovision of quality and affordable healthcare. Before theenforcement of the Affordable Care Act (AFA), the US had strategiessuch as Medicare and Medicaid to sponsor the Americans who did nothave private insurance. Their article outlines factors that areassociated with lack of health insurance. ACA has four main goals:Establish consumer rights and protection, increase affordability,ensure improved access to care, and strengthen Medicare. This healthpolicy was a promise by President Obama during his 2008’spresidential campaign. Kovner and Knickman describe ACA as anapproach to improving the quality and access to healthcare services.
Squires, David A. "Explaining high health care spending in theUnited States: an international comparison of supply, utilization,prices, and quality." Issue brief (Commonwealth Fund) 10(2012): 1-14.
The article provides a comparison of health care spending, supply,utilization, cost and quality between the US and other 12 developedcountries. David found out that the US expenditure on healthcare issignificantly higher than the other nations. From his study, it isevident that earning, aging population and supply and demand ofhealth professionals does not affect the spending. The highexpenditure was linked to the high cost and increased access totechnology. The spending can reduce when there is a price regulationprogram in the US. Japan uses this strategy and has the lowestexpenditure on healthcare services.
Tom Howell Jr., “Republicans proposing vote on Obamacarealternative,” Washington Times, Monday, February 2, 2015
Howel reports the rejection of Obama Care by the Republicans whoclaim they have a better alternative. Republican’s view was toreplace the ACA with another policy that scraps insurance mandatesand promotes individual responsibility for health costs. Opponents ofObama Care argue that the government, through Obama Care, isunlawfully distributing tax credits to people who use federal ObamaCare Exchange. Giving individuals the responsibility of managinghealth care cost promotes patient-centered care and quality care.
Epstein R, Fiscella K, Lesser C, and Stange K, Why The Nation Needs APolicy Push On Patient-Centered Health Care, Health Affairs,2010 vol. 29(8), 1489-1495.
This article explains why the government should develop and implementa patient-centered health policy. It describes the importance andadoption of person-centered strategy in practice. It is an approachto health quality since it improves disease outcomes and quality oflife. Through this policy, the government will be able to deal withsocial and economic disparities in health care in the access anddelivery of health services. According to this article, the US needsa coordinated and focused national policy that supportspatient-centered care.
Epstein, Ronald M., and Richard L. Street. "The values and valueof patient-centered care." The Annals of FamilyMedicine 9.2 (2011): 100-103.
Epstein and Street explain the importance of improving access tohealth services and insurance in achieving patient-centered andquality care. The Affordance Care Act aims at ensuring healthcoverage for all Americans. It focuses on the population, notindividual. This article attaches a strong relationship betweeninsurance and quality health care. They also expound on the role ofhealth institutions in the realization of patient-centered care.Healthcare providers should consider patients to as individuals intheir own social world. Therefore, they need to be listened to,respected, informed and actively engaged in health service provision.
Schansberg, Eric. "Envisioning a free market in healthcare." Cato Journal 31(1) (2011).
In this article, Schansberg explains the political setbacks the Obamaadministration has encountered in the implementation of ACA. Heblames health insurance for the rising health spending. Insuranceincreases the problem of the high health care costs due to mandatesand restrictions. Schansberg calls for a real reform in thehealthcare of the United States. He suggests that there should bereduced government involvement in care provision. This encourages thefree market system in the healthcare system and reduced regulation oftransactions between insurers, providers, and consumers. The healthcare system will revive since there will be increased competition,more options, and decreased costs. Therefore, the free marketstrategy will increase affordability, access and the quality ofhealth care.
Rosen, Bruce, R. Waitzberg, and Sherry Merkur. "Israel: HealthSystem Review." Health systems in transition 17.6(2015): 1-212.
This article describes the Israel free market health system. Thecountry has a universal health insurance where all Israelites canchoose from four competitive non-profit health programs. These healthplans provide a wide range of benefits specified by the government.Rosen, Waitzberg and Sherry consider Israel to have a more efficienthealth system than that of the US. Quality health care is depicted byinnovations that promote the safety of patients and increase theefficiency of various health programs. The Israeli system haspromoted innovations, improvements, tenacity, and prioritization.
Emanuel, Ezekiel, et al. "A systemic approach to containinghealth care spending." New England Journal ofMedicine 367.10 (2012): 949-954.
Emanuel et al. provide ways which can be employed to increasequality and affordability of healthcare while reducing expenditure.The integrated model proposed in this article addresses variousissues that heighten costs and reduce access and quality ofhealthcare. The promotion of payment rates with global targets wouldease the increasing health spending through negotiation. Emanuel etal. recommend a council consisting of providers, payers,consumers, and economists to set and implement the expendituretarget. Promotion of alternative payment methods also increasesaffordability and quality care
Swanson, R. Chad, et al. "Rethinking health systemsstrengthening: key systems thinking tools and strategies fortransformational change." Health Policy andPlanning 27.suppl 4 (2012): iv54-iv61.
According to this article, reductionist approaches consisting of alimited set of specific interventions for achieving quality care areinefficient. Swanson et al. propose a comprehensive systemthat regulates health practice, education, research, and policy canbe effective for the US health system. The comprehensive system canresult in transformational changes in the public health sector. Thestrategies and tools proposed in this article can be implemented invarying degrees by all organizations in the US health industry.
Blumenthal, David, and Sara R. Collins. "Health care coverageunder the Affordable Care Act—a progress report." NewEngland Journal of Medicine371.3 (2014): 275-281.
Blumenthal and Sara posit that quality health care is achievable iftransitional payment changes are effected in public programs.Following the steps formulated by the Medicare’s DRG(Diagnosis-Related Group) in the way payments are remitted tohospitals is worth the bargain. Its advantage plan also advocates forthe highest quality at personal patient level. Other reforms like theACO (Accountable-Care Organization) and the Medicare Shared SavingsProgram serves the sick in good stead. The government through thefinance department should consider changes in the Medicare physicianpayment, including others like the post-acute care. The funds paidfor the generalized performance need to be shifted more towardscase-based duties.
My topic is “Quality healthcare In U.S.” I used the GoogleScholar to search for journal articles addressing how to improve thequality of healthcare in the US. Keywords such as quality healthcare, improvement, health policy, patient-centered, reducingspending, and the US enhanced my search for the sources. I also usedthe time of publication as a filter. I searched journal articlespublished from 2011 to 2016. I also used secondary publications suchas books to find the sources.