Discussion: DHA 711 Evolution & Components
Discussion: DHA 711 Evolution & Components
Discussion: DHA 711 Evolution & Components
DHA 711 WEEK 2 Health Care Systems: Evolution and Components
Write a 1,050- to 1,225-word paper on the evolution and components of health care systems. Your paper should address the following:
Generate your own definition for the term health care systems, based on a synthesis of personal experience and scholarly research.
What distinguishes a complex health care system from a singular organization?
Identify the primary components of a health care system.
Describe the specific role(s) of each component.
Who are the stakeholders?
What type of services are generally offered (e.g., multi-specialty facilities, nursing homes, urgent care, and so forth)?
Who is the competition?
Examine the evolution of health care systems over the last 60 years.
How has the structure of health care systems changed?
What external factors contributed to the evolution of the system?
Compare a current complex health care system to one from the 1960s, 1970s, or 1980s.
Summarize the major differences in organizational structure, purpose, internal components, culture, and strategic goals.
Format your paper according to APA guidelines.
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The care team, the second level of the health care system, consists of the individual physician and a group of care providers, including health professionals, patients’ family members, and others, whose collective efforts result in the delivery of care to a patient or population of patients. The care team is the basic building block of a “clinical microsystem,” defined as “the smallest replicable unit within an organization [or across multiple organizations] that is replicable in the sense that it contains within itself the necessary human, financial, and technological resources to do its work” (Quinn, 1992).
In addition to the care team, a clinical microsystem includes a defined patient population; an information environment that supports the work of professional and family caregivers and patients; and support staff, equipment, and facilities (Nelson et al., 1998). Ideally, the role of the microsystem is to “standardize care where possible, based on best current evidence; to stratify patients based on medical need and provide the best evidence-based care within each stratum; and to customize care to meet individual needs for patients with complex health problems” (Ferlie and Shortell, 2001). Most health and medical services today, however, are not delivered by groups or teams.
The role and needs of individual physicians have undergone changes parallel to those of individual patients. The exponential increase in medical knowledge, the proliferation of medical specialties, and the rising burden of providing chronic care have radically undercut the autonomy of individual physicians and required that they learn to work as part of care teams, either in a single institution/organization or across institutional settings. The slow adaptation of individual clinicians to team-based health care has been influenced by several factors, including a lack of formal training in teamwork techniques, a persistent culture of professional autonomy in medicine, and the absence of tools, infrastructure, and incentives to facilitate the change.
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