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1. How would I add a conclusion based on the text of my paper below that strong provides a sense of

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Asked by DeanOwl1792

1. How would I add a conclusion based on the text of my paper below that strong provides a sense of closure to the assignment?  It should cover the same concepts as my introduction; however, in a somewhat wider context to give the reader a satisfying ending.

 

2. In the “Provider Management” section of the below paper I identified the challenges for managing providers within a fee-for-services versus a risk-based contracting plan.  However I was told to consider adding illustrations with specific examples and suggestions for the next steps. How would I go about this?

 

3. In the “Organizational and consumer Implications” section I evaluated the implications of implementing the recommended best practices for the consumer for delivery, quality, affordability, and accessibility and suggested the next steps for the future. However I was told I need more discussion on the affects to the organization in all areas. How do I go about this?

 

4. In the “France vs United Kingdom” section I appraised current performance indicators and outcome measures for delivery, quality, affordability, and accessibility. These are specific, observable, and measurable revealing the specific outcomes. However I need to add recommendations for future development. How do I go about this?

 

Introduction 

            The treatment and management of chronic diseases is an essential service for countries to provide. Diabetes, heart disease, and cancer are all conditions that, with proper management, may be kept from worsening to the point where they jeopardize a person’s life and can help a nation’s overall mortality rate remain lower. France and the United Kingdom both have healthcare systems that are ranked in the top 25 in the world (Heather, 2009). Diabetes is a condition that lasts a person’s entire life but may be controlled efficiently in either of these countries. Higher-than-normal blood sugar levels are a sign of type 2 diabetes, which is a serious health problem. The likelihood of developing gestational diabetes increases if a person is overweight, older than 45, doesn’t get enough exercise, has a history of heart disease or a stroke, or has a family member with diabetes. Every individual who resides in either France or the United Kingdom has access to their nation’s version of what is known as a national health service (NHS), which is financed by the governments of both nations and is available to the general public.

Key Performance Indicators

France UK
Cost Cost
Utilization  Utilization 
Referral Rates Open Responses
Monitoring Patient Knowledge
Clinical Self-Management 
Satisfaction  Satisfaction 
  Quality of Life

            

Both the United Kingdom and France employ similar important metrics to measure how successfully they manage disease, but there are also significant key differences between the two nations. Indicators that are utilized in the United States include expenditures, utilization, and the level of patient satisfaction. Diabetes is estimated to have caused a cost of $327 billion in the United States in 2017 (American Diabetes Association, 2018); 9.8 billion euros in the United Kingdom; this is equivalent to an estimated $12 billion in the United States (Diabetes UK, n.d.); an estimated $18 billion which is equivalent to approximately $22 billion in US currency (Chevreul et al., 2014). Medication, materials, and other resources used to care for diabetic patients are reflected in their accompanying expenses. The United States spends the most money on maintaining and treating diabetic patients, according to the cost data shown earlier. Success in the United Kingdom and France comes at a far lower cost than in the United States. Utilization is a measure of how many patients are admitted to the hospital and how long they stay there; this statistic reflects the quality of care being given. A hospitalization should only be used as a last option if patients are receiving complete treatment for their illnesses and the degree of patient satisfaction is high. Increased levels of patient satisfaction are almost always the outcome of improved treatment behaviors such as compassion and respect for patients. The Diabetes Treatment Satisfaction and the EQ5-D questionnaires are used to evaluate the satisfaction of patients, as well as their capacity to monitor and control their glucose levels at home, their level of knowledge and their quality of life, as well as their degree of knowledge and experience (Stone et al., 2013). The care of diabetes patients is closely monitored and evaluated in France and the United Kingdom due to the importance of these key performance metrics.

 

 

France vs. The United Kingdom

            “Sophia” is a patient support program developed by the French government. This initiative provides free educational materials and information to diabetic patients. The program is completely voluntary and involves services such as telemedicine done by nurses who have undergone specific training, as well as support via the internet, to keep patients informed and engaged. According to the findings of the analysis of “Sophia,” increased monitoring of suggestions made by “Sophia” members and a slower rise in hospital expenditures were identified (Chevreul et al., 2014).

            Diabetes UK is a charity that focuses on healthcare and is responsible for the creation of the UK 15 healthcare requirements checklist. It is a checklist of the 15 most important treatments and examinations that a diabetic patient ought to anticipate receiving (Grant et al., 2015). Checking one’s blood glucose levels at least once a year, as well as one’s vision and cholesterol levels, one’s weight, as well as providing assistance for smokers, and if relevant, organizing care to suit the specific requirements of individuals are all included on this checklist. The French government takes a proactive stance toward diabetes as they educate their patients and give them the resources they need to have a healthier life while having the disease, which is the preventative approach. Medical care in the United Kingdom (UK) is far more active, and patients are closely monitored through the use of a check-list system. One of the things on the checklist is for patients to receive personalized care planning. This allows the requirements of the patients to be catered to on an individual basis as opposed to providing each patient with the same generic information or service. 

 

 

Best Practices 

            The combination of both “Sophia” and the UK 15 may be used in nations across the world, and their combination will educate people and help prevent the condition from worsening. As a result of its checklist, the United Kingdom is a better place to manage diabetes since it includes all of the most important indicators. When patients are aware of their glucose, cholesterol, and blood pressure levels, they may take efforts to improve their health. Educating patients is good, but it may not be enough to ensure that individuals live healthy lives. Due to its universality and potential cost-savings, this method was chosen for use in this study. While universal health coverage in France and the United Kingdom ensures the coverage of these programs for its citizens, the United States’ healthcare system may provide a challenge because of the manner healthcare is delivered and who has access. It would be extremely beneficial for diabetic patients if these procedures were implemented, but they need be tailored to the healthcare systems and demands of each nation.

Organizational and Consumer Implications

            Organizational results will improve when the UK 15 and “Sophia” are implemented inside the organization, especially when risk-based contracting plans are implemented. Being healthy, happy, and free of long-term problems from diabetes can be achieved by combining both strategies. Patients who frequently check their glucose levels, have their eyes tested, and maintain tabs on their weight are less likely to develop long-term diseases that are more expensive to treat. Being healthy, happy, and free of long-term problems from diabetes can be achieved by combining both strategies. Patients who frequently check their glucose levels, have their eyes tested, and maintain tabs on their weight are less likely to develop long-term diseases that are more expensive to treat. Being healthy, happy, and free of long-term problems from diabetes can be achieved by combining both strategies. Patients who frequently check their glucose levels, have their eyes tested, and maintain tabs on their weight are less likely to develop long-term diseases that are more expensive to treat. Being healthy, happy, and free of long-term problems from diabetes can be achieved by combining both strategies. Patients who frequently check their glucose levels, have their eyes tested, and maintain tabs on their weight are less likely to develop long-term diseases that are more expensive to treat. In addition, delighted patients with positive outcomes contribute to increased revenue for the company.Patients who have health insurance can gain the most from following the guidelines for consumers’ best interests. Even though the United States does not provide universal health care, the Affordable Care Act now allows nearly everyone who falls within a certain income band to obtain some form of health insurance. Everyone should be able to get these treatments through their primary care provider by way of their health care plan. Patients should be able to do these tests as part of their routine annual physical assessment. The results will help identify if a patient needs more treatment or merely educational materials about their health.

Provider Management

            A fee-for-service payment model is used by providers who charge for particular services delivered, such as appointments, tests, examinations/treatments (Kff., n.d.). Prices might be inflated to cover treatments that aren’t medically essential. If a practitioner has few patients and those patients require minimum care, the provider may price the services supplied at a higher rate. Because of the system’s focus on quantity rather than quality, it’s possible that patient outcomes may suffer.

            Providers who are paid on a risk-based contracting model must provide better care, as that is how they are compensated. Reimbursement models that focus on outcomes rather than the provider-to-patient relationship are becoming more common. There are three parties involved in risk-based contracting: payers, providers, and suppliers. Positive results, reduced costs, and satisfied patients are all factors in the compensation of health care providers. Managing chronic illnesses is made easier by this arrangement, as these patients may have to undertake several treatments and visits; charging them separately for each one would be prohibitively expensive. Providers can keep their savings if they offer efficient treatment at reduced costs; if the expenses are greater than projected, the provider must bear them. In the event of a failure, they are subject to further penalties. Healthcare is evolving toward a value-based paradigm in an effort to improve patient outcomes while also reducing costs. This benefits both the patient by ensuring they receive high-quality treatment and the provider by saving money on the expenses of providing it. In light of the fact that not every patient’s care needs are the same, the usage of both methods is recommended.

SCIENCE
HEALTH SCIENCE
NURSING
MHA 5028

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