healthcare organizations and their environments

8/3/2019 Healthcare Organizations and Their Environments

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HEALTHCARE ORGANIZATIONSAND THEIRENVIRONMENTS

Systems In Healthcare AIU Online

Karen.Bojaciuk

Unit 1 (IP)

HCM6101104A-01

Dr. Martha E. Jennings


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HEALTHCARE ORGANIZATIONSAND THEIR ENVIRONMENTS

Introduction

These slides will answer two questions about fragmentation

and its affects. The first part will answer the question: What

are the desirable and undesirable aspects of fragmentation

and the second part will answer the question: Should actions

be taken to stop fragmentation, if so what should be done and

how can it be achieved?


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HEALTHCARE ORGANIZATIONS AND THEIR ENVIRONMENTS

Fragmentation is not a new problem.

Three obstacles to healthcare.

Inaccessibility of Care.

Fragmentation of Care.

Cultural Insensitivity.

Unattainable and Society's indifferences.

Restrictions

Example of Fragmentation in the Healthcare System


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For Example: A twenty-seven year old female with two sons is taken to a urgent care facilitywith symptoms of a feeling of sadness and not being able to keep anything she ate down. Duringtesting, she is found to be about three months pregnant. She is automatically sent to the Welfare Officeto fill out papers for healthcare insurance (Medicaid). She does not understand the paperwork in orderto fill out and complete the forms in order to get the sufficient care she so desperately needs, so she hasto ask someone at the office to help her fill them out. About three weeks later she is notified that she iseligible to receive Medicaid and will be covered. It will be very hard for her to find a physician who willtake her insurance but after awhile she finds one. At this present time her youngest has had no check-

ups for well-babies and is behind on most of his shots. The system becomes more fragmentizedbecause if she had a check-up earlier on in her pregnancy, the complications she is now suffering couldhave been taking care of way back when and even treated.

Because of the problems she is now having, her current physician feels that he can no longer takecare of her because he feels the scope of her problems are beyond his training. This in turn makes herlook for another physician that will see her, regardless of the complications. A month has gone by andshe is able to get a referral to see a OB specialist who is willing to take her on as a patient. The nextproblem to come about is when her insurance will only pay for some of her ultrasounds, leaving only thechoice to either pay for them out of her own pocket or do away with the care that is needed. Toward thethird trimester of her pregnancy she is sent to the WIC office so that they can monitor her and herchildren's dietary needs. This warrants more paper work, and to make matters worse the WIC office isclear across town and because the father of her children works two jobs, she is not able to keep all ofher appointments due to the lack of transportation.

The closer she gets to her due date the more aggravated she becomes with the system that shecontemplates terminating the pregnancy, which for her is easier to attain then to have the baby and take

care of it.


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Because of specializations in the healthcare field,the quality of healthcare is at risk.


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Improved long term careinside specialized areas.

Special needs patient.

Bad Communications

Inefficiency

Ineffectiveness

Inequality

Commoditization

Commercialization

Not being Professional

Despair and Discord

Desirable aspects offragmentation:

Undesirable aspects offragmentation:


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Should Actions be Taken to Slow or Stop This Trend?

Modernizing healthcare

Lowering information problems

Unified structures

Data streams simplified

Freedom for patients

Needs and rights

Standards of patient care


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Integrated Care

Quality Reporting

Technology and Expenditure

Growth in Healthcare


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Comprehending the problem.


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REFERENCES

Krekula, Nathan (2008) Fragmentation of the Healthcare

System. Retrieved on 10/4/2011. From:

http://www.weneedafix.blogtownhall.com/printaspx

Our Fragmented Health Care System: Causes and Solutions.

The Petrie-Flom Center for Health Law Policy, Biotechnology

and Bioethics. Harvard Law School (2008). Authors:

Madison, Kristin and Chandra Amitabl. Retrieved on10/04/2011. From: http://www.oup.com and

http://www.annfammed.org/cgi/content/full/7/2/100
http://www.weneedafix.blogtownhall.com/printaspxhttp://www.oup.com/http://www.annfammed.org/cgi/content/full/7/2/100http://www.annfammed.org/cgi/content/full/7/2/100http://www.oup.com/http://www.weneedafix.blogtownhall.com/printaspx

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