Organizational Systems and Quality Leadership

Organizational Systems and Quality Leadership


It is fundamental that nurses comprehend the issues identified with human services financing, including neighborhood, state, national social insurance arrangements and activities that influence therapeutic services delivery. As a patient supporter, the nurse is normally required to work with patients together with families to get to available assets to meet their healthcare requirement. This essay compares and contrasts the healthcare system in both United States together with Great Britain.

Healthcare systems for the minority

There are several things that strike a person mind when it comes to comparison of America healthcare system to the Great Britain healthcare system. In either country, they have a different opinion on their healthcare system as the American approach to the English system and the British approach to the American system, for very diverse reasons. Majorly they never accept that one system is superior to the other (Graham, 2007). It might be because they do not understand much about the system and that is why they are scared of either the system.

Whenever a talk arises on healthcare concerning the minority group both the system relate it to the social insurance issue. However, the Americans do not have a deep and critical understanding of the social insurance as well as what it is though they like the social security as well as the Medicare program that assist in offering better health for children, unemployed and the retirees. This is in contrast to the British where national health service is popular, and people understand National Health Services though they do not know what it is. In America, the health insurance is only available to the employed since the policy requires that the employer remit some funds towards the social security and health care of the employee so to the unemployed they are less privileged since the cannot get health care unless they can afford a health insurance plan. This also is in contrast with the British where the Medicare is available to all the citizens for free hence the unemployed stand a better chance to get better health (Graham, 2007). In America, only those retirees above 65 years stand a better chance to get better healthcare since the government provides funds to facilitate their health cover for various diseases. Similarly to the British, the old age and retirees are bound to get better health since the National Health Services are free to all the citizens.

Medication coverage

For a matter of facts, 15% of the gross domestic product of America is spent on healthcare compared to the British 7%. In both counties, the population health is usually measured by the infant mortality and life expectancy and is broadly the same. However, most of the public in Britain, as well as America, are not satisfied with their health system. It is believed the higher number of the British population has confidence in the system, but some believe in changing the whole system as to compare to their counterparts in the United States. Statistics show that 45 million people in united states aged 65 years lack a health insurance cover hence most of US citizens compared to UK citizens have a notion that the cost of healthcare is a setback towards access. Result in a study concerning quality medical care in different countries revealed that the US was performing better though it did so with high levels of cost. On the other hand, Britain performed better in providing health care that is equitable but the waiting times for treatment were extremely long. A survey by World Health Organization that is aimed at ranking countries about health system indicated that UK was 18th while the US was 37th among 191 countries that were studied (Cutler, 2004). The results, therefore, show that the achievement in medication in the US does not match the UK although Americans have experienced a lot in clinical excellence as well as the provision of highly responsive care to its citizens.

The requirements to get a referral to see a specialist

Getting health care when its necessary is always desired therefore immediate care at the emergency room is an essential. The healthcare policy in Britain requires that patients waiting to be approximated to four hours or less and patients covered should be at 95% . Today they are at approximately 85% as per the projection of the policy. By comparison with US 95% of patients who visit the emergency room are administered within three hours of arrival and the average wait time in cases of emergency, as well as accident care in the emergency room, is 58 minutes. It is somehow better compared to seeing physicians in the US where the patient can seek new appointment for primary care waits for about 5 to 66 day, 19.5 days in average, for cases of the cardiologist is an average waiting time is 16.8 days, and for dermatologist waiting is about 28.8 days. In many cases in the US, the waiting time for diagnostic testing is not easy to find therefore it is difficult to compare and varies among the institutions that offer the service since they are private facilities (Medical Expenditure Panel Survey (U.S.), 2011). To add, the number of technicians, as well as machines in a given region, also impact the waiting time for the diagnostic test.

Financial implications for patients about the healthcare

For some time there is are initiatives that are taking place to health professionals through their contracts by using financial incentives to upscale the standards of healthcare. This initiative is intended to strengthen the basic British care as well as reward better services and not the quantity offered. In contrary, the initiative has been taken by the US though they have linked payment to the performance of the professional this is because basic care system is not a suitable policy for Americans (Medical Expenditure Panel Survey (U.S.), 2011). In America the major focus is on quality payment on treatment for most of the common chronic diseases which are the major challenge to the Americans, this is similar to their British counterparts.

Cutler, D. M. (2004). Your money or your life: Strong medicine for America’s health care system. Oxford: Oxford University Press.
Graham, H. (2007). Unequal Lives: Health and socioeconomic inequalities. Maidenhead: Open University Press.
Medical Expenditure Panel Survey (U.S.). (2011). The uninsured in America. Rockville, Md.: Medical Expenditure Panel Survey, Agency for Healthcare Research and Quality.

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