The was born and raised in Nigeria and

The United States healthcare system has a lot of strengths but I believe the greatest is the incorporation of innovative techniques, technologies, and processes. There has been a realization that the system has flaws and there is a yearning to rectify them. The healthcare system has realized that problems like physician training, access to and affordability of healthcare, health illiteracy, quality of care and more exist. Conversations are occurring every day on ways to combat these issues that are being experienced and ways to improve the standard of care that patients receive. Steps have been taken to provide world-class education for practitioners in the United States, methods of reducing nosocomial infection rates, introducing new payment models, the introduction of community-based healthcare education, provision of advanced technology and drugs and much more. Employer-provided health insurance is one of the most innovative parts of the United States healthcare system. I was born and raised in Nigeria and the idea of employer-provided health insurance is a completely foreign concept, this provides an incentive for employment.  These are all recognized as strengths of the United States healthcare system, however, with these strengths, there are bound to be weaknesses. My mother works as a nurse here in the United States and she was also a nurse in Nigeria. Her biggest complaint regarding the United States healthcare system is the lack of physician involvement in the care of the patients. This has led to an exaggerated increase in the rate of readmission as well as patient dissatisfaction. Patients rarely see their providers when admitted, physicians are now relying more on nurses to care for these patients. In Nigeria, patients are rounded on by an interdisciplinary group of providers so that all issues are addressed at the same time, this process is very tedious but it reduces the rate of readmission of patients. Increased readmission rate, polypharmacy, lack of non-specialized physicians, administration overhead and involvement of other third-party companies such as insurance companies leads to a huge problem of increased waste and spending. The United States spends more than most countries on healthcare but the results are equal if not less than other countries because of its increased focus on treatment rather than prevention. Joshi M et al outlines the switch from the first curve to the second curve of care delivery. This entails moving from a volume-based care system to a value-based one. This entails effort from the providers and the hospitals but I believe the healthcare administrators have a role to play in the success of this switch. The process requires an internal and external assessment the healthcare system, the hospital’s process of accountability, performance assessment and improvement coupled with the administrations continued assessment and feedback will help providers better handle the healthcare quality and safety problems that result from a volume based care system. Initial care of the patient happens in the hospital but subsequent care occurs at home and in the community. Provision of preventative healthcare services, healthcare education systems to improve subsequent care after discharge, increasing the healthcare safety and quality standard being adopted by hospitals and providers and much more. These are all steps that can be adopted by the healthcare administration to improve the future of healthcare. Health improvement cannot be achieved by a single body, it requires collaborative efforts from the administration, the hospitals, the providers and the patients. ReferencesJoshi, M., Ransom, E. R., Nash, D. B., & Ransom, S. B. (2014). The healthcare quality book: vision, strategy, and tools. Chicago, IL: Health Administration Press.

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