Patients With Multiple Chronic Conditions, Essay Example

Patients with multiple chronic conditions or those in need of worldly care are targeted by the healthcare system, which has implemented care coordination and case management initiatives in addition to traditional disease management programs. To improve healthcare, particularly for chronic conditions, the nursing profession is expanding care management models by developing solutions to alleviate present obstacles. Both the scarcity of primary care doctors and the enactment of the Affordable Care Act (ACA) have created a problem for the country’s healthcare system.

Doctors typically spend 51 hours per week and treat 20 patients per day, according to a 2018 poll by the Physicians Foundation. Because so many medical doctors (MDs) are pursuing specialization and hence greater money, the shortfall of primary care physicians (PCPs) is expected to climb to 66,000 by 2025 (Feo et al., 2018). While APNs are more likely to work in underprivileged areas and take Medicare patients than MDs, MDs are less likely to do so in urban and rural settings. As a result, many of these populations cannot get the medical treatment they require. People’s lifespans are also lengthening, leading to a rise in acute and chronic illnesses.

Although data standards are crucial to every industry, healthcare and nursing may need them more than others. The London Bills of Mortality are the first evidence of medical practitioners working to create healthcare standards. This is particularly true for health IT, which requires a high degree of standardization when new technologies are implemented (Halawa et al., 2020). A clear benefit of standardized education, practice, and research for Doctors is the ease with which new knowledge may be shared across these domains (Hessels et al., 2018). Data exchanged between or inside systems is more likely to be accurate, consistent, and high-quality, making dealing with it easier. Clinical research, in particular, might benefit substantially from uniformity since this result is significant (Schroeder et al., 2021). It is critical to share information for quality standards and their administration since standardizing performance data is easier to obtain when multiple systems speak the same language. Data standards are needed to enhance the quality and usage of data.

Health information technology (HIT) is becoming more critical since healthcare and nursing heavily rely on data in the doctors’ offices. Data standards are needed to enhance the utilization of IT. With data standards, several good outcomes may be achieved, such as improved care quality management and more uniformity in data collection in nursing (Natesan et al., 2020). Improved data standardization is essential to doctors` offices (Ristvedt et al., 2019). Data standards are necessary for nursing because of the advantages they provide. The healthcare community is working to produce standards that may be used in the field since their absence is linked to issues. Currently, there are no standardized data sets for nursing or healthcare.

Approach to Quality Approach is one of the Doctor’s office approaches to delivering good services. Adopting quality improvement techniques in health care might be difficult because certain modifications generate hurdles to improvement practices because of the field’s fast growth and change. This is the reason for the development of the CQI technique (Kadish et al., 2018). Instead of concentrating on the flaws, organizations are implementing continuous improvement through improving the working processes of their employees. As a result, individuals must be the driving force behind the change for it to continue. Customer performance and culture are examples of the four areas in which this approach is being executed.

The method of therapy in modern medicine is changing dramatically. As patients’ awareness of their health has grown, so has the trend toward implementing evidence-based practices in therapeutic settings. Therefore, it is essential to avoid situations where a patient gets treatment suggestions from various experts. Creating a culture of acceptance of the evidence-based practice in a medical institution requires leaders and managers to be involved. Evidence-based medicine aims to prevent doctors from making diagnoses based only on their own experiences rather than relying solely on scientific evidence (Jeon & Park, 2018). Instead of only educating, leaders should give all nurses and treatment doctors collaborative training, interviews, or play-based training. The performance of employees may be used to gauge whether or not an institution’s culture of evidence is well-accepted.

References

Feo, R., Kitson, A., & Conroy, T. (2018). How fundamental aspects of nursing care are defined in the literature: A scoping review. Journal of Clinical Nursing, 27(11-12), 2189-2229. https://doi.org/10.1111/jocn.14313

Halawa, F., Madathil, S. C., Gittler, A., & Khasawneh, M. T. (2020). Advancing evidence-based healthcare facility design: a systematic literature review. Health Care Management Science, 23(3), 453-480. https://doi.org/10.1007/s10729-020-09506-4

Hessels, A., Paliwal, M., Weaver, S. H., Siddiqui, D., & Wurmser, T. A. (2019). Impact of patient safety culture on missed nursing care and adverse patient events. Journal of nursing care quality, 34(4), 287. https://doi.org/10.1097%2FNCQ.0000000000000378

Jeon, E., & Park, H. A. (2018). Development of the IMB model and an evidence-based diabetes self-management mobile application. Healthcare informatics research, 24(2), 125-138.  https://doi.org/10.4258/hir.2018.24.2.125

Kadish, S. S., Mayer, E. L., Jackman, D. M., Pomerantz, M., Brady, L., Dimitriadis, A., … & Wagner, A. J. (2018). Implementation to optimization: a tailored, data-driven approach to improve provider efficiency and confidence in use of the electronic medical record. Journal of Oncology Practice, 14(7), e421-e428.https://ascopubs.org/doi/full/10.1200/JOP.18.00093

Natesan, S., Bailitz, J., King, A., Krzyzaniak, S. M., Kennedy, S. K., Kim, A. J., … & Gottlieb, M. (2020). Clinical teaching: an evidence-based guide to best practices from the Council of Emergency Medicine Residency Directors. Western Journal of Emergency Medicine, 21(4), 985. doi: 10.5811/westjem.2020.4.46060

Ristvedt, S., Trinkaus, K., Waters, E., & James, A. (2019). Threat sensitivity is associated with the healthcare source used most often: doctor’s office, emergency room, or none at all. Heliyon, 5(5), e01685. https://doi.org/10.1016/j.heliyon.2019.e01685

Schroeder, D., Luig, T., Beesoon, S., Robert, J., Campbell-Scherer, D., & Brindle, M. (2021). What work is required to implement and sustain the National Surgical Quality Improvement Program (NSQIP)? A qualitative study of NSQIP implementation in Alberta, Canada. BMJ open, 11(9), e044720. http://dx.doi.org/10.1136/bmjopen-2020-044720