Collaboration Among Healthcare Professionals to Influence Health Policy.

 

1. Why might it be difficult to get health professionals to reach a consensus on a policy agenda
2. To What extent do you think the force of law can change the silo practices of nurses, physicians, pharmacists, and other healthcare providers? Identify other approaches that might be successful in changing the silo practice of healthcare professionals

 

Sample Solution

Collaboration among Healthcare Professionals to Influence Health Policy

Clinicians make multiple clinical decisions every day, and ideally, these decisions would be based on rigorous evidence-based guidelines. Much of health care practice, however, has relied on expert opinion or been driven by clinician experience. Compared to other industries, consensus development in health care practices and research is a relatively young field with a growing body of data. However, there seem to be substantial obstacles to any such consensus or agreement. The deeper and more substantive problems are fundamental disagreements among major stakeholders about how to assess and address future workforce needs. Pride, honor, income, and position are involved on both sides of the debate, which divides the medical profession and tests sensitive interprofessional relations.

This is showing a huge increase in goods sustained by Outdoors PLC. Dividend per share is the sum of declared dividends issued by a company for every ordinary share outstanding. The figure is calculated by dividing the total dividends paid out by a business, including interim dividends, over a period by the number of outstanding ordinary shares issued. (https://www.investopedia.com/terms/d/dividend-per-share.asp) For the year 2016 shows a DPS hare amount of 5.9 % shows a fast growth in the share price since the 2012 low of 4.1%
Efficiency
This ratio measures how efficiently a company uses its assets to generate revenues and its ability to manage those assets. With any financial ratio, it’s best to compare a company’s ratio to its competitors in the same industry. (Sometimes it is also referred to as activity or turnover ratios) which is used to assist managers in judging how effectively a company manages its assets. In the below table it compares the sales and the investment in various assets.(https://www.investopedia.com/ask/answers/040715/what-do-efficiency-ratios-measure.asp)
Asset ratios 2016 2015 2014 2013 2012
Operating asset turnover Sales Times 2.1 2.4 2.3 2.5 2.5
Net operating assets
Working capital turnover Sales Times 8.6 8 7 7.4 6.2
Working capital
The working capital turnover ratio is set at 8.6% highest over the five-year period was set at the lowest in 2012 at 2.5%. A high turnover and a growth in the turnover percentage shows that Outdoors PLC are being very efficient showed in the 2.5 % growth in the five years.
(https://www.investopedia.com/terms/w/workingcapitalturnover.asp)

Interest and Dividend cover 2016 2015 2014 2013 2012
Interest cover Trading Profit Times 2.9 4.8 5.1 6.5 3.6
Net finance charges
Dividend cover Earnings per Ordinary share Times 2.7 2.6 2.1 2.5 3.1
Dividend per Ordinary share
Debt to equity Ratio
Net borrowings % 65.9 61.3 48.3 10.8 36.5
Shareholders funds

A gearing ratio is a general classification describing a financial ratio that compares some form of owner’s equity (or capital) to funds borrowed by the company. Gearing is a measurement of the entity’s financial leverage, which demonstrates the degree to which a firm’s activities are funded by owner’s funds versus creditor’s funds. (https://www.investopedia.com/terms/g/gearingratio.asp) The interest cover for 2016 is set at 2.9%
Net Present Values:
The net present value approach takes all the cash flows associated with the company discounts them to the present value by using an appropriate interest rate.
The management have singled out three potential investment opportunities to grow Outdoors PLC to compete with their rivals who have already invested in such realms as for example, internet sales. To review start with the net present value (NPV) movement to fully gauge the present predicted value of each potential investment options and considering the time value of money. The three options are:
A. Expand its flourishing retail outlet to include all products.
B. Develop into internet sales.
C. Produce greenhouses and conservatories.
These options would require initial expenditure of (A) £750,000 (B) £1,200,000 or (C) £2,000,000. The most recent estimates on year-end cash flows is as follows:
Initial expenditure Year 1 Year 2 Year 3 Year 4 NET
(A) -£ 750,000 £ 400,000 £ 500,000 £ 500,000 £ 500,000 £ 1,150,000
(B) -£ 1,200000 £ 500,000 £ 600,000 £ 800,000 £ 1,000,000 £ 1,700,000
(C) -£ 2,000,000 £ 500,000 £ 1,000,000 £ 1,500,000 £ 1,500,000 £ 2,500,000

The cost of capital at be 8% (this being the discount rate we apply to future value to account for inflation interest foregone and risk premium) so that we can compare future value with present value, we ap

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