Distinct health care delivery models

 

Identify 2 distinct health care delivery models. Compare these models in terms of cost, convenience, and patient outcomes. Recommend changes to each model that would decrease costs, be more convenient, and provide for better patient outcomes.

Select 1 of the service areas discussed in this week’s readings. These include acute care, outpatient care, long-term care, and community-based care.

Which setting do you believe will allow you to make the greatest impact as a scholar, practitioner, and leader? Why?

 

Sample Solution

This is for informational purposes only. For medical advice or diagnosis, consult a professional.

Two Distinct Healthcare Delivery Models:

  1. Fee-for-Service (FFS):

    • Description: Providers are paid a set fee for each service rendered. This model is traditional and widely used.  
    • Cost: Can be high due to potential for overutilization of services.  
    • Convenience: Varies depending on provider availability and patient location.
    • Patient Outcomes: Can be mixed, as focus may be on quantity of services rather than quality of care.
  2. Patient-Centered Medical Home (PCMH):

    • Description: A team-based model focused on primary care, emphasizing patient-centered care, coordination, and comprehensive services.  
    • Cost: Can potentially reduce costs by preventing unnecessary hospitalizations and improving chronic disease management.  
    • Convenience: Aims to improve convenience through extended hours, increased accessibility, and improved communication.  
    • Patient Outcomes: Often associated with improved patient satisfaction, better chronic disease management, and reduced hospitalizations.  

Changes to Improve Models:

  • FFS:

    • Cost: Implement bundled payments for episodes of care to incentivize efficiency.  
    • Convenience: Increase use of telehealth to improve access to care.  
    • Outcomes: Focus on quality metrics and value-based reimbursement to incentivize better patient outcomes.
  • PCMH:

    • Cost: Expand use of technology to improve communication and data sharing.
    • Convenience: Increase use of telehealth and community-based services.
    • Outcomes: Strengthen care coordination across the healthcare system.

Service Area: Community-Based Care

Community-based care focuses on providing health services within a community setting, rather than solely in hospitals or clinics. This includes services like home health, mental health services, and community health centers.  

Impact as a Scholar, Practitioner, and Leader:

I believe I can make the greatest impact in community-based care. This area allows for a holistic approach to improving health outcomes by addressing social determinants of health, promoting health equity, and building strong community partnerships.

As a scholar, I can conduct research on the effectiveness of different community-based interventions and identify areas for improvement. As a practitioner, I can directly impact the lives of individuals and families within the community. As a leader, I can advocate for policies that support community-based care and work to build strong, equitable healthcare systems.

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