How Health Care Advanced

 

Definitions of the quality of medical care are no longer left to clinicians who decide for themselves what technical performance constitutes “good care.” What are the other dimensions of quality care and why are they important? What has changed since the days when “doctor knows best?”

Quality in medical care may be defined as achieving the greatest benefit at the lowest risk. How have the priorities of our health care system and the allocation of resources addressed this goal?

Contrast the definitions of implicit and explicit criteria in assessing health care quality. How is each type of criterion useful in the quality assessment?

Sample Solution

The brain is a complex muscle which adapts and changes to certain traumas in one’s life. In the first year of life 1 million neural connections develop every second (Styles, Jernigan, 2010). Interactions with loved ones or carers are vital for the child for example: babbling and cooing, without these interactions the brain does not develop correctly and pathways shut down. Social interactions are a necessity; ‘it is the experience of social interaction and communication that wires the brain to either its full potential or a compromised state’ (Perry, 2007). This can be compared to Maslow’s Hierarchy of Needs (1943b). When applied to a child’s life, if positive interactions and relationships with care givers are not established they will not have their hierarchy of needs met, therefore never reaching self-actualisation. In the same way, Bowlby’s (1969) attachment theory and supports this. In brief, if a secure attachment is never formed this will affect how people behave in relationships and friendships and will have an ongoing effect on their emotions (Brgaard, 2016). This could then continue into adulthood, if the child never formed affirmative, positive attachments and loving interactions this could affect self-esteem, failure to build relationships and the feeling of being safe, which is supported by Bowlby’s (1969) attachment theory.

Horney (1967) supports Maslow’s theory emphasising that genuine love and discipline develop the feeling of safety and satisfaction in turn building positive relationships. However, if these needs are not met this can lead to feelings of anxiety and may cause hostility towards their primary care giver. Horney also supported nurture over nature, she believed that people are born a blank canvas and their lives are determined by varying experiences, positive interactions whilst acquiring different attributes and not due to DNA. She believed men and women were born equal and brains were malleable by culture, life experiences and desires, whereas Freud (1961) argued this and believed men and women’s brains were very different and the way they were formed was wholly down to DNA.
Freud (1961) founded the study of psychoanalysis, he believed traumas and unresolved issues during childhood could be coaxed out by sensitive talk therapy. This can be seen in settings today by way of one:one counselling or through emotional literacy. Place2Be (1994) delivers school based therapeutic interventions. A l

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