There are many ongoing research and studies about how hospital management has a direct effect on patient care. Medicine has evolved throughout centuries to bring us to our present, well-advanced, precision specialties. This curiosity, innovation, and research have financial burden attached. In the age of passion for acquiring knowledge, and of course, financial resources spent over time led to many medical discoveries and useful inventions. It is evident that resources, financial and other, spent over time towards overall improvement of health is money well spent but to sustain the curve to develop technologies for better and efficient care, we must have systemic efficient and effective management integrated with the patient care.
In the absence of sufficient management, It is hard to keep pace with the availability of financing of new medical research which has the potential to improve future human life. With innovations in diagnostic technologies and care practices and increased availability of testing, health care costs have spiked. There are chances without new cost control and cost-cutting measures in the healthcare sector, the bright future of optimal healthcare delivery and continued innovation could become bleak. The management is obliged to have a legal and moral responsibility to make sure of ongoing improvement of the quality of care. Frequently, the ambition to save money and manage can go in the opposite direction and may lead to inferior patient care.
Control of insurance and management over health care costs and spending prevent physicians from ordering unnecessary tests for patients. At the same time, physicians and other healthcare providers feel they have lost their liberty to provide patient-centered care to insurance companies as well as the management team, who may come from a business background with limited or no experience in first-hand healthcare delivery. The extreme grip of management over a healthcare provider may lead to a quick burnout of professional values and appearance of a "who cares" attitude which in turn can lead to inferior patient satisfaction for the care provided.
Very recently the Ontario Health Insurance Provider (OHIP) reduced physician the reimbursement program which in turn has led the Ontario Medical Association (OMA) to launch a formal protest. The situation of health providers is worse in the USA. Many private practices and community hospitals are forced to close because of an inability to cover the cost required to run a medical practice. In my view, insurance and management interference in health care is a delicate balance between reducing patient cost versus optimization of service provided. Integration of health care system education to management personnel seems like the right place to start, in my opinion, when looking to address my concerns above.
Apart from all common tactics, how to balance between " who cares" of health care front-line worker and " must follow policy" management?
Effective communication is a "must have" requirement to build trust. Try to acknowledge any effort to communicate with the team. Availability to the team is always an asset to create and maintain confidence with staff. If the team believes in your competence then will work with adaptability, it will create a more efficient work environment, and it can bring change quickly with low resistance.
Offer stewardship of their responsibilities.
Let them oversee their job environment and responsibilities. Encourage their own decision making in their area of expertise and educated suggestions with cross responsibilities. Reward their capacity to improvise and cost reduction that will give them the freedom to control and personalize their work environment.
Implement evidence-based changes.
Use technology and data-driven ongoing research, implement changes based on research and evidence instead of handing them a dictum or policy and expect them to follow them to embrace. Discuss, and train thoroughly before implementing any change. Solve and satisfy concerns from everyone involving in that change.
It is critical to realize the need to be creative to meet the cost and quality demands of the ever-changing health care system. Continuous education, advocating for personal growth and avoiding job burnouts are equally essential but often personalized approach with the team can lead to significant improvement of efficiency and quality at the same time cutting cost by bringing acceptable changes.
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