HCA 675 Assignment Stakeholders Compare and Contrast Essay
HCA 675 Assignment Stakeholders Compare and Contrast Essay
The healthcare system is complicated and requires strong collaboration between stakeholders. Healthcare stakeholders might have different and conflicting visions among themselves making care delivery even more difficult. Stakeholders in the healthcare system include patients, health providers, governments, insurance companies, pharmaceutical companies, and others (Morse, McNamara, & Okwoli, 2018). The competing visions of healthcare administration among stakeholders can have a negative influence on the quality of healthcare. This paper compares and contrasts the competing visions of healthcare administration among stakeholders and identifies areas where they conflict. The paper also discusses how these conflicts are seen in the delivery system.
Competing Visions of Health Care Stakeholders
Insurance companies are one of the primary players in the healthcare system. Although the nature of the services provided by these companies should not be profit-driven, they always prioritize making profits. The shareholders of the insurance companies encourage them to focus on making profits making them implement stricter regulations, hence, more people find themselves uncovered (Morse et al., 2018). The uncovered people may not get the privilege to utilize most medical procedures due to the hospital expense. The insurance companies, therefore, reduce healthcare to a profit-oriented sector preventing most vulnerable people from receiving care.
Other important stakeholders in the healthcare system are the pharmaceutical companies. The competing vision of the pharmaceutical industry is to make more profit from medications. As a result, the cost of the drug has continued to rise over the years (Smith, Hicks, & McGovern, 2020). The pharmaceutical companies claim that drug prices have risen due to a large amount of money they spend on research and innovation. This claim is meant to uncover the fact that these companies spend a lot of money on marketing and advertising their products.
Health care providers including clinicians, doctors, and nurses, among others have a significant responsibility in healthcare delivery. They work tirelessly to ensure adequate and efficient healthcare services to their patients. Additionally, healthcare providers are patients’ advocates by regulating the rising prices of care (Garwood-Gowers, Tingle, & Wheat, 2015). The main obligation of physicians and other providers is to improve the life of a patient. Therefore, they must do everything under their power to ensure this is done. They should have respect for their patients and every patient should take part in the decision making process.
Moreover, patients are the most important stakeholders in the healthcare system. As such, they expect to receive quality and affordable healthcare services. They tend to attend hospitals where treatment services are subsidized while providing quality care. Patients’ expectations in healthcare continue to rise, hence, care should be managed keenly in order to improve outcomes and reduce liability (Smith et al., 2020). Understanding patients’ visions can help providers enhance their satisfaction level. Further, patients have the capability to control the amount of money they spend on health. For instance, the money spent on healthcare can be drastically reduced when patients embrace healthy lifestyles.
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Employers are other prominent stakeholders in healthcare. Patients who are affiliated with a workplace may be covered by the employing organization. In this case, the organization pays the medical bills in case an employee receives treatment in particular health facilities (Garwood-Gowers et al., 2015). Employers always want to maintain or reduce their contribution to the healthcare system. They advise patients to seek medical services only when necessary to ensure they do not spend a lot of medications and treatment.
The last healthcare stakeholder is the government. It ensures that the patient receives quality care. The government also envisions equity among patients in terms of healthcare provision. The government enacts and implements laws to ensure healthcare facilities provide quality care services (Raphael, Rootmanm, Dupéré, Pederson, & O’Neill, 2017). Any form of discrimination in healthcare is against governmental laws and policies and such people risk prosecutions in the court of law for that. All these stakeholders are important in one way or the other; however, they pose conflicting visions that might impact care delivery.
Looking at the stakeholders’ visions listed above, certain conflicts tend to a rise impacting the care delivery system. For instance, the visions of the patient and employer may conflict (Leviton & Melichar, 2016). The patients expect that the employer offers a wide range of options concerning health delivery services that can meet all their specific needs. Also, patients look for employers who can find most of their insurance covers. However, employers tend to limit their contribution to healthcare. They want patients to receive care only when needed, follow the provider’s instruction and maintain quick recovery to full utility.
Another area of conflict happens between providers and payers. Providers want to use modern treatment services that are accurate and effective but expensive. They also envision providing preventive care which might not be covered by insurance companies (Leviton & Melichar, 2016). Nevertheless, payers want providers to follow the clearest evidence-based diagnostic and treatment plan that has fewer tests and less number of visits.
The vision of pharmaceutical companies and that of healthcare providers might conflict. While the providers advocate for affordable healthcare by reducing the cost of medications, the pharmaceutical companies want to maximize their profitability (Garwood-Gowers et al., 2015). As a result, they compromise the provider’s vision of protecting and advocating for patients. Additionally, insurance companies can also conflict with the government in terms of their visions. Whereas the government advocates for quality and affordable healthcare and equity among all patients, pharmaceutical companies increase the cost of drugs leading to expensive medications. The case has also been observed between the government and the insurance companies (Smith et al., 2020). As insurance companies increase coverage premiums, many people lose their health insurance leading to inequalities in terms of healthcare delivery which is against government expectations.
How the Conflicts Could be Seen in Health Care
The conflicts can be seen in healthcare when the needs of some stakeholder groups compromise the expectations of others. For instance, the conflict manifests itself with the rising prices of drugs that compromise the ability of physicians to deliver necessary care to low-income people (Raphael et al., 2017). It is also seen when the patients’ insurance coverage paid by the employer does not include a broad range of health options, hence, limiting their ability to access more medical services. It is also visible when hospitals provide low-quality care as well as the lack of equity among patients in terms of healthcare access and delivery. Therefore, stakeholders should always come to a collaborative table when these conflicts are seen in the system.
The healthcare system is complicated and requires strong collaboration between the administration and stakeholders. Stakeholders in the health care system include patients, health providers, governments, insurance companies, pharmaceutical companies, and others. Every stakeholder has a vision that might conflict with one another. Various ways in which stakeholders’ visions conflict with each other in the healthcare system have been discussed. It is apparent that these conflicts might affect care delivery negatively.
Garwood-Gowers, A., Tingle, J., & Wheat, K. (2015). Contemporary issues in healthcare law and ethics. Edinburgh: Elsevier Butterworth-Heinemann.
Leviton, L. C., & Melichar, L. (2016). Balancing stakeholder needs in the evaluation of healthcare quality improvement. BMJ Qual Saf, 25(10), 803-807. https://qualitysafety.bmj.com/content/qhc/25/10/803.full.pdf
Morse, S., McNamara, N., & Okwoli, B. (2018). Visions of sustainability: stakeholders, change and indicators. Abingdon, UK: Routledge.
Raphael, D., Rootmanm, I., Dupéré, S., Pederson, A., & O’Neill, M. (2017). Implications of inequities in health for health promotion practice. Health promotion in Canada: New perspectives on theory, practice, policy, and research, 146-166. https://www.canadianscholars.ca/books/health-promotion-in-canada-4th-edition
Smith, I., Hicks, C., & McGovern, T. (2020). Adapting Lean methods to facilitate stakeholder engagement and co-design in healthcare. BMJ, 368. doi: 10.1136/bmj.m35.