Question

Read the following article and decide if the patient received quality care.

An example of the difficulty of making judgments about quality of care could be illustrated through the experience of a patient undergoing coronary artery bypass surgery. A patient with significant coronary artery disease consults with a cardiac surgeon prior to surgery. The cardiac surgeon spends little time with the patient during the preoperative visit. She makes little effort to educate the patient about what will happen before, during, and after surgery. One week later, the surgery is performed without complications. The length of stay for the patient in the acute care hospital is eleven days, which is five days longer than the average length of stay for patients undergoing coronary artery bypass surgery in that particular hospital. The total hospital costs for that patient are $10,000 more than for an average patient in that particular hospital. After adjusting the length of stay and cost for case complexity, the cost and length of stay is still much greater than for comparable cases in that hospital and region. The patient, however, survived the operation and had an uncomplicated hospital course and was free from postoperative complications. Three months later, the patient’s health is excellent, and he is able to enjoy tennis free from symptoms.

From a technical standpoint, the operation went flawlessly and the clinical outcome was excellent. The “art” of caring for the patient, however, was questionable, as the patient received little information about the care that he was going to receive before, during, and after surgery. The physician exhibited poor communication skills. And if utilization were considered a measure of quality, the prolonged length of stay and increased costs associated with the operation might be considered indicative of suboptimal quality of care.

• Now you decide. Did this patient receive excellent or poor quality medical care? Why?

Please be sure to validate your opinions and ideas with citations and references in APA format.

Answer 1

Quality of care doesnot mean that what the patient recieves from the hospital as quality patient care according to world health organisation quality of health care includes different asspects such as safe, effective, timely, efficient, equitable and people centered. In which effective communication has got an important role. Whenever the patient were about to start the treatment there starts the effective communication with the patient. This was one of the important right of the person. So the patient should be communicated properly what are the problems he was facing and what are the treatment options available for the person. the doctor or the health care professional should be fascilitated for him to find out the best option available out of these one. Not providing a single option and convince him that it was best, it should not be like that.

references

Tunçalp, Ӧ., Were, W. M., MacLennan, C., Oladapo, O. T., Gülmezoglu, A. M., Bahl, R., ... & Temmerman, M. (2015). Quality of care for pregnant women and newborns—the WHO vision. BJOG: an international journal of obstetrics & gynaecology, 122(8), 1045-1049.

van Empel, I. W., Aarts, J. W., Cohlen, B. J., Huppelschoten, D. A., Laven, J. S., Nelen, W. L., & Kremer, J. A. (2010). Measuring patient-centredness, the neglected outcome in fertility care: a random multicentre validation study. Human Reproduction, 25(10), 2516-2526.