Question

Discuss the clinical issues facing home care today and what you would do to address these issues.

Answer 1

Ans) Poor systems design has led to errors, poor quality of care, and dissatisfaction among patients and health professionals.
- The needs of the chronically ill are not being adequately met. Addressing those needs requires the reform of systems of care and greater coordination and collaboration among health professionals, as well as more attention to prevention and the behavioral determinants of health.
- Technological advances in information technology and an expanded evidence base gained from research on clinical practice have the potential to transform health care, but such advances have not been adequately harnessed.

- Patients and consumers are now increasingly informed about their health. As a result, there is a need for a new relationship of shared decision making between patients and health care providers. Providers also need to be more attentive to patient values, preferences, and cultural backgrounds.
- Workforce issues related to shortages and effective deployment of existing professionals need to be addressed before quality of care is further compromised.
- Health care employers and recent graduates cite gaps between the way health professionals are prepared and what they are called upon to do in practice, gaps that are attributable to many factors, including a lack of funding to revamp curricula and a limited focus on teaching in academic health centers.

Clinical issues facing are:

- Lack of advancement opportunities.
- Work overload.
- Poor salary.
- Too few staff.
- Poor organizational culture.
- Lack of mentoring.
- Poor personal fit with boss.
- Limited or not enough access to technology.