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In thе сontext of inсreаsed debates on the management of chronic and non-communicable diseases, уou have received extra allocated funding to improve the delivery of health care services in your health care setting moving away from a predominantly curative focus to an integrated (curative and preventive) health care services delivery model.
Assume the following scenario
You are a Senior Health Manager working in a rural Health Service. Where service delivery can be varied and difficult and you are wanting to move away from an acute care model to a Primary Health Care Model.
Assuming you are in the above position, articulate the following
-A clearly defined context of change – a brief description of the organizational setting being considered which could be your work place or organization whose context you are well conversant with.
-A clearly defined need for the change i.e. problems and issues needing change or improvement; importance of considering change for these problems and issues
-A clearly defined intended change (type of change and what needs to be changed)
-Map the process of change which you will employ and outline how you will manage the change process as well as resistance to change
-Techniques you will use for sustaining the change and stimulating innovation.
-A conscious conclusion
Change in Management planning
{Moving away from predominantly curative to integrated (preventive and curative) healthcare system}
Name
Institution/Affiliation
1.0 Introduction
Through a government program, Houston Rural Health Care Centre has received extra allocated funds so that to improve the provision of health care services by shifting from predominantly curative to an integrated focus. To illustrate, an integrated health care model comprises of both curative and preventive health care systems, a delivery model being proposed as a result of the increased debates on the management of chronic and non-communicable diseases. Indeed, according to Arbaje (2010), the need to incorporate and embrace change in health care delivery is unquestionable. The current health system at Houston Rural Health Care Centre can be deemed as unfair to patients due to the constant failure to meet and fulfill their needs; additionally, the model does not meet the threshold thereby failing to deliver the value of money. As such, the system is confronted with different challenges ranging from meager budgets, long waiting lists, and insufficient bed capacity to the constant increase in the incidence of diseases, most notably chronic and non-communicable diseases (Forster et al., 2003).
To further add on that, Houston Rural Health Care Centre failure to adequately address both chronic and non-communicable diseases has led to very severe consequences for both the patients and the medical care system in general. As a result, most of the reported cases end up in worsened situations; small health issues that are not well taken care of escalate into medical emergencies. Hence, according to Graham et al. (2009), such circumstances often result in additional cases of hospitalizations, high mortality rate and above all costly health care systems that are hard to maintain. Consequently, it is apparent that the consequences of predominantly curative health care systems are well known, Houston Rural Health Care Centre has encountered difficulties in the bid to address these challenges adequately. For instance, effective chronic disease management is curtailed by examples of poor communication and duplication of duties (Greenwald, 2007). In consequence, the lack of proper interface between social services and the health system has risked the lives of patients especially the elderly, as the needs of the patients are rarely thoroughly analyzed.
Moreover, the management of Houston Rural Health Care Centre has not been able to adequately address these challenges within the restraints of what can be described as a principally curative health care service. Therefore, it is important that due to the increased funding that the management can be able to implement large scale changes that can be characterized with improved fundamental reforms (Greenwald, 2007; Horwitz, 2005). For that reason, as a Senior Health Manager at Houston Rural Health Care Centre, I advise the management that it is impeccable that the Health Centre moves away from acute to primary health care model most importantly due to the difficulties in service delivery and management of chronic and non-communicable diseases.
2.0 Need for Integrated Health Care System
Multiple benefits can be claimed as a result of incorporating integrated health care services characterized by merging curative and preventive measures. This leads to a model that can be termed as cost-effective and client-friendly. The integration of curative and preventive measures proves to be economically viable in the management of chronic and non-communicable diseases due to the efficient and effective control and mitigation as a result of proper handling of human resources. According to Forster et al. (2003), an integrated health care service is arguably efficient opposed to curative services due to improved effectiveness based on the primary idea that it is sensible to address health issues wholesomely. For instance, focus on a person with his/her family rather than focusing solely on an individual while solving a health problem. However, it is vital to recognize that integrated health care services are not necessarily equitable, for instance, a system can be well integrated but far more inequitable due to cultural bias (Arbaje, 2010). Nonetheless, compared to curative health systems, integrated health model guarantees various changes that ensure equitability in the access of healthcare services concerning service delivery.
Additionally, integrated health care services cannot be assumed to cure inadequate resources hence the need for increased funding and government subsidies. For that reason, by integrating both curative and preventive measures leads to...
