When we think of quality in terms of health care, we typically think of patient satisfaction with the services, facilities, and the outcome. However, we’ve all heard stories of how the quality of care in the United States is simply substandard with some getting care (ie. treatments/tests) that they don’t need and others not getting the care they do need. How should we address these issues? Why does it seem so difficult to improve quality? What do you think makes for “good” quality of care?
I think quality of care comes to the last, meaning it is the result of our healthcare system. We all know that our healthcare system has big problems with multiple issues, therefore, it causes the quality of care not so great. So, back to the original issue, we need to find ways to improve our health care system before even thinking how kind our quality of care is so bad. I think the first step to change the system is to provide more primary care and use more public health resources. Like Dr. Stevens said, the U.S healthcare system spends most of funding on "last 3 months of a person's life", we should change gear toward spend most of funding on "first 3 months of a person's life". Prenantal care is essential since we have learned that childhood is very critical for a person's life both mentally and physically. I think we can start our "healthcare system" reform in this new generation (the newborns and children under 8 year-old). We can do a longititude study and see if have better quality of care in 20 years, and I am confident that our quality of care will improve if we focus on primary and pediatric care.
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