In a paper of 500-1,000 words, describe the relationship between health care cost and quality. Address the following:
Select one public agency and one private agency. Differentiate the roles of these agencies and the major initiatives they have undertaken to address cost and quality in health care. Refer to the Topic 4 study materials for sources related to health care agencies.
Analyze current and projected initiatives to improve quality while simultaneously controlling costs in both the private and public spheres. Describe any unintended consequences that have resulted or may result from these efforts.
Synthesize the implications of these efforts for staff nurses and advanced practice nurses. Include evidence-based practice, relative to cost and quality, in your response.
of care services was diminished. This was the beginning of what is now called the ‘mixed economy’ of social care services (Wistow et al 1994). The independent sector, including voluntary, charitable and private sector organisations, it was envisaged by Griffith, would take over the majority of social care provision. The cherished National Health Service (NHS) would remain state run and funded, but a new policy terrain of ‘social care’ was instigated (Glasby and Littlechild 2004; Lewis 2001).The adult social care sector has, however, experienced more intense rates of privatisation than the health care sector or any other social care sector, including care of the disabled or children. 2.1.3 Marketisation and personalisation in adult social care According to the Department of Health, (2010) personalisation is process by which social care services are tailored to meet the needs of an individual and increase service user’s choice, louder voice, control and flexibility in accessing services. Glasby and Littlechild, (2009) puts choice and control over how money is spent, choice as to service user’s wish to control the money and if they do, how much control they wish to exert, as the fundamental principle of personalisation. Similarly, Bailey, Routledge and Sanderson (2013), say personalisation builds on person-centred care to focus on how people, including older people with dementia can have more choice and control over decisions affecting their lives, and be supported to be part of the community they live in. Market mechanisms proliferation have become a general-purpose tool for public policy, including social care services. With the Health and Social Care Act 2012 (referred to here as ‘the Act’) the UK Government sought both to marketise (i.e. increase price-based competition between providers) and privatise (i.e. increase provision carried out by non-government providers). While the pro Act’s supporters argue that competition provides innovation, better management, and improved quality of care (Le Grand, 2013), its critics argue that competition exacerbates inequalities (Hunter, 2013) and service rationing (Lister, 2012), end comprehensive public-sector care service provision (Pollock and Price, 2011), and worsen democratic accountability (Davies, 2013). While the Act’s objectives fit most commonly accepted definitions of privatisation (Peedell,2011), Moody, (2011: 428-429) states that, in the future, “there will be no fully state-owned providers”. The number of government run>GET ANSWER