Health Services across Communities-Free-Samples-Myassignmenthelp

Question: Discuss about the Barriers and Enablers to Change in Health Service Systems. Answer: Entrenched health services across communities is a major issue in the present era. Conventionally, solutions to issues arising in relation to service delivery are embedded in organisational change. Concepts drawn from change management theory and sustainable change management are to be applied for reforming health systems in the coontemporary era. Most health care systems acknowledge the fact that reorientation is crucial for the betterment of service delivery, and this reorientation has to be based on sustainable ideas and strategies. However, they fail to exhibit the ideal characteristics of change, and do not reorient successfully within the given time frame. A number of reasons contribute to this vital issue that has drawn the attention of health care authoritative figures (Cooke Bartram, 2015). The present paper address the question that why despite being widely acknowledged that health systems and services in industrialised countries are unsustainable and need to change, do th ese systems and services struggle to reorient to become more health promoting. The essay highlights the facilitators and barriers of change in organisations at all levels of system, client and staff. A section of the essay draws information from the Chronic Care model and the six elements. Challenges faced while delivering care services to Aboriginals in Australia are also discussed in a section. The paper ends with a logical conclusion to the complete discussion. Hospitals, often, are found to complain that they simply do not have the resources for improving their services. Health care units would never be in the position to improve and reorient themselves without a better management system. According to Reijula et al., (2016) in all of the debates over how reforms in healthcare system can be brought about, the element that usually is overlooked is management systems. Leaders at hospitals might be working hard for cost cutting and bringing major improvements in the quality of care given to the patients. However, the proper channelling of the initiatives is often lacking. Temas might be striving to do well each day, but the strategies implemented are not in a systematic manner. Systems lack a management system that supports the goals and objectives. Buchbinder and Shanks (2016) in support of this states old-fashioned management practices are no longer applicable in the present times. These conventional strategies are continually undermining th e positive efforts put forward by the teams. The authors further state that the present century healthcare system essentially rests on leadership and its wider applications. In a dearth of appropriate leadership, healthcare quality suffers. Bringing about a change is not that easy without proper leadership and continual flow of this attribute across all levels. Squires and Jacobs (2014) opined that unmet objectives are the prime result of lack of coordination and teamwork among all levels of employees. Effective communication is also a vital issue contributing to this problem. Among the wide range of complex challenges faced by healthcare organisations, communication and collaboration are of utmost importance as care professionals struggle to get in touch with each other communicate the common goals and objectives they work towards fulfilment. Employees have been found to report that they do not have the zeal or urge to communicate effectively with others since it does not provide them with some added advantage as such. The realisation that proper communication can lead to a better service delivery is lacking at all levels, mostly the junior level. The system does not encourage the professionals to fix the issues they have been facing through open communication and exchange of opinions and viewpoints. The importance of communication in a cl ear and transparent manner is often undermined in such cases. Health promotion, therefore, suffers to the extent that no major improvements take place for a long span of time when it is actually needed (Buchbinder Shanks, 2016). Black (2013) explains that clients, meaning the patients, play an important role in bringing about orientation in healthcare systems. Since they are the ones to be served, their feedback and inputs need to be at the core of the change to be brought about. Without taking into consideration their perceptions and complaints nothing much can be achieved. Regular services are a must for highlighting what changes the patients want in the system and how each of them can be addressed. It might not be possible to address all issues at a go, but the initiation would certainly be worthy and fruitful in the long run. Among the different strategies that have been proposed to bring radical reforms in health care systems, the Chronic Care Model is of importance. This is an organisational approach that propagates evidence-based, supportive and practical interactions between a patient and a healthcare team. The model considers six elements that are encouraging to bring changes in care service delivery- the community; the health system; self-management support; delivery system design; decision support, and clinical information systems. All of these elements are known as change concepts that systems can refer to achieving their goals. Change concepts are the elementary principles using which care redesign processes can be guided (Stellefson et al., 2013). Utilisation of this care model is not up-to the level it should have been. Systems must reconsider using this model in future since there is much to explore within this domain. Green et al., (2017) highlights the fact that the community that is being served also has a key role in justifying what organisations face immense challenges in bringing about reforms. One prominent example is the Aboriginal population in Australia, which draws our attention. There is an overall paucity in addressing the issues faced by this population and how they can be solved. The cultural diversity and ethnic backgrounds of this population can change the course of care delivery. Professionals acknowledge that without understanding the background and individual needs of these people, it is impossible to change the care process. Some common challenges faced are language barriers, the difference in cultural views, beliefs in traditional healing systems and values related to gender differences in healthcare. Professionals must not be ignorant towards these attributes if reforms are to be put in place. At the end of the discussion, it can be concluded that bringing transformation in an organisation is certainly not easy, and attempts are to be put forward to understand the areas in which systems need to develop their competencies. It has been pointed out that the problem is not with the employees. They are not provided with the right form of motivation and encouragement needed to bring about change. In addition, perspectives of the patients and healthcare consumers are to be addressed in details for ensuring that reorientation is successful across systems. References Black, N. (2013). Patient reported outcome measures could help transform healthcare.BMJ: British Medical Journal (Online),346. Buchbinder, S. B., Shanks, N. H. (Eds.). (2016).Introduction to health care management. Jones Bartlett Publishers. Cooke, F. L., Bartram, T. (2015). Guest editors introduction: human resource management in health care and elderly care: current challenges and toward a research agenda.Human Resource Management,54(5), 711-735. Green, M., Cunningham, J., OConnell, D., Garvey, G. (2017). Improving outcomes for Aboriginal and Torres Strait Islander people with cancer requires a systematic approach to understanding patients experiences of care.Australian Health Review,41(2), 231-233. Reijula, J., Reijula, E., Reijula, K. (2016). Healthcare management challenges in two university hospitals.International Journal of Healthcare Technology and Management,15(4), 308-325. Squires, A., Jacobs, E. A. (2014). Language and communication issues in healthcare practice and research: A call for papers.International journal of nursing studies,51(3), 357-358. Stellefson, M., Dipnarine, K., Stopka, C. (2013). Peer reviewed: The chronic care model and diabetes management in US primary care settings: A systematic review.Preventing chronic disease,10.