Health Reform Agendas and Leadership Theories to Support the Demands
Health reform agendas come into picture at several times due to the necessity of the changes for enhancement of healthcare conditions in the countries under focus. Some of the major reform agendas in the near past in some of the countries are discussed to understand the same.
The US healthcare system reforms proposed by American Nurses Association (ANA) aims at providing safe and effective healthcare to the Americans. Government need to provide financial support to the healthcare organizations for installation of superior instruments and ensuring healthy environment for effective treatment of the patients. The healthcare needs to be patient-centered with efficient, equitable and timely healthcare scope for all the citizens. The Affordable Care Act (ACA) needs reforms. Blumenthal & Dixon (2012) mentioned that reforms like shifting resource management decisions from Government to the patients, main stakeholders of the health care organization, fair usage of the financial aids from the Government, improving the healthcare budgets by focusing on reducing long-term financial obligations to improve the budget load and improvement in medical supply quality are essential.
Australian Government has invested more than extra $7.8 billion in the last four years to incorporate healthcare reforms like easily accessible premium quality integrated healthcare opportunities for all Australians. Reforms in the rehabilitation centers, sedative care and mental healthcare units are proposed and improvement in service quality is ensured. Enhancements in healthcare in Australia are monitored by National Performance Authority (NPA) who judges the performances of the healthcare organizations and report the Healthy community reports and Hospitals performance reports. Allison et al. (2014) stated that the process ensures that all the healthcare organizations keep up the standards to gain the grades and implement the reforms as far as practicable. The emergency care units and elective surgery are aided with increased number of operating theatres. Even telephonic communication with medical practitioners is ensured in any time to enhance the healthcare qualities.
In developing countries like India also numbers of healthcare reforms have been incorporated to enhance the healthcare strata. Employee State Insurance Corporation (ESIC) covers all the blue collar employees in the country and has ensured separate and special outdoor patient department for senior citizens and differently able citizen. Cleanliness is ensured at every step in line with program “Swachh Bharat Aviyan”. 24X7 helpline numbers are placed live for any need at any hour of the day with full availability of the doctors and nurses at emergencies.
The major leadership strategy applicable for implementation of the identified reformations in healthcare is participate leadership or democratic leadership. Implementing this theoretical concept will allow the co-working of the management of Healthcare organizations or Government with the employees down the line and even consult with the patients. The situation will allow the stakeholders of the healthcare organization contribute in decision making and resource management which will improve the situation. Valuable inputs can come from the people who actually work, face the difficulties and visualize the reforms needed. Coordination among the top management with the healthcare workers can bring about the best results in implementing the reforms.
Allison, S., Nance, M., Bastiampillai, T., Hooper, J., Roeger, L., & Goldney, R. (2014). Health advocacy and the funding of mental health services reform.Australian and New Zealand Journal of Psychiatry, 48(9), 802-804.Blumenthal, D., & Dixon, J. (2012). Health-care reforms in the USA and England: areas for useful learning.
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