Poorquality of care of patients has resulted due to adjustments in healthcare sector. Problems faced by patients include increased infectionsdue to inappropriate use of surgical tools, wrong diagnosis and underdosage of drug prescription due inefficient amount of drugs andequipment in many hospitals. Lack of attention towards patientsresult in some deaths especially of infants who are not immune todiseases and easily infected. Incorrect results from laboratory testscause wrong drug prescription on patients due to incompetent staff,this bring harm to patients. .
Increasein economy of the country lead to loss of jobs by some staff members.Employeesinitially insured lose their insurance coverage andtherefore their lives endangered as others may no longer afford topay hospital bills. Workers with low income jobs are less insured andare disadvantaged in getting proper or rather quality health careservice. Their lives are less secured as they afford cheap clinics,which may not be effective to health condition.
Medicalexpenditures have risen to a high level from the past years such thatcare for the elderly has been highly reduced. Very sick patients getthe attention, while the rest get very little attention. A majorcontribution to poor quality of patient care is the understaffingespecially on nurses. Insufficient number of nurses leads to a higherrisk in infants deaths. Moreover premature infants with lessdeveloped immune system are more susceptible to infections .with thecut in number of nurses, working hours for the remaining nurses areincreased and they get fatigued, this lower the overall care ofpatients .
Inthe face of increased heath care costs, some of the staff employedare incompetent while the highly skilled ones face the sack due tolack of funds for paying the latter. In addition, there are delayedpayments of workers, this lowers their morale and their works ofattending to patients lowered. Patients suffer in pain as their needfor attention ignored and this can result in some workers being rudeto patients, this is negative impact on patients towards the hospitalworkers.
Accordingto Aiken L.H. (2002), he states that with respect to nurse patientratio, higher number of patients with very few nurses experiencedgreater risk of deaths and nurses are likely dissatisfied with theirjobs. Inside hospitals with a lower patient to nurse ratio, nurse aresatisfied with their jobs due to lesser patient load. Estimations onhis research shows that inadequate staffing of nurses was a majorimpediment to high quality provision of hospital care. In addition,surgical patients suffered much risk monthly mortality. The studyshowed that a major contribution to low number of nurse workforce isdue to the enormous workload.
Accordingto Kathleen N. Lohr, problems that resulted in poor quality care ofpatients were due to financial constraints due to increase in healthexpenditures which brought such changes in the health sector. Littleconcentration went to the elderly and only patients with criticalcondition given attention. Surprisingly, medical attention went todelaying of deaths and the much sick people were cared. She statedthat many studies showed that many problems has identified inambulatory and inpatient care. These problems included nosocomialinfections, inappropriate diagnosis, inappropriate surgery excessiveuse of drugs, wrong laboratory tests.
Bothauthors emphasized on poor quality care of patients concerning themortality rate being high when patients are less attended to as pertheir conditions of illness. Additionally, both indicated that therehappens to be job dissatisfaction among workers due to fatigue andthe fact that the patients who are more affected are the inpatients.However, the first author was inclined to the fact that the healthissue on patients was because when patient number is higher ascompared to number of nurses, high chances of death s will occur. Inaddition, nurses become dissatisfied due enormous workload because oftheir less number. The second author describes the low quality ofproper care of patients basing on the rise in economy resulting inhigh medical expenditure, which resulted in a fraction of the totalnumber of patients given proper medical attention while the elderlyneglected.
Withthe increase in number of nurses through proper trainee of people inthe health sector will balance the patient to nurse ratio. This willensure that proper attention given to every patient and mortalityrate highly reduced. It also encourages job satisfaction among healthworkers, as there is less tiredness. Cost sharing among inpatientsand outpatient care helps the low-income patients, it also lowers theuse of services or equipment that are less effective.
Thecurrent situation of economy requires cost sharing among patients inorder for everyone to get access to quality care. In addition, themore experienced health retained in major hospitals in order toprovide the necessary treatment to patients as this highly reducesthe number of deaths. Recruiting more health workers is of majorconsideration in many countries in order to balance the demand ofhealth services required by the patients.
K N Lohr, K. D. (2015). Current issues in quality care. Current issues in quality care.