Friday, January 31, 2020
Using Structure,Outcome, and Process in Evaluating Quality Medical Care Essay Example for Free
Using Structure,Outcome, and Process in Evaluating Quality Medical Care Essay Abstract            Structure, process, and outcome are the common indicators used in evaluating the quality of medical care.            This paper will delve on the meaning of structure, process, and outcome indicators as they relate to the assessment of quality medical care. Using Structure,Outcome, and Process in Evaluating Quality Medical Care            Healthcare personnel and medical facilities are constantly demanded to provide a report about the outcome of their admission of treatment. Governments get in touch with hospitals to provide an accounting of their results so that they could come up with new health care structure, as well as to serve as a back-up for the establishment of new regulations in medical systems. Insurance companies show greater interest in the outcome of medical treatments in order that they can deliver cost-effective care and benchmarking (Van der Ent, 6-7). Providing quality assessment of medical care is important because financial departments of health care providers usually it helps them come up with an affordable price in terms of medical care. Newspapers and magazines usually compare the performance of hospitals as far as the safety and satisfaction of their patients are concerned. For patients, they have the right to be informed about which facility or doctor provides quality medical care (Van der Ent, 6-7). At present, there are various systems in place used in assessing the quality of medical care. In the United Kingdom, for example, the salary of general practitioners are based on how they performed in the Quality and Outcomes Framework 1. In order to be successful, the hospital or medical facility should establish a set of indicators (Van der Ent, 6-7). Structure, Process, and Outcome As Indicators Of Quality Medical Care            The structure of the medical care serves as the background in the delivery of medical care to the patient. In administering cystic fibrosis, does the delivery of quality medical care involve other practitioners such as a pulmonist, physiotherapist, dietician, and social worker? (Van der Ent, 6-7)            Process indicators, on the other hand, has something to do with how medical care is organized. This means that every procedure requires protocols and guidelines. For example, what is the usual protocol in measuring lung function? How are patients infected by staphylococcus aureus segregated from other patients? (Van der Ent, 6-7)            Outcome indicators, meanwhile, is concerned with the result of medical care. It has something to do with statistics such as mortality rate, percentage of complications, number of patients who recover, and so on. The outcome of medical care usually helps in the determining whether care is insufficient as well as in pointing out the reason for the failure of medical care. In most healthcare systems, the basic requirement are the structure and process indicator instead of the outcome(Van der Ent, 6-7). The Advantage of Using Outcome In Assessing Quality Medical Care            The outcome of medical care is most often used as the indicator of quality health care. Its reliability as a determinant of quality care cannot be doubted. Aside from that, it more or less provides an accurate assessment of medical care (Donabien, 691-729).            However, there are some factors that limits the use of outcomes as an indicator of quality medical care. One of these factors is whether or not the outcome is indeed the relevant indicator. There are instances when outcomes becomes irrelevant especially in cases when the survival of the patient will not be critical but will cause them to be paralyzed or bring about serious complications (Donabien, 691-729). References C.K. van der Ent(2008). Quality Assessment: Is The Truth in the Outcome? European Respiratory Journal, 31, 6-7 Donabien, A(2005). Evaluating The Quality of Medical Care. The Milbank Quarterly, 83, 691 729
Wednesday, January 22, 2020
Lord Of The Flies Passage Anal :: essays research papers
Golding uses chapter eight to show the changes within Ralph and Piggy. The experience on the island has caused them to mature early, and Golding develops this maturity in order to provide the reader with a believable story and memorable characters. He develops the characters through vivid details, distinct diction, simple syntax, and congested figurative language. Golding uses detail to show Ralph’s change from a civil leader to a mindless savage. When Ralph sits and pokes holes in the sand, he is â€Å"surprised†to see blood. He examines his nail and is interested, not concerned, about the blood. He originally was disgusted at the site of blood. This act shows his savage-like fascination with blood. Piggy’s development is also dependent on Golding’s use of detail. Within this passage, Piggy wipes off his glasses twice. There is a sense of paranoia and urgency in this act. Piggy wishes to disconnect from reality and does not want to admit to himself or Ralph their desperate situation. Piggy was originally the voice of reason in the novel. This simple act, however, shows he is changing into an unadmitting fool because he chooses not to see reality due to fear.      The use of diction is also vital to the development of the characters in Lord of the Flies. The passage opens with Ralph â€Å"smudging the sweat from his face with a dirty forearm.†This conveys to the reader an exhausted boy who is at wit’s end. The words â€Å"smudging,†â€Å"sweat,†and â€Å"dirty,†connote savagery, and they show Ralph’s animalistic characteristics coming out. He has changed from a polished, civilized boy to a dirty savage since the arrival on the island. Ralph also runs around the fire â€Å"holding up his hair†when he realizes that most of the boys have joined Jack. This reference to hair shows the savagery in Ralph, as opposed to his clean-cut original appearance.      Syntax is another technique used by Golding to further develop the characters. The frequent use of dashes, fragments, and simple sentences remind the reader that although they are encountering a very complex situation, the characters are still simple-minded children. It also shows the characters’ fragmented thoughts and fears. Originally, Ralph was a well-spoken leader, but in this passage, Golding shows he is a scared creature through syntax.      Figurative language is employed by Golding throughout the novel to develop plot and characters. In this passage, the most vivid figurative language is in the final paragraph.
Tuesday, January 14, 2020
Loyalty is just a tattoo
Having to realize that not everyone means what they say Is a hard Idea to fathom when you're someone who means everything they say. This past summer I found out my boyfriend had been cheating on me. To me this was the hardest news to swallow, to think the person you trusted with everything, who was your backbone and your shelter In midst of the storm was not only thinking about you and saying, â€Å"l love you†to only you but to someone else as well.Instantly my world turned upside down, I ad to face the reality of the news I had found out. He apologized of course and in the end decided that I was the best choice for him, he wanted to make things work and go forward in our relationship, but how do you begin to trust again? Where do you start? Is he sincere this time? So many questions running through my head so much hurt and pain still. From then on I have guarded my heart like the jewel it is and protected it from anyone's harm. This situation elicited the most change on me because never will I ever love the same.I take my life day by day now, planning a future with someone Is so cliche © too me. Had to realize that forever really is not forever and that relationships are day by day, anything could happen tomorrow. People change every day, they meet new faces all the time I feel as if someone finds a person who fits your spot in there life and who plays the role better will become your replacement and you will become nothing but a memory, to some people what means everything to them today can, become nothing to them tomorrow and that's just how some people are.Reminiscing on the days when I thought people waited till they were 21 to drink. Couples waited until they were married to have sex, people didn't do drugs. I thought you would always end up marrying your soul mate, I thought your friends were your friends and they would never leave your side, that everyone you said â€Å"I love you†too would say it back, and that your love story will e nd up like the movies. It's Just crazy how you grow up with all this love and hope in your heart and then you're thrown into what you think Is a twisted. KC and cold world but It's actually Just life and you Just have to live It. In my head I tell myself I'm still the same person I was a year ago but in all reality I'm not. This situation caused me to become more sensitive and more protective of myself more than anything. Never did I realize that a person could cause so much Inner pain and there was no cure, no David or Misspoken can fix this boo boo, but too face the reality of it all, and over time hoping to get better. My approach is sterner in dealing with certain situations, I feel as if people take me serious that they will knowI'm not the type to mess around with and will not play games. I quickly closed my heart and right now thinking about forever with someone Is Just put on the backbencher for now. Trusting someone has never been so hard until now. You never know what's go ing through the other persons mind and there honest intentions with 1 OFF be more to myself and not trust anybody but God. I Just play the role, and Just make it seem as if I'm okay but deep down inside I'm hurting everyday and I always ask myself what did I do wrong to make him want to cheat? Does he really love me?Does he deserve this second chance? It's eating at me all the time and I Just want the truth but no one seems to know the answer. That to me is what is affecting me the most. That causes me to zone out, get distracted, cry at night, ignore and push away anybody who tries to get to know me. I'm not sure how long will I be hurt or when I will find closure to my situation but it this has had the biggest impact on me this summer. The scariest thing about loyalty is that everyone has their own definition of it. When I thought of my boyfriend I thought he was the most loyal of them all.I thought he would be different from the rest and that he could prove to me that all guys we re not the same. When he said he loved me I believed it, when he said he had my back I believed it, when he said he was loyal to me and only me I believed it but when all these emotions that I thought were so pure turned out to have flaws. I had begun to think maybe he was not lying and that he was exhibiting his own definition of love, compassion and loyalty or maybe he had been hurt before and his heart is guarded ND never realized instead of being the heartbroken became the heartbreak.Then I try to analyze the situation like I do all situations but still till this day I cannot come up to a conclusion as to why†¦ He would do that and maybe I will never know the real reason or never will I know the whole truth but for now I have to face the reality of it and in hopes to move on and be able to love again someday. The reality of it all is that not everybody means what they say, everyone has their own definition of love and that forever does not exist in this love story.
Monday, January 6, 2020
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