J.MAZZO-N502-MOD7.docx - Jillian Mazzo Health Care Systems...

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Jillian Mazzo Health Care Systems AUA8 N502 Aspen University 5 March 2021
Introduction Just a few years ago, the saying “the doctor knows best” is what every American followed once they became sick, or ill in any manner. However, times continue to change rapidly, and the word of the doctor may not be the most prominent piece of advice anymore. There are many dimensions to quality care, but also many barriers. We as healthcare workers need to identify which are the most important and accomplish those when patients visit our facilities. Dimensions of Quality Care Beginning in the mid to late 1900’s people defined doctors as knowing it all, and prestigious people, after all “the doctor knows best”. This was originally a way that the doctors were able to get to know the patient, prioritize their care and needs, as well as setting an approach to their treatment plan. However, as the healthcare field continues to evolve, medical schools are now altering their teaching methods and pushing students to prioritize cultural competency, bedside manner and make healthcare more patient-centered rather than physician- centered. Although this will change medical practice forever, this is done in order to benefit the patient ultimately. In addition to this, medical schools are now altering their programs to evolve more-so around home care needs. In a study conducted, people receiving end of life care, chose to die at home, rather than in the hospital (Ankuda, 2012). With this being said however, regardless of your place in the medical field, how do we define quality care? There are ultimately six different dimensions of quality in the healthcare field, they include; safety, effectiveness, patient-centeredness, timeliness, efficiency and equity (Berwick, 2017). Safety and effectiveness work hand-in-hand in order to protect our patients, do no harm, which is the oath we take as healthcare workers. Doctors, mid-levels and nurses
measure the need, amount and effectiveness of medications (as an example) in order to assist the patient throughout their disease process. Being patient-centered is to truly be all about the

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