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Healthcare Assignment: Meeting Needs of Ageing Population

Question

Task

Develop a 2000 word report on healthcare assignment outlining findings and recommendations for further action, built upon an ongoing analysis of the health service.

This assessment requires students to build on the analysis undertaken in the previous assessment, where a specialist health service’s preparedness to meet the needs of Australia’s ageing population was considered. The analysis, to date, has used systems thinking approach and has been based on the WHO six building blocks of a health system framework.

1) Service Delivery.

2) Health Workforce.

3) Information.

4) Medical Products, Vaccines and Technologies.

5) Financing.

6) Leadership and Governance (Stewardship).

Answer

Executive summary
The report on healthcare assignment by the discussion has justified affordable, available, accessible service delivery regarding cardiology. The discussion has pointed out that the aging population is going to be doubled which is 3% of the entire population in the near future and the risk of cardiovascular disease will be initiated specifically in rural areas.

In such concern by exercising system thinking tools likes SWOT, pastel, and BOT, enough data have been incorporated in the discussion to support the claim. The healthcare system of Australia is quite recommendable with some issues in its structure. It has mostly addressed National Safety And Quality Health Standard in the cardiology service delivery. However, among the extracted gaps like inadequate accessibility in a rural area, costly expensive treatment of cardiology disease confirm that it is better for the government as well as other stakeholders to have a better perspective regarding the concern. The report has pointed out ethical considerations or issues in its structure whereas for the discussion autonomy has properly justified by the service delivery of cardiologist service to meet the needs of the aging population though beneficence and justice is not properly addressed due to inequality and discrimination

  • It is important for the government as well as other stakeholders to confirm better accessibility in rural areas to justify equality in the entire service delivery.
  • In order to confirm affordability for everyone technological excellence and effective training to the carers need to be offered

Overview and finding
Australian Healthcare system is one of the best healthcare systems in the world. The perfect collaboration of local, state, and federal government confirms another level of the Healthcare system (Australian Institute of Health and Welfare, 2021). The system basically corresponds to public hospitals, medical services, medicine, etc. The government encourages people to abide by health insurance to not to be stressed out for financial assistance. Accessibility and availability of the healthcare system in Australia is recommendable by better use of the help that is new technology adoption and shared responsibility (Soenarta et al. 2020). It further confirms the effective, cooperative, active engagement of the stakeholders. The healthcare system however faces challenges regarding the aging population for chronic diseases. Cardiology issues are an important consideration for the Australian healthcare system specifically for the aging population. The cardiology service of the Healthcare system of Australia is even excellent with 1.2 million hospitals for cardiovascular disease diagnosis, coronary heart disease, cardiomyopathy, heart failure, peripheral vascular disease (Australian Commission on safety and quality in Health Care, 2021). The mission of the service is to invest 220 million dollars for 10 years to have an improvement in heart health and to reduce the chances of stroke in Australia. The mission offers the health infrastructure of Australia a specific direction to objectify the aims and objectives. The nation further gets supported with smart goals like better research and development regarding cardiovascular health in a better well-equipped = research environment to support the health system to be better. On the other hand, the aging population of Australia aged 85 years and over going to be double by 2042 (Sánchez et al. 2019). The data immediately confirms the urgency of meeting the needs of the aging population immediately to have a better hold over the future scenario. By 2042 3% of the total population of Australia would be of the aging population (Australian Government Department of Health, 2019). Hence, social and health care assistant needs to be adequate and effective enough to address the needs of the aging population regarding cardiovascular disease as well. Research even confirms higher chances of heart disease in remote areas which further initiate the needs of the aging population in Australia. Assignment 2 has clearly identified six building blocks for meeting the needs of the aging population regarding heart disease (Australian Bureau of Statistics, 2021). The building blocks contain health service, health workforce, health information, product vaccine technology, health financing system, and leadership and governance. A detailed description of each of the blocks confirms the importance of the blocks for meeting the needs of the aging population regarding heart disease and removing the challenges from the healthcare system

By the end of assignment 2, it has been learned that the Australian Healthcare system is universal, complex, effective, and efficient. Cardiovascular service is an important part of the Healthcare system which further offers better help for an aging population. 6 building blocks of WHO further helps the health care system to better meet the needs of the aging population regarding cardiology services by making an alignment with a future perspective where the remote area will suffer from cardiology diseases (World Health Organization: WHO, 2021). Six building blocks and system analysis tools can be much helpful to address all the challenges regarding meeting the needs of the aging population in cardiovascular surgery.

healthcare-assignment-11

The mind map describes the entire scenario for the service delivery and interconnectedness between the departments.

Maintaining quality service provision
As per the research, it is quite clear that the aging population is going to be doubled sooner and the population further meets more cardiovascular risk in urban areas which at once confirms the urgency of accessibility, availability, and affordability (Australian Bureau of Statistics, 2018). The most challenging factor for cardiovascular service is to meet the needs of the aging population is to sustain perfect collaboration between accessibility, availability, and affordability so that the aging population irrespective of their area of living served. Cardiovascular service needs to be very prompt as any disease-related with a heart like a heart attack or other things do not offer match time so the service needs to be prompt, accessible, and available which is another challenge as it requires more healthcare setup in Australia (Department of Health, 2019). The researchers are of the view that cardiovascular disease is the greatest health problem in Australia as it kills the highest number of people compared to any other disease. The Healthcare system of cardiovascular service is really costly which places a heavy burden on individuals as well as for the community which ends with disability. Thereby another challenging factor for the service is the budget or cost as the government and the healthcare system need to have such type of service which can be affordable for everyone. The most common type of cardiovascular disease in Australia are heart failure stroke and coronary heart disease all the different diseases are direct to fatality or disability which further initiates health problems for Australia (Therapeutic Goods Administration, 2021).At present Australia is supported with better health care system and the number of hospitals to deal with such types of issues, still, the calculation of the near future is not much positive or hopeful which becomes another threat or challenge for the entire healthcare system signifying that major breakthrough is much important and suck scenario for proper research and development is another challenge specifically in the covid-19 situation as the economic downturn is really impactful for all such concerns (Zamorano et al. 2020).

Responsiveness to the needs
Australian Healthcare system sustains 8 National safety and quality health standard which contain high prevalence, adverse events, medication safety, healthcare-associated infections, clinical communication, comprehensive care, prevention of falls, prevention, and management of pressure injuries, along with a response to clinical deterioration (NATIONAL HEART FOUNDATION OF AUSTRALIA, 2021). The cardiovascular service or cardiology service has both opportunities and gaps as per the referred standards. the service attains quality in its structure with the association of technology and qualified staff which can at once address high prevalence adverse events, comprehensive care, prevention and management of pressure injuries, clinical communication, and response to clinical deterioration to confirm the opportunities. On the other hand, lacking facilities in a rural area, expensive diagnosis, ineffective management, higher competition, political instability due to covid-19 and decreased revenue would share gapsin healthcare-associated infections, medication safety, prevention and management of pressure injuries, and prevention of falls (Health Direct, 2019). Both opportunities and gaps are important for the service to meet the needs of the aging population as it can offer a clear picture of the entire scenario regarding the cardiovascular service.

Ethical issues and considerations in relation to the service
In any emergency service there needs to be certain ethical considerations (Nguyen et al. 2018). Considering the type of service, the major ethical concern can be offering the best care in offered setup. Medical practitioners and nurses are ethically and legally responsible to offer the best care, however, specifically in rural areas offering the best care cannot be possible due to inadequacy of staff, insufficient, ineffective technology, and other equipment. However, the referred directly addresses health and safety-related ethical issues (Parliament of Australia, 2021). The prior concern for cardiology service needs to offer health and safety whereas the extracted gaps can be influential enough as a lacking facility in a rural area, ineffective management, higher competition, political instability fails to offer to address to the standards like healthcare-associated infection, prevention, and management of pressure injury, prevention of fall, medication safety. The referred ethical issue ignores the ethical concept of beneficence (Butler, Azizi, andDaddia, 2017). As per the referred ethical concept, the patient needs to be offered benefits where the gaps in the entire service area would confirm deterioration instead of benefit.

As per the service design, it is even seen that leadership and governance are not in the right position which confirms the ethical issue of abuse of leadership authority. Due to lacking support in a rural area, it is quite clear that leadership is not appropriate or effective in all areas; neither equality is there for every area (Services Australia, 2021). Further the concern points out the ethical issue of discrimination which is a significant factor or ethical issue in the aspects of emergency services like the health care sector. The ethical issue of discrimination or inequality at once addresses the ethical concept of justice. Justice is the ethical concept with conveys fair treatment of individuals through equitable allocation of healthcare resources and budget. However, in the present scenario with the lacking facility in a rural area for the service delivery points out that justice is not been addressed as equitable allocation of healthcare resources and budget is not there in Australia for which the infrastructure of rural area to have safe and secure cardiology service is missing (Correale et al. 2020).

The opportunities of the service delivery even address ethical considerations where the service delivery has sustained quality, technological support, qualified staff to confirm high prevalence adverse events, prevention, and management of pressure injuries, clinical communication, comprehensive response to clinical deterioration to confirm human rights and dignity in the projected service delivery. Human rights and dignity is a very important ethical consideration for any health care infrastructure and the cardiologist service delivery have successfully, effectively justifiably sustained the concern to confirm the ethical concept autonomy (Thompson et al. 2019). Autonomy is the concept of individuality, self-knowledge, dignity, integrity to confirm an individual's right in service delivery to confirm his choice or preference regarding the service delivery. By having such type of excellence in service delivery the cardiology service justified ethical consideration of an individual where he would be at the center of the entire care plan and can direct the treatment procedure as per his wish which confirms better accessibility and availability of the service delivery (Tamer, 2021).

Recommendation for future action
As per the discussion, the main challenges for the service delivery or cardiology service is confirm accessibility in the rural area and making the entire service affordable. In short, it can be said that accessibility and affordability are the most important consideration for the cardiology service in Australia.

  • In order to confirm better accessibility of the service in rural Australia, it is very important to have technical support in the best possible way. Coordination can be a better way out in this regard as per the situation. The government and the leaders of the healthcare sector need to confirm an adequate number of workers in rural areas to confirm that primary service delivery can be offered without wasting any time and after a consultation, if required then further processing can be done. For the concern, cooperation and coordination among stakeholders of the healthcare sector and integrated training are very important to accomplish.
  • In order to confirm the affordability of the service delivery to meet the needs of an aging population, it is very important for the government and other healthcare stakeholders to research and develop such strategies which can minimize the cost of the cardiology service without compromising with quality and safety of the service. A perfect collaboration between innovation and safety can best serve the purpose. The leader and the authority need to offer adequate support for research to confirm the best result achieving affordability in the entire structure.

References
Australian Bureau of Statistics 2018, Population Projections, Australia, 2017 (base) - 2066 | Australian Bureau of Statistics, www.abs.gov.au, .

Australian Bureau of Statistics 2021, Labour Force, Australia, August 2020 | Australian Bureau of Statistics, www.abs.gov.au, Australian Bureau of Statistics, .

Australian Commission on safety and quality in Health Care 2021, Governance, leadership and culture | Australian Commission on Safety and Quality in Health Care, Safetyandquality.gov.au, .

Australian Government Department of Health 2019, The Australian health system, Australian Government Department of Health, Australian Government Department of Health, .

Australian Institute of Health and Welfare 2021, Cardiovascular disease, Hospital care for cardiovascular disease, Australian Institute of Health and Welfare, .

Butler, S, Azizi, T and Daddia, J n.d., The future of health in Australia, PwC, .

Correale, M., Paolillo, S., Mercurio, V., Limongelli, G., Barillà, F., Ruocco, G., Palazzuoli, A., Scrutinio, D., Lagioia, R., Lombardi, C. and Lupi, L., 2020. Comorbidities in chronic heart failure: an update from Italian Society of Cardiology (SIC) Working Group on Heart Failure. European journal of internal medicine, 71, pp.23-31. https://www.sciencedirect.com/science/article/abs/pii/S0953620519303425

Department of Health 2019, Cardiovascular Health Mission, Australian Government Department of Health, .

Health Direct 2019, Australia’s healthcare system, Healthdirect.gov.au, Healthdirect Australia, .

NATIONAL HEART FOUNDATION OF AUSTRALIA 2021, Supporting behaviour change | Heart Online, www.heartonline.org.au, .

Nguyen, Q.D., Peters, E., Wassef, A., Desmarais, P., Rémillard-Labrosse, D. and Tremblay-Gravel, M., 2018. Evolution of age and female representation in the most-cited randomized controlled trials of cardiology of the last 20 years. Healthcare assignment Circulation: Cardiovascular Quality and Outcomes, 11(6), p.e004713.

Parliament of Australia 2021, Australia’s future population – Parliament of Australia, Aph.gov.au, .

Sánchez, M.A., Martín, J.J.A., Fillat, Á.C., Doblas, J.J.G., Rivera, L.P., Goya, I.L., Rodrigo, F.R., Romo, A.Í., Miguel, C.M., Masip, A.E. and Melchor, L.S., 2019. Cardiologists and the Cardiology of the Future. Vision and proposals of the Spanish Society of Cardiology for the Cardiology of the 21st Century. Revista Española de Cardiología (English Edition), 72(8), pp.649-657. https://www.sciencedirect.com/science/article/abs/pii/S1885585719301756

Services Australia 2021, Medicare - Services Australia, www.servicesaustralia.gov.au, .

Soenarta, A.A., Buranakitjaroen, P., Chia, Y.C., Chen, C.H., Nailes, J., Hoshide, S., Minh, H.V., Park, S., Shin, J., Siddique, S. and Sison, J., 2020. An overview of hypertension and cardiac involvement in Asia: focus on heart failure. The Journal of Clinical Hypertension, 22(3), pp.423-430. https://onlinelibrary.wiley.com/doi/epdf/10.1111/jch.13753

Tamer, G 2021, ‘THE ROLE OF ETHICAL LEADERSHIP IN INCREASING EMPLOYEES’ ORGANIZATIONAL COMMITMENT AND PERFORMANCE: THE CASE OF HEALTHCARE PROFESSIONALS’, Journal of Life Economics, pp. 133–146.

Therapeutic Goods Administration 2021, Therapeutic Goods Administration (TGA), Therapeutic Goods Administration (TGA), viewed 24 August 2021, .

Thompson, SC, Nedkoff, L, Katzenellenbogen, J, Hussain, MA andSanfilippo, F 2019, ‘Challenges in Managing Acute Cardiovascular Diseases and Follow Up Care in Rural Areas: A Narrative Review’, International Journal of Environmental Research and Public Health, vol. 16, no. 24, p. 5126.

World Health Organization: WHO 2021, Cardiovascular diseases, Who.int, World Health Organization: WHO, .

Zamorano, J.L., Gottfridsson, C., Asteggiano, R., Atar, D., Badimon, L., Bax, J.J., Cardinale, D., Cardone, A., Feijen, E.A., Ferdinandy, P. and López?Fernández, T., 2020. The cancer patient and cardiology. European Journal of Heart Failure, 22(12), pp.2290-2309. https://onlinelibrary.wiley.com/doi/full/10.1002/ejhf.1985

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