Critical Thinking On Patient-Centered Model Medical Model Versus
Health care system remains an integral component in the society as it contributes in national development. It is within the facet of an effective health care system that a nation can realize its potential in production, technology advancement, trade and other economic sectors. It is clear that a healthy nation is more productive, innovative, and creative than unhealthy one because the former ensures that all citizens have access to quality, affordable, and reliable medical services. In order to achieve this goal, the federal governments has established more health care facilities and nursing homes, hired qualified and trained medical practitioners, and introduced technology. This move aims at reforming the health care system and ensuring that no patient dies from lack of quality medical services.
Over the years, people have had the notion that patients suffering from chronic and terminal illness should stay in nursing homes awaiting their death because they are considered useless and a burden to their families. Based on this aspect, many families have abandoned their patients in nursing homes and ignored the responsibility of taking care and supporting them morally. The act of abandoning the patient in long- term care facilities worsens the patient’s condition and affects the way a patient responds to treatment. On this premises, the government has reformed health care system by introducing patient-centered model in long- term care facilities so that to improve medical services (Brush, 2009). Patient centered model also known as medical home model provide patients with a home like environment, orient medical practitioners to patient’s needs, facilitate coordination of health care system and promote accessibility of medical care services.
In the last few years, long-term care facilities have been under intense pressure to change the traditional approaches, which employ medical care model, and instead employ patient –centered model that is more efficiency and cost effective. The federal government introduced Patient-centered model in 2007 and has continued to gain momentum in the last five years. Patient-centered model and medical care model differ in certain aspects, but they share similar constructs.
Patient-centered models is a medical approach that aims at providing comprehensive, coordinated, quality and continuous medical services to all patients and improve the outcome of the health care system. This infers that patient-centered model ensure that all patients have access to quality, reliable and affordable medical care services and orient doctors to the needs of the patients. Patient-centered model advocate that doctors rely on team-based perspective and involve medical practitioners with diverse and unique skills and knowledge in their respective profession (Earp, French, & Gilkey, 2008). This move aim at personalizing medical care services so that they meet the needs of the patient. On the other hand, medical model care advocates that a patient has no option of choosing a primary care giver, and instead should accept the one assigned by the hospital management. In other words, a patient has a designated health care provide who has been assigned the responsibility of coordinating, monitoring, and evaluating patient’s medical needs and treatment progress.
Patient-centered model provides comprehensive, coordinated, and continuous medical care services and serves patients of all ages. It is applicable to all people suffering from different illnesses and of different age. On the other hand, medical model care in long-term care facilities provide quality, affordable and reliable medical care services, but to patients suffering from either two or more chronic diseases or at a higher risk of developing chronic and terminal illness (Miller, 2010). It is also applicable to patients suffering from mental illnesses, and because of their medical condition requires intensive and coordinated care.
Patient-centered model employs medical practices, which are physician-based, and are offered by either a doctor or a qualified, trained and registered nurse. On the other hand, medical care model mainly integrate other practices such as community based health organization, counselors, addict service providers and other federal health agencies.
Both models have a common goal of maximizing the outcome of medical care services, and ensure that patients have access to quality, affordable and accessible medical services. Patient-centered model provide comprehensive primary care to all patients and has introduced the use of technology so that to attain this goal. In the same breath, medical care model articulate that all patients suffering from terminal and chronic illnesses have right for quality, accessible and affordable medical care services.
Both models employ medical practices, which are offered by qualified, trained, and accredited medical practitioners and health agencies. Patient-centered model is physician based as it involves nurses and doctors, and the same aspect applies in medical care model.