Critical Analysis of UK Healthcare Model

This report provides a critical analysis of a research article focusing on the adoption of telehealth and telecare services in the UK. It examines factors influencing the use of these services, including awareness, usability, and patient perceptions. The report also discusses the methodology used in the study, future improvements needed in the UK healthcare system, and concludes with recommendations for better implementation of telehealth and telecare services. The analysis highlights both the positive and negative aspects of these services and emphasizes the importance of tailored approaches and clear communication to improve patient engagement and outcomes.

Contents
Overview of the report.................................................................................................................................3
Critical Analysis..........................................................................................................................................4
Methodology...............................................................................................................................................7
UK healthcare in Future..............................................................................................................................8
Conclusion.................................................................................................................................................10
References.................................................................................................................................................12
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Overview of the report
It has been seen that in spite of so many hardships faced by Europe, the business trends in the
United Kingdom has remained healthy and fruitful. The government of the UK has always
provided its support to create a positive and congenial business environment and has always
made efforts to invite potential investors around the globe. UK has been performing quite well
and has found a place in top ten manufacturers in the whole world. Taking a glance at Europe,
the UK is considered to be the most beautiful and attractive place and many headquarters of
various major companies in Europe are situated here. It is quite easy to establish business in UK
as compared to other countries as there are high opportunities here and potential investors are
more (McCleery, et al., 2014). The government puts efforts to continuously improve business
environment and cope up with the dynamic environment to help the country reach heights of
success. In order to survive in the market, it is imperative to adapt to the changes happening in
daily life otherwise the system will obsolete and UK does it really well.
Adding more, Healthcare means the improvement of health by the treatment and prevention of
diseases, illnesses and injury, including both mental and physical problems in human beings.
Healthcare is provided by the professionals. Some examples of professionals in health care are
physicians, dentists, midwives, nurses etc. Standards of health are usually considered to be high
in the UK. This is mainly so because the government spent a lot in this sector during the early
economic years (Grosios, et al., 2010).
A constant effort is made all around the world in order to improve the performance of health
care. The main responsibility lies on the people who are involved in the health care system and
their duty is to improve the quality of decisions made by all involved in the health system,
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including patients, managers, and governments at all levels, insurers, politicians and citizens as
financial supporters. Recently accountability is being demanded at higher rates and there is an
increasing demand for health system accountability and the patients are being given a choice as
to have rapid improvements in the health systems they choose. The main areas of improvement
are needed in data collection, policy development and in their implementation (Cook, et al.,
2016).
Below a few of the important parts of the health care system along with some of the techniques
for different types of people and the critical analysis of the political drive shall be discussed in
detail. A performance indicator is a type of performance measurement that helps in evaluating
the success of a particular organization or business. Choosing the right indicator is very
important, because it is only by these indicators can a business or an organization find out the
level of its performance and where it is lacking and what parts it needs to work on for
improvement (Boyle, 2008).
Critical Analysis
After studying and analyzing the article “the Exploring the factors that influence the decision to
adopt and engage with an integrated assistive Telehealth and Telecare service in Cambridgeshire,
UK: a nested qualitative study of patient ‘users’ and ‘non-users’.” We come to know that there
is an initiative taken by the government to use two types of approaches Telehealth and Telecare
to deliver best services of healthcare. The engagement and adoption of these techniques is very
important for its successful implementation (Deloitte, 2015). The people are divided into two
categories – users and non users. The users are the patients who already adopted these techniques
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and non users are those patients who are referred by someone or unaware of these techniques.
There are many factors discussed in the article that greatly influencing the healthcare sector of
the UK. The research article focused on the integrated model of techniques that is ATT
(Assistive Telehealth and Telecare) Service which is UK based Cambridgeshir Community
services. There are many factors and barriers that influence the decision making of adoption of
the techniques like: –
1. Lack of awareness of services: - After analyzing the research article, it was found that the
lack of awareness of this service among patients is only through referral mode and the
people are more in numbers who are unaware of this service. There are hardly non users
who had heard about the ATT services so this is a drawback of this service (Chang, et al.,
2012).
2. Usefulness of equipment: - The usefulness of this service is not that much sure because
the users as well as non users perceived that it would be useful because Telehealth and
Telecare would be helpful in monitoring the health and to communicate with care and
remind in case of medication and call them in the case of emergency (Boyle & Mossialos,
2011).
3. Attitude and perception toward ATT services: - The attitude and perception of the
population are different toward the ATT services. Some of the users have the perception
this service is very useful and easy to use, but some of the non users found it difficult and
time consuming services.
4. Usability: - The usability of this service is also found difficult for the users and non users
because it is very difficult to follow the instructions every time and stocking up the
medication reminders (Kiplagat, et al., 2014).
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5. Threat to identity- By introducing these types of services the people are more concerned
about the fact that they may lose their independence by depending on others and old
people are much more worried and have a fear that the life will not continue the same
before adopting these services (Wanjau, et al., 2012).
After analyzing these factors in the article, it can be concluded that this study is not worth as it
has many limitations and ATT services has positive impact also as it take into consideration all
the population but the adoption and engagement of people in the service is less as per the study.
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Methodology
The methodology used in the study was qualitative interviews which were conducted between
February to December 2014, to understand the experiences and views of the users and non-users
people who are using this service. The data collected through this methodology is analyzed with
the help of framework method. Framework method is the process of a number of steps that are
followed to interview the patient. There were basically two objectives of analyzing the data one
is to know the decision to use the ATT services and other motive is engagement and use of the
ATT services (Ali, et al., 2006). Decision of using these services is highly dependent on the
many factors such as attitudes and perceptions of patients, acceptance of old age people, lack of
knowledge, usability, outcomes of these Services and threat of losing independence, etc. Talking
about the engagement and use of the service it focused on the benefits of the Telecare and
Telehealth services. Performance indicator like unnecessary medication, medication error,
unnecessary diagnostic tests can lead to quality management of the health care institutions
because they help in finding out where the health care system is doing unfair things and things
that are not required by the patient (Ramasodi, 2010). By making sure that no such unfair things
are done or followed we can ensure quality management to patients who look forward to
healthcare. Only by keeping a check on these can we assure quality management on behalf of the
health care institution. As per the discussion with the patient and provider, according to the ATT,
service provider has to consider the patient routine and preferences and making adjustments
where necessary for example the reading timings have to be sent (Mabin, et al., 2012).
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UK healthcare in Future
Looking forward to the future and to improve the management of healthcare services and it is
very important to take care of all the factors that are associated with the patients. In this section
of the report, it will state some of the improvements that are needed for the healthcare system in
coming years. First, it is very important to communicate with the patients to get some
suggestions and make changes in the policies according to the patient requirement
(Mosadeghrad, 2014). By knowing and trying to understand the policies related to Telecare and
Telehealth, the staff close to the point of action should work more closely with patients to enter
the true and correct information related to their medication as well as let the patients know
clearly the coverage policies of every plan, and submission of reports correctly so the claim
adjudicates accurately on the initial submission. The policies should be clear, understandable and
knowledgeable as well as transparent. Moreover, to get the best results both after and before the
implementation of ATT, training is necessary and that should be additional (Smith, et al., 2009).
The accurate way to aid the physicians to help them improve the accuracy of is to utilize at least
10 minutes every month at meetings of physicians to let them read a note which is blinded and
coding it along with an order that is certified. At times, physicians are also benefitted from
having a shadow which is a coder shadow and scribing the visit in addition to the documentation
process to reflect comparison what one comes up with. In spite of this, the education sector plays
a very important role in the growth of the nation and it is imperative to incorporate new
strategies as per the changing environment. New facilities are introduced in order to provide best
education to the youth and government is spending more on education sector since past few
years. E-classrooms have become significant these days for providing better classrooms for
children. For such classrooms, expert personnel are required to be appointed to deal with such
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machinery equipped in e-classrooms (Constitution, 2013). Students find it easy and convenient to
study in such environment as it is full of life and enjoyment. The documents to be made should
be clear and correct without any complexities and the data entered should be true without any
false representations. If the information entered is true, it will help the insurance payers know the
true information. So, I would like to recommend that whenever the information is entered, it
should be as per the policies and should not be against the needs and requirements of the
guidelines made regarding the ATT services (Foundation, 2011). Last but not the least, the
system of entering information, insurance policies, coding should be crystal clear and should be
confidential and the patients should know about the diagnosis and the results should be clear to
the patients and the payers should know with what treatment the patients are going through and
how much time will be required to get through the treatment. The physicians should not engage
themselves in over-coding or under-coding and should better represent the true information to
not to mislead anyone and this helps in improving the quality of the management and reducing
the level of risk and allegations of fraud and legal penalties. Thus, Health care is a system that
has a lot of responsibility in its hands and deals with the lives of human beings; therefore there
shall be maximum transparency in all the dealings of the health care units in order to prevent
from fooling the patients as well as the insurance payers (Sanders, et al., 2012). The patients
should be charged according to the treatment that they receive and not for the time of their stay
because that will obviously be more as more time is required to recover. Lastly, there shall be no
errors on behalf of the health care system, for an example, no error in billing, medications,
diagnostic tests etc.
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Conclusion
After the analysis, it was found that the study has revealed the range of factors that are
influencing the decision to adopt and engage with an integrated assistive Telecare and
Telehealth (ATT) model. In this study many Barriers and facilitators are explained. This
study has shown both the aspects i.e. negative as well as positive to use the ATT services.
But as we all know that every small thing have its pros and cons so same is the case with
ATT services so it only needs some improvements in the model to get the best results in the
future. The conclusion after completing a detailed study of this assignment would refer to
prevention of errors on behalf of the health care units and providing true and accurate
condition and information about their patients (Association, 2013). Health care is one of the
most important jobs in the world and shall be done with full dedication without any unfair
means or any hidden motive. The health care systems shall act fully responsible for the things
that they do and also for the lives of their patients. In this study, it is revealed that the key
barrier come in the way of these services can overcome by an individually tailored approach
with the help of the patient and referrer as it has been seen that it improve the experience of
the patient and also retention rates. In addition to it, also the face to face conversation with
the specialist or provider of ATT services helps in improving the rates of adoption and
engagement of people with Telecare and Telehealth services. As a result, better
communication between referrers and patients leads to the positive results of improving
attitudes and change in perception towards the TC and TH equipment. Every year the UK
work on improving the knowledge, skills and expertise of people deployed in businesses and
spend huge amount of money to make them work better. Many new skilled people are hired
every year and train them to work towards the success of the country. This is done since all
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the higher authorities have pledged to make the country a peaceful and prosperous place and
conflict free place so that people can work and live fearlessly. This has been a blessing for
the world. The contributors contribute money and utilize the funds for the welfare of people.
All the companies of UK work relentlessly towards its goals and objectives so that the long
term aims of the UK can be achieved, which is improving the economy and making it better
every day. This has been done only to meet the expectations of people and to add to the
economy of the world. Leadership and the local ownership are important factors and improve
the success rate of the country and helps in maintaining and building peace.
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References
Ali, N., Hill, C. & Kennedy, A., 2006. What factors influence national health research agendas
in low and middle income countries?: Council on Health Research for Development, Available
at: http://www.cohred.org/downloads/cohred_publications/rp5.pdf
Association, T. A. H., 2013. AT&T Healthcare Community Online: a future safe solution that
grows with your clinical and IT needs, Available at:
https://www.corp.att.com/healthcare/docs/att_hco.pdf
Boyle, S., 2008. The UK Health Care System, Available at:
http://www.commonwealthfund.org/usr_doc/UK_Country_Profile_2008.pdf
Boyle, S. & Mossialos, E., 2011. Health system review: United Kingdom (England), Available
at: http://www.euro.who.int/__data/assets/pdf_file/0004/135148/e94836.pdf
Chang, J., Peysakhovich, F. & Wang, W., 2012. The UK Health Care System, Available at:
http://assets.ce.columbia.edu/pdf/actu/actu-uk.pdf
Constitution, N., 2013. Guide to the Healthcare System in England, Available at:
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/194002/9421-
2900878-TSO-NHS_Guide_to_Healthcare_WEB.PDF
Cook, E. et al., 2016. Exploring the factors that influence the decision to adopt and engage with
an integrated assistive telehealth and telecare service in Cambridgeshire, UK: a nested
qualitative study of patient ‘users’ and ‘non-users’, Available at:
http://pubmedcentralcanada.ca/pmcc/articles/PMC4837551/pdf/12913_2016_Article_1379.pdf
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