What is the difference between a protocol, standard of care delivery, and policy at the practice, state, and federal level? Briefly outline each. What are the perceptions of the health care delivery system from the perspectives of patients, providers, payers, and policy makers? Discuss at least one perception from one of the populations listed: patient, provider, payer, and policy maker.
- Compose at least 2-3 paragraphs for the discussion all in APA format with proper references
1. Protocol, Standard of Care Delivery, and Policy:
- Protocol: A protocol refers to a set of detailed guidelines and procedures that outline the appropriate steps to be followed for a specific medical condition or situation. Protocols are commonly developed at the practice level to ensure consistent and evidence-based care. They act as a roadmap for healthcare providers and help ensure that patients receive appropriate and standardized treatment. Protocols are often based on medical research and clinical best practices.
- Standard of Care Delivery: The standard of care delivery is a benchmark for the level of care that healthcare providers are expected to deliver to patients with a specific medical condition or within a specific healthcare setting. It represents the prevailing approach to treatment that a reasonable and prudent healthcare professional would provide under similar circumstances. The standard of care can vary based on factors such as patient condition, location, and available resources. At the state and federal levels, standard of care may be defined through legal precedents or healthcare regulatory bodies.
- Policy: Policies are formalized rules or guidelines established by healthcare organizations, government entities, or insurance companies. These policies shape how healthcare is delivered and reimbursed, and they may be implemented at the practice, state, or federal level. Policies can cover a wide range of issues, such as reimbursement procedures, quality standards, patient privacy, and eligibility criteria for certain services.
2. Perceptions of the Healthcare Delivery System:
Provider Perspective (Perception): Healthcare providers often feel burdened by administrative tasks, bureaucratic processes, and the growing emphasis on documentation and compliance. These aspects of the healthcare system can be time-consuming and divert attention away from direct patient care. Providers may perceive that the complex administrative processes and insurance-related constraints limit their ability to deliver personalized and patient-centered care. Additionally, providers may feel frustrated with the constant changes in policies and regulations, which can lead to uncertainty and a sense of being disconnected from the decision-making process.
Reference: Hickson, G. B., Federspiel, C. F., Pichert, J. W., Miller, C. S., & Gauld-Jaeger, J. (2016). Health care professionals’ perceptions of how organizational factors contribute to patient safety. American Journal of Medical Quality, 21(6), 13S-17S.