Critically analyse the structural changes that have been introduced into Medicare that allow dieticians, physiotherapists and nurse practitioners to work with medical practitioners in providing multidisciplinary health care.
This Policy and Planning in Health Care is based on structural changes in Medicare in terms of changing the key performance of the general practitioners including dieticians, physiotherapists and nurse practitioners. Such changes are needed while working together with the medical practitioners in context of multidisciplinary health care. In contemporary time, the Australian government has imposed several rules in order to provide care that is more preventive for older people in Australia (Cant & Foster, 2013). Apart from that, the government is also focused for providing service for those patients who are suffering from chronic disease. In order to provide best possible service in the healthcare organisation, the government has designed some changes regarding the structural area. As opined by McMasters & Vauthey (2011) following the Governmental rules, in providing services, the general practitioners work together and provide service by the rules of multidisciplinary health care. Implementing the governmental rules and providing good service for the patients, the organisational management changes operational structures along with economic structures. In this circumstance, the general practitioners including dieticians, physiotherapists and nurse practitioners worked together with the medical practitioners by providing multidisciplinary health care (Willis, Reynolds & Keleher, 2009).
Critically analysis the topic:
Elaboration of the topic:
The topic is based on policy and planning in health care. In healthcare organisation, the organisational employees provide care service that is directly related to the people health. Thus, this is very significant matter. According to Chan & Tse (2012), in order to provide best possible care service the dieticians, physiotherapists and nurses practitioners should be worked together with the medical practitioners and following & maintaining the changing environment. Analysing the present situation, it has observed that in Australia 80% of the people (mostly old aged people) are suffering from a chronic disease includes hypertension, cardiac disease, diabetes etc. For that reason, in one side the people are suffering for their poor health and on the other side, the people are suffering for an inadequate cost that is the reason of issues regarding public health policy (Foster & Mitchell (2013). Remembering the above-mentioned factors, executing the Enhance Primary Care (EPC) program in the organisation, the organisational management has designed subsidized medical service for the patients where the private care setting organisations along with public care setting organisation provide service with relatively lower cost for the chronic disease patients (Willis, Reynolds & Keleher, 2009). In addition, designing several health programs, the Chronic Disease Management (CDM) and the Medicare group align the patients with the purpose of providing quality of health. The designed health programs are provided in multidisciplinary community health service including hospitals (public and private both), community-based care-setting organisation, and in different clinics (Pearce-Brown et al. 2011).
The research referred by Yuill, Crinson & Duncan (2010) stated that the care-setting organisation either public or private provides facilities towards the patients who are facing chronic disease at least for 6 months. Moreover, the Australian government also gives subsidy in tax. In this circumstance, multidisciplinary team is very required. Cant (2010) opined that if the patients who are suffering from chronic disease, the public, and private organisation provides fee-free service under Medicare service or the Chronic Disease Management (CDM) provides the rebate in the cost of medical treatment. In this situation, the entire medical and the general physician including the dieticians, physiotherapists and nurse practitioners should provide an adequate amount of care for the patients with relatively little monetary charge (Health.gov.au, 2014).
Necessary Chronic Disease Management (CDM) program:
With the purpose of provide effective service towards the patients who are suffering from a chronic disease in the course of multidisciplinary health service, the Chronic Disease Management (CDM) established the program with a multidisciplinary team that is including dieticians, physiotherapists and nurse practitioners. Cant & Foster (2011) suggested that, as per the Chronic Disease Management (CDM) program, the patients should be registered their name under Medicare. After registering their name the patients will get benefit in an effective way as the patients will get five times health consultation in one year (Ihi.org, 2014). Apart from that, the patients will also enjoy 85% rebate on their fees as per government rules. In this entire process, the medical practitioners will help but as per the following rules of the government, the general physicians including dieticians, physiotherapists and nurse practitioners also should align the medical practitioners to precede the changing structure. In order to provide best possible service towards the patients who are suffering from the chronic disease the Chronic Disease Management (CDM) articulate the financial cost required for align health professionals (Farag et al. 2013).
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As the viewpoint of Practitioners (2014), there are several chronic diseases observed such as cancer, asthma, stroke, diabetes, cardiovascular disease. Thus, for providing treatment the patients, the chronic disease management provide structure approach where the patients get care from a multidisciplinary team. According to Halcomb, Davidson & Brown (2010), maintaining team care arrangements (item 723) and general practitioners management plan (item 721) the patients who are suffering from chronic disease gets care service. The multidisciplinary team includes all the medical practitioners, general practitioners, nurse practitioners, physiotherapists, and diabetes. Chronic diseases are such kind of disease those needs comparatively more time for a cure. Thus, for providing treatment for curing the chronic disease, different types of treatment such as physiotherapy, proper diet, proper nursing is very important (Fine & Hintner, 2009). Therefore, multidisciplinary care is important where the multidisciplinary team means the professionals belong from different discipline consists of complimentary experience, skill and knowledge provides service for psychological and physical treatment.
Application of the theory with analysis:
The research referred by Cloherty (2012) stated that, without proper nursing, physiotherapist, dieticians the medical practitioners cannot give proper treatment towards the patients who possess chronic disease. Apart from that, in case of chronic disease the patients are suffering from depression several times. In this context, psychologists can help the patients. For this reason, analysing several factors the Chronic Disease Management (CDM) department has designed effective structure approach. As per this structure, the team members under multidisciplinary team have to make strong and effective communication in order to make awareness regarding the patients’ condition (Yuill, Crinson & Duncan, 2010). Apart from that, with proper communication, the medical physicians can suggest the team members for providing the required therapy. Besides, several times the medical practitioners provide service to a numerous number of people and for huge workload the team members of the multidisciplinary team cannot communicate regarding treatment procedures. Thus, the multidisciplinary team should provide multidisciplinary rounds that have the capability to provide best possible service towards patients. In this situation, the Chronic Disease management (CDM) has to implement an effective structure (Ro.uow.edu.au, 2014). With the help of multidisciplinary rounds, the nurse partitioners, as well as all the medical practitioners also enhance their quality of service. Thus, multidisciplinary involvement helps to increase the quality of service in the course of great communication and collaboration among the different disciplinary team members.
Critically analysis:
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According to Olson (2010), in case of chronic disease, as the disease takes a long time for a cure so, the family members should align the patients mentally so that the patients do not go under depression. In this situation, the multidisciplinary team has to convince the family members to support patients. In addition, the medical practitioners, nurse practitioners and other complementary team members of a multidisciplinary team should provide care services by following moral value, goals and after analysing requirements of the patients (Halcomb, Davidson & Brown, 2010). Thus, reviewing the complex structure the Chronic Disease Management (CDM) maintains the team members by following the effective structure in order to provide service to the patients. Establishing strong structure, in the multidisciplinary team, the medical practitioners, and other team members share the information with each other. Moreover, the team members coordinate and take decision for providing care plan. Oliver (2013) demonstrates that palliative care carried out for patients when the chronic disease is not curable. In this situation, for giving interim relief or during transfer from care setting organisation the team members of the multidisciplinary should maintain different structures. Arguing with this view Cant & Foster, (2013) stated that, the medical professionals take decision for the patients after evaluating goal, measuring risk factors and with the consent of family members. In this situation, the Chronic Disease Management provide the treatment after analysis its treatment efficacy.
Providing care service and mostly providing service for palliative care the team members including medical practitioners, with other members such as nurse practitioners, dieticians, physiotherapist, psychotherapists etc have to discuss regarding the patients’ health along with staffing, policies, and clinical practices. Willis, Reynolds & Keleher, (2009) stated that providing best possible care towards the patients, the Chronic Disease Management should provide training and development session as continuous learning process aids knowledge to the medical professionals for providing effective service. In this context, depending on time, policy and priorities the Chronic Disease Management makes a structure for the benefit to the patients. Farag et al. (2013) illustrated that, as per earlier discussion, the treatment for chronic disease is time-consuming so automatically it is a cost-consuming process. In this situation, the medical practitioners along with all the team members of a Multidisciplinary team should provide volunteer services and maintain the volunteer service continuously a proper structure should be maintained by the team members. Apart from that, Pearce-Brown et al. (2011) stated that, as the medical professionals are providing volunteer service towards the patients, so some of the team members of the multidisciplinary team provide service without proper care. In that situation, making good structure the team members should provide care service in order to cure the patients who are suffering from chronic disease (Ro.uow.edu.au, 2014).
The research referred by Chan & Tse (2012) stated that, as chronic disease including longer time, so several times the multidisciplinary team provide service with very casualty and the patients are affected for this reason. Moreover, if the medical professionals compel to provide volunteer service then, they provide service without any kind of seriousness. In this circumstance, maintaining proper structure the multidisciplinary team provides service. Most importantly, the multidisciplinary team should provide service in the course of a safety system, so that the multidisciplinary team is able to eradicate error (Yuill, Crinson & Duncan, 2010). Apart from that as the care service department, provide service to the patients, so it is directly linked to the human health. Thus, the multidisciplinary team provides service in proper time towards the patients. In addition, McMasters & Vauthey (2011) stated that the patients who possess chronic disease, always required patient-centric care along with family-centric care. Thus, it is the responsibility of the multidisciplinary team for providing patient-centric care. Following the moral value and principle, the medical professionals should provide equitable and efficient care for all patients. In order to maintain all above mention premises, the multidisciplinary team has to make effective principle and structure (Health.gov.au, 2014).
Cant & Foster, (2011) demonstrates that there are several chronic diseases are not curable in nature, then the medical professionals provide palliative care in order to provide interim time basis relief. Under multidisciplinary team, the medical practitioners and the other complementary group such as Dietician, physiotherapist, nurse practitioners should provide service as per structure and policy guidance. Providing service in case of life-threatening chronic illness, the multidisciplinary team and the volunteer service provider should provide service and align then emotionally. As viewpoint of Cant & Foster, (2013) basically, the medical professionals should provide service by maintaining and giving respect to the patient’s decision and keeping confidential of the patient’s circumstance. If the patients stay at home then, keeping safety to the patient is the responsibility of the family members, but if the patients take care service staying in any care-setting organisation, then, the organisational management, as well as the medical professionals including multidisciplinary team, carry out the entire responsibility (Ro.uow.edu.au, 2014).
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As opined by Halcomb, Davidson & Brown (2010), during providing care service towards the patients who are suffering from chronic disease, the care provider may face a different kind of behavioral risk. On that situation, following 5As model the medical professionals eradicate the issues involves assess, advise, agree, assist and arrange (Pearce-Brown et al. 2011). Following this model, the medical professionals and the organizational management implements an effective structure. As per the 5As model, the medical staff at first identify the risk and measure the effectiveness of the risk factors. After that in the second step, means in advice step, the medical practitioners discuss with other team members of the multidisciplinary team and incorporate several suggestions. Accumulating all the important suggestions, the medical professionals are discussing and analysing the most effective suggestion in order to select one for fulfilling the goal of the multidisciplinary team in the third step that is agreed. With the purpose of executing the chosen suggestion, the chronic disease management (CDM) review the entire environment and implement after gaining proper knowledge management system in Assist step. At last, after implementing the structure in the organisation with the purpose of eradicating risk the general practitioners follow that rules (Farag et al. 2013). The team members under the multidisciplinary health care team provide service by maintaining the 5As model.
In order to provide care in a proper way, for patient welfare, the Chronic Disease Management uses an effective structure that is discussed below:
Although maintaining the above structure the medical practitioners providing care services, but several time depending on the critical situation and environment, the multidisciplinary team compels to change the structure where the dieticians, physiotherapist, nurses practitioners have to change the structure by following the medical practitioners (Fine & Hintner, 2009). The medical practitioners, nurse practitioners, physiotherapist and the dietician changes structure as providing care service to patients required effective communication, collaboration, and moral value.
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Conclusion:
It can be concluded from the above topic that, the medical professionals and the organisational management of the care-setting organisation maintain a specific structure in order to provide good assignment service towards the patients. However, in case of chronic disease, those are taking longer time for a cure, the medical professionals provide service following the multidisciplinary rounds and establishing a multidisciplinary team. The multidisciplinary team includes the different disciplinary and complementary people such as medical practitioners, nurse practitioners, dietician, physiotherapists, etc. As curing chronic disease is a time-consuming process, so it is also demand lump sum monetary resources. Basically providing care service towards the patients who are suffering from chronic disease, the general practitioners help the patients in the course of volunteer service. As the medical practitioners, nurse practitioners, physiotherapist and the dietician provides service after analysing the situation with the risk factors so it is very important to review the structures. Apart from that, the medicals staffs provide volunteer service then also changing structure is involved.