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The Obstacles that the Healthcare Team Faces in Improving Quality Care

Nurse in scrubs with open palms

Today's healthcare system faces significant challenges, for which staff members like nurses must be prepared. All of these issues are accompanied by rising pressure on the bottom line. The persistent problem of reducing healthcare expenditures has taken on new urgency, and medical institutions' margins remain consistently negative. Staffing shortages, the expiration of COVID-19 rescue funding, supply chain concerns, and rising inflation all signal that the financial consequences of the pandemic may endure for years.

Quality Care Improvement

The degree to which the process of providing medical treatments and procedures matches accepted criteria for how those treatments should be administered is referred to as quality. Quality improvement is a critical component of patient care. 

Quality improvement in healthcare encompasses tasks such as increasing patient safety, minimizing medical errors, enhancing care coordination, and increasing access to care. However, there are numerous impediments to putting quality improvement plans into action. Lack of finance, staff training and resources, management support, clinical buy-in, leadership, poor communication, resistance to change, and a lack of data systems and analytics infrastructure are all examples.

There are various hurdles the healthcare team encounters when attempting to provide great care in the face of a barrage of laws. Here are some of them

Limited availability for appointments, and office hours
Many healthcare organizations provide standard office hours for patient appointments. Patients require convenient office hours that allow them to see the doctor outside of work or school. Aside from care quality, one of the primary motivators for patient care site selection is the availability of convenient care. Patients want to be able to obtain healthcare when and where they need it.

Budget Limitations
Due to financial constraints and red tape, transitioning to the healthcare industry has always been tough. This means that innovations are either postponed or altogether avoided, even if the change will improve the services provided. It's a huge problem to overcome with people suffering as a result of healthcare management's restrictive budgeting.

Barriers to Transportation
Even if a patient has access to a provider and can book an appointment, transportation issues may prevent them from visiting their clinicians. Patients who are physically unable to drive, have financial hurdles or are otherwise unable to arrange transportation to the clinician's office frequently go untreated. 

Healthcare organizations have begun to address this issue, seeing mobility as a critical socioeconomic determinant of health for which they have a feasible answer as well as a measurable return on investment. Healthcare providers and payers have devised programs to get their patients back on the road to recovery through collaborations with non-emergency medical transportation providers and rising ride-sharing companies like Uber and Lyft.

Persuading others that there is an issue
One fundamental, but frequently overlooked, obstacle to improvement is attempting to convince healthcare staff that there is a real problem that has to be addressed. Clinicians and others may argue that the problem being addressed by an improvement intervention is not really a problem; that it is not a problem 'around here,' or that there are far more important problems to address before this one. Trying to persuade clinical teams who believe they are already doing well to change is likely to be futile unless action is demonstrated to be truly necessary.

Despite these limitations, healthcare organizations may improve the quality of care they give in a variety of ways. It is critical to apply evidence-based practice and collect outcome data in order to improve healthcare quality.

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