Health Care Delivery Determinant Models

As we acknowledged that HCO is not a sole proprietor but co-op partnership or generally owned by the community of stakeholders. It depends on what role of healthcare professionals has taught the basic diseases prevention strategies repetitively to the public. Stakeholders’ viewpoint is to advertise the health promotion in preventing disease is the gain of trust and quality of delivery of care whereas physicians’ viewpoint5 is the integrity and efficient in providing care. Both role models have to go in hand-in hand on promoting health wellness. Thus, HCO is responsible in developing disease prevention strategies of existing acute and chronic illness. According to author, (Beaufort Longest Jr 207) elaborated the definition of health care delivery system. It is defined as the “State of complete physical, mental, and social well-being and not merely the absence of disease or infirmity”. This is beyond an understanding that health has implications resulting from humankind. These implications came from six most influential factors that have revolved health in multitude directions based on the decisions and choices, not only the negative implications but the positive implications as well.

Menopausal symptoms.  For instance, according to communication briefings in 2012 paper as wrote  about women who experience callous menopausal symptoms and the possibilities of developing heart disease risks such as higher cholesterol levels, hypertension, and increased body mass index (BMI). A BMI strategy response to the weight symptoms—not just from one weight symptom that was reported by women who have weight problem. For example, the women who got their cholesterol and blood pressure checked and employed the natural strategies such as yoga in order to ease menopause symptoms and protect the heart. The decisions underlines partial of three health determinants, which are the  policies and interventions, physical environment, and quality health services while choices underlines the other three health determinants of behaviors, biology and societal environment. The first three health determinants are correlated to one another in sequence order but not necessary. Most of time, it starts with physical environment, which illustrates the nature and the sensory that affects our health naturally. However, author, (Beaufort Longest Jr. 212) adds that, “physical environment also contain less tangible elements such as radiation and ozone in which it can harm individual and common health”.  As the other side of physical environment created by man is to minimize the nature exposure of hazardous environment by creating clean and safe places for people to work, exercise, and play.


Health policies. The impact of health policies on social factors are the deprivation, undervaluation, economic circumstances, and ignorance. The factors clearly blames on lack of education, lack of employment, and lack of self-dignity. These impacts have affected the whole healthcare system, in particular with the federal health insurance, controlled by the Center of Medicare Services (CMS) that has stringent procedures on payments for the recipients and commensurate systems for the clinical professionals in practice. Where physicians and other clinical professionals find it very unsavory to their highest abilities, knowledge, and skills that does not match up to the salary merit systems due to lack of health care practices that delineates the guidelines for the physicians and nurses to comply. In addition, an implication on recipients—persons who have non-employed health insurance— faced their managed care that has a limitcy of benefits and services that are available to them. In turn, complexities of health- related issues has rise many questions on how it could be satisfactory on both sides of health services.

 Decision Making implications. According to the pinpoints on decision- making alternative solutions on major issues that could sway away from the stereotypes of consumed problems that was influenced by society (Auerbach et .al 232). The centric decision-making alternative solutions on five specific areas to focus on investments on children’s health insurance; innovations of employment developments and work conditions; and, instill employment policies including federal labor laws to oppress the ideology of bias; Strengthen community support and empowerment on civic participation; And, tax incentives for those employers who comply the federal laws in an economic feasible way. Therein, developments of health policies and intervention techniques to assure that the environment are safe. The[ purpose] of this is to reduce inequities in health as to safeguard elements for common good. Policies and interventions can have a powerful and positive effect on the health of individual and the community. Promoting community health awareness on disease preventions, immunizations, and prenatal care and other health-related campaigns for health wellness and in pursuit of health are the essentials of health care management system.

Interrelationships with physical environments. Health policies intend to establish a foundation of rules and rights to de-bias on an individual or group that seeks health care5(87). Policymakers mandate personal and work safety requirements such as wear appropriate clothing and equipments before providing and or receiving services, for example. The interrelationships of physical environment and policies and interventions together equalize the third health determinant, quality health services, in which, expands accessibility to health care services in order to eliminate health disparities and maximize the quality of healthy life. According to authors Stephen Tax and Ian Stuart, “service design is among the least studied and understood topics in services marketing”, yet, it is crucial topic. Investing in education and training on service design is yet a secondary crucial topic.  Third crucial topic would be[ the] utilitarianism of healthcare organization. This will bring total quality management (TQM) to the top line of quality care on intervals or continuous quality improvements (CQI) is to correct an issue immediately utilizing strategic methods of resolving issues in a bigger pictures as to look at all of dimensions that surrounds the issue (Fottler, et. al 7 ). In consequence-based theory, Utilitarianism is a cost/benefit analysis is described in professional context, in which, justifies the means of achieving a goal. In other words, benefits outweighs the cost of a decision is the achievement of a goal2. Hence, all imperative HCO topics are the actions of a leader or a physician.


Leaderships. The roles played of a physician leaders in part of designing, measuring and forecasting in reform of  epidemiologic planning model for HCO system is the act of an agent or a detective and humanitarian role models altogether into one5. That is, collaborate and facilitate clinical team members on deliberations on issues together, gather surveys of patient satisfaction outcome and the costs toward resources are precise and effective. For instance, in the scenario of Chief Operating Officer (COO) using different employment management approaches in order to make a solution(s) to a problem being addressed. A problem of x-rays and x-ray technicians are not readily available in the operating room when doctors needed them the most during the process of operation. A traditional COO would blame and criticize section manager for poor performance on the job, technical incompetence, poor supervisory skills, and other unsatisfactory outcomes brought about by the entire department. However, COO has different approach in mind, which is a problem-solving approach. The COO would organize a team of technicians and instructed them to investigate the matter and bring the findings back to COO. The team of technicians then found that there were staffing shortages of x-ray technicians in the hospital. COO then decided to change the hours of operation of mobile x-ray unit and in-house x-ray unit to cover operation schedules. Sometimes, it does not stay consistence because some problems may arise from saving costs by reducing the need of mobile driver and technicians overturns2. (7)

As a result, it is imperative for physician leaders to play all types of roles to ensure the safety and health of all humankind.

Works Cited

“3 Mistakes In Negotiating.” Communication Briefings 32.2 (2012): 6. Business Source                                                                                                                                     Complete. Web. 31 Mar. 2013.

Myron D. Fottler, Ford, C. Robert. & Heaton, P. Cherill. Delivering the Services: Achieving                       Service Excellence, Strategies for Healthcare .Chicago, IL.2002.Health Administration Press

Fremgen, Bonnie F. Introduction to Medical Law, Ethics, and Bioethics: Medical Law and                Ethics. Upper Saddle River, NJ. 2006. Prentice Hall

Longest Jr, Beaufort B. “Management Challenges At The Intersection Of Public Policy Environments And Strategic Decision Making In Public Hospitals.” Journal Of Health & Human Services Administration 35.2 (2012): 207-230. Business Source Complete. Web. 31 Mar. 2013;.Auerbach, Krimgold, & Lefkowitz,2000.

Griffin, John R.  & Kenneth R. White. “Managing the Healthcare Organization: The Well-Managed Healthcare Organization”. Chicago, IL.2007. Health Administration Press