Improving Health Care Systems Article Critique

Length: 2 pages Sources: 2 Subject: Healthcare Type: Article Critique Paper: #48910349 Related Topics: Patient Care, Medicare Reform, Health Care Cost, Health Care Organization

Excerpt from Article Critique :

¶ … Healthcare Interventions in Improving HealthCare Systems One of the greatest challenges for healthcare systems in America is how to best utilize health care interventions to improve the delivery of services and enhance the quality of healthcare. While effective interventions are often developed, most are only implemented in the academic settings in which they are developed; and only few are successfully disseminated to the healthcare setting (Kilbourne et al., 2007).

According to Pawson and his colleagues (2014), the structures of modern health care systems are too complex, making it hard for researchers to evaluate and synthesize interventions in a bid to improve healthcare systems. Subsequently, researchers and policy makers come up with multiple and competing interventions that attempt to address the same issue, which compromises their effectiveness. Furthermore, there lacks a proper framework for implementing the interventions that are likely to maintain their relevance once they get transferred across different settings in the health care system.

Due to the large number of interventions that are developed, it would be accurate to conclude that...


The structures present in different health care organizations require different modes of implementation. For instance, in 2006, the U.S. Centers for Diseases Control and Prevention (CDC) developed a Replicating Effective Project (REP) program that sought to come up with effective strategies to prepare HIV interventions for dissemination (Kilbourne et al., 2007). Although the program was adopted by more than 70 AIDS service organizations from across the U.S., only few reported improved outcomes. It is, therefore, imperative to come up with health care interventions that will improve health care systems, while putting their complex structures into consideration. Implications

Policy makers often invest large amounts of money in developing healthcare interventions, which go to waste if their implementation is not successful. There is also the challenge of synthesizing these interventions across multiple settings. Pawson and colleagues (2014) state that patients are also disadvantaged because they are relayed from one system to another, often without due care being accorded to balance of care within systems and in the process, the quality of care they receive is compromised.

As of 2013, the Centers for Medicare and Medicaid Services (CMS) reported that the U.S. spends more than 2 trillion in health care costs (CMS, 2014). These costs will continue to increase if interventions fail to…

Sources Used in Documents:


Kilbourne A.M., Neumann, M.S., Pincus, H.A., Bauer, M.S. & Stall, R. (2007) Implementation Science. Vol. (2)1, 1-10

Pawson, R., Greenhalgh, J.,Brennan, C. & Glidewell, E. (2014). Do reviews of healthcare interventions teach us how to improve healthcare systems? Social Science and Medicine Vol. (114)1, 129-137

The Centers for Medicare and Medicaid Services (2014) National Health Expenditure Data. CMS. Gov. Retrieved 23 April 2015 from

Cite this Document:

"Improving Health Care Systems" (2015, April 26) Retrieved June 3, 2023, from

"Improving Health Care Systems" 26 April 2015. Web.3 June. 2023. <>

"Improving Health Care Systems", 26 April 2015, Accessed.3 June. 2023,

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