Factors affecting the design and delivery of healthcare services at the different
levels of care for country V
Quality of healthcare service is directly connected with the client’s constancy,
satisfaction, and the clinic's profitability and productivity. As an outcome, most
healthcare firms around the world perceive the client’s satisfaction as a crucial tactical
differentiator for supporting its market viability (Mosadeghrad, 2014). Therefore, it is
necessary to outline techniques and enhance the quality of medical services. The health
ministry in country V should have in place a people-centered medical management
system. To have medical service givers to deliver an all-round cost-effective medical
care to clients. The formation of regional medical systems should be in place, and every
region should have a central place where health is managed. All the regions will have a
state-of- the-art regional medical center that operates jointly with the primary, and
intermediate community for long-standing medical assistance in the area. Even with the
decentralization of healthcare services, the citizens of country V are still at liberty to
choose their preferred medical giver (Mosadeghrad, 2014). They may obtain medical
care services outside their primary region. Cross medical facilities utilization should be
encouraged to help attend to the patient population who are frequently admitted.
Health ministry (national referral hospital)
Regional health coordinator (regional referral hospitals)
Intermediate (district) health coordinators (intermediate referral hospitals)
COUNTRY V HEALTHCARE 3
Primary (sub-district) health coordinators (primary (sub-district) hospitals)
Community health coordinators (local dispensaries)
Factors affecting the design and delivery of healthcare services
Political goodwill; it will impact the healthcare policy formulation and implementation.
Good political goodwill would mean that all policies regarding medical care would be
formulated, presented for legislation, and passed on time. Budgetary allocation for the
health ministry will be prioritized and funds disbursement from the relevant ministry
would always be done on time. Lack of political goodwill would lead to health ministry
operation frustrations and would consequently lead to poor service delivery. This is
because: there would be no funds to hire medical service providers, equipping the
medical facilities across the nation, poor remuneration, and lack of proper policies to
govern medical service delivery.
Corruption may hinder healthcare service at the regional level. Some regional health
coordinators posted to oversee operation in such facilities may use their positions and
influence within the ministry to redirect medical supplies and hiring of labour to fit their
gains. Corruption in the regional health system may result in an artificial medical crisis
within the region to make profits from their loots and please their masters at the national
The socio-demography of patients affects the design and delivery of medical care at the
intermediate, primary, and community levels (Organization, 2006). The patient’s socio-
demographic features impact the relationship between patient and health care provider;
COUNTRY V HEALTHCARE 4
subsequently, the quality efficiency of medical service given. Some patients often tend
to instruct their clinicians about which medicine they want to be prescribed. Most of the
intermediate, primary, and community levels often lack reliable referral facilities
characterized by low healthcare tariffs that result in a norm of not meeting clients'
requests by the services givers.
Poverty also affects intermediate, primary, and community levels of medical provision.
Client financial position impacts the efficiency of medical care services. In some
scenarios, the patients will not be able to pay the required medical fee and resort to
treatment cancellation. At times, the patients may not procure all the prescribed dosage
hence rendering the treatment less effective.
Assess the level of health system performance of Country V according to the data
presented in the above table
The medical care system's performance focuses on processes, outputs, and inputs of
the medical care system.
Processes and input comprise economic factors. On human resource, country V’s ration
of practicing nurses and doctors is still low, insinuating that the patient-to-doctor ratio is
below the recommended limit (Roosevelt, 2015). The government of country V should
emphasize hiring more medics and encouraging more students to join medical schools
and provide medical course scholarships to address the medical service providers in the
long run. In finance, the GDP is not short of financing the economy. The health sector
forms a backbone of an economy and twelve percent allocation is way too low to attain
the desired healthcare efficiency.
COUNTRY V HEALTHCARE 5
Output includes; healthcare outreach. In country V, healthcare can be affordable as
most of the population is employed. Eighty-eight percent of the employed population
can comfortably address their medical bills. Meaning that if country V institutes a
medical cover policy, then the five percent who are not employed and have attained the
employment age would benefit. Insinuating that almost ninety-eight percent of country V
population would have access to medical care. The quality and availability of the
healthcare system in country V is wanting; as attributed by the life expectancy, infant
mortality rate, and nurse-doctor ration.
Utilization of the healthcare service is greatly affected by output and when a remedy is
provided, there will be an enhancement in medical service delivery. There is a need for
a diet and smoking character change of country V citizens. The percentage of adults
smoking per day is alarming. Such a number means that the number of secondary
smokers is high. Therefore, the health care sector will be severely strained to deal with
patients infected by chronic diseases as a result of air pollution (Roosevelt, 2015). The
health care sector will also be strained in handling a huge population that suffers from
diseases like cancer as a result of smoking. At the same time, provide care to thirty-five
percent of older people and fifty-four percent obese people.
Outcome; the result of character change in utilization of country V’s resources would
result in a high fertility rate, reduced cases of obesity, and less straining of the medical
facilities. Less strain to nurses and doctors, increase gross domestic product per capita
and rise in life expectancy.
COUNTRY V HEALTHCARE 6
How Country V can reach a desired level of performance using one performance
The desired performance of country V will be attained if it has;
Strategic plan; the health ministry should formulate and take a look at good healthcare
policies that will not only regulate but also govern the provision of quality healthcare to
her citizens (Organization, 2006). If need be, the health ministry should partake poised
research and benchmarking activities to deliver quality, affordable, and accessible
Action plan; country V should have a clear, structured, and feasible healthcare action
plan for her people. The health goals and objectives should be clear and understood
(Cantens, 2012). At the same time, the health ministry should partake continuous civic
education in case a behavior change is needed.
The health ministry should have a clear outline of short-term and long-term goals and
means of monitoring if the sets goals are attained within the stipulated period. Frequent
monitoring and assessment will help determine the next course of action and which
areas to put more emphasis on attaining the designed goals.
Five regulatory agencies that could be responsible for the health system
performance of country V
Health insurance agency; ensures that healthcare services remain accessible to all
citizens across the nation. The insurance cover can be through publicly sponsored
programs or private sponsorship (Review, 2014). Many times medical insurance cover
is anchored with quality health covers suitable to people across all ages.
COUNTRY V HEALTHCARE 7
Public health; it will be updating, alerting, and educating citizens on the impending
danger and providing the safe ways of addressing the emerging issues. For example,
in-country V, the public health service, would provide merits and demerits of observing a
strict diet in addressing obesity challenges.
Center for disease control; will help in partaking research, training, and monitoring
disease trends in the country. The center will also play a critical role in providing a
mechanism to address emerging diseases like coronavirus.
Medical training agency; It will be tasked to formulate rules and regulations that govern
admissions, examining, medical training syllabus, and registration of medical students
and staff. The agency will ensure that only qualified individuals are admitted and
graduate from all the medical institutions across the nation.
Treasury; will be tasked to finance all the medical projects, provide wages, and financial
assistance in a timely efficient manner.
How the components of the healthcare system of country V can work together to
Centre of disease control; upon receiving information on Covid-19, it will embark on
taking samples of infected people, find the cause, means of transmission, and research
on the treatments. The useful information will be communicated to the public health
docket to communicate to the general public.
Public health; will conduct civic education to the public on the cause, transmission, and
mitigations of COVID 19 after getting communication from the Centre of disease
COUNTRY V HEALTHCARE 8
Treasury; will be needed to help fund treatment research programs at the Centre for
disease control, finance public sensitization programs by the public health docket,
finance, and facilitate the procurement of safety equipment for caregivers in
collaboration with the health ministry. It will also finance training of medical staff on how
to attend to COVID 19 patients.
Medical training agency; train medical staff on how to use the safety kits, handle
infected persons safely and provide training facility to the medical fraternity.
COUNTRY V HEALTHCARE 9
Cantens, T. a. (2012). Organizational Performance Measurement. Brussels.
Mosadeghrad, A. M. (2014). Factors influencing healthcare service quality. Health and
Management Policy , 77–89.
Organization, W. H. (2006). Health System Matrics. New York : WHO press.
review, C. (2014). Measuring Performance Management Effectiveness. London : Clear
Review Limited press.
Roosevelt, F. D. (2015). The Future of the Public's Health in the 21st Century. National