Healthcare Delivery Essay Example | Topics and Well Written Essays - 750 words

Healthcare Delivery - Essay Example In most situations, nurses take the big role of consoling patients as they patiently wait for the doctor. This issue can arguably said to be contributed by the fact that doctors are not well paid thus, they go abroad to seek for greener pastures where they can get good salary (Lundy and Janes 121). In addition, it is also evident that due to low remuneration form in the public sector, many doctors opt to operate private clinics where they have potential of earning good money. As a result, public hospitals record shortage of doctors. On the other hand, it is evident that due to shortage of doctors in public hospitals, the few available doctors are overwork as a result of attending to many patients without enough rest. When this happens, studies have documented that employees who overwork tend to offer poor quality services to their clients. In this regard, it is evident that the doctors would not be in a position to offer quality care to the patients due to exhaustion. In another dime nsion, current studies have also shown that motivation is a crucial element required for employees to produce quality work. Nevertheless, when employees are not motivated, they end not giving top results. In light of this, the bottom line is that since the few available doctors in the public hospitals receive low salaries and few incentives to motivate them, they feel not motivated to devote all their professionalism when attending to patients (Lundy and Janes 121). In addition, although some of the few available doctors in public hospitals may be seen in the office, most of them just appear there for a few hours and leave for their other assignments which include attending to their patients on their private clinics of other businesses that would help in supplementing the deficit they feel exists as a result of low salary by the government. The latter is that many patients will spend many hours queuing as they wait to see the doctor only to be turned down when the doctor walks away. Some doctors keep on changing or postponing patients’ appointments due to their busy schedule. The end result of all these deliberations is the provision of low quality services in the healthcare delivery. The other important issue of concern is the high cost of medical. Medical processes including diagnosis, testing, emergency care, specialist, admission costs and prescriptions have been a challenge to many people in the United States. For instance, some tests are considered costly to middle class and poor people in the United States. A specialised test that requires special machinery and chemicals may be expensive for ordinary people. In addition, some diseases require specialist to attend. The problem is when such specialists are few in the public hospitals (Lundy and Janes 122). In fact, most of the specialist operates private clinics. Therefore, the cost of seeing and getting help from them becomes high for ordinary people. It is also evident that staying in hospital fo r a long time translates to more money required to settle the hospital bills. This would be a problem to people who are not enrolled to any of the healthcare programs subsidized by the government. On the same note, even after being dispatched from the hospital, some people may not be able to take care of themselves due to high cost of after care services and other prescriptions required for recovery. In this regard, they are bound to look for cheap alternatives that do not lender good and quality services. Conclusion It

The world lay spread before me (Vol.I, chapter xix). How does Dickens Essay

The world lay spread before me (Vol.I, chapter xix). How does Dickens use narrative to explore the idea of great expectations in his novel - Essay Example These words carry great expectations, doubts, apprehensions, excitement, and anxiety. Charles Dickens drew on some of his own childhood perceptions with Pip as the narrator. Pip’s education and development takes place through adversity as he discovers the true nature of his great expectations. The adversities come in the form of intriguing incidents, which changed Pip’s life from that of an orphan to a rich man. He abandons his humble origins to begin a new life as a gentle man in London. Each incident, starting from a terrifying encounter with an escaped convict in a graveyard, summons to meet Miss Havisham whose clock of life has stopped, to the meeting with Estella, the beautiful but spiteful ward of Miss Havisham, and the sudden generosity of an unknown benefactor – all of these touch Pip’s life and give rise to great expectations within him. Pip had grown up an orphan in harsh conditions and difficult situations. He does a good turn for an escaped convict (as much out of fear as out of charity). This act of kindness is the beginning of his transition. He then finds himself going up the socio-economic ladder all the while enjoying great expectations with the help of an unknown benefactor. Pip receives great expectations as a reward for his act of charity. His life takes a turn when he is given a huge sum of money, which takes him to London to lead a life of a wealthy man. Dickens uses the narrative to point out that great expectations blind us to reason and gives rise to arrogance. Drawing from his personal experiences, Dickens provides deep insight into the lives and expectations of a society rich in wealth and power. They are far removed from moral values. The simple and hardworking people in the same society during the same era uphold these moral values. Dickens enlightens us with the fact that good and evil will exist in