In the United States, an increase in chronic health conditions in addition to advances in technology and medicine emphasize the value of efficient healthcare delivery (Jagosh, Boudreau, Steinert, MacDonald & Ingram, 2011). In a bid of delivering quality patient care at all healthcare institutions, positive relationship has always been their primary goal. However, the financial outcomes still come out as the metric by which the healthcare institutions’ success is measured. As a result, healthcare managers are obliged to understand the determinants of any organizational effectiveness; these include: strategy, positive relationship, finance, operations as well as leadership.

New technology, therapies, and diagnostic tools are a few out of many scientific innovations at the disposal of healthcare providers (Smith, 2010). As healthcare processes become more complex, enhancing the relationship between a physician and patients is essential for delivering high-quality care (Davis, Foley, Crigger &Brannigan, 2008). Consequently, healthcare managers face the challenge of improving doctor and patient exchanges amidst continuing changes in the healthcare environment (Smith, 2010). There is a great need for mutual understanding between doctors and their patients. The bond will make the delivery of services to be deemed high class and up-to-date. In addition, health care institutions will amass resources and revenue due to good relationships with their patients. The study confirms that most patients are not well served, and they demand better treatment from health care institutions. Relationships and counseling sessions act as a natural therapy to patients; thus, they feel relieved and ready to face medication. This, however, is not the case, according to the study conducted, meaning that patients are not provided with the proper attention they require. This is a crux managers have to face, considering the huge number of patients who attend health care institutions. The lack of proper registration in the system is also a major hurdle towards achieving a smooth operation in such institutions. Some patients complain of not being informed of the rising bills, others claim they are never given records of their attendance and how much they pay.

By examining the human factors of delivery design, we will try to find ways to improve interactions between physicians and patients and the feasibility of adopting such changes to a healthcare organization. This will call for the amicable interaction with the staff as well as make patients understand what they may be lacking in order to propel a successful operation at healthcare institutions. Patients have various and diverse complications that need being attended to. Their relationships with the healthcare staff and doctors will make them understand and cope with the new healthcare provision methods. The rate of patients seeking attention from communicable diseases such as cancer and diabetes, for example, call for more information on the kind of treatment they are being offered. The current society is extremely informed on the developments in the technological world; thus, health care managers have to adapt to the pressure that arises and is necessitated on their side. In terms of the therapies offered, the patients called for further enlightening of the effects they have on their lives, and how they can avoid any complications. They also advocated for quick counseling before the therapies. This means that they never get enough time with their physicians, who are always busy and in a rush to attend to other patients. This state of affairs calls for all the healthcare institutions to have the health of their patients at heart in order to ensure proper quality service. They should not look at the large numbers of masses they serve, but rather attend to each and every patient they have (Steinert , Boudreau , Boillat , Slapcoff , Dawson , Briggs and Macdonald, 2010). 


Service provision is mandatory in any health institution. It calls for the management to ensure that all the queries raised by the patients and staff are amicably addressed. Patients and staff of healthcare institutions are the most important components that will lead to better service delivery. They have to be in harmony with each other and all the institutions involved. The main solution that emerged after the study was the need for managers to improve human processes in delivering care. The doctor-patient relationship is necessary in the event of any privacy needed. This means that the doctor has to be well informed and understand his or her patients easily. This will, in turn, increase the care that is accorded to the patients and, hence, the success of healthcare institutions. However, all this doctor-patient relationship is related to the ease of patient access as well as registration at the health care institution. There is need for an amicable system of operation that will allow patients to receive fast and apt medical attention they may require immediately when they get to a healthcare institution (Cerigo, Macdonald, Franco and Brassard, 2011).  

 There has been a rising rate of denials by patients in the rising bills, which calls for managers to implement a system in the registration department that will keep all the records of the patients and their bills once they are attended to. The passport, which represents an eligibility deemed checking system, should be given priority as the only method to check the eligibility of the patients’ insurance.

In a bid to improve the doctor-patient relationship, managers should ensure that they involve their patients and staff through the patient satisfaction surveys.  This means that there will be frequent interactions among the hospital staff, patients, doctors, and especially at the registration level. The experience will definitely impact patient satisfaction and, eventually, the hospitals’ revenue cycle (Cerigo, Macdonald, Franco and Brassard, 2011).  

There is an increased level of advancement in technology, diagnostic tools as well as drug therapies. This calls for managers to adapt to these new technologies and to emergence of new ailments. This means that the staff should be enlightened and taught on how to operate the machines necessary for treating their patients. Some of the staff should be sponsored for specialty studies in the given fields in order to be able to offer better services to their patients in the future.

Emergence of new diseases needs to be addressed as well. This calls for close communication between the different departments and coordination with other health institutions that are well versed with the specific ailment. This means that the management should work out a harmonious way of mutual operation with other neighboring health institutions. They should allow exchange programs that would work for the benefit of the whole society. The rivalry that was noted between health institutions is not healthy. The best solution would be for managers to have a common ground in terms of dealing with specific ailments. They should come up with a way of catering for a referred case, as the health of their patients is more important. Despite the fact that any organization expects to benefit from its business, they should value health and lives at all costs. This will build a strong relationship with the whole society and will, eventually, lead to the averment of many communicable diseases. In addition, it will lead to eventual transfer of innovation and specialization will also be supported (Cerigo, Macdonald, Franco and Brassard, 2011).  

Success of any organization only comes about when there is mutual support among all societal members. Healthcare institutions are no exception, and they have to cooperate with other departments and institutions. This will lead to the provision of better health services to the public.


The study suggests applying multiple small changes instead of one big change at once. Introducing a new system calls for dedication and commitment from all quarters. Thus, the management should enlighten their staff on the benefits of introducing such a new registration system. In addition, they should inform them on the benefits of having their relationship with the patients raised a notch higher. They have to understand that it is not just the manager’s idea, but the idea that will work for the whole institution. There has to be a positive way of initiating the whole idea into their normal routine. This will call for the use of the questionnaires with the main idea at hand.

In line with the specialty studies, there is need to allocate budget for this task. The management should ensure that they seek funding, or raise funds for the wellbeing of their staff. This is a necessary step towards achieving the goal of better service delivery and care for the patients. It will also enhance the skills within the healthcare institutions’ staff.

Counseling stations should be set up within the healthcare institutions. This should also be part of the policies of all the healthcare institutions in line with the ensuring that their patients understand what they are being subjected to. With the massive rates of patient enlightenment on the given fields, the management has to tackle the rising levels of complains in line with care.

Cooperation with other like-minded and specialized health institutions will bore positive results. The main action to be taken by the managers is to call other members of healthcare institutions to come up with a single code of operation in line with the referred cases. This will definitely call for budgeting and harmonization of the fees charged on specific ailments. These changes will affect diabetic patients, cancer, and surgeries that may not be performed by certain healthcare institutions. It may also call for drafting of certain guidelines and rules that will govern the administration of such measures. Such actions will eventually lead to finding the solution of this rivalry problem. Since the managers are learned and mature, they will surely settle on the best way to deal with the problem.

Healthcare institutions can also invest in acquiring the latest technology in the market. This is in line with the therapies. This calls for the managers to involve their research department to ensure that they possess the most updated equipment to aid in the treatment of the ever emerging diseases, most of which have proved to be complicated for the society.

In order to identify whether the ideas are positively initiated into the system, the suggestion box should be active. This means that all stakeholders should be provided with a free chance to express what they feel about the whole procedure. It may be of great help if questionnaires are also used in order to get the general response in regard to the changes that are being initiated. The stakeholders should be made to understand that no intimidation or negative action will be taken against one’s opinion. It has to be a free and fair process. After the whole process, the management should then hold a meeting and decide on the further course of action. The stakeholders should mutually agree with all the actions taken in order to procede.  The proposals should act to the benefit of the healthcare institutions and to the general public. All parties should feel motivated by the changes, which are to be done in response to the findings of this study (Cerigo, Macdonald, Franco and Brassard, 2011).   

There is hope for better healthcare management and high-quality services if all these recommendations are implemented.

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