February 19th, 2020 
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When choosing a structure that will produce the highest quality of patient care, it is first essential to understand the various types of clients that will be served. Health care customers can be split into three main groups, including the patients, the physicians who recommend the healthcare procedures, and the health insurance providers (Pavla et al., 2017). Next, it is important to determine how the quality of patient care is measured since quality of services is the key factor that affects clients’ decisions in the health care market (Pavla et al., 2017). Quality to consumers can be measured in various forms including economic performance, convenience, number of aging and lower socioeconomic patients that are cared for, and government regulations or incentives that are utilized (Conti & Jones, 2017; Tynkkynen & Vrangbaek, 2018).
While there are both positive and negative quality outcomes to each structure, a review of literature argues a public, non-profit health care structure will ultimately produce the highest quality of patient care. First, public structures have shown better economic performance when compared to private health care organizations (Tynkkynen & Vrangbaek, 2018). In addition, public structures treat a larger population of aging and lower socioeconomic status patients (Tynkkynen & Vrangbaek, 2018). The Public Health Service Act is a government incentive that provides assistance to health care organizations who serve patients of a lower socioeconomic status (Conti & Jones, 2017). Federal policies and incentives seem to be geared toward helping public health care organizations because of their involvement within lower socioeconomic communities (Conti & Jones, 2017; Tynkkynen & Vrangbaek, 2018).
Not-for-profit health care is based on a service-driven model, which is seen to produce a higher quality of patient care (Price, 2018). The service-driven culture is a result of heavily relying on funding from donors and the community (Price, 2018). Public health care structures focus on the health of people within a community by promoting healthy lifestyles, detecting behavioral and economic risks, and researching disease and injury prevention (Wiley & Matthews, 2017). Because for-profit health care organizations function on a business model, they might not be as willing to give up profits for charitable causes for the communities they serve (Price, 2018). For these various reasons, it is argued that a public, non-profit health care structure will ultimately produce the highest quality of patient care.
References
Conti, R. M., & Jones, D. K. (2017). Policy diffusion across disparate disciplines: Private- and public-sector dynamics affecting state-level adoption of the ACA. Journal of Health Politics, Policy & Law, 42(2), 377-385. doi: http://dx.doi.org.lopes.idm.oclc.org/10.1215/03616878-3766771
Pavla, S., Jana, H., Jana, L., Juliana, T., Soa, Z., & Jan, . (2017). The key factors influencing clients decision-making in the market of selected planned healthcare in the Czech Republic. Journal of Competitiveness, 9(4), 94-113. doi: https://doaj.org/article/ce3eb18851b5448d801b6bf905df3382
Price, N. (2018, May 16). For-profit healthcare organizations vs. Not-for-profit healthcare organizations [web log comment]. Retrieved from https://www.boardeffect.com/blog/for-profit-vs-not-for-profit-healthcare/.
Tynkkynen, L. & Vrangbaek, K. (2018). Comparing public and private providers: a scoping review of hospital services in Europe. BMC Health Services Research, 18(141). doi: https://doi.org/10.1186/s12913-018-2953-9
Wiley, L. F., & Matthews, G. W. (2017). Health care system transformation and integration: A call to action for public health. Journal of Law, Medicine & Ethics, 45(1_suppl), 9497. doi: https://doi-org.lopes.idm.oclc.org/10.1177/1073110517703335.
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