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Healthcare Assignment: Examining The Quality Of Service Provision In BreastScreen


Task: Your Task
Develop a 2000-word report outlining findings and recommendations for further action, built upon an ongoing analysis of the health service you examined previously.

Assessment Description
The purpose of this healthcare assignment is to foster students’ capacity to utilise a systems-thinking approach further to develop an understanding of the Australian healthcare system and its ability to provide care and prevent illness. Students will use data to predict the role and influence of preventative strategies and technology on demand for healthcare in the future, focusing on vulnerable populations. They will debate the ethical issues that can arise in managing health care systems and actively consider ways for systems and management challenges to be resolved. In addition, they will create an inventory of resource requirements applicable to a variety of healthcare settings, focusing on vulnerable populations.

The analysis, to date, has used systems thinking approach and has been based on the WHO six building blocks of a health system framework.

1) Service Delivery.
2) Health Workforce.
3) Information.
4) Medical Products, Vaccines and Technologies.
5) Financing.
6) Leadership and Governance (Stewardship).


Building blocks of the health system framework are six in numbers, including leadership and governance, financing, technologies, vaccines, medical products, and information. It also includes health workforce and service delivery. Most importantly, the previous assessment revolves around the system thinking approach that has helped in developing better understanding regarding enhancement and maintaining the purpose and functions of the system. This assessment is all about identifying the responsiveness and quality services in an ageing Australian population after providing the main findings from the last assessment. Along with that, this report focuses on examining the quality of service provision from the end of the selected healthcare service organisation that is BreastScreen. This organization focuses on screening the present condition of breast cancer among women from selected age groups.

1. Overview of service and findings from Assessment 2
The assessment 2 helped in identifying the interconnectedness in working procedure and health system framework of BreastScreen, NSW to provide better services to an ageing population of 50-74 years. This assessment has helped in identifying the importance of digital technology in spreading awareness related to bread cancer. For example, the financial contribution of the programme regarding the awareness project was $18,867. The assessment has also found out the boundaries regarding providing best services and care to the identified population regarding providing free services (Nget al. 2018). It has also been identified that the common pattern of the cancer treatment also requires identifying after locating the reasons for facing such an issue in a specific population. For example, casual feedback loop has helped in identifying the relationship between the campaign programme and required education to stay aware.

SWOT analysis in this assessment has helped in identifying the strength of the screening programme from the end of the organisation as a part of the National healthcare system. Along with that, this organisation provides free services to cases that are comparatively less risky. Most importantly, it also comes with some weaknesses such as this screening programme cannot help women under 40. Therefore, this health organisation has both opportunity and threats when it comes to providing accurate care (Lamet al. 2018). For example, interval time in checking the growth of tumour in breast can affect the reliability of the screening process. However, it has the opportunity of providing accurate service to a specific group of population when it comes to progressing in a part of healthcare support, and safety. Therefore, service delivery as a building block from the health system framework of WHO was presented in assessment three.

The second building block that is the health workforce got no less importance in this assessment as it was identified in the form of efficiency of the working team in the field of radiology. Along with that, multi-disciplinary teams in this organisation while using tools such as FRA-BOC have shown the efficiency in improving the entire process of better service providing capacity (Lalithambigaiet al. 2019). Information is another critical part of the building block that has helped in providing best services and care to the specific population. On the other hand, rescreening of women with special needs related to diagnosing breast cancer is another critical part of the healthcare system to improve the process (Grossmannet al. 2018). For example, documentation of simple screening also helps in improving the entire procedure of identifying symptoms and signs of cancer.

It is crucial for the organisation to analyse the importance of technology, vaccine, and medical products as a building block along with utilising them. For example, tomosynthesis technology has assisted this organisation to complete the work of mammography more efficiently. Financing is another important part for the assignment that has clearly presented importance of the entire working procedure and caring approach of the workforce to maintain the budget while servicing everyone free as per situational demand (Mizukoshiet al. 2020). Therefore, the second assessment has helped in analysing the system barriers after determining them.

2. Quality service provision
Overall performance of the service provided by BreastScreeing, NSW reflects the efficiency of the workforce to provide better services and care to every patient between the age group of 50-74. Free services in the initial stage have affected the entire procedure of educating women to close the causal loop. For example, social media campaigns are the most essential part of spreading awareness among women. Primary reason for such a fact is that it has increased the chance of reaching the target audience (Nget al. 2019). Media campaigns of the organisation are intended to reach the target patients to know more about the factors that can affect their lives along with getting better services from the organisation. It has also been identified that measurability of any campaign helps in identifying the importance and profession of the project. For Example, in this case, the entire team of the organisation regarding services and health has helped the people of this place to get better services and care through better technologies.

Moreover, the best part of the performance level of this organisation regarding the BreastScreening programme in NSW revolves around quick detection of the issue that has only helped in improving the rates of survival. Programmes to improve the level of awareness among the women can only help increasing the rate of patients in this setting of healthcare services to build a better lifestyle (O’Haraet al. 2018). For example, digital display, magazines, and Arabic radio are equally important for the company to improve the awareness (Tapiaet al. 2017). This campaign has also managed to create better approaches to respond to the critical situation for the services.

Most importantly, services in this organisation has been improved with passing time only through the implication of better finance management and better workforce that have helped in utilising high-quality technology through better governance and leadership. For example, free services to the people have only helped in improving the condition regarding the intention of the patient to come to this place (Danielset al. 2018). Free services in the initial stage along with quick determination of this issue has only helped in managing the entire condition of the patient regarding better improvement. Positive confidence among doctors and service providers along with the patients has only helped in managing the entire case of receiving treatment.

Moreover, the improved services to better radiologists to use the advanced tools such as FRA-BOC have only helped in categorising the risk levels among women. Most importantly, the presence of the weaknesses in services has only improved the opportunity of working more efficiently in this place (Beatty and Kissane, 2017). It has also been identified that categorisation can improve the condition of finding out the most common practices and procedures in this aspect that can help in strengthening the building blocks from the side of WHO.

3. Responsiveness to the needs of ageing population of Australia (50-75 years old woman with breast cancer)
Responsiveness of the organisation lies in the usage of proper technology and services to provide better services to the patients. Quick determination procedure using the most efficient working teams and financial management procedures have helped to create better dimensions regarding mammography to improve the procedure of funding and partnership. Payment from the side of the state is another critical aspect of managing the entire business without making any mistake (Lyleet al. 2017). It has also been noticed in this case that scheduled approaches of the organisation from the end of the commonwealth have only helped in the betterment of governance and leadership. Agreement of national partnership payments have also created a better dimension regarding working together. This organisation has also targeted the ageing group of 50-69 years as per the standards of NSW health that include better experience for the patients related to services and care.

Technology is the most helpful factor for the organisation that has managed to improve the condition regarding tackling issues related to mammography (Smithet al. 2018). It is only for the company to manage estimation related to financial contribution before implementing proper vaccines along with essential medical products.

For example, national Safety and Quality Health Service has also played an essential role in shaping up the entire part of creating better perspectives related to providing exact service as per expectations of the patients (Walkeret al. 2017). On the other hand, responsiveness of the organisation towards the ageing population of Australia requires maintaining rules and regulations from the perspective of clinical governance standard of NSQHS, including actions such as 1.15, 1.10, 1.9, and 1.8. These standards managed to provide best services and care to patients on the basis of the special contributions from the end of patients along with sustainability of the present system of decision making and paying taxes for engaging the workforce.

However, problems are a crucial part of any service providing organisation, and it is no different in the case of BreastScreening NSW that gets help from the Government when it comes to solving complex policy problems. Most importantly, policy measures include incoherent, inefficient, inequitable, and complex attitudes of the Australian approaches towards better services and care. 4. Ethical issues and considerations related to service delivery decisions and vulnerable populations Ethical issues regarding providing services and care to the specific ageing group and population revolve around policies and actions regarding laws and regulations in this point. Creating changes in starting point has become an integral part of the policy making as per local councils, territory governments, and federal government. Reform Acts and health Acts in this country have also established the factors such as National Health Funding Body, Independent Hospital Pricing Authority, and Australian Commission of Safety and Quality in this sector. All of these frameworks and institutions have helped in identifying the reasons for working in this organisation that is to minimise risks among women along with spreading awareness related to the specific problem.

However, the most critical ethical problem of the organisation was to maintain the financial activities regarding projected spacing. It is an ethical procedure for the organisation to provide free services to most of the women at the initial stage. For example, it is not possible for the organisation to ignore any woman with issues related to breast cancer in their initial stage (Pekkayaet al. 2019). Most importantly, it is essential to work more efficiently in this field by using this feature of technologies to give a better and progressive life to most of the women in this country with this specific problem. Other ethical issues include providing services to every community of this quality. Equality is a key ethical issue in the field of health services. Process of health funding is another critical part of the healthcare procedure and evaluation process that can only help in recommending the most efficient procedure to reach the goal of alliance between nursing and health.

5. Recommendations
Betterment of Service delivery
Better service delivery can be possible by getting help from the higher officials and higher leadership team members in this place. For example, the vulnerability of ageing population of the selected group needs to be considered to take care of the required features in future. Specific actions regarding managing proper activities of the service providers can help in taking better actions in future.

Utilising health workforce
Workforce is the most crucial part of healthcare services as it is quite tough for the organisations to ensure satisfaction among patients without having sufficient workforce with proper training and development (Wan et al. 2020). Hence, it is essential to have people with better skill and knowledge of using the proper technologies and medical products.

Management of financial activities
Management team cannot get success in providing better services and care to the patients along with reaching expected outcomes without the proper services and support of financial activities. Hence, it is crucial for the team to manage the financial budgetbefore conducting any campaigns.

Health system framework has a keen relationship with providing high quality services and care to the patients. In this case, the selected organisation has chosen a specific ageing population to provide them with the best services and care possible for them. For example, overall performance of the company in the case of service and care is excellent when it comes to providing services to women free to help them with their current issue of health. Healthcare is a critical part of life that requires support from the government even while getting help in an organisation. Most importantly, this report has provided a concise overview of the last assessment.

Reference list
Beatty, L. and Kissane, D., 2017, March. Anxiety and depression in women with breast cancer. Cancer Forum, 41(1), pp. 55-61.

Daniels, B., Kiely, B.E., Lord, S.J., Houssami, N., Lu, C.Y., Ward, R.L. and Pearson, S.A., 2018. Trastuzumab for metastatic breast cancer: Real world outcomes from an Australian whole-of-population cohort (2001–2016). The Breast, 38, pp.7-13.

Grossmann, M., Ramchand, S.K., Milat, F., Vincent, A., Lim, E., Kotowicz, M.A., Hicks, J. and Teede, H., 2018. Assessment and management of bone health in women with oestrogen receptor positive breast cancer receiving endocrine therapy: Position statement of the Endocrine Society of Australia, the Australian and New Zealand Bone & Mineral Society, the Australasian Menopause Society and the Clinical Oncology Society of Australia. Clinical endocrinology, 89(3), pp.280-296.

LalithambigaiRajagopal, P.P. and McBride, K.A., 2019. The lived experience of Australian women living with breast cancer: A meta-synthesis. Asian Pacific journal of cancer prevention: APJCP, 20(11), p.3233.
Lam, M., Kwok, C. and Lee, M.J., 2018. Prevalence and sociodemographic correlates of routine breast cancer screening practices among migrantAustralian women. Australian and New Zealand journal of public health, 42(1), pp.98-103.
Lyle, G., Hendrie, G.A. and Hendrie, D., 2017. Understanding the effects of socioeconomic status along the breast cancer continuum in Australian women: a systematic review of evidence. International Journal for Equity in Health, 16(1), pp.1-15.
Mizukoshi, M.M., Hossain, S.Z. and Poulos, A., 2020. Comparative analysis of breast cancer incidence rates between Australia and Japan: screening target implications. Asian Pacific Journal of Cancer Prevention: APJCP, 21(7), p.2123.
Ng, H.S., Koczwara, B., Roder, D., Niyonsenga, T. and Vitry, A., 2018. Incidence of comorbidities in women with breast cancer treated with tamoxifen or an aromatase inhibitor: an Australian population-based cohort study. Journal of comorbidity, 8(1), pp.16-24. Ng, H.S., Vitry, A., Koczwara, B., Roder, D. and McBride, M.L., 2019. Patterns of comorbidities in women with breast cancer: a Canadian population-based study. Healthcare assignmentCancer Causes & Control, 30(9), pp.931-941.
O’Hara, J., McPhee, C., Dodson, S., Cooper, A., Wildey, C., Hawkins, M., Fulton, A., Pridmore, V., Cuevas, V., Scanlon, M. and Livingston, P.M., 2018. Barriers to breast cancer screening among diverse cultural groups in Melbourne, Australia. International journal of environmental research and public health, 15(8), p.1677.
Pekkaya, M., Pulat mamo lu, Ö. and Koca, H., 2019. Evaluation of healthcare service quality via Servqual scale: An application on a hospital. International Journal of Healthcare Management, 12(4), pp.340-347.
Smith, K., Winstanley, J., Boyle, F., O’Reilly, A., White, M. and Antill, Y.C., 2018. Madarosis: a qualitative study to assess perceptions and experience of Australian patients with early breast cancer treated with taxane-based chemotherapy. Supportive Care in Cancer, 26(2), pp.483-489.
Tapia, K.A., Garvey, G., McEntee, M., Rickard, M. and Brennan, P., 2017. Breast cancer in Australian Indigenous women: incidence, mortality, and risk factors. Asian Pacific journal of cancer prevention: APJCP, 18(4), p.873.
Walker, L.C., Pearson, J.F., Wiggins, G.A., Giles, G.G., Hopper, J.L. and Southey, M.C., 2017. Increased genomic burden of germline copy number variants is associated with early onset breast cancer: Australian breast cancer family registry. Breast Cancer Research, 19(1), pp.1-8.
Wan, S., Gu, Z. and Ni, Q., 2020. Cognitive computing and wireless communications on the edge for healthcare service robots. Computer Communications, 149, pp.99-106.


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