Skip to content 
BHA FPX 4002 Assessment 1
Evolution of the Hospital Industry
The nature and the perception that patients have regarding their stay in the hospital have changed. In the attempt to get more extensive information, the growth and the changes that occurred in the hospital room layout, medical personnel expertise, the improved and enlarged range and quality of service delivery, and most significantly, the payment system between 1800 and 1960 were identified with a significant change.
When these patients glance across time, they are able to observe that different times come with other healthcare delivery systems, staff capacity, and funding. These aspects prove the extent of modern healthcare transformation through technology and norms and its steady progress.
Hospital Care Evolution
The overall care of patients, staff education, level of treatments, methods of payment, and general progress have been overshadowed by the revolutionary changes that have dominated healthcare and aspects of hospital performance in the past few centuries.
-
Hospital Environment
It is worth pointing out that what was available in the 1800s were simple, congested, and unclean hospitals. These patients required more privacy and were treated poorly in big wards. From the 1960s, hospitals expanded their focus on admit forms to isolated rooms to create increased amounts of privacy and comfort for patients (Halpern et al., 2023).
Contemporary healthcare centres equip the patient rooms with the latest technology to make the healing environment look more personal and cosy. The issue of space and limited access to the necessities for their well-being restricted the quality of patient treatment in the 1800s hospitals as they were overcrowded, lacked the most basic of amenities and were generally unhygienic (Shokri et al., 2020).
This market provided less personal space and more opportunities for sanitation issues, which, consequently, required more one-on-one patient attention and a higher risk of illness. Processes of patient separation became even more physical at the beginning of the 1960s. Still, the generally scarce stock of medical equipment remained incompatible with adequate medical treatment, and patients needed help to receive the necessary further treatment.
Unique and separate rooms in different private and modern hospitals have changed the methodologies of treatments in the last two decades (Shokri et al., 2020). Patient outcomes are also enhanced when the quality of care has been raised to match the current nation’s standards due to the comfort that patients have during their recovery. This shift enhances infection control measures, prescription, and tracking of patients’ condition to optimum levels.
-
Staff Education in Hospitals
Some hospital employees in the 1800s required better education, particularly medical and nursing staff. Initially, most of the nurses acquired their education through training or, in other words, apprenticeship. Lack of acute formal education forced the patients’ treatment, which consequently raised the preventable disease mortality ratio due to poor knowledge concerning medical practices and infection prevention measures (Mao et al., 2021).
In the 1960s, there was an increase in the number of nursing schools to meet the qualifications of more and more nurses. Attending an accredited school increases students’ knowledge and competence in nursing. This modification improved medication safety, patient care during their stays, and prevention of the spread of diseases (McGarity et al., 2023).
Today, the individuals who work in this sector go through adequate learning and are trained for their positions. Doctors typically receive their training, while nurses train from approved institutions. Qualified personnel who have gone through rigorous training and possibly have expansive knowledge in the area of specialisation continuously improve the quality of patient care for the patients. Diagnosis, patient care, and overall results are enhanced using the evidence base methods (McGarity et al., 2023).
-
Level of Care Provided
During the nineteenth century, confined health care was severely constrained by a need for more medical information and points of reference. Instead, systemic measures were obligatory and target-aimed medical measures were dispensed with and replaced by mere bonesetters’ approaches to primarily palliative care.
Practice issues that emanate from the absence of professionalism and standardisation of practices affected patient outcomes by compounding illness mortality that was unnecessary (Filipe Paiva-Santos et al., 2023). The improved technologies and treatments stepped up a notch in the 1960s.
Surgical treatment, diagnostics, and medicine production fields evolved. The institution saw more efficient patient care and reduced mortality trends as a result of new life-enhancing medications and treatments (Filipe Paiva-Santos et al., 2023). Many specialised procedures and approaches to the patient`s care are offered in the hospitals nowadays.
Technologies in diagnosis and microsurgery have significantly changed how patients are handled. Approaches are based on an individual patient’s need and managed by a group of professionals or specialists, which helps to raise the outcomes and rates of survival for a complicated disease.
-
Payment Systems in Hospitals
The bulk of treatment in the 1800s was provided through out-of-pocket expenses by the clients or from donations that were made to organisations charged with the responsibility of providing health services. Since equal delivery of health care and treatment were not accessible due to social and economic differences, social and economic disparities were evident in the people’s health care.
Medicare and Medicaid are also the federal health insurance programs that began in the 1960s, which can be considered as the shift of paradigm (Centers for Medicare & Medicaid Services, 2023). Economically, barriers were eased, and the quality of care which people such as older people, the Poor and people with disabilities received was greatly improved.
Sources of health payment, according to Centers for Medicare & Medicaid Services (2023), are Private insurance, government-funded programs, and out-of-pocket payment. There are still gaps, though, and discussions on coverage caps, patients’ cost-share, and service availability still affect the quality of adopted health care provided to people from different classes.
The evolution of medical care in hospitals has been dramatic from the end of the nineteenth century to the mid-twentieth century and commencing in the late 1960s to the present day (Redfern et al., 2022). Sanitation was still a problem, and medical knowledge was scarce as well, and medical practices needed to be better developed in nineteenth-century hospitals.
The social transformation that occurred in the 196s was marked by an apparent increase in specialisation in the medical field and significant technological developments as well. Today’s healthcare settings embrace patient, focused care, research, and best approaches and technology (Redfern et al., 2022).
Comparative Analysis
Thus, the healthcare business has evolved through various stages that have influenced the treatment and management of patients significantly. This exposes hospitals in the 1800s with simple structures, crowded wards, and poor interventions (Boakye, 2022).
Huge wards across a range of facilities indicated that healthcare was still a primitive act, mainly because of the absence of privacy and the discomforting nature of large wards. Florence also notes that a lack of formal education for nurses augmented the presence of unskilled people in delivering nursing services because they need proper medical knowledge. These disorders, therefore, entailed that the type of care available was palliative with limited use of invasive medical procedures.
BHA FPX 4002 Assessment 1 Evolution of the Hospital Industry
One of the significant developments was registered in the 1960s when hospitals transitioned to having more private spaces for patients to rest and get better (Montgomery et al., 2023). As a result, the number of nursing schools increased at this time, which helped to raise the standards of education and training among medical personnel.
Advancements in diagnostics, surgical procedures, and pharmacological treatments have enhanced the delivery of healthcare. Due to these changes, emphasis was placed on long processes and better treatments, hence increasing the excellence in healthcare delivery and treating patients (Montgomery et al., 2023).
Thus, significant changes in the functioning of hospitals have been observed in recent decades. They give the patient personal enclosed spaces that are well-endowed with modern technologies, and the environment is quite serene, hence enhancing faster healing. The advanced formal education, as well as ongoing continued professional development, is the basis for specialist knowledge and cutting-edge abilities of today’s healthcare workers.
Contemporary healthcare establishments become the epitome of accumulated therapeutic experience and technical progress ranging from a broad spectrum of focused services and patient management to treatments and approaches employed by a team of professionals. Due to such innovations, they are now able to get good, personalised care that enhances their outcomes and satisfaction with the procedures (Montgomery et al., 2023).
Conclusion
As health care continues to evolve, historic developments in hospital care can be seen through objects such as education, level, and payment.
From the simple cure-alls of the 1800s to today’s highly technical, evidence-based treatment, all of it flows from having more education equals having better health care and moving from private to public-funded health care, eradicating who would get treated.
If you need complete information about class 4020, click below to view a related sample:
BHA FPX 4020 Assessment 1 Health Care Problem Analysis Proposal
BHA FPX 4020 Assessment 2 Health Care Professional Feedback
BHA FPX 4020 Assessment 3 Data Collection and Analysis
BHA FPX 4020 Assessment 4 Interdisciplinary Presentation of Evidence-Based Recommendations
References
Boakye, P. N. (2022). “No other alternative than to compromise”: Experiences of midwives/nurses providing care in the context of scarce resources. Nursing Inquiry, 29(4).
https://doi.org/10.1111/nin.12496
Centers for Medicare & Medicaid Services. (2023). Program History | Medicaid.gov. Medicaid.gov.
https://www.medicaid.gov/about-us/program-history/index.html
Paiva-Santos, F., Santos-Costa, P., Bastos, C., & Graveto. J. (2023). Nurses’ adherence to the Portuguese standard to prevent Catheter-Associated Urinary Tract Infections (CAUTIs): An observational study. Nursing Reports, 13(4), 1432–1441.
https://doi.org/10.3390/nursrep13040120
Halpern, N. A., Scruth, E., Rausen, M., & Anderson, D. (2023). Four decades of intensive care unit design evolution and thoughts for the future. Critical Care Clinics, 39(3), 577–602.
https://doi.org/10.1016/j.ccc.2023.01.008
Mao, J. J., Pillai, G. G., Andrade, C. J., Ligibel, J. A., Basu, P., Cohen, L., Khan, I. A., Mustian, K. M., Puthiyedath, R., Dhiman, K. S., Lao, L., Ghelman, R., Guido, C. P., Lopez, G., Perez, G. D. F., & Salicrup, L. A. (2021). Integrative oncology: Addressing the global challenges of cancer prevention and treatment. CA: A Cancer Journal for Clinicians, 72(2), 144–164.
https://doi.org/10.3322/caac.21706
McGarity, T., Monahan, L., Acker, K., & Pollock, W. (2023). Nursing graduates’ preparedness for practice: Substantiating the call for competency-evaluated nursing education. Behavioral Sciences, 13(7), 553–553.
https://doi.org/10.3390/bs13070553
Montgomery, C. M., Docherty, A. B., Humphreys, S., McCulloch, C., Pattison, N., & Sturdy, S. (2023). Remaking critical care: Place, bodywork and the materialities of care in the COVID intensive care unit. Sociology of Health and Illness.
https://doi.org/10.1111/1467-9566.13708
Redfern, J., Gallagher, R., O’Neil, A., Grace, S. L., Bauman, A., Jennings, G., Brieger, D., & Briffa, T. (2022). Historical context of cardiac rehabilitation: Learning from the past to move to the future. Frontiers in Cardiovascular Medicine, 9.
https://doi.org/10.3389/fcvm.2022.842567
Shokri, A., Sabzevari, S., & Hashemi, S. A. (2020). Impacts of flood on health of Iranian population: Infectious diseases with an emphasis on parasitic infections. Parasite Epidemiology and Control, 9, e00144.
