What is the difference between a protocol, standard of care delivery, and policy at the practice, state, and federal level? Briefly outline each. What are the perceptions of the health care delivery system from the perspectives of patients, providers, payers, and policy makers? Discuss at least one perception from one of the populations listed: patient, provider, payer, and policy maker.
Solution
Protocol, Standard of Care Delivery, and Policy Differences at the State Level
At the state level, a protocol is a specific procedure that healthcare providers follow for medical tests or treatments, often developed by state health agencies to ensure consistency and quality across the state (Texas Health and Human Services, n.d.). The standard of care delivery is defined by state laws and licensing boards, setting up the scope of practice for healthcare professionals and the general care standards they must adhere to. A policy addresses areas like public health and insurance regulations, influencing standards and practices within the state. Policies set guidelines based on public health goals and are typically implemented through specific protocols or procedures.
Protocol, Standard of Care Delivery, and Policy Differences at the Federal Level
At the federal level, a protocol involves detailed plans, developed or recommended by agencies like the FDA, based on research and evidence (ASPA, 2025). These protocols ensure consistent treatment or procedures nationwide. The standard of care delivery is influenced by federal laws and regulations, such as HIPAA, which set the minimum acceptable quality and practice standards across the healthcare system. Federal policies encompass broad regulations like healthcare reform and public health initiatives, influencing the entire healthcare industry. These policies provide a framework that shapes healthcare delivery and reform at a national level.
Perception of Health Care Delivery System from the Perspective of Patients
From the patients’ perspective, effective communication with healthcare providers is vital for enhancing the patient experience. Patients emphasize the importance of professional, continuous, and comprehensive service delivery to meet their physical, psychological, social, practical, and informational needs (Kim, Koo, & Nam, 2024). This patient-centered approach requires healthcare interactions to be well-planned and executed, ensuring patients feel valued and heard, which enhances satisfaction and care quality. By highlighting professional service delivery, patients express a preference for healthcare experiences that are consistently attentive to all facets of their care (Kim, Koo, & Nam, 2024).
References:
Policies and Rules | Texas Health and Human Services. (n.d.). https://www.hhs.texas.gov/regulations/policies-rulesLinks to an external site.
Assistant Secretary for Public Affairs (ASPA). (2025, April 14). Laws & regulations. HHS.gov. https://www.hhs.gov/regulations/index.htmlLinks to an external site.
Kim, E., Koo, Y., & Nam, I. (2024). Patients and Healthcare Providers’ Perspectives on Patient Experience Factors and A Model of Patient-Centered Care Communication: A Systematic Review. Healthcare, 12(11), 1090. https://doi.org/10.3390/healthcare12111090Links to an external site.