In "The Universal Cure" (Op-Ed, Nov. 18), Ezekiel J. Emanuel and Victor R. Fuchs do not note one important disadvantage of employer-based health insurance: its failure to provide adequate preventive coverage (which can save lives and costs), especially to workers in high-turnover service-sector jobs.
The costs can be even greater where high turnover undermines service and product quality, hurting sales.
Access to health care is limited as a result of geography, limited expenditure on public health, variable quality of care, high turnover of service providers, a lack of drugs and supplies, and lack of ownership of health programmes by communities.
The topographical barriers combined with limited expenditure on public health, poor quality of care, a high turnover of service providers, a lack of drugs and supplies and a lack of ownership of health programmes by communities all contribute to issues of demand and supply.
Food service is a high-turnover business, and high turnover hurts both service and profits.
According to its annual plans 2013/14 and 2014/15, one of the Hospital Authority's service priorities is to allay staff shortage and high turnover, and ensure service quality and safety [ 1, 30].
The problems include obtaining permits, training a staff that has high turnover, slowing down service when IDs have to be checked, and finding a dedicated area for alcohol service.
IT service company Capgemini is always looking for new people as there's usually a high turnover in IT service companies.
Current organisational culture was seen as an inhibitor to care planning; examples of this included pressure to reduce workload (through discharging service users from services), high turnover of staff and fragmentation of services.
The challenges include limited consultation of stakeholders in curricula development, inadequate framework for monitoring the curricula, inadequacy of funding for the projects, high turnover of in-service trainees [ 11], and the paradigm shift in medical education [ 12].
