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ESRD patients provide the full fixed cost payment due to the full reimbursement for their care. Long-term care facilities would like to have 100% ESRD patients however, such a patient load does require skilled workers in numbers to care for these especially demanding patients.
ESRD includes the ADL's and care specific to kidney cleaning and functioning, such as dialysis treatment either at home or at an outpatient facility. Additionally, some patients are brought in as in-patients at the hospital for ESRD treatment and some patients are admitted and remain admitted at a hospital until discharged. These patients either receive home care treatment, receive treatment at an outpatient facility, or are admitted to a long-term care facility.
Patient options & trade-offs related to cost, quality, and access to treatment
The patient has somewhat limited options as a function of the cost, quality, and access to health care. Largely, the options are dependent on the nature of health care services required by the patient. Additionally, the options are specific to the type of insurance coverage (if any) the patient is insured to receive.
For ESRD patients, the options available include Medicare & Medicaid coverage, which for ESRD will generally include Social Security Income benefits due to the End Stage Renal Disease provision. Nursing...
The cost of a nursing home can run into the thousands per month and if there is no coverage for services, patients are likely to pay out of pocket for services with no reimbursement.
Medicare/Medicaid coverage enables the least cost to the patient but provides potentially the lowest quality care with reasonable access to care. Private health care coverage is very expensive yet provides ostensibly the highest quality of care with limited access to care. However, the wealthy tend to have home care services, where health care specialists arrive onsite at the patient's residence to provide treatment.
Ethical implications of resulting treatment options based on cost evaluation
The ethical implications of seeking treatment options based on the cost criteria for health care services is to be considered. However, most of the developed world relies on a form of socialized medicine due to the need to provide access, coverage, and care to a large number of individuals. Ethically, the more noble cause is served at the cost of quality. Patients are always able to pay for higher quality care, but they will have to pay. Cost evaluation does leave many patients out in the cold, and without care. This ethical implication is the current problem with the U.S. health care delivery system.
To that end, patients who opt to pay more are likely to have better access to treatment; meaning, essentially, that patients who choose to go with commercial healthcare providers will have more accessibility and better quality of treatment as opposed to those who depend upon CSM or the government. Patients who go with a commercial healthcare provider such as Fresenius, for example, may be paying considerably more than someone
Hemodialysis on End Stage Renal Disease Patients and the Increasing Role for the Nurse It is a difficult condition of a kidney failure when one's kidney could no longer carry out the proper metabolism system to eliminate waste products. Kidney is the essential organ that is responsible in waste elimination, including others like detoxification process of drugs and toxic materials, also in controlling water balance, salt balance, blood pressures and
Recession is a period characterized by increased unemployment rate, lower inflation, lower spending, reduced production and stocking. Different economic theories such as the Classical, Neo-classical, Keynesian and the Growth curve and life cycle theories argue differently about the economic cycles. The neo-classical theorists for example argue that interest rates are crucial in the shift towards the different cycles and therefore by regulating the flow of funds (increasing or decreasing)
U.S. Healthcare Hard Economic and Finance Choices in U.S. Healthcare The United States has recently undergone a financial crisis that has made the government, and the citizens, more conscious of what things cost and have produced debates regarding the costs of items. One debate that has intensified in volume is that over the large, and ballooning cost of healthcare. Although the Affordable Healthcare Act is supposed to take care of a
However, many patients suffering with chronic renal disease do not explore this option. 4-6: Increase the proportion of patients with treated chronic kidney failure who receive a transplant within 3 years of registration on the waiting list. Again renal transplantation can improve overall quality of life for patients struggling with this condition. 4-7: Reduce kidney failure due to diabetes: Type II diabetes is a significant contributor to chronic kidney disease. Reducing
The kidneys of someone that has chronic renal failure are generally smaller than average kidneys, with some notable and important exceptions (Rogers, 2004). Two of these exceptions would be polycystic kidney disease and diabetic nephropathy (Rogers, 2004). Another diagnostic tool that is used, that of the study of the serum creatinine levels, can not only diagnose chronic renal failure, but also help to distinguish it from acute renal failure,