Care Plan Essays (Examples)

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Planned Parenthood Analysis

Words: 2219 Length: 8 Pages Document Type: Essay Paper #: 41924056

However, it can be augmented by public donations in order to help avoid relying on government funds. According to the research, "an outpouring of public donations helps Planned Parenthood significantly expand our breast health training, outreach, and medical programs -- and helps several thousand more low-income patients get biopsies and other advanced diagnostic screening" (Planned Parenthood, 2013, p 7). Currently, public donations only accounted for about 26% of the organization's revenue. This would not be enough for the organization to sustain itself without government funding. Campaigns to increase awareness and reach out to community members would ultimately help increase this percentage so that the organization could still operate in the event that government funding is cut.

(Planned Parenthood, 2013)

(Planned Parenthood, 2013)

Current and Future Direction

Promoting national sex education programs remains one of the organization's biggest current programs. Here, the research suggests that "Planned parenthood is an extensive grassroots…… [Read More]


Burns, Alexander. (2014). Planned Parenthood reveals big 2014 game plan. Politico. Web.

Halloran, Liz. (2011). Abortion foes target family planning program. NPR. Web.

Marcotte, Amanda. (2011). Why fiscal conservatives should embrace planned parenthood. Slate. Web. 

Planned Parenthood. (2013). Annual Report 2012-2013. Web.
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Care Issler Is a Patient Who Recently

Words: 1314 Length: 4 Pages Document Type: Essay Paper #: 36359617


Issler is a patient who recently moved with his daughter-in-law who is no longer married to his son. As part of her interest in helping to take care of Mr. Issler, she noticed that he was pale and diaphoretic after a two and a half hour flight. The daughter-in-law took him to an emergency room where he was attended to by a cardiologist and set a follow-up check up for an echo cardiogram next week. Mr. Issler has complained of congestive heart failure and a history of deep vein thrombosis. The cardiologist recommended that he seeks out a primary care provider and check up of his thyroid. As the primary care provider, the patient has also expressed his uncertainties on whether he has hyper of hypo thyroidism though he has been under thyroid medication for several years. In addition to being very pale, he has a large bag of…… [Read More]


Bray, D.L. (n.d.). Thyroid Storm and the AACN Synergy Model. Journal of Nursing. Retrieved from 

Drewes at. al. (2012, October). The Effectiveness of Chronic Care Management for Heart Failure: Meta-Regression Analyses to Explain the Heterogeneity in Outcomes. Health Services Research, 47(5), 1926-1959.

Hardin, S. & Hussey, L. (2003, February). AACN Synergy Model for Patient Care Case Study of a CHF Patient. Critical Care Nurse, 23(1), 73-76. Retrieved from 

Kaplow, R. & Reed, K.D. (2008). The AACN Synergy Model for Patient Care: A Nursing
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Care Needs Concerns and Treatment

Words: 4512 Length: 12 Pages Document Type: Essay Paper #: 58816657

Furthermore, one of the pillars of collaborative care that will need to be firmly established is the fostering of clear dialogue and a means for strong communication within the care management planning. For instance, there needs to be a clear decision and communication of all tests ordered and when the test results will be available. One of the most important aspects of this collaborative care will be the nursing interventions which can have significant impact on the patient's health and stabilization (Allen, 2010). In fact, strategic nursing care can even minimize readmission rates of Margaret and other patients with comparable conditions (Chen et al., 2012).

Prioritize the Nursing Care Needs of Margaret

The prioritization of nursing interventions is essential, and the way in which a nurse determines this priority is going to be something unique and distinct. "Trials reviewed demonstrated a beneficial impact of nursing interventions for secondary prevention in…… [Read More]


Adler, H.M. (n.d.). Toward a biopsychosocial understanding of the patient -- physician relationship: An emerging dialogue. (2007). J Gen Intern Med,22(2), 280 -- 285.

Afilala, J. (n.d.). Frailty in patients with cardiovascular disease: Why, when, and how to measure. (2011). Curr Cardiovasc Risk Rep, 5(5), 467 -- 472.

Allen, J.K. (2010). Randomized trials of nursing interventions for secondary prevention in patients with coronary artery disease and heart failure: Systematic review.

Journal of Cardiovascular Nursing,25(3), 207-220.
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Plan for Implementing Hourly Nursing Rounds

Words: 2107 Length: 6 Pages Document Type: Essay Paper #: 25791802

Hourly nursing rounding is regarded as one of the most suitable means for enhancing patient satisfaction and clinical outcomes. This process can be described as a proactive, systematic nurse-centered evidence-based intervention to predict and deal with the various needs in hospitalized patients. There is sufficient evidence to demonstrate that effective hourly nursing rounding can enhance patient safety, promote team communication, and enhance the capability of staff to offer efficient patient care. Therefore, this approach would be a suitable method to help reduce falls, prevent ulcers, and call light use and result in enhanced patient satisfaction through evidence-based practices. The adoption of this method in the organization to improve patient satisfaction and clinical outcomes would require the development of a comprehensive implementation plan and participation from all key stakeholders.

Method of Obtaining Necessary Approval

The adoption of hourly nursing rounding in the healthcare facility to enhance patient satisfaction and clinical outcomes…… [Read More]


Brosey, L.A. & March, K.S. (2014, September 16). Effectiveness of Structured Hourly Nurse Rounding on Patient Satisfaction and Clinical Outcomes. Journal of Nursing Care Quality, 00(00), 1-7.

Forde, J.C. (2014, April 9). Intentional Rounding: A Review of Literature. Nursing Standard, 38(32), 37-42.

Negarandeh, R., Bahabadi, A.H. & Mamaghani, J.A. (2014, December). Impact of Regular Nursing Rounds on Patient Satisfaction with Nursing Care. Asian Nursing Research, 8(4), 282-285.

Timothy, H. (2015, June 2). Hourly Rounding is an Effective Patient Safety Strategy. Retrieved from American Sentinel University website:
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Enhancing the Access of Education and Healthcare in the US

Words: 985 Length: 2 Pages Document Type: Essay Paper #: 30230001

Care Coverage and Inequalities in the Education System

Traditional Care Coverage vs. Managed Care Coverage

Traditional care coverage is also known as Fee-for-service (FFS). Under this model, the patient pays for services that are itemized in the Invoice. The physicians gain an incentive to offer more treatments as payment depends on the quantity of care and not the quality of care. In the health insurance and healthcare sectors, traditional care coverage happens when physicians and other caregivers get a fee for each service like laboratory tests, office visit, procedure and other healthcare services. After providing services, the patient makes payments retrospectively. Traditional health coverage enables the patients to choose a healthcare provider, including a favorite hospital or doctor. The services rendered are paid for by the patient and then submits the bill to the insurance firm for reimbursement of the percentage it agreed to the insurer for the patient (Kongstvedt,…… [Read More]


Conchas, G. & Gottfried, M. (2015). Inequality, Power and School Success: Case Studies on Racial Disparity and Opportunity in Education. New York: Routledge

Duncan, G. J. & Murnane, R. J. (2014). Restoring Opportunity: The Crisis of Inequality and the Challenge for American Education. Boston, MA: Harvard Education Press
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Care Coordination Relating to Elderly

Words: 1709 Length: 5 Pages Document Type: Essay Paper #: 10090609

The results of this analysis highlight the need for hospitals to fine-tune their discharge process to reduce readmissions, and support the expenditure of additional resources for this purpose as a cost-effective intervention; as an example, author cites a hospital in Iowa that implemented a rigorous post-discharge planning process for patients with heart failure and 30-day readmission rates were reduced by 3-9% during the 3-month period following implementation.


The research showed that many elderly patients who suffer from congestive heart failure also suffer from a wide range of comorbid conditions, including diabetes and hypertension. These patients can be reasonably expected to require periodic or even frequent treatment in emergency departments and/or hospitalizations for these conditions, making the need for effective and seamless post-discharge planning especially important. In this regard, the research also showed that there are some valuable evidence-based practice guidelines available, though, that can help clinicians better coordinate post-discharge…… [Read More]

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Care Bill Law's Impact on

Words: 1415 Length: 5 Pages Document Type: Essay Paper #: 74392003

In addition the effect of bill has changed the documentation awarded through the state as of a certificate toward a license and authorizes a doctor to pass on duties to a PA with the purpose of managing physician's scope of performance however Another effect of bill has enabled Indiana's doctor assistants to widen their area of the health care services and also provided an innovative average of patient care (Stephanie, Matlock (27 April, 2007). Health care bills gives right to patient to know what health care should be known by the plan as well as several limits on care, kinds of health care be not enclosed, any treatment diagram required to endorse in advance. Yearly planning about on disburse to physician and health providers, file a complaint regarding any, disagreement between patient and the plan, and also procedure to make complaint, allowance to access emergency room twenty four hours a…… [Read More]


American-Speech Language Hearing Association. (2007) Characteristics of Licensure Law. Retrieved on November 29, 2007 from

New York State. (April 2007) Managed Care Bill of Rights. Retrieved on November 29, 2007 from

Federal Trade Commission. (October 21, 2002) FTC staff opposes Ohio Bill to Allow Physician Collective Bargaining. Retrieved on November 29, 2007 at

Girardin, Pierre. Internet Health Services: A Case Study. Retrieved on November 29, 2007 from
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Planned Change in a Department Change Within

Words: 1158 Length: 3 Pages Document Type: Essay Paper #: 36315477

Planned Change in a Department

Change within the Medical surgery department

There are various factors that occasion change within any organization, some may be due to change in the operations of an organization, some due to expansion, relocation, takeovers, mergers, external forces in economies, internal changes in operation modes or even unprecedented needs as unforeseen at the initial stages. This last one seems to be case within the medical surgery unit in our hospital.

The prevailing condition at the moment that needs a change approach that would improve the conditions within the medical surgery unit and the entire hospital in general is the imbalanced ration between the nurses and the surgery patients currently realized within the unit. The prevailing rate is one nurse within the medical surgery unit handling an average of 6-7 patients which has proven to be too high for a single nurse. The other pertinent problem within…… [Read More]


American Nurses Association, (2011). Effects of Nurses Shortage. Retrieved July 4, 2013 from

Honor Society of Nursing, (2013). Facts on the Nursing Shortage in North America. Retrieved July 4, 2013 from

Nursing Theories, (2011). Change Theory by Kurt Lewin. Retrieved July 4, 2013 from

National Foundation for American Policy (2007). Deadly Consequences: The Hidden Impact of America's Nursing Shortage by Stuart Anderson. Pp 4. Retrieved July 4, 2013 from
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Health Care to an Indigent Population As

Words: 1349 Length: 4 Pages Document Type: Essay Paper #: 89737654

health care to an indigent population.

As illustrated by the case, there were many unique problems associates with delivering health care to the indigent population. First, communication was an issue plaguing all parties involved. Difficulty in regards to understanding overall objectives and health care plans made operations inefficient and costly. Massive errors resulted from communication issues that ultimately hindered the access and quality of health care to the indigent population. Communication is the foundation of delivering health care. Everyone, from owners to employees must be able to effectively communicate in order to offer the quality of health care needed to support the indigent population. Without simple and comprehensive forms of communication, the overall health care program will falter as stakeholders are unaware of the overall vision and plan for the health care system.

Education also is a very profound problem in delivering health care to the indigent population. The community…… [Read More]


1) "Cooper Green Hospital & The Community Care Plan" (2011, July 16) http://www.*****/Details/Cooper+Green+Hospital/43335

2) Swayne, L.E., Duncan, J., & Ginter, P.M. (2009). Strategic management of healthcare organizations (6th ed.). San Francisco: Jossey-Bass

3) Velasco, Anna (July 15, 2007) "Renovation transforming look of county hospital." Birmingham News
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Health Care Industry in America Today Is

Words: 2634 Length: 8 Pages Document Type: Essay Paper #: 55629918

health care industry in America today is suffering greatly. It is suffering from spiraling costs, decreasing availability of qualified personnel, increasing demand for its services, and uncertainty relative to its future. Some of these problems are the result of mismanagement, lack of foresight, an aging population, and, perhaps greed but regardless of the causes the solutions must be determined and the present political climate makes this difficult.

The Obama administration recently passed and enacted new health insurance legislation whose aim was to improve the state of health care in America. Although not directly aimed at the delivery of health care but at the availability by increasing the number of individuals with health insurance, the debate over said legislation highlights the problems inherent in the industry. Indicative of the concerns that Americans have regarding the state of health care in America was the publication of a CBS News / New York…… [Read More]


Blendon, R. (2001). Physicians' Views on Quality of Care: A Five Country Comparison. Health Affairs, 233-243.

Davis, K. (2006). Mirror, Mirror on the Wall: An Update on the Quality of American Health Care through the Patient's Lens. New York: The Commonwealth Fund.

McGlynn, E.A. (2003). The Quality of Health Care Delivered to Adults in the United States. New England School of Medicine, 2635-2645.

Nolte, E. (2008). Measuring the Health of Nations: Updating an Earlier Analysis. Health Affairs, 58-71.
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Understanding the ACA Premiums

Words: 1450 Length: 5 Pages Document Type: Essay Paper #: 48847276

Obamacare, or formally known as the Affordable Care Act, is a recent healthcare law that will reach its implementation stage in 2014. Healthcare is certainly a fundamental necessity and indispensable to a growing human population. he United States is known for its adequate healthcare, servicing low income people through Medicaid, and the elderly through Medicare. However, recent events have led to a shift in what can possibly negatively impact the healthcare system for the United States.

Obamacare has good intentions in having its purpose be to supply affordable healthcare to everyone within the United States, but certain clauses and modifications have turned it into a dicey and uncertain situation. Not only are the costs piling up, and continue to increase, but the distribution of healthcare services is primarily execute through health insurance coverage. his means that there will be a change in how the healthcare system functions at the core…… [Read More]

The way that Affordable Care Act works, however, is that plans that would have failed to meet the standards of Bronze plan can no longer be offered. Such plans were often popular with either poor people who could not afford a better plan, or young people who are unlikely to have to make a claim. For such individuals, the increase in their health premiums might be significant, and political opponents of the Act are making every effort to collect anecdotes from such people to use as scare tactics (Radnofsky, 2013). The reality is that most young people were almost always going to have to pay more, which in part explains why it is older people who have signed up for plans on the exchanges (Mangan, 2013).

Are there Risks to the ACA?

There also risks with the Act that could jeopardize the way the system works. John (2013) notes that if not enough people sign up, then insurance companies will make smaller profits. He does note that the signups at higher rates
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Healthcare the Impacts of Case

Words: 4123 Length: 12 Pages Document Type: Essay Paper #: 44424148

"Studies of the relationship between managed care penetration in the health care market and expenditures for Medicare fee-for-service enrollees have demonstrated the existence of these types of spill over effects" (Bundorf et al., 2004).

Managed care organizations generate these types of spillover effects by increasing competition in the health care market, altering the arrangement of the health care delivery system, and altering physician practice patterns. Studies have found that higher levels of managed care infiltration are linked with lower rates of hospital cost inflation and lower physician fees are consistent with competitive effects. "Other studies demonstrate the impact of managed care on delivery system structure including hospital capacity, hospital admission patterns, the size and composition of the physician workforce and the adoption and use of medical equipment and technologies. More recent evidence has linked market-level managed care activity to the process, but not the outcomes of care" (Bundorf et al.,…… [Read More]


Altman, D.E. And L. Levin. (2005). The Sad History of Health Care Cost Containment as

Told by One Client. Health Affairs, 24(1).

Bodenheimer, T. (2005). High and rising health care costs. part 1: Seeking an explanation.

Annals of Internal Medicine, 142(10), 847-54.
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Health Care ACA

Words: 1845 Length: 6 Pages Document Type: Essay Paper #: 46626425


The Affordable Care Act works on the premise that all Americans should have access to health care insurance. Because this is provided through insurance companies, the system is only enforceable under certain conditions. One of the key tenets of health care reform is the idea that those with pre-existing conditions cannot be denied insurance coverage. This group of people has long had problems getting insurance, and insurance companies spend tens of millions to invent pre-existing conditions that would then be used to deny coverage. Even insurance commissioners have been known to take offensive and absurd stances on pre-existing conditions, arguing that insurance companies should not have to take customers with such conditions because the person is to blame for their pre-existing condition (Ferguson, 2013). With attitudes like this from people connected to the insurance industry, the only way that the Obama Administration was going to achieve universal health care…… [Read More]


Ferguson, D. (2013). Georgia insurance commissioner: It's your fault if you have a pre-existing commission. Raw Story Retrieved December 6, 2013 from

Klein, E. (2012). Unpopular mandate. The New Yorker. Retrieved December 6, 2013 from

Kliff, S. (2013). Washington State provides case study on effects of health care reform. Washington Post. Retrieved December 6, 2013 from

AARP. (2013). For people 65+. American Association of Retired People. Retrieved December 6, 2013 from
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Managing Long-Term Health Care Needs

Words: 3366 Length: 10 Pages Document Type: Essay Paper #: 12427062

Lee is only the first step in the process of building a team that is able to cover all aspects of Mrs. Lee's care. The team approach involving a social worker, nurse, physician, pharmacist, and physical therapist affords Mrs. Lee a full range of professionals attending to her various needs.

Although Mrs. Lee has a number of problems that need to be addressed the one problem that must be addressed immediately is her elevated blood pressure. Hypertension is an important risk factor for the development and worsening of many complications of diabetes and an elevated blood pressure is like walking around with a detonated bomb. Within moments, and with little warning, a diabetic patient can suffer a stroke or heart attack as a result of an elevated blood pressure. Well over fifty percent of diabetics suffer from hypertension and proper treatment of hypertension can minimize most of the tangential problems…… [Read More]


Calle-Pascual, A.L. (2002). A preventive foot care programme for people with diabetes with different stages of neuropathy. Diabetes Research and Clinical Practice, 111-117.

Caminal, J. And Barbara Starfield, et. al.(2004). The role of primary care in preventing ambulatory care sensitive conditions. European Journal of Public Health, 246-251.

Deichmann, R.E. (1999). Improvements in Diabetic Care as Measured by HbA1c After a Physician Education Project. Diabetes Care, 1612-1616.

Epstein, M. (1997). Diabetes and hypertension: the bad companions. Journal of Hypertension, 55-62.
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Health Care Policy or Delivery System Challenge

Words: 1377 Length: 5 Pages Document Type: Essay Paper #: 42865594

Healthcare Delivery System Challenges

The American healthcare system has been criticized as favoring the middle and upper classes while ignoring the lower classes. Based on these speculations, the federal government has constantly tried to institute reforms in the healthcare sector though some of the proposals have failed to overhaul the industry. With rising insurance costs, the number of citizens barred from accessing quality healthcare has increased to more than 45 million uninsured Americans. On the same note, it is hypothesized that with time, the problems currently witnessed in the industry are likely to increase and finding solutions to them will be a tall order for the government (Stolberg & Pear, 2010). Despite the advent of new technology in the sector, which is likely to improve service delivery over the years, it is speculated that the cost of new tests and treatments will outweigh the savings. With the better technology, physicians…… [Read More]


Stolberg, S.G. & Pear, R. (March 24, 2010). Obama signs health care overhaul bill, with a flourish. The New York Times: p. A19. Retrieved March 1, 2013.

Woolhandler, S. & Himmelstein, D.U. (1997). Costs of care and administration at for-profit and other hospitals in the United States. The New England Journal of Medicine 336 (11): 769-774.

Swanson, E. (July 30, 2009). Health Care Plan: Favor / Oppose. Huffington Post.

Blumberg, L.J. & Holahan, J. (2009). The Individual Mandate: an Affordable and Fair Approach
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History of Health Care Mandate the Signing

Words: 1751 Length: 6 Pages Document Type: Essay Paper #: 48881351

History Of Health Care Mandate

The signing of the Affordable Care Act (ACA) by President Obama must be considered a landmark event in the history of the nation regardless of how one views the constitutionality of the legislation. Passage of the legislation marked the end of a long and acrimonious debate and brought the United States in line with the rest of the developed world in terms of providing universal health coverage to its citizens (Orszag, 2010). Unfortunately, the debate over the constitutionality of the ACA did not end with Obama's signing of the legislation as within days several different states filed suit against the law's requirement that most Americans purchase health; against the health care mandate.

The health care mandate was first offered as an option by the conservative think tank, the Heritage Foundation, as an option to the single-payer system that had been historically supported by Democrats and…… [Read More]


Block, S. (2010, April 29). IRS Lacks Clout to Enforce Mandatory Health Insurance. USA Today, pp. healthirs28_CV_N.htm?loc=interstitialskip.

Jost, T.S. (2010). Health Insurance Exchanges and the Affordable Care Act: Eight Difficult Issues. Lexington, VA: Washington and Lee University School of Law.

Orszag, P.R. (2010, August 12). Health Care Reform and Cost Control. New England Journal of Medicine, pp. 601-603.

Ponnuru, R. (2012, March 27). The History of the Individual Mandate. Retrieved from National Review Online:
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US Healthcare

Words: 1357 Length: 4 Pages Document Type: Essay Paper #: 46791169

U.S. Healthcare

The final legislation should have incorporated provisions to boost the IVD industry. On its entirety, the Patient Protection and Affordable Care Act must have benefited the IVD industry. This would have increased sales in a span of five years that it is otherwise seen in the absence of the law. Most significant IVD sales drivers will result from the legislation as an expansion of in the number of insured citizens and new coverage of prevention and wellness programs. If various key provisions are included in the PPACA, coupled with the population demographics, IVD product sales will be stimulated. This industry will die or live based on the number of the test procedures and hence increase in the number of persons with healthcare coverage will be appropriate for IVD. The Patient Protection and Affordable Care Act is a sophisticated legislature, virtually affecting all aspects of healthcare and the majority…… [Read More]


Law, J. (2009). Big pharma: How the world's biggest drug companies control illness. London: Constable.

Parks, D. (2012). Health care reform simplified: What professionals in medicine, government, insurance, and business need to know. United States: Apress.

Ross, B.M.C., & Ross, B.M.C. (2013). Beating Obamacare: Your handbook for surviving the new health care law. Washington, D.C: Regnery Pub.

Schweitzer, S.O. (2007). Pharmaceutical economics and policy. New York [u.a.: Oxford Univ. Press.
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Healthcare Program Review Tactics

Words: 573 Length: 2 Pages Document Type: Essay Paper #: 73321825

Healthcare Plan eview

The author of this report is to answer three general questions relating to healthcare program evaluation. The first question asks the author of this report to examine the overall purpose of healthcare program evaluation. The second question asks the author to identify at least five different types of common healthcare program evaluation techniques. Finally, one of those methods in particular will be selected and there will be a drilling down into more detail on that single type. While the purpose and method of operations is quite similar with all program evaluation types, there are some subtle to major differences from type to type.

At its core, the purpose of healthcare program evaluation is to analyze and improve the operations and performance of a healthcare program based on a systematic and full review of what is going right, what is going wrong and what needs to be changed.…… [Read More]


Fink, A. (1992, October 15). Formats:. National Center for Biotechnology Information.

Retrieved September 16, 2014, from


MUSC. (2014, September 16). Program Evaluation 101. Program Evaluation 101. Retrieved
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Improving Local Health Care Quality Health Care

Words: 1166 Length: 4 Pages Document Type: Essay Paper #: 38759072

Improving Local Health Care:

Quality health care is an important aspect in the modern health care system because of the necessity for quality and safety improvement measures. This concept is described as the extent in which health care services for patients and populations enhance the possibility of desired health outcomes. These services also need to be consistent with the existing professional knowledge in the field. Consequently, quality and improved care services are determined through evaluating the impact of these services on desired outcomes and the extent they adhere to procedures based on scientific and professional knowledge. As part of improving health care services, health care systems should adopt several process-improvement strategies. These strategies should recognize ineffective care, inefficiencies, and avoidable errors and then effect changes on the system to result in improved care.

Incorporating Unapplied Telecommunications Concepts:

Based on the last visit to the local health care system in the…… [Read More]


Angst, C.M., Devaraj, S. & D'Arcy, J. (2012). Dual Role of IT-Assisted Communication in Patient Care: A Validated Structure-Process-Outcome Framework. Journal of Management Information Systems, 29(2), 257-292.

Hughes, R.G. (2008). Tools and strategies for quality improvement and patient safety. In Patient safety and quality: an evidence-based handbook for nurses (chap. 44). Retrieved from
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Business of Health Care

Words: 2602 Length: 8 Pages Document Type: Essay Paper #: 85234356

Business of Health Care

This study highlights essential facts about health care and health in the local, national, and international health care delivery. Healthcare in the U.S. stands at crossroads between opportunities and challenges. Both the local, national, and international health systems face common problems in the delivery of efficient, high quality and equal health services. All these are concurrently happening in times when the amount of care delivered exceeds the resource base. In the U.S., the demand for healthcare, just as in any industrialized country, is rising because of rising public expectation and the ageing population. The combination of technological developments and demographic changes increases the provision costs (Garman, oyer & Johnson, 2011).

Consequently, local, national, and international health care delivery systems are facing same issues of service rationing to cut costs due to a decreasing tax base for paying a rising demand and an increasing demand. Similarly, maintaining…… [Read More]


Garman, A.N., Royer, T.C., & Johnson, T.J. (2011). The future of healthcare: Global trends worth watching. Chicago, Ill: Health Administration Press.

Geisler, E., Krabbendam, K., & Schuring, R. (2013). Technology, health care, and management in the hospital of the future. Westport, CT: Praeger.

Gibson, R., & Singh, J.P. (2012). The battle over health care: What Obama's reform means for America's future. Lanham, Md: Rowman & Littlefield Publishers.

Kolker, A. (2011). Management engineering for effective healthcare delivery: Principles and application. Hershey: Medical Information Science Reference.
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Health Care Reform Several Years

Words: 2680 Length: 7 Pages Document Type: Essay Paper #: 13950798

Contracts with doctors often contain a clause which doesn't allow the doctors to discuss

Health care 7 with their patients financial incentives to deny treatment or about treatments not covered by the plan (Glazer, 1996). This has caused many consumers, especially those with chronic illnesses, to form organizations with the American Medical Association and physician specialty groups to promote legislation forbidding "gag rules" (Glazer, 1996). One group, Citizen Action, has 3 million members and "has been lobbying in state legislatures for laws that would require plans to disclose how they pay their doctors; give patients the right to choose specialists outside the plan; and provide appeals for patients who get turned down for expensive treatments" (Glazer, 1996).

The doctor-patient relationship is also affected if a patient must switch to a new doctor under managed care. Having a longterm relationship with a primary doctor is important because he or she is…… [Read More]

Works Cited

Bennett Clark, Jane (1996, July). What you should ask your HMO.

Kiplinger's Personal Finance Magazine. pp. 92-93.

Glazer, Sarah (1996, April 12). Managed Care. CQ Researcher, 6,

Koop, C. Everett (1996, Fall). Manage with care. Time. pp. 69.
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UK Healthcare

Words: 9250 Length: 36 Pages Document Type: Essay Paper #: 11726267

UK Healthcare

Within this section of Chapter One, a historical perspective of NHS will be provided. This discussion will identify problem areas that have emerged in relation to NHS with an attempt made to address the manner in which such problems have historically influenced reform efforts.

With the passage and associated provisions of the NHS Act of 1946, NHS was implemented in the UK in 1948. The NHS Act of 1946 served as the means by which a pattern of health service finance and provision was established in the UK following World War II (Baggot, 1998). According to Baggot, on the basis of the Act, the principle of collective responsibility by the state for the establishment of a comprehensive health service system was introduced, allowing for the planned use of services by the entire population at no cost. It was also intended that equality of access to services would be…… [Read More]


Baggott, R. (1998). Health and Health Care in Britain. London, Macmillan,

Barlow, M. (1998). The Fight of My Life. Toronto: Harper Collins

BMA Central Consultants and Specialists Committee (1990). Guidance on Clinical

Directorates London: BMA.
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Economics Virginia Public Health Care

Words: 1727 Length: 5 Pages Document Type: Essay Paper #: 45882938

Expenditures on health care has been mounting faster than the economy for many years, representing a challenge not only for the government's health insurance programs, but also for the private sector. As health care expenditures consume a larger share of the nation's economic output, Virginians along with all Americans will be faced with progressively harder choices to make (the Long-Term Outlook for Health Care Spending, n.d.).

orks Cited

"About Your Benefits." 2010, viewed 14 February 2011, from

"Benefits Descriptions." 2010, viewed 14 February 2011, from

"Current Inflation Rates: 2000-2011." 2010, viewed 14 February 2011, from

"Eligibility, Enrollment and Plan Choices." 2010, viewed 14 February 2011, from

"Five health insurers raise rates in Virginia."2010, viewed 14 February 2011, from

Martin, Keith L. 2010, "Virginia passes budget cutting Medicaid, other health services," viewed

14 February 2011, from <>

"Monthly Premiums for Non-Medicare Eligible Retiree Group." 2010, viewed 14 February 2011,

Martin,…… [Read More]

Works Cited

"About Your Benefits." 2010, viewed 14 February 2011, from

"Benefits Descriptions." 2010, viewed 14 February 2011, from

"Current Inflation Rates: 2000-2011." 2010, viewed 14 February 2011, from

"Eligibility, Enrollment and Plan Choices." 2010, viewed 14 February 2011, from
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Self-Funding the Issue of Healthcare

Words: 2651 Length: 10 Pages Document Type: Essay Paper #: 67924502

They offer the same flexibility and costs saving available to people at larger organizations. According an article published by Physicians Care,

"hen we set up a self-funded plan for a smaller employer, we help them select the appropriate level of stop-loss or excess-loss insurance, which provides reimbursement for large catastrophic claims. Stop-loss insurance allows smaller employers to consider this very economical approach to providing employee health benefits because it protects them from large claims ("Is Self-Funding or Fully Insured Right for Your Company?")."

Although self-funding can offer many organizations with the chance to reduce costs there are instances when this option is simply not appropriate. The inappropriateness of the option has a great deal to do with the demographics of the employees. If a company has a significant number of older workers or workers with chronic illnesses, such a plan would not be advantageous. The main reason for the lack…… [Read More]

Works cited

Advantages of Self-Funding. Retrieved September 30, 2009 from;

Gammon, R.B. (2009) Self-funded health care could lower costs. The Business Journal of Milwaukee - by Retrieved September 30, 2009 from;

Self-funded health insurance: It's about risk, vulnerability, cost savings

Schreck, Tom the Business Review (Albany) - by for the Business Review Retrieved September 30, 2009 from;
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Healthcare Dan Hall a Self-Described

Words: 2809 Length: 10 Pages Document Type: Essay Paper #: 77363048

A recent article touted the 6.1% growth of spending on medical care in 2007.

The same article cautioned however that, "most experts know that no matter what the numbers say, there is still a great deal of work ahead to reform a healthcare system that is still fundamentally broken -- and is facing one of the worst economic recessions in decades" (Lubell, 2009, pg. 6).

Government and industry officials have been working to reform the industry for more than a decade yet the problem seems to be getting worse rather than better. More and more individuals are finding that insurance takes too much of their income and are forced therefore to forego that expense. Government is leery of committing to the cost of such expense, and industry is reluctant to offer expanded coverage without the backing of the federal government. As the interested parties do the two-step the problem becomes…… [Read More]


Bentley, C.S.; (2005) the new healthcare system, New American, Vol. 21, No. 18, pg. 44

Blizzard, R.; (2002) the haves and have nots of healthcare, Gallup Poll Tuesday Briefing, pp. 8-9

Brown, J.; (2009) Obama healthcare plan would shut down private sector, OneNewsNow,, Accessed February 10, 2009

Conn, J,; DerGurahian, J.; (2008) HIT budgets taking a hit: study, Modern Healthcare, Vol. 38, No. 50, pp. 10-11
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National Health Plan

Words: 1773 Length: 5 Pages Document Type: Essay Paper #: 97280152

National health plan [...] how and why a national health plan should be introduced in the United States. Health care in the United States is a big business. As such, a national health plan threatens the bottom lines of gigantic health maintenance organizations, and they have fought national health care consistently. They fight a plan that could cause their demise, but ensure the increased health and well being of millions of Americans. It is time we stopped letting big business set the agenda for the health of the American people.


The Clinton administration's plan for national health care reform did not become a national health plan, but it opened the door for argument and debate about health care reform in the United States. Many experts and citizens still believe a national plan for health care should be instituted in America. How to institute a workable and viable…… [Read More]


Editors. "Health Care Information." Physicians for a National Health Program (PNHP). 2003. 26 April 2003. 

Epstein, Richard A. Mortal Peril: Our Inalienable Right to Health Care? Cambridge, MA: Perseus Books, 1999.

Goold, Susan D. "Health Care Reform and the Battle for the Body Politic." Vol. 26, Contemporary Women's Issues Database. 3 Jan. 1997, pp 98+.

Palmisano, Donald J. "Health Care Labor Relations Issues: Donald J. Palmisano." Congressional Testimony. 29 July 1998.
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National Health Care Reform the

Words: 1329 Length: 4 Pages Document Type: Essay Paper #: 51364811

Obama's health care reform will make health care more accessible and more affordable and make insurers more accountable, as well as expand health care coverage to every American and make the health care system sustainable by stabilizing family budgets, the economy and the Federal budget.

The cost of Obama's overall health care bill will cost approximately $940 billion over 10 years, according to the Congressional udget Office. The bill will include that by the year 2014 there will be significant health access reforms. Insurers will be prohibited from denying coverage to people with medical problems of charging them more money (CS 2010).

While these numbers do sound manageable, Congress has not responded kindly to Obama's health care reform ideas. When Obama has even mentioned the idea of health care for illegal immigrants, the president was rudely interrupted by a heckler yelling, "you lie" ( ). Under Obama's proposal of health…… [Read More]


CBS News. "What's in a health care bill? Take a dose." Retrieved on June 1, 2010, from the Web site: (2010) "Obama calls for congress to face health care challenge." Retrieved on June 5, 2010, from the Web site:
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National Health Care Reform --

Words: 1528 Length: 4 Pages Document Type: Essay Paper #: 70137445

Peter Baker, "As Oil Slips Away, So Do Chances for Obama," New York Times, health care plan&st=cse… [Read More]

Robert Pear, "Health Insurance Companies Try to Shape Rules," New York Times,

Robert Pear, "Study Points to Health Law's Penalties," New York Times,

Peter Baker, "As Oil Slips Away, So Do Chances for Obama," New York Times, health care plan&st=cse
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Economic Policy -- Health Care

Words: 1967 Length: 6 Pages Document Type: Essay Paper #: 96020511

Drugs are an especially significant problem. The high cost of prescription drugs, however, does not just derive from the expertise to develop them. Drug companies receive patent protection for drugs that allows them to charge monopoly rents. This is a distortion in the market, one that the government has determined to be socially favorable. The cost, however, has reached the point where drug costs are also socially unfavorable, particularly if they lead to an erosion of America's credit standing.

Curtailing drug costs may not be politically straightforward, but the economics of it are. The monopoly rents can be capped. Governments in many countries cap drug costs and perhaps the public option is tended to give the U.S. The same power. There may be some quid pro quo for the drug companies -- extending the life of patents, more support for orphan drugs or a streamlined FDA approval process that lowers…… [Read More]

Works Cited:

Krugman, P. (2009). Reform or else. New York Times. Retrieved December 4, 2009 from

Rampell, C. (2009). Economists' letter to Obama on health care reform. New York Times. Retrieved December 4, 2009 from

Romer, C. (2009). Health care reform is an economic necessity. Yahoo. Retrieved December 4, 2009 from

Leonhardt, D. (2009). Health care reform and the unpopular t-word. New York Times. Retrieved December 4, 2009 from
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President Clinton's And Obama's Health Care Policies

Words: 2064 Length: 5 Pages Document Type: Essay Paper #: 15492194

President Clinton's And Obama's Health Care Policies

President Obama's Healthcare policies

The Affordable Care Act (ACA) has drawn some comparisons to elements of past efforts, including Mitt omney's health care plan in Massachusetts and the Clinton plan from the 1990s. This paper will mainly examine the context of the Clinton Plan vs. The ACA. After winning office, President Clinton followed up on a campaign promise to provide health care to the 37 million uninsured Americans. This plan had motivation citing a strong sense of social justice, especially in light of America's tremendous wealth. There was majority public approval for the plan at the time. However, a single payer plan idea faced opposition and Clinton needed to create an alternative (Pfiffner, 1994).

The Clinton government recognized that a major overhaul was not going to find favor, so he sought to implement a plan that would expand coverage rather than dramatically restructure…… [Read More]


Pfiffner, J. (1994). President Clinton's health care reform proposals of 1994. Executive-Legislative Relations. Retrieved April 30, 2013 from

Mary, W. (2010). The Affordable Care Act. Journal of Vermont Nurse Connection, 13(4), 3.

Ha, J. (2012). "Health Care Reform" vs. "ObamaCare": Partisan Framing of FOX, MSNBC,

NYT, and WSJ. Journal of Communication, Culture & Technology (CCT), 8(1).
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Appropriate Discharge Placement and Plan

Words: 1644 Length: 4 Pages Document Type: Essay Paper #: 47943836

Discharge Plan

Assessment of the Situation

As a case manager for patient in this case scenario there are at least four easily identifiable healthcare issues associated with the discharge of patient; 1. Patient safety related to second floor placement of apartment and navigation of two flights of stairs with walker while using pain medication and recovery time needed for hip replacement 2. Patient safety with regard to size and condition of apartment with limited room to navigate with walker, cluttered space and rug placement all of which are barriers to proper use of walker and ambulation an essential aspect of recovery, 3. The potential for patient non-compliance with new medication regimen for diabetes and dietary plan for weight and glucose control 4. Patient well being with regard to isolation and the inability to follow normal routines such as helping in bakery (two flights down) eating in bakery and interacting with…… [Read More]


Borg, C., Hallberg, I., & Blomqvist, K. (2006). Life satisfaction among older people (65+) with reduced self-care capacity: the relationship to social, health and financial aspects. Journal Of Clinical Nursing, 15(5), 607-618.

Byers-Lang, R.E., & McCall, R.A. (1993). Peer support groups: Rehabilitation in action. RE:View, 25(1), 32-36.

French, D.D., Bass, E., Bradham, D.D., Campbell, R.R., & Rubenstein, a. Z. (2008). Rehospitalization After Hip Fracture: Predictors and Prognosis from a National Veterans Study. Journal Of The American Geriatrics Society, 56(4), 705-710. doi:10.1111/j.1532-5415.2007.01479.x

Lin, P., Hung, S., Liao, M., Sheen, S., & Jong, S. (2006). Care needs and level of care difficulty related to hip fractures in geriatric populations during the post-discharge transition period. The Journal Of Nursing Research: JNR, 14(4), 251-260.
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Healthcare Reform Review of Literature

Words: 6070 Length: 20 Pages Document Type: Essay Paper #: 45810582

(Menzel, 1990, p. 3) Fisher, Berwick, & Davis alude to the idea of integration in health care, with providers linking as well as creating networks of electronic medical records and other cost improvement tactics.

The United States and other nations over the last twenty or so years, have begun a sweeping change in health care delivery, regarding the manner in which health information is input, stored and accessed. Computer use in the medical industry has greatly increased over the last thirty years the culmination of this is fully networked electronic medical record keeping. (Berner, Detmer, & Simborg, 2005, p. 3) the electronic medical record trend began in the largest institutions first, as hospitals and large care organizations attempted to reduce waste and improve patient care, while the adoption has been much slower among physician's practices and smaller medical institutions. (Hillestad, et al., 2005, pp. 1103-1104) Prior to this time medical…… [Read More]

Resources, and Utilization
Kahnamoui, N. (2004). Electronic medical records. pp. 1-31.

Kant Patel, M.E. (2006). Health Care Politics and Policy in America. Armonk, NY: ME Sharp Inc.

Kumar, K., & Subramanian, R. (1998). Meeting the Expectations of Key Stakeholders: Stakeholder Management in the Health Care Industry. SAM Advanced Management Journal, 63 (2), 31-38.

LeGrand, J. (2009). Choice and competition in publicly funded health care. Health Economics, Policy and Law, 4, 479-488.
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National Health Care Reform --

Words: 1572 Length: 4 Pages Document Type: Essay Paper #: 74363540

The ultimate House vote was two hundred and twenty to two hundred and seven. The senate vote was fifty three to forty three. The republicans were collectively opposed in both chambers (3 June 2010, 3).

The Future of the Health Care ill

Subsequent to disagreements as political enemies for more than a year, the Obama administration and the health insurance industry realized that they require one another.

oth have huge stakes in the success of the new health care law (14 May 2010, 1)

The political destiny of President Obama and Congressional Democrats rely on their capability to interpret it's assurance into realism for voters. This can be attained by restraining health expenses and making insurance accessible to everybody at reasonable price. Similarly, the fiscal future, in fact the continued existence, of the health insurance industry relies on the government. That is on set of laws being written by federal…… [Read More]


1. "Critics Question Study Cited in Health Debate, " New York Times, 2 June 2010, sec. a, p. 1.

2. "Health Reforms," New York Times, 26 March 2010, sec. a, p. 1.

3. "Two Health Care Adversaries Find a Need to Collaborate, " New York Times, 3 June 2010, sec. B, p.3.

4. "Companies Try to Shape Rules, " New York Times, 15 May 2010, sec. a, p.22
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Diversity Important in Health Care

Words: 3805 Length: 14 Pages Document Type: Essay Paper #: 98981928

The Foundation called specific attention to the prospect of institutional and policy-level strategies to increase the participation of under-represented minorities in the health professions. In response, the Institute Committee on Institutional and Policy-Level Strategies for Increasing the Diversity of the U.S. Healthcare Workforce came out with a report, entitled "In the Nation's Compelling Interest: Ensuring Diversity in the Health Care Workforce." The Committee consisted mostly of academicians, two of whom represented the nursing profession.

In its report, the Committee recognized the importance of increasing racial diversity among health professionals in order to improve access to care, greater patient choice and satisfaction and better educational experiences for practitioners, among other benefits. It also recognized the lack of strategies in reducing institutional and policy-level barriers among health profession educational institutions or HPEIs. In response to the lack, the Committee recommended that health professions education make a clear stand and mission on the…… [Read More]


AHRQ (2007). The national healthcare disparities report, 2006. Agency for Healthcare

Quality and Research, Medscape. Retrieved on June 18, 2009 from

Alabama Nurse (2004). ANA Review: Institute of Medicine report on workforce diversity,
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Wal-Mart Healthcare Wal-Mart Currently Employs

Words: 1467 Length: 5 Pages Document Type: Essay Paper #: 33682640

..a commercial for Wal-Mart. When a Wal-Mart shows up within a television within a Wal-Mart, you have to question the existence of an outer world"(Ehrenreich, 179). The author is highly critical of places like Wal-Mart for she knows that these are the places where you do not get what you must as a citizen of the U.S. She writes: "When you enter the low-wage workplace -- and many of the medium- wage workplaces as well -- you check your civil liberties at the door, leave America and all it supposedly stands for behind, and learn to zip your lips for the duration of the shift." (p. 210)

Wal-Mart is described as an overpowering omnipresent entity that makes a worker feel like a prisoner. With most of the people coming from the most vulnerable section of the society like Holly who is " twenty-three, has been married for almost a year,…… [Read More]


UFCW report: "Wal-Martization of Health care." Retrieved online 22 Jan 2007:

Is Wal-Mart Good for America?" Retrieved online 22 Jan 2007:
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Health Care Program Past Current Future

Words: 2421 Length: 7 Pages Document Type: Essay Paper #: 52306007

Health Care Past, Current, And Future

The health of any nation should be a top priority for leaders and elected political representatives, but in the United States it took several centuries for the nation to begin to come to terms with providing health care for its citizens. This paper covers the gradual implementation of health care services and doctor training facilities in the U.S., and also covers the recent attempt by President Barack Obama to reform a chaotic, poor-functional and expensive health care system. Thesis: It is a scandal of massive proportions that a well-functioning, citizen-friendly universal health care system cannot be instituted in America, the world's most democratic superpower. Until the divisive and toxic political climate can be reformed, there is no chance of major reforms -- or for universal health care coverage -- in these United States.

Past Health Care Services -- Early America

Health care in colonial…… [Read More]

Works Cited

Daly, John. (2005). Professional Nursing: Concepts, Issues, and Challenges. New York:

Springer Publishing Company.

Gorsky, Martin. (2010). Good Health for America? History Today, 60(2), 1-6.

McCarthy, Robert L., and Schafermeyer, Kenneth W. (2007). Introduction to Health Care
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Health Plan Dev Health Plan and Health

Words: 513 Length: 2 Pages Document Type: Essay Paper #: 20931709

Health Plan Dev

Health Plan and Health Organization Development

Five Key Events

There are a multitude of different historical events that have occurred in the modern era in a manner that has drastically changed the way in which health and the relationships between society and healthcare has been viewed. In Germany in 1883, Chncellor Otto van Bismarck managed to implement a national insurance-like healthcare scheme that ensured certain basic access to healthcare for many working-class Germans that would otherwise go without medical care. A second highly similar event occurred in England in 1911 with the establishment of a national health insurance program, which eventually became the National Health ervice of the United Kingdom that still provides healthcare services to the nation's citizens today.

The ocial ecurity Act of 1935 represents a major shift in the direction of healthcare policy in the United tates, as this legislation laid the groundwork for…… [Read More]

Socioeconomic and Legislative Influences

In the latter part of the nineteenth century and the first half of the twentieth century, industrialization began to create ever more stark and extreme differences in the living standards of individuals and families living at different rungs on the socioeconomic ladder. Medical care had become hugely more effective, but could not be afforded by many of the working class, and thus government increasingly saw a need -- and felt certain pressures -- to intercede and provide at least a minimum of care for its citizens. There are directly pragmatic economic benefits of such intercession; improved healthcare leads to increased productivity and reduced costs in other social spending, even potentially reducing criminality as fewer families would find themselves in destitute situations without reliable wage earners due to illness or injury. All of these socioeconomic factors have led to an increased sense of social and civic responsibility for healthcare, yet the initial and direct expense of such a system on a national level with universal coverage has been a dissuasive factor.

Healthcare organizations in the United States have been hugely impacted by several key pieces of twentieth century legislation, including the Social Security Act of 1935, the adjustments to Medicare and Medicaid made in 1966 and in subsequent years throughout the following decades. Currently, the Affordable Care Act is set to go into full enforcement in 2014, and healthcare organizations and insurance providers are already beginning to make adjustments based on these anticipated changes.
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Ron Paul on Healthcare Quality

Words: 637 Length: 2 Pages Document Type: Essay Paper #: 79478274

Gingrich believes that there is a great need to repeal and substitute the huge government health bill with actual solutions that will lessen costs and enhance health outcomes. In addition to opposing the Obamacare because of its failure to accomplish universal coverage, he proposes the Patient Power Plan that will change the current system into a coordinated and innovative system rather than a broken and fragmented one.

I support Gingrich's proposal of the Patient Power Plan as the most suitable health care system that make health coverage more affordable, accessible, and portable. Since the plan gives patients an incentive to efficiently use medical care, it prevents excessive costs that are linked to overuse of medical care and excessive administrative burdens. One of the major advantages of such a plan is that it allows patients to self-insure for several likely medical bills through initiatives like medical savings accounts. Secondly, the plan…… [Read More]


Paul, R. (2006, August 23). Lowering the Cost of Health Care. Retrieved March 20, 2012, from

"Real Reform." (n.d.). -- Independent Institute. Retrieved March 20,

2012, from
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Uninsured for Health Care Our

Words: 1786 Length: 5 Pages Document Type: Essay Paper #: 63696767

In many cases, plans that have looked good on paper haven't worked out in real life. An example of this would be the "gatekeeper" practices, where the primary care physician decided if a patient needed to see a specialist, or have certain tests performed, or be hospitalized. The doctors had financial incentives to not refer, creating a potential conflict of interest, while patients resented their diminished ability to participate in their own healthcare decisions (Nichols, et. al., 2004).

In addition, employers are the real insurance providers for many people, and since employers are not a core part of health care systems, they make their decisions based on the bottom line: as host care costs rise, they pass at least some of this increase on to their employers by requiring higher co-pays on the insurance premium (Nichols, et. al., 2004).

Where consumer-driven health plans have been established, they have reduced costs…… [Read More]


Anderson, Gerard, and Hussey, Peter Sotir. 2001. "Comparing Health System Performance in OECD Countries: Cross-national comparisons can determine whether additional health care spending results in better outcomes. Health Affairs, 20:3.

Kaiser Family Foundation (KFF). 2004. "The Uninsured and Their Access to Health Care. Kaiser Commission on Key Facts, November.

Nichols, Len M.,; Ginsburg, Paul B.; Berenson, Robert a.; Christianson, Jon; and Hurley, Robert E. 2004. "Are Market Forces Strong Enough to Deliver Efficient Health Care Systems?" Health Reform, March-April.
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Physicians View the Health Care System of

Words: 438 Length: 2 Pages Document Type: Essay Paper #: 88029586

physicians view the health care system of the United States in terms of cost, quality and access. The purpose of this research plan is to develop a survey that will present a conceptual model for measuring health plan quality from the perspective of physicians and nurses.

The survey will be conducted through telephone interviews and emailed surveys to a national random sample of 30 physicians and 20 nurses nationwide between February and March 2003.

Due to the fact that fewer Medicare beneficiaries are in managed health care plans, the survey asks doctors and nurses only about their experiences with patients under 65 years of age. The physician sample will be drawn from the American Medical Association's physician list and will target physicians who care for patients 20 or more hours per week.

This survey will gather quantitative information about physicians' and nurses' experiences with and attitudes towards health plans, particularly…… [Read More]