Ethics In Healthcare Essays (Examples)

Healthcare is one of the most important arenas for applied ethics and social justice. The concept of universal healthcare can be considered from a number of different ethical standpoints including consequential and deontological perspectives (Daniels 1). An ethical consequentialist approach could focus on the net gains to the society from offering universal healthcare coverage to all persons, or the net gains of improved overall quality of life in a more equitable society. Deontological ethics stress the importance of equal access as a fundamental human right.

Because the medical profession as a whole is comprised of individual doctors, each doctor or healthcare worker is required to perform pro bono service at some point during their career in order to promote the value of social justice in medicine. As Daniels points out, there is no way to ensure one hundred percent health equity, given that sociological factors impact health outcomes (1). A…

References
Daniels, Norman. “Justice and Access to Health Care.” Stanford Encyclopedia of Philosophy. Sept 29, 2008. https://plato.stanford.edu/entries/justice-healthcareaccess/
Dye-Whealan, M. (n.d.). Advance directives. http://depts.washington.edu/pharm543/documents/schedule/5543%20MDW%20Advance%20Directives.pdf
Nunes, R. & Rego, G. (2016). Euthanasia: A challenge to medical ethics. J Clin Res Bioeth 7:1000282. doi: 10.4172/2155-9627.1000282
Patil, A.B., Dode, P. & Ahirrao, A. (2014). Medical ethics in abortion. Indian Journal of Clinical Practice 25(6). http://medind.nic.in/iaa/t14/i11/iaat14i11p544.pdf
Scheunemann, Leslie P. and White, Douglas B. “The Ethics and Reality of Rationing in Medicine.” Chest, Vol. 140, No. 6, 2011, pp. 1625-1632.
Summers, J. (n.d.). Principles of healthcare ethics. http://samples.jbpub.com/9781449665357/Chapter2.pdf

Unfortunately for Kate, a private faith-based healthcare institution in the United States generally has a legal right to refuse access to abortion based on the principle of conscientious objection (Levin, 2016; Fiala & Arthur, 2017). Conscientious objection refers to the health care provider (or in this case, the insurance provider’s) ability to refuse to take action based on religious principles or beliefs. In this case, and in all similar cases, the legal right to refuse treatment should be separated from Kate’s rights as a patient.
Ultimately, Kate’s rights to ethical treatment, medical justice, and autonomy far outweigh the hospital’s right to conscientious objection. The only compromise that can possibly be reached in this case would be for the institution to refer Kate to a nearby institution that could perform the procedure. If, however, no such institution existed then Kate must be able to access the abortion services through her primary…

References
Fiala, C. & Arthur, J.H. (2017). There is no defense for ‘conscientious objection” in reproductive health care. European Journal of Obstetrics and Gynecology and Reproductive Biology 216(2017): 254-258.
Levin, J. (2016). Partnerships between faith-based and medical sectors. Prev Med Rep 2016(4): 344-350.
Rosell, T. (n.d.). Abortion rights and/or wrongs. Center for Practical Bioethics. http://practicalbioethics.org/case-studies-abortion-rights-and-or-wrongs

Assuming all those issues are addressed, mandatory HPV vaccination may be a good idea for all children and the option should be made available to adults and funded, at least in part, by government funds and profit limitations on vaccine sales. EFEENCES

Allen, Terry, J. Merck's Murky Dealings: HPV Vaccine Lobby Backfires; Corpwatch (March 7, 2008). etrieved March 26, 2008, from Corpwatch: Holding Corporations Accountable website, at http://www.corpwatch.org/article.php?id=14401

Pharmaceutical News (March 5, 2008) Safety of Merck's HPV Vaccine Gardasil 'Lost' in Debate. etrieved March 26, 2008, from News-Medical.net…

REFERENCES

Allen, Terry, J. Merck's Murky Dealings: HPV Vaccine Lobby Backfires; Corpwatch (March 7, 2008). Retrieved March 26, 2008, from Corpwatch: Holding Corporations Accountable website, at  http://www.corpwatch.org/article.php?id=14401 

Pharmaceutical News (March 5, 2008) Safety of Merck's HPV Vaccine Gardasil 'Lost' in Debate. Retrieved March 26, 2008, from News-Medical.net website, at  http://www.news-medical.net/?id=22415 .

Ethics in a Long-Term Healthcare Business

Ethics in the health care industry spans a wide spectrum of activities and most of the obligations are cast by law on the professionals and the second by the common practice and morals of the profession. Both are important to the progress of the institution and also the health care industry. Compliance of statutes is of primary importance.

Compliance

There are many rules and statutes that must be complied with by all organizations and one such recent legislation is the hospital information access system. The HIPAA rules apply to all personnel in the system and extend to laboratory technicians, and lawyers and insurers. The culpability comes if the information was disclosed to a third party who did not have an association with the entity -- the clinic and was permitted to access the information. In such cases where the physician discloses information to another…

References

Andre, Claire; Velasquez, Manuel. (2013) "Aged-Based Health Care Rationing" Retrieved 8

June, 2013 from  http://www.scu.edu/ethics/publications/iie/v3n3/age.html 

Chaikind, Hinda R. (2004) "The Health Insurance Portability and Accountability ACT

(Hipaa): Overview and Analyses" Nova Publishers.

Ethics in Health Care

The medical industry is filled with professionals who must be competent in many aspects of interaction in order to be successful and allow for patients to heal themselves in a positive manner. Professionalism is noted by a certain ethical attitude that must permeate the environment if the efforts of these people are to be successful. The ethical approach within the medical industry is extremely important due to the nature of the job and the reliance that normal everyday people have on the professionals within this industry to make wise choices based on the best interests of the individual.

The four major ethical principles of autonomy, non-malfeasance, beneficence and justice are ideals that may be rightly or wrongly applied to a patients healing process within the health care industry. The purpose of this essay is to describe the ethical issue of patient non-compliance with treatment using these…

References

Coy, J.A. (1989). Autonomy-based informed consent: ethical implications for patient noncompliance. Physical Therapy, 69(10), 826-833.

Habermann, B., Broome, M., Pryor, E.R., & Ziner, K.W. (2010). Research coordinators experiences with scientific misconduct and research integrity. Nursing research, 59(1), 51.

Sciberras, N. et al. (2013). The Ethical and Practical Challenges of Patient Noncompliance in Orthopedic Surgery. Journal of Bone and Joint Surgery, 2013 May.

Healthcare esources

Allocating Healthcare esources

Allocation of Healthcare esources

It may seem that the resources that a healthcare organization has at its disposal is contained in a very small list, but for proper allocation of total resources every possible thing has to be considered. esources refers not only to the money that a business has on hand, but the people, buildings, land, recruitment of people, retention and finances. An organization is the sum of all of its parts and must operate within the framework of those resources. How those resources are allocated is an important function of the control of the organization also. This essay will discuss the resource acquisition and allocation processes in a healthcare organization with specific emphasis regarding those processes in allocating financial, operating, capital, human, recruitment, and retention resources.

esource Acquisition and Allocation

In one aspect a healthcare organization is no different from any other organization…

References

Kroger, A. (2003). "Ethics in healthcare organizations." Healthcare Management, 27(3),

21-25.

Longest, B.B., & Darr, K. (2008). Controlling and allocating resources. In, Managing

health services organizations and systems (pp. 433-470). Baltimore, MD: Health

Health and Legislative Issues

All Americans have the desire of having a healthcare system which is capable of delivering world-class security together with financial security. The system in place should always be accessible and one that impacts the economy positively. Successful healthcare reforms will lead to a maximization of the choices available for consumers put a restrain to the ever increasing medical care costs and make healthcare accessible to more and more Americans. There are a number of organizations that have consistently urged the president and congress on building on the existing systems which strengths in order to achieve health reform solutions that are workable in a bipartisan manner. However, there are some healthcare legislative issues that come up and have effects on various stakeholders such as legislators, consumers and other healthcare professionals. This paper will look at one of the current health legislative issues, who is affected most by…

References

Mears, B.(2012). Health care's big four issues: What the justices are tackling. Retrieved March 12, 2014 from  http://www.cnn.com/2012/06/17/politics/health-care-issues/ 

ANA.(2010). Nursing Beyond Borders: Access to Health Care for Documented and Undocumented Immigrants Living in the U.S. Retrieved March 12, 2014 from  http://www.nursingworld.org/MainMenuCategories/Policy-Advocacy/Positions-and-Resolutions/Issue-Briefs/Access-to-care-for-immigrants.pdf 

Goodman, J., (2012). The Impact of the Patient Protection and Affordable Care Act on Job Creators and the Economy. Retrieved March 12, 2014 from  http://www.independent.org/issues/article.asp?id=3385 

American College of Emergency Physicians, (2013). The Ethics of Health Care Reform: Issues in Emergency - Medicine - An Information Paper. Retrieved March 12, 2014 from  http://www.acep.org/Content.aspx?id=80871

Conclusion

Prejudice and ethical/leadership issues with healthcare are nothing new but the fight to keep those standards and ethics on an even keel and prevent racism, bigotry and predudice of any sort including based on class, money, political ideology, nationalism, and so forth should be stomped out and eviscerated whenever it can be. People are people and should treated with dignity and respect regardless of their race, gender, beliefs and so forth. Even convicted murderers and rapists should not be treated disdain due to their actions because doing otherwise lowers the ethics and standards of the healthcare community that can and should still apply at all times.

eferences

Callahan, M. (2008). Healthcare providers constricted by financial, legislative, and regulatory issues. The Journal of Medical Practice Management: MPM, 24(3),

143-146.

Cobaugh, D., Angner, E., Kiefe, C., ay, M., Lacivita, C., Weissman, N., & ... Allison, J.

(2008). Effect of racial differences…

References

Callahan, M. (2008). Healthcare providers constricted by financial, legislative, and regulatory issues. The Journal of Medical Practice Management: MPM, 24(3),

143-146.

Cobaugh, D., Angner, E., Kiefe, C., Ray, M., Lacivita, C., Weissman, N., & ... Allison, J.

(2008). Effect of racial differences on ability to afford prescription medications.

Health Care ight or Privilege

Health Care ight Privilege

Whether health care is a right or a privilege is one of the most intensely debated social questions of the modern era, but phrasing it in this binary way of one or the other masks a deeper problem that is far more complex. The specific issue at hand is the rationing of scarce medical resources. If there were unlimited resources where everyone could achieve the maximum health all the time, we would not have to ask the question, but this is clearly not the case. Glannon argues this requires a theory of "distributive justice" (2005, p. 144), and outlines the four main theories that have emerged from the modern discussion, which are Utilitarian / consequentialist, Libertarian, Communitarian and Egalitarian.

Utilitarian, consequentialist theory is often invoked toward a solution of who deserves health care when there is not enough for everyone, and…

References

Brownstein, B. (1980). Pareto optimality, external benefits and public goods: a subjectivist approach. The Journal of Libertarian Studies, IV (1), 93-106. Retrieved from mises.org/journals/jls/4_1/4_1_6.pdf

Gensler, H. (1998). Ethics: a contemporary introduction. New York: Routledge.

Glannon, W. (2005). Biomedical ethics. New York: Oxford University Press.

Hare, R. (1963). Freedom and reason. London: Oxford University Press.

Healthcare

Integrity is a major issue for healthcare organizations because there are many avenues for fraud, and for people to demonstrate a lack of ethics. The problem is that the temptation is sometimes too great and despite the fact that there are laws in place to guard against these practices unethical behavior takes place anyway. The government, which supplies a lot of the money which goes for treatments through Medicare and Medicaid, has structured certain laws to make sure that the practices of healthcare organizations are ethical, but billions of dollars in fines are still doled out every year. The big drug companies complain of arcane and hard to decipher legalese, but the fact is that although they realize the issue and the penalty they continue to subvert the law. This paper looks at qui tam statutes and cases, Medicare and Medicaid admissions criteria, installing a corporate integrity program, and…

References

American Speech-Language-Hearing Association (ASLHA). (2010). Summary of self- referral and anti-kickback regulations. Retrieved from  http://www.asha.org/practice/reimbursement/medicare/regulations_sum.htm 

Hanford, J.T. (2001). Regulation of the healthcare professions. Ethics & Medicine, 17(3), 188-190.

Louthian Law Firm. (2012). Healthcare fraud qui tam whistleblower protection lawsuits.

Mattie, A. & Ben-Chitrit, R. (2009) The federal False Claims Act and qui tam actions: What every healthcare manager should know. Journal of Legal, Ethical and Regulatory Issues, 12(2), 49-65.

However, they contradict themselves trough supporting one's right to commit physician-assisted suicide, since this would virtually mean that the individual who is no longer willing to live is not provided with health care meant to prevent him or her from dying (Epstein, 1999, p. 1).

Among those opposed to the fact that health care is becoming increasingly better are those who are in their twenties and are obliged to work hard in order to pay for their own medical insurance and for that of the underprivileged (Bonner, 2010).

Contemporary health care is basically provided by groups forced to pay taxes in order for others to benefit out of the process. The fact that health care is a privilege and not a right was made obvious ever since the 1954 foundation of the Department of Health, Education, and elfare. The name contained the term welfare with the intention of highlighting how…

Works cited:

Bloche, M.G. ed., The Privatization of Health Care Reform: Legal and Regulatory Perspectives (New York: Oxford University Press, 2003)

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

Heirich, M. Rethinking Health Care: Innovation and Change in America (Boulder, CO: Westview Press, 1998)

Sanders, B. (2009). Retrieved from the Huffington Post Website:  http://www.huffingtonpost.com/rep-bernie-sanders/health-care-is-a-right-no_b_212770.html

Health Care Situation: Medical Error Due to Doctors' Bad Handwriting

Identify a health care news situation that affects a health care organization such as a hospital, clinic or insurance company.

I have identified the following health care news situation as the topic of my paper: "Poor Handwriting of Doctors and its implied risks for the Patient, Hospital and Medical Malpractice Insurance." Poor handwriting of physicians resulting in poor legibility of entries into patients' medical records carries very dramatic risks for all above-mentioned interest bearers. It can result in severe health danger for the patient and - in extreme situations - even cause a patient's death. Doctors' bad penmanship has long been seen a problem within organized medicine and the patient safety movement. Three American Medical Association (AMA) policies dating back to 1992, urge doctors to "improve the legibility of handwritten orders for medications" and review all orders for accuracy and…

References

Berwick, Donald M. & Winickoff, David E. (1996). The truth about doctors' handwriting: a prospective study. BMJ Vol. 313 (21-28 December 1996). 1657-1658. www.bmj.com/content/313/7072/1657.full, accessed 21 August 2011.

Bruner, Anne & Kasdan, Morton.L. Handwriting Errors: Harmful, Wasteful and Preventable.

1-4. www.kyma.org/uploads/file/.../Harmful_wasteful_and_preventable.pdfSimilar, accessed 22 August 2011.

Gallant, Al. (22 November 2009). For a secure electronic health record implementation, user authentication is key. 1-2). searchhealthit.techtarget.com/.../User-authentication-is-critical-for-pl.., accessed 24 August 2011.

Each of these was included in the initial Senate bill, but was struck from the final Senate version. Despite the victories, the group isn't ready to pledge support for health reform bills. The AMA will not endorse any legislation unless Congress gets rid of the mandated payment cuts of more than $200 billion over 10 years in the government's Medicare program for the elderly. The cuts are part of Congressional action that was passed in 1997 in order to cut costs in the Medicare program, but have never gone into effect. There are also several hospitals, insurers, pharmaceutical manufacturers and advocacy groups that are withholding final support. Most of these groups have pledged support to health care reform in principle while working privately through lobbyists to protect their industries (Eaton and Pell, 2010).

Healthcare lobbyists range from very large companies and corporations to very small groups who are all looking…

References

BREAKING: Health care lobby invests in reform summit. (2010). Retrieved March 1, 2010, from Citizens for Responsibility and Ethics in Washington Web site:

 http://www.citizensforethics.org/node/44211 

Eaton, Joe and Pell, M.B. (2010). Lobbyists Swarm Capitol to Influence Health Reform.

Retrieved March 1, 2010, from the Center for Public Integrity Web site:

In their move from a completely government-paid and -- operated healthcare system to a fees-based approach, the Chinese have greatly improved the efficiency, availability, and efficacy of their healthcare system (Wan & Wan 2010). This suggests that a combination of perspectives, rather than the market or single-payer perspectives that form so many healthcare systems, is most effective.

There are also, of course, healthcare systems that have developed in the same period as those mentioned above, but with far more negative results. The South African healthcare system, though effective in combating certain specific conditions, has many of the same failings as the United States' system, only on to a far more apparent degree. A lack of organization and responsiveness, exacerbated by an attempt to exert highly politicized and highly centralized control over healthcare provision, has plagued South African efforts to combat AIDS and many other problems the country -- and the…

References

Offredy, M. (2008). "The health of a nation: perspectives from Cuba's national health system." Quality in primary care 16(4), pp. 269-77

Sewankambo, N. & Katamba, A. (2009). "Health systems in Africa: learning from South Africa." The lancet 374(9694), pp. 957-9.

Squires, A. (2009). "U.S. Healthcare reform: A comparative book review." Nursing ethics 16(5), pp. 673-5.

Wan, Y. & Wan, Y. (2010). "Achievement of equity and universal access in China's health service: A commentary on the historical reform perspective from the UK National Health Service." Global public health 5(1), pp. 15-27.

The experiences of seniors within the healthcare delivery system will alter how all Americans view healthcare. The healthcare delivery systems and overall organizational structure in the United States has been slow to adjust but that rest of the world is currently in flux that will migrate into our system. Technological advances in communication have made telehealth and telemedicine vialbel solutions to our outdated healthcare industry orgainzational structre. While these types of advances are only in their infancy, "...there seemed to be broad acceptance that telehealth and telemedicine had provided positive benefits to the worlds healthcare delivery system." (Telehealth Applications) Our technoloically challenged seniors have actually discovered the trend within the healthcare system and telehealth and telemedicine seems to be an advance that will find worldwide support so we as a nation will be reqquired to jump on the bandwagon.

In conclusion, this article review focused on new Healthcare Delivery Systems…

References

Farnsworth, Chris. "The Truth About Fraud" Washington Monthly 01 May 1997.

Joshua-Amadi, Mabel. "Recommendations: A Study in Motivation: Recruitment and Retention in the NHS" Nursing Management. February (2003).

Soloye, Daniel J. "Privacy and Power: Computer Databases and Metaphors for Information Privacy" Stanford Law Review July (2001).

Telehealth Applications. (2004) "Current Telehealth Applications" Retrieved October 26, 2004, at  http://www.startegis.com/epic/internet/inict-tic.nsf/PrintableE/it07545e.html

" (Arnold & Reeves, 2009). ith medical services price at the present time, illness or some kind of complicated to medical services may take people deprived of health insurance years to reimburse for bills that are medical. Furthermore, I believe that individuals who lost their jobs also are uninsured for the reason that their employer gave health insurance is no longer paying for them. I understand that based on the statistic; there are "way too many around 1 million workers that have lost their health reporting in the first three months of 2009. I think that helping people buy health insurance coverage with low-cost with offering the health plans options for the uninsured is the healthcare reform that is really needed now. In this way, individuals that are without health insurance will be able to afford paying their medical insurance to uphold their well-being.

In conclusion, with the increasing rapidly…

Works Cited

Arnold, P.J., & Reeves, T.C. (2009). International Trade and Health Policy: Implications of the GATS for U.S. Healthcare Reform. Journal of Business Ethics, 63(4), 34.

Belcon, M.C., Ahmed, N.U., Younis, M.Z., & Bongyu, M. (40-74.). ANALYSIS of NATIONAL HEALTHCARE SYSTEMS: SEARCHING for a MODEL for DEVELOPING COUNTRIES - TRINIDAD and TOBAGO as a TEST CASE. Public Administration and Management, 14(2), 10-14.

Bolduc, C.R. (2008). The impact of healthcare reform on HMO administrators. Hospital & Health Services Administration, 17(9), 23-45.

Reiboldt, M. (2010). The Industry Responds to the Passing of Healthcare Reform. The Journal of Medical Practice Management, 18(6), 327-328.

Health Care Access Ethical Dilemma

Access to health care services is not equitable in the United States. The 15% of Americans without health insurance coverage find it extremely difficult to access health care services (Trotochaud, 2006). This is an injustice that should be addressed. Patients going to rural health care facilities face myriad challenges that are occasioned by stigmatization. Stigmatization of illnesses that patients grapple with occasions ethical conflicts. In the process, patients' right to privacy and confidentiality are often violated. There are practical guidelines that can be used to minimize ethical conflicts. It is imperative that confidentiality and trust be made paramount under circumstances where healthcare professionals deal with patients with stigmatizing illnesses.

A typical example of confidentiality, overlapping relationships and lack of willingness to seek care can be attested to in a situation where a woman working at a local store finds out that her partner is HIV-positive…

References

Trotochaud, K. (2006). Ethical Issues and Access to Healthcare. Journal of Infusion Nursing,

29(3), 165-170.

Tummala, A. & Roberts, L.W., (2009). Ethics Conflicts in Rural Communities: Stigma and Illness. Hanover, NH: University Press of New England.

Healthcare Access

The health of any single person is the most important and most limiting factor about that person's ability to complete physical tasks and live a useful and purposeful life. Healthcare is a term that is widely used but never discussed in how it can best be accessed. The purpose of this essay is to identify and describe a useful plan that helps solve the dilemma of people acquiring a proper and useful source of healthcare. The ethical component of the situation will also be introduced to help demonstrate how practical this plan can be.

To many, healthcare is often associated with doctors, nurses, hospitals, drugs and surgery. It seems that more people are sick or are diseased with some sort of affliction than ever before. Tanner (2008) made the point that "a closer look shows that nearly all health care systems worldwide are wrestling with problems of rising…

References

Cohen, J. (2008). Does Preventive Care Save Money? The New England Journal Of Medicine, 14 Feb 2008. Retrieved from  http://www.nejm.org/doi/full/10.1056/NEJMp0708558 

Lowes, C. (2011). Reviewing Medical Ethics. Philosophy International Journal Of Health, 12 June 2012.

Tanner, M. (2008). The Grass is Not Always Greener: A Look at National Health Care Systems Around the World. CATO Institute, 18 Mar 2008. Retrieved from  http://www.cato.org/publications/policy-analysis/grass-is-not-always-greener-look - national-health-care-systems-around-world

Healthcare Legislative Bill

The expanded and improved Medicare for all Acts

The Expanded and mproved Medicare for All Act was introduced to the House of Representatives in 2009 and seeks to lobby for the implementation of a common single-payer health care system throughout the United States o0f America. The bill if enacted would require that all medical care costs be paid for automatically by the government instead of private insurances for the same. The move will significantly alter the role of private insurance companies as merely offering supplemental coverage especially when the kind of medical care sought is not all that essential (McCormick, 2009).

With the Expanded and mproved Medicare for All Bill, the country's national system will be paid for through taxes and the monies that will replace the regular insurance premiums. Proponents of the bill argue that by eliminating the need for private insurance companies in the national…

Institute of Medicine of the National Academies of Science, (2010), Insuring America's Health: Principles and Recommendations

The American Journal of Medical Practices, (2011), The Impact of single-payer Medicare

Program, New York

While it may not be just to hold an organization liable, absolutely, for every instance of employee negligence, there is a rationale for imposing such liability in many cases. For example, many types of industries entail potential danger to others that are inherent to the industry.

Individual workers are not likely to be capable of compensating victims of their negligence, but the employer benefits and profits financially by engaging in the particular industry. Therefore, the employer should not necessarily escape liability for compensating all harm caused by their activities, regardless of fault in particular instances.

10.A nurse is responsible for making an inquiry if there is uncertainty about the accuracy of a physician's medication order in a patient's record. Explain the process a nurse should use to evaluate whether or not to make an inquiry into the accuracy of the physician's medication order.

Like other highly trained professionals, experienced nurses…

References

Abrams, N., Buckner, M.D. (1989) Medical Ethics: A Clinical Textbook and Reference for the Health Care Professionals. Cambridge, MA: MIT Press

Caplan, a.L., Engelhardt, H.T., McCartney, J.J. Eds. (1981) Concepts of Health and Disease: Interdisciplinary Perspectives. Reading, MA: Addison-Wesley

Starr, P. (1984) the Social Transformation of American Medicine.

New York: Basic Books

Health Care -- Strategic Planning and Marketing

Strategic planning and marketing often wed customer-oriented issues with broader issues of public health, morality and survival in a highly competitive market. Consequently, a key issue set forth by the American Hospital Association and an issue of strategic planning/marketing are often two sides of the same coin. This work addresses the customer-oriented issues of Diversity and Emergency Planning that are mirrored in two key issues advanced by the AHA. These two issues are articulated in the first part of this work and answered in the second part of this work.

Customer-Oriented Strategic Plan

Diversity

American society is increasingly ethnically diverse due to immigration, relocation, birth rates and other factors. Consequently, a 250-bed community hospital must hone its sensitivity to resulting changes in community health needs. n addition, there is a high level of competition among hospitals that requires sensitive, targeted marketing to attract…

Issues or Opportunities

Eliminating Racial and Ethnic Disparities

As the American Hospital Association states, "Addressing disparities is no longer just about morality, ethics and social justice: It is essential for performance excellence and improved community health" (American Hospital Association, 2012). A multi-faceted approach to discerning, accommodating and marketing for diversity would certainly include the thoughtful collection and examination of diversity data to define target ethnic markets and specific steps tailored to those markets, as described in Noonan's and Savolaine's article. Studying obstetrical discharge data for ethnicity and outright asking physicians for specific information about the ethnicity of their patients is a sensible approach to determining the community's ethnic composition. In addition, the hospital zip code's CNI data for "five factors long known to contribute to health need - income, culture/language, education, housing status, and insurance coverage" (Anonymous, 2011) should be defined and collected. After that data is collected, it should be studied to define the community's major ethnic target groups. After determining the target groups, the hospital's services should be marketed directly

Universal healthcare is the only saving formula for this nation, which is doomed in a health care crisis of unprecedented proportions. There is a urgent need to transform healthcare from its present state of commercialism towards the humanitarian approach which guarantees 'healthcare for all' independent of their social or financial circumstances. A shared and collective responsibility of healthcare management is the only viable formula for America. It is high time we learn from Canada, UK and other European nations and restructure the current broken state of our healthcare. The successful passing of the USNHC act (H.R. 676) is the only way for America to wake up from its healthcare nightmare. Will the powerful insurance industry hold its ground yet again and resist this awakening leaving all the citizens doomed? This is an important question for all the citizens of our country.

ibliography

1) Science Daily, 'American Values lamed for U.S.…

Bibliography

1) Science Daily, 'American Values Blamed for U.S. Healthcare Crisis',

Accessed May 11, 2009, Available at,  http://www.sciencedaily.com/releases/2008/12/081204160558.htm 

2) Laura K. Altom, BS, MSIII and Larry R. Churchill, PhD, Ann Geddes Stahlman

'Pay, Pride, and Public Purpose: Why America's Doctors Should Support

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…

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.

Healthcare Finance

The relationship between the doctor and a possible patient is established when the physician asks the person for the first time as how he could be of possible help. This direct and simple enquiry is the beginning of the trust of the patient that has to be put in the physician for any treatment to proceed. The patient is in need of help at that time, and has to trust the professional for getting the help and the patients want to do it. They need a person to take care of them during their period of suffering from illness. This relationship between the patient and the physician in the financial sphere also involves the same amount of reliance, confidence and trust, as otherwise, not treatment can be undertaken. This makes it essential that the physicians clearly mention to the patients when there is any conflict of interest in…

References

"Changes in Health Care Financing and Organization: Deriving Best Practice Models for the U.S. Health Care Safety Net: A Cross-State Meta Analysis of Finance, Organization and Outcomes" Retrieved from  http://64.233.179.104/search?q=cache:h3F83ojarhYJ:depts.washington.edu/eprc/areas/proposalnarrative%2520web.pdf+Changes+in+Health+Care+Financing+and+Organization+& ; hl=en Accessed on 7 June, 2005

'Health Administration Press" (March/April 2003) Journal of Health Care Management.

Volume 48, Number 2. Retrieved from  http://64.233.179.104/search?q=cache:p36ZB3H0T4AJ:www.ache.org/pubs/jhm482.cfm+healthcare+finance+relationship+centered& ; hl=en Accessed on 7 June, 2005

"The Core Program: Trust and the Patient -- Professional Relationship" (September, 2000) The

Futile medical care is the ongoing provision of medical treatment or care to a patient who does not show any hope of recovery. It is either that his condition is not curable and therefore the treatment that he is receiving is of no benefit. The common examples of these are that a surgeon is performing a surgery on a patient with terminal cancer. Patients who have terminal cancer have gotten the cancer spread all throughout their body. It is only until time that their organs will go into failure and they will pass away. Another example is of keeping brain dead people on life support for other reasons. As it would be expected, this is quite a sensitive area and it would involve arguments with the patient's relatives and friends.

It is understandable that the loved ones do want to do anything they can to keep the patient in front…

References

Appel, J. (2009). What's So Wrong with "Death Panels"?. [online] Retrieved from:  http://www.huffingtonpost.com/jacob-m-appel/whats-so-wrong-with-death_b_366804.html  [Accessed: 26 Jul 2013].

Doyle, D. (2010). WebmedCentral.com:: Baby K. A Landmark Case In Futile Medical Care. [online] Retrieved from:  http://www.webmedcentral.com/article_view/969  [Accessed: 26 Jul 2013].

Gardent, P. And Reeves, S. (2009). Ethics Conflicts in Rural Communities: Allocation of Scarce Resources. [e-book] Lebanon, NH: University Press of New England.  http://geiselmed.dartmouth.edu/cfm/resources/ethics/chapter-09.pdf  [Accessed: 26th July, 2013].

Pomerance, J., Morrison, A., Williams, R. And Schifrin, B. (1989). Anencephalic infants: life expectancy and organ donation.. Journal of perinatology, 9 (1), pp. 33-37.

Healthcare Study

Defined as the philosophical study of right and wrong action, Ethics is a predominant subject of concern in nursing (Michael Dahnke, 2006). Being presented with various situations, the ethical and cultural problems are a serious concern faced by the nursing and healthcare staff which needs to be catered to day in and out. There is no time tested methodology that can be applied here, since the every patient is different, with a different background history, therefore the ethical and cultural implications of each decision would also vary.

Importance of Ethical Theory to Nursing

Defining what is right and wrong is a very subjective approach and even that can change from scenario to scenario. Therefore it is important to have some form of umbrella under which the functioning of nurses takes place. It is under this rationale that the importance of ethical theory emerges in front of us.

In…

Works Cited

DuAnne Foster Edwards, R.M. (1999, Feburary). The Synergy Model: Linking Patient Needs to Nurse Competencies. Retrieved September 30th, 2011, from American Association of Critical Care Nurses: http://www.aacn.org:88/wd/certifications/content/synpract2.pcms?pid=1&menu=

Green, D.B. (2001, July). Medical Ethics. Retrieved September 30th, 2011, from Priory.com:  http://priory.com/ethics.htm 

Michael Dahnke, H.D. (2006). Defining Ethics and Applying the Theories. In P.M. Vicki D. Lachman, Applied Ethics in Nursing (p. 3). New York: Springer.

Samar Noureddine RN, M. (2001). Development of the ethical dimension in nursing theory. International Journal of Nursing Practice, 2-7.

Many of the chapters relate to medical research as well as medical procedures, with the informed consent issue in particular affecting both human beings involved in medical research and those facing a medical crisis and wanting to now what their treatment will entail.

Throughout, the authors present ways of thinking about these ethical issues and also encourage medical personnel to consider these matters and to have a means for making decisions in mind at all times and to follow certain procedures in analyzing a situation and making a determination as to what behavior is acceptable and what is not. Some of the issues discussed are more controversial than others, with abortion being perhaps the most controversial and so the most in need of an ethical structure to decide between competing interests. The death and dying issue is another with two clear positions polarizing the argument and with a range of…

Works Cited

Garrett, Thomas M., Harold W. Baillie, and Rosellen M. Garrett.

Health Care Ethics: Principles and Problems. Upper Saddle River, New Jersey: Prentice-Hall, 2001.

Health Care -- Ethical Issues in Evaluation Research

Ben is a professor and Alyssa is his graduate student in health sciences. Ben is the program chair for a conference with publications that are "refereed" or reviewed by an expert board of editors before publication. The conference has a policy that accepted papers must be presented by their authors but Ben does not mention this policy to Alyssa. He suggests that Alyssa submit a paper to the conference and that he will present it because the conference is being held abroad and he cannot support her trip to the conference. Alyssa writes the paper entirely with her own research while funded by an external fellowship, and submits it with herself as the sole author. She gives several drafts to Ben, who does not comment on any of them. Alyssa's paper is accepted by the conference, she is then advised of their…

Works Cited

American Evaluation Association. (1994, revisions through 2004). American Evaluation Association guiding principles for evaluators. Retrieved on December 15, 2012 from www.eval.org Web site:  http://www.eval.org/Publications/GuidingPrinciples.asp 

Kass, N.E. (2001, November). An ethics framework for public health. Retrieved on December 15, 2012 from search.proquest.com Web site:  http://search.proquest.com/docview/215114044/13B0743D48B182F5BD9/1?accountid=28844 

Public Health Leadership Society. (2002). Principles of the ethical practice of public health, version 2.2. Retrieved on December 15, 2012 from www.apha.org Web site:  http://www.apha.org/NR/rdonlyres/1CED3CEA-287E-4185-9CBD-BD405FC60856/0/ethicsbrochure.pdf 

Thomas, J. (2004). Skills for the ethical practice of public health. Retrieved on December 15, 2012 from phls.org Web site:  http://phls.org/CMSuploads/Skills-for-the-Ethical-Practice-of-Public-Health-68547.pdf

edu). While this example just discusses one manner in which a given policy can empower a healthcare marketing strategy, social marketing is currently so engrained in our culture that its powers are truly widespread. Social marketing allows products and brands to have more flexible and sensitive pricing as their prices can be changed at any minutes and consumers alerted, given the instantaneous nature of social marketing. The same goes for service as well -- any changes or enhancements that are made to services can be alerted to the public immediately. Likewise, social marketing is a two-way process: it allows consumers to chat their thoughts, ideas and concerns to marketers, giving them immediate and constant feedback. Social marketing can impact large groups of people at once, as readily seen by campaigns used by the AHA or the FDA (Kotler et al., 2008).

Social networking can also be a means of social…

References

Berkowitz, E. (2011). Essentials of Health Care Marketing. Sudbury: Jones and Bartlett.

Brown, M. (1992). Healthcare Marketing Management. Gaithersburg: Apsen Publishers.

Hma, e. (n.d.). Stakeholders. Retrieved from Hma.eu:  http://www.hma.eu/fileadmin/dateien/HMA_joint/02-_HMA_Topics/02-HMA_Strategy_Paper/Index/Section_III_01_Stakeholders.pdf 

Kotler, P., Shalowitz, J., & Stevens, R. (2011). Strategic Marketing for Health Care Organizations: Building a Customer. San Francisco: Jossey-Bass.

The article states, "The enormous human and economic costs associated with occupational stress suggest that initiatives designed to prevent and/or reduce employee stress should be high on the agenda of workplace health promotion (HP) programs" (Noblet, LaMontagne, 2006, p. 346).

Along with the article's assertion that reducing employee stress should be beneficial to both the individual and the company, the article also documents the many problems that can occur due to stress in the workplace. The article espouses, "For employees, chronic exposure to stressful situations such as work overload, poor supervisory support and low input into decision-making have been cross-sectionally and prospectively linked to a range of debilitating health outcomes, including depression, anxiety, emotional exhaustion, immune deficiency disorders and cardiovascular disease" (Noblet, p. 347). Many of these illnesses are debilitating and can be long-term which adds to the company's cost due to employee absence(s) directly affecting the company's bottom line.…

Works Cited

Aldana, S.G., Merrill, R.M., Price, K., Hardy, a. And Hager, R. (2005) Financial impact of a comprehensive multisite workplace health promotion program, Preventive Medicine, 40, 131-137.

Downey, a.M., Sharp, D.J., (2007) Why do managers allocate resources to workplace health promotion programmes in countries with national health coverage?, Health Promotion International, Vol. 22, No. 2, pp. 102-111

Musich, S.A., Adams, L. And Edington, D.W. (2000) Effectiveness of health promotion programs in moderating medical costs in the U.S.A., Health Promotion International, 15, 5-15

Ozminkowski, R., Ling, D., Goetzel, R., Bruno, J., Rutter, K., Isaac, F. et al. (2002) Long-term impact of Johnson & Johnson's health & wellness program on health care utilization and expenditures. Journal of Occupational and Environmental Medicine, 44, 21-29.

1993). Within medical settings in particular, physicians and supervisors are often too over-burdened with their myriad formal responsibilities to take note of minor irregularities in protocols and procedures. Because coworkers are often in the best possible situation to notice inadequacies, it is important for all levels of employees to be equally involved in the overall CQI process.

Optimal implementation of an effective CQI process also requires a culture of openness to suggestion and confidentiality with respect to reporting more serious issues such as those that result from negligence or willful misconduct on the part of co-workers.

11. The textbook states that "an organization's most vital component in costly resource is its staff." With this being the case, the human resource function plays a very important role. Should the human resource function be part of the senior management team?

In terms of policy implementation and organizational philosophy, the human resources function…

References

Horine, P.D., Pohiala, E.D., Luecke, R.W. (1993) Healthcare Financial Managers and CQI: Implementing Continuous Quality Improvement; Healthcare Financial Management.

Humphry, D. (1991) Final Exit: The Practicalities of Self-Deliverance and Assisted Suicide for the Dying. Secaucus: Carol Publishing

Russell-Walling, E. (2005) Fifty Management Ideas You Really Need to Know. London: Quercus

While freedom of religion absolutely guarantees the right to refrain from choosing to submit to stem cell-based treatment, the same freedoms and the concept of separation of church and state absolutely preclude religious beliefs about when life "begins" (or about anything else) from dictating laws that affect other people who may not share those particular beliefs (Dershowitz, 2002).

Beneficence and Non-malfeasance

Certainly, both the concept of beneficence and non-malfeasance absolutely prohibit the use of fetal stem cells from any fetus that is sufficiently developed to be considered a "person" as well as from any fetus that is sufficiently developed to sense pain. Medical authorities may debate where the exact point is where "personhood" first becomes an issue, but in principle, that characterization must be a function of objective criteria and never subjective beliefs of laypeople, especially based in religion (Dershowitz, 2002).

Both beneficence and the duty to avoid malfeasance prohibit…

References

Dershowitz, a. (2002). Shouting Fire: Civil Liberties in a Turbulent Age. New York:

Little Brown & Co.

Levine, C. (2008). Taking Sides: Clashing Views on Bioethical Issues. Dubuque, Iowa:

McGraw Hill.

..above all - its situation." (Ibid)

II. Leadership Strategy for Transition or Change

Watkins proposes 'Five Fundamental Propositions' in his work and the first is which that the "root causes of transition failure always lie in a pernicious interaction between the situation, with its opportunities and pitfalls, and the individuals with his or her strengths and vulnerabilities." Or otherwise stated no superheroes exist and the leadership is not a complete failure but the combination of the two determine the direction of the organization. The second proposition is that "there are systematic methods that leaders can employ to both lessen the likelihood of failure and reach the breakeven point faster." (2003) There are however proven and reliable methods that leaders must use to ensure success or at least minimize possibilities leading to failure. Third Watkins proposes that "overriding goal in a transition is to build momentum by creating virtuous cycles that…

Bibliography

Watkins, Michael (2003) The First 90 Days: Critical Success Strategies for New Leaders at all Levels. Harvard Business School Publishing 2003. Team Lib ISBNB: 1591391105.

Healthcare Leadership and Strategy in the Clinical Audit Unit for Healthcare

Health Care

More area is dealt by Human esource Management than people originally thought of. Some may explain it as the exchanges between boss and worker in the time period between which a worker is employed, until they are eliminated. It is true human resources management starts even before this, with the strategies that are formed by the institution, and the laws that govern workplace institutions. Human esource Management is the procedure of working with people so that they and their organizations attain full potential even when change accelerates the necessity to get new talents, take up new tasks, and develop new relationships, as per an article by L. Dobb abd P. Dick of 1993. (Blessinger, Human esource Management)

Human esource Management is projected as that part of management, which deals with plans, decisions, issues, ethics, process, routines, work, performance and system associated with the management of people as workers…

References

Blessinger, Kelly. Human Resource Management. Available from  http://www.libsci.sc.edu/bob/class/clis724/SpecialLibrariesHandbook/hr_management.html . Accessed 2 February 2003]

De Silva, Sriyan. Human Resource Management As A Strategy: The Changing Focus of Industrial Relations and Human Resource Management. Available at  http://www.ilo.org/public/english/dialogue/actemp/papers/1998/asiawksh.htm [Accessed 2 February 2003]

De Silva, Sriyan. Human Resource Management in Achieving Management Objectives: The Changing Focus of Industrial Relations and Human Resource Management. Paper presented at the ILO Workshop on Employers Organizations in Asia-Pacific in the Twenty-First Century Turin, Italy, 5-13 May 1997. Bureau for Employers' Activities International Labor Office Geneva April, 1997 Available at  http://www.ilo.org/public/english/dialogue/actemp/papers/1998/srsirhrm.htm#C5-3 . Accessed 2 February 2003]

Guide to Managing Human Resources: Chapter 14: Team Building" Available from  http://hrweb.berkeley.edu/guide/teams.htm [Accessed 2 February 2003]

They also reject the argument that public support for transplantation will endure something bad if it becomes known that donated organs are being used for alcoholics.

There is an extensive reluctance to consider people with alcoholic cirrhosis for liver transplantation. The authors of this article do a good job of presenting both sides of the argument about whether alcoholics should be eligible for liver transplants. They present both a moral argument and a medical argument and compare and contrast both sides before drawing their conclusion. They illustrate the screening and selection process for liver transplant contenders in a concise manner. At the end the authors dissect the objection to the moral argument and the medical argument of not allowing alcoholics to receive liver transplants. They reply to both of these objections with the reasons as to why alcoholics should be allowed to receive transplants. In the end they conclude that…

References

Cohen C & Benjamin M. (1991). Alcoholics and liver transplantation. The Ethics and Social

Impact Committee of the Transplant and Health Policy Center. Journal of American

Medical Association. 265, pp. 1299-1301

GBMC Healthcare Hospital. The main issue relates to privacy and confidentiality issues considered essential components of fostering trust between healthcare consumers and providers. The issue arose the GBMC hospital did not strictly follow the rules of privacy and confidentiality. Because of its lack of complete control on the privacy issues, many pieces of private information of patients were stolen and compromised.

Although GBMC hospital has been committed for 75 years to ensuring patient healthcare information is used to fulfill appropriate needs as provided by consent or law, but with the advent of the electronic health record and the transfer of an individual's health information through electronic media, including the Internet, the need for privacy and confidentiality protection takes on new meanings and challenges for the GBMC.

As medical science and technology continue to mature, and new data is being created that, when accessed, could be used to discriminate against an…

References

Courtney S. Campbell, The Crumbling Foundations of Medical Ethics, Theoretical Medicine and Bioethics, Volume 19, Issue 2, April 1998, Pages 143-152

Roberto, M. And Flynn, E.P., Issues in Medical Ethics, Medicine, Health Care and Philosophy, Volume 1, Issue 2, 1997, Pages 188-189

Healthcare: Clinical Integration

Item Page

What is clinical integration

History of clinical integration

Goals of clinical integration

Importance of clinical integration

Health reform

New payment models

IT advancement

Barriers to clinical integration

Legal barriers

Lack of practitioner alignment

Lack of interoperability

How to achieve success in clinical integration

Incentive alignment

Knowledge alignment

Behavioral alignment

The future of health care systems

Physician acquisitions vs. clinical integration

HIEs -- solution to clinical integration?

Policy makers are beginning to appreciate the fact that only systemic change can effectively change, for the better, the manner of health care delivery in the U.S.; and that anything less would only alter the system's edges - with little or no substantial effect on cost-control, innovation-promotion, effectiveness of reward incentive schemes, coordination and coverage (AHA, 2010). Clinical integration has been found to be crucial to the change needed for the achievement of the aforementioned goals (AHA, 2010). Despite…

References

AHA. Clinical Integration -- the Key to Real Reform. Trend Watch. Retrieved from [HIDDEN]

Athena Health. (2014). History of the Clinical Integration Model. Athena Health. Retrieved from https://www.athenahealth.com/knowledge-hub/clinical-integration/clinical-integration-model.php

eHealth Initiative. (2012). The Rise of the Private Health Information Exchange and Changing Role of Public Exchanges. eHealth Initiative. Retrieved from [HIDDEN]

Fridsma, D. (2013). Interoperability Vs Health Information Exchange: Setting the Record Straight. Health IT Buzz. Retrieved from  http://www.healthit.gov/buzz-blog/meaningful-use/interoperability-health-information-exchange-setting-record-straight/

Diversity of Aging Population -- Innovative Healthcare

Over the past several decades there has been an avalanche of research and scholarly narratives focusing on the aging of millions of Americans -- among them the "baby boomers" that were born between 1946 and 1964 -- including their numbers and their health vis-a-vis the impact on the sometimes struggling healthcare system. But there has been a dearth of research on how American healthcare services will respond -- and is currently responding -- to an increasingly diverse older population when it comes to racial, cultural and ethnic identities. This paper points to the numerous issues and challenges that not only face an increasingly diverse older American population when it comes to healthcare, but also the challenges that the healthcare system itself faces as these Americans move into the twilight of their lives.

hat should be the Vision and Mission of Healthcare Professionals in…

Works Cited

Administration on Aging. (2010). A Statistical Profile of Black Older Americans Aged 65+.

Retrieved April 2, 2014, from  http://www.aoa.gov .

Bookman, A. (2008). Innovative models of aging in place: Transforming our communities for an aging population. Community, Work & Family, 11(4), 419-438.

Centers for Disease Control and Prevention. (2007). The State of Aging and Health in America

Healthcare Administration Mission Viejo Executive Summary

Over the last several years, the healthcare delivery environment has been continually evolving. This is because consumers are demanding efficient ways for receiving a variety of services. That is focused on reducing costs and enhancing quality. The result is that the entire system is continually changing to keep up with them. In the case of Golden Age Hospital (GAH), they are reaching a crossroads with rising number of seniors locally and nationally. This is in response to the rising demographic and many local facilities feeling overwhelmed. The new location can be utilized as an integrated business model that will achieve these larger objectives. In the long-term, this will make them more competitive and able to respond to changes in the way industry is operating. Those who are able to do this will see their employee turnover rates decrease and they can enhance the care…

References

Community Profile. (2014). City of Aliso Viejo. Retrieved from:  http://www.cityofalisoviejo.com/wp-content/uploads/ApdxC_Community_Profile.pdf 

Mission Viejo, California. (2015). U.S. Census. Retrieved from: http://quickfacts.census.gov/qfd/states/06/0648256.html

Rising Demand for Long-Term Care. (2014). CBO. Retrieved from:  http://www.cbo.gov/publication/44363 

Cuellara, A. (2006). Strategic integration of hospitals and physicians. Journal of Health Economics, 25 (1), 1-28.

health care in the United States has been the source of heated debate for a number of years. Although the publicity surrounding the issue has been considerable and made to look like it is a recent problem facing the nation, the problem, in reality, has been on the horizon for nearly a century. During President Woodrow Wilson's administration, efforts were unsuccessfully made to pass national legislation regarding the delivery of health care in the United States and the issue has appeared periodically on the national agenda ever since (Lepore, 2009). Finally, on March 23, 2010, among massive controversy, the Affordable Care Act, through the massive efforts of the Obama administration, became law.

Despite the passing of the Affordable Care Act, health care in the United States remains dismal for a large percentage of American citizens. Although there were a number of significant provisions in the Act that took effect nearly…

References

Anderson, R.M. (2001). Improving Access to Care in America. Los Angeles: University of California.

Boehm, G. (2005). Debunking Medical Malpractice Myths: Unraveling the False Premises behind Tort Reform. Yale Journal of Health Policy Law & Ethics, 357-369.

Lepore, J. (2009, December 7). Preexisting Condition. The New Yorker .

Shi, L. (2003). Delivering Health Care in America: A Systems Approach (3rd Edition). Burlington, VT: Jones & Bartlett Publishers.

Ethical Analysis of Healthcare Rationing

The topic of health care rationing has been the subject of debate in the U.S. The last few years as government expenditures on health care have far exceeded budgeted levels. Central to the concern is the ethical issue over whether it is better if fewer Americans profit with a greater amount of health resource allocation or if the majority benefit to a lesser degree for an equity in health care benefits. In the essay, "We've Got To Ration Health Care," (author unknown) the position is taken that America would fare better to follow the course of health care action seen in other western countries, where it is considered better to ration medical procedures to the extent that a system provides "the highest possible level of basic health care that can be delivered to all the people." With the growing concern over health care rationing, and…

Bibliography

Cook, D & M. Giacomini. 1999. "The Sound of Silence: Rationing Resources for Critically Ill

Patients." Critical Care. 3: R1-R3.

Devettere, RJ. 1993, Feb. "Clinical Ethics and Happiness." Journal of Medical Philosophy.

Devettere, RJ. 2000. Practical Decision Making in Health Care Ethics: Cases and Concepts, 2nd ed. Washington, DC: Georgetown University Press.

These needs are only beginning to be addressed in Canada and while there do not appear to be many well-established initiatives there is a growing recognition of the need for such if Canada's healthcare sector is to gain and retain the necessary workers to deliver optimal healthcare in Canada.

ibliography

Polls & Research (2006) Health Care, Environment Top Issues in Canada. 1 Nov 2006. AngusReid Global Monitor. Online available at: http://www.angus-reid.com/polls/view/13653

ack, Chris (2008) Current and Emerging Trends: Occupational Health and Safety in the C Healthcare Sector. 19 Sept 2008. Prepared for the OHSAH Stakeholder Meeting. Online available at: http://www.ohsah.bc.ca/media/240-OHS-Current-and-Emerging-Trends-full.pdf

Canadian Institute for Health Information, Workforce Trends of Registered Nurses in Canada, 2006 (Ottawa: CIHI, 2007).

Canadian Nursing Advisory Committee, Full-time Equivalents and Financial Costs Associated with Absenteeism, Overtime, and Involuntary Part-time Employment in the Nursing Profession, February 15, 2002.

Canadian Health Services Research Foundation, What's Ailing our Nurses? A…

Bibliography

Polls & Research (2006) Health Care, Environment Top Issues in Canada. 1 Nov 2006. AngusReid Global Monitor. Online available at: http://www.angus-reid.com/polls/view/13653

Back, Chris (2008) Current and Emerging Trends: Occupational Health and Safety in the BC Healthcare Sector. 19 Sept 2008. Prepared for the OHSAH Stakeholder Meeting. Online available at:  http://www.ohsah.bc.ca/media/240-OHS-Current-and-Emerging-Trends-full.pdf 

Canadian Institute for Health Information, Workforce Trends of Registered Nurses in Canada, 2006 (Ottawa: CIHI, 2007).

Canadian Nursing Advisory Committee, Full-time Equivalents and Financial Costs Associated with Absenteeism, Overtime, and Involuntary Part-time Employment in the Nursing Profession, February 15, 2002.

eferences

Aaron, H.J. 1994. Thinking About Medical Costs. Health Affairs, 13, 5 (winter): 8-13 in Hong, G-S and Kim, S.Y. (2000). Out-of-Pocket Health Care Expenditure Patterns and Financial Burden across the Life Cycle Stages. Journal of Consumer Affairs. 34. 2.

Acs, G. And John S. 1995. Trends in Out-of-Pocket Spending on Health Care, 1980-1992. Monthly Labor eview, 35-45 in Hong, G-S and Kim, S.Y. (2000). Out-of-Pocket Health Care Expenditure Patterns and Financial Burden across the Life Cycle Stages. Journal of Consumer Affairs. 34. 2.

Cote, J. And Latham, C. (2003). Exchanges between Healthcare Providers and Insurers: A Case Study. Journal of Managerial Issues. 15, 2.

Health, United States. (2003). Chartbook on trends in the health of Americans. HHS, Centers for Disease Control and Prevention (CDC). National Center for Health Statistics in Lesnik, J. (2006). Community Health Centers: Health Care as it Could Be. Journal of Law and Health. 19, 1..…

References

Aaron, H.J. 1994. Thinking About Medical Costs. Health Affairs, 13, 5 (winter): 8-13 in Hong, G-S and Kim, S.Y. (2000). Out-of-Pocket Health Care Expenditure Patterns and Financial Burden across the Life Cycle Stages. Journal of Consumer Affairs. 34. 2.

Acs, G. And John S. 1995. Trends in Out-of-Pocket Spending on Health Care, 1980-1992. Monthly Labor Review, 35-45 in Hong, G-S and Kim, S.Y. (2000). Out-of-Pocket Health Care Expenditure Patterns and Financial Burden across the Life Cycle Stages. Journal of Consumer Affairs. 34. 2.

Cote, J. And Latham, C. (2003). Exchanges between Healthcare Providers and Insurers: A Case Study. Journal of Managerial Issues. 15, 2.

Health, United States. (2003). Chartbook on trends in the health of Americans. HHS, Centers for Disease Control and Prevention (CDC). National Center for Health Statistics in Lesnik, J. (2006). Community Health Centers: Health Care as it Could Be. Journal of Law and Health. 19, 1..

Ethics in Health Care

The role of ethics within the medical profession is extremely important and it is extremely necessary to abide by a high standard of ethical behavior while working in this industry. The trust that patients and people place within the medical profession dictates this high level of ethical behavior. The purpose of this essay is to examine the influence of individual ethics on decision making the health care industry using the ACHE self-assessment test as a guide to highlight key issues regarding this approach.

The ACHE self-assessment provided some, but not much guidance on the way medical professionals should conduct their business. Many of the questions were quite superficial and did not really hit at the true ethical issues that are present within the medical field. For me, ethics cannot be standardized to the extent where there are automatic responses to challenging situations. ather, the ethical approach…

References

American College of Healthcare Executives. Ethics Self-Assessment.

healthcare practices and history of nursing in the Jewish culture.

There are several healthcare practices within the Jewish culture. According to the rabbinic lore, no aging process existed until the time that Abraham was born. No disease also existed until the time when Jacob came to existence.

The connections of Jews to the healing process at patients as well as physician level is noted to be ancient with a deep root in history and theology (MyJewishLearning.com, 2011).In most religions, the idea of medical treatment was largely an anathema. In most traditional religions, disease, deformity and accident were regarded as parts of God's creation that those of human beings. Anything to do with medical treatment was largely considered to be a process of meddling with the Creator's (God's) work and will. Judaism however, views the concept of medical treatment in appositive light. It views medical treatment as an obligation on the…

References

Gesundheit, B., Hada, E (2005).Maimonides (1138-1204): Rabbi, Physician and Philosopher*. IMAJ 2005;7:547-553

Illievitz, AB (1935).Maimonides the Physician. Can Med Assoc J. 1935 April; 32(4): 440-442.

Leininger MM (1997) Overview and Reflection of the Theory of Culture Care and the Ethnonursing Method. Journal of Transcultural Nursing, 8:2, 32.52.

Leininger MM (1991) Culture Care Diversity and Universality: A Theory of Nursing. National League for Nursing Press, New York.

healthcare as an institution is, of course, the need to care for the sick and the injured. However, in the contemporary model of healthcare, effective communication during a crisis is not only important, but also vital. Communication by healthcare professionals takes the concern and worry out of the situation; offers a quicker resolution, makes better control of information possible, earns the trust of the public and individual families; and keeps the flow of information consistent and accurate, thus averting potential external problems. Based on my current experience in the nursing field, I realize that to advance my professional goals, as well as contribute soundly to the profession, I must expand my educational experience and am therefore seeking entrance into the Doctor of Nursing Practice (DNP) in Psychiatric Mental Health Nursing.

I believe I am well-qualified and motivated to undergo this program. Currently, I am a master's prepared Neonatal Nurse Practitioner…

oman Clings to Hope of Having Dead Fiancee's Baby

Today medical science is capable of things only imagined in the past. One of these possibilities stems from the technique of Invitro fertilization and cryobiology. It is now possible to freeze a man's sperm and impregnate a woman with it at some future time. This practice raises many ethical issues as far as the legal professions are concerned, primarily informed consent, ownership of the sperm and many other issues. However, it also raises issues for the medical profession as well. Now it is possible, but the primary question remains, should we? This research will examine the role of the nurse in relation to her ethical obligations and the moral issues imposed upon her concerning this tricky moral issue.

Recently a court case surface where a woman wants to have he fiancee's sperm inseminated into her in order to get pregnant with…

Works Cited

ANCI. National Competency standards of the Registered Nurse. Domain: Professional and Ethical Practice. June, 2002.  http://www.anci.org.au/codeofethics.htm . Accessed March,

Artificial Conception Act 1985 - Section 3 (1-3). http://www.austlii.edu.au/au/legis/act/consol_act/aca1985203/s3.html#procedure

Accessed March, 2003.

Davies, Julie-Ann. Sandy Plans to Win Her Race Against Life. The Age Newspaper. May 27,

Quality of Care: Healthcare eform

Health care reform legislation is expected to reduce health care spending by $590 billion over 10 years and lower premiums by nearly $2,000 per family by slowing the annual growth rate in national health expenditures. Discuss how this savings will be accomplished and what potential sacrifices in health care delivery may be experienced. Is the figure of $590 billion when calculated over a ten-year period really a significant savings?

The Affordable Care Act (ACA) was designed to make healthcare more accessible to a wider array of Americans and also more equitable in its method of delivery. Some of its provisions included requiring all adults (with some hardship exemptions) to have healthcare or pay a penalty. The hope was that expanding the risk pool of young, healthy insured who might otherwise forgo coverage would support the costs of some of the other provisions of the bill,…

References

Carroll, A. (2014). Why increasing access to healthcare does not save money. The New York

Times. Retrieved from:

 http://www.nytimes.com/2014/07/15/upshot/why-improving-access-to-health-care-does-not-save-money.html?_r=0&abt=0002&abg=0 

Keefe, C. (2014). I'm an Obama supporter. But Obamacare has hurt my family. The Washington

strategic plan II

Environmental Analysis

An environmental analysis is an important component, and indeed a prerequisite, to the strategic plan. It stands to reason that you cannot set a course for the future without knowing the route you will take, and you cannot know the route until you have the lay of the land. The environmental analysis is "a process in which you look at the outside factors that can have an impact on your business" (Arthur, 2014). The strategic plan depends on the information you gather about the trends in and nature of the external environment, so it is incredibly important that the environmental analysis is taken seriously. There are a number of different tools that have been developed in the management literature that can assist with creating an effective environmental analysis, including the SWOT Analysis, the PESTLE analysis, the Five Forces analysis and the value chain analysis (Downey,…

References

Arthur, L. (2014). The implications of environmental analysis on strategic plan. Houston Chronicle. Retrieved November 10, 2014 from  http://smallbusiness.chron.com/implications-environmental-analysis-strategic-plan-35303.html 

Downey, J. (2007). Strategic analysis tools. CIMA. Retrieved November 10, 2014 from  http://www.cimaglobal.com/Documents/ImportedDocuments/cid_tg_strategic_analysis_tools_nov07.pdf.pdf 

WiseGeek. (2014). What is the role of environmental analysis in strategic management? WiseGeek. Retrieved November 10, 2014 from  http://www.wisegeek.com/what-is-the-role-of-environmental-analysis-in-strategic-management.htm

A largely insular community since their initial settlement in the United States, the Amish community presents unique challenges for healthcare workers. The Amish eschew modern technology, including many of the tools and techniques used in modern medicine. In fact, the Amish community also forbids higher education (Adams & Leverland, 1986). Misconceptions and misunderstandings about the Amish further complicate healthcare decisions and relationships between healthcare providers and Amish patients. For example, it is commonly assumed that the Amish “lack the preventive practices of immunizations and prenatal care,” (Adams & Leverland, 1986, p. 58). While the rates of immunizations are relatively low among the Amish, the Amish church does not forbid immunization (Adams & Leverland, 1986). The Amish also have a keen interest in disease prevention, health education, and lifestyle choices that prevent health problems (Talpos, 2016). Although Amish attitudes towards health, wellness, and the healthcare system may be at odds with…

Quality and Safety Education for Nurses

Patient safety

The issue of patient safety has been a concern to medics and the stakeholders in the health care system over many years. This has been propelled by constant emergence of life threatening injures to people visiting or working within the healthcare facilities s well as construction of buildings and entrances that do not meet the required standards of hospitals. This largely informs the basis of this paper to find out where the wrongs are and how these can be rectified to provide a good environment for patients.

Patient safety

The patient safety is as important as the rescue of the life of a patient when he walks into the hospital to seek medical attention. The nurses and doctors are hence required to adhere to the call of the Nursing and Midwifery Council of "Nurses and nursing staff manage risk, are vigilant about…

References

Florence L., et.al., (2008). Hallmarks of Unsafe Practice: What Preceptors Know. Retrieved April 18, 2014 from  http://www.nursingcenter.com/lnc/CEArticle?an=00124645-200811000-00001&Journal_ID=54029&Issue_ID=830968 

Kreimer S. (2014). 10 Best Practices for Patient Safety. Retrieved April 18, 2014 from  http://www.nursezone.com/nursing-news-events/more-news/10-Best-Practices-for-Patient-Safety_33666.aspx 

Royal College of Nursing, (2014). Patient Safety and Human factors. Retrieved April 18, 2014 from  http://www.rcn.org.uk/development/practice/patient_safety

Work Group

The proposed work group should have intimate knowledge of the issue and the different human resources policies impacted by the problem. This issue is connected to a variety of workplace departments, including human resource policies (in terms of employee expectations and quality of life); IT policies (how the Internet is managed and system security); and legal issues (employee rights). epresentatives from all of these different departments should be present on the team. Ideally, their personalities should also work well together.

Although the work team is made up of diverse components, it should also have a clear sense of its mission and goals. Defining that central mission is an essential part of the first steps of "forming" a team. The team should also have a strict deadline to ensure that it meets its objectives with minimal waste of time and energy and understand the connections between their areas of…

Reference

How U.S. corporations raise capital. (2014). U.S. Department of State. Retrieved from:

 http://economics.about.com/od/smallbigbusiness/a/corp_capital.htm

" ((Patton, 1990).

The data analysis procedure is therefore one which emphasizes participation and observation. As the author states,"As a Convict Criminologist (an ex-prisoner who has academic training), I had the opportunity to analyze prison culture from the perspectives of participant and observer." (Murphy 2005)

It is also important to note that the author as an academic and trained criminologist would be capable of selecting and synthesizing the data available.

9. Strengths and limitations

One of the limitations of this qualitative study is a common limitation that is endemic to many qualities studies; namely that there is always the possibility of subjective and individual bias in both the selection and the interpretation of the data. "The presence of an observer is likely to introduce a distortion of the natural scene which the researcher must be aware of, and work to minimize. (Hoepfl 1997)

However this can also be seen for…

References

Eisner, E.W. (1991). The enlightened eye: Qualitative inquiry and the enhancement of educational practice. New York, NY: Macmillan Publishing Company.

Lofland, J., & Lofland, L.H. (1984). Analyzing social settings. Belmont, CA:

Wadsworth Publishing Company, Inc. Retrieved 29 September, 2006, at  http://scholar.lib.vt.edu/ejournals/JTE/v9n1/hoepfl.html 

Glaser, B.G., & Strauss, a.L. (1967). The discovery of grounded theory.

Walker and Clark propose active use of clinical supervision through facilitation, rather than directive approaches and discuss ten cues of seemingly insignificant acts that may lead to problems, such as gift-giving, sale of goods, self-disclosure on the part of the counselor, touching and sex. Interventions are made by risk managers when these cues are detected (1999, p. 1435-1439). Perhaps this is the solution, but problems will still occur, as long as counselors behave in an unprofessional manner.

American Mental Health Counseling Association. Code of Ethics. (2000). etrieved February 12, 2007 at http://www.amhca.org/code/.

Sampson, J.P., Jr. And Jill a. Lumsden, J.A. (2000). Ethical Issues in the Design and Use of Internet-Based Career Assessment, Tallahassee: Florida State University.

Barak, a. (2003) Ethical and Professional Issues in Career Assessment on the Internet. Journal of Career Assessment, Vol. 11, No. 1, Haifa Israel: SAGE Publications.

Cottone, .. And Claus, .E. (2000). Ethical decision-making models:…

Roberts, L.W., Battaglia, J. And Epstein, R.S. (Apr 1999). Frontier ethics: mental health care needs and ethical dilemmas in rural communities. Psychiatric Services 50. American Psychiatric Association.

Stadler, H.A. (1986). Making hard choices: Clarifying controversial ethical issues. Counseling & Human Development, 19, 1-10.

Walker, R. And Clark, J.J. (Nov 1999). Heading off boundary problems: clinical supervision as risk management. Psychiatric Services 50. American Psychiatric Association.