Health Care Essays (Examples)

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Obamacare Affordable Care Act

Words: 779 Length: 2 Pages Document Type: Essay Paper #: 24445806

1. Name two advantages and two disadvantages of the Affordable Care Act (the Obama healthcare plan).
Obamacare has ensured federal fund allocation to all states for the purpose of Medicaid expansion. Outcomes reveal that this expansion, accompanied by the establishment of health insurance exchanges, has resulted in a substantial share of uninsured citizens acquiring coverage. Further, ACA introduced some key healthcare sector reforms including healthcare center accountability that attempts at coordinating care between health centers and achieving shared cost savings. Accountable care organizations intend to decrease the fragmentation the health sector commonly witnesses. The year 2016 saw a deceleration in American healthcare expenditure’s growth rate after 5 years (Gruessner, 2016).
Despite the aforementioned advantages, certain issues surrounding ACA have proven detrimental to healthcare access. Of late, monthly premium rates have spiked, particularly among health insurance exchange plans. The cause for this increase is: a further twenty million individuals are now…… [Read More]

References

Geyman, J. (2015). The Affordable Care Act at Age Five: Quality of Care. Retrieved February 13, 2018, from http://pnhp.org/blog/2015/03/16/the-affordable-care-act-at-age-five-quality-of-care/

Ginsburg, J., Neubauer, R., Fleming, D., Bronson, D. L., Centor, R. M., Gluckman, R. A., & Liebow, M. (2009). Controlling health care costs while promoting the best possible health outcomes. American College of Physicians: A White Paper.

Gruessner, V. (2016, September 14). 2 Benefits and 2 Disadvantages of the Affordable Care Act. Retrieved February 12, 2018, from https://healthpayerintelligence.com/news/2-benefits-and-2-disadvantages-of-the-affordable-care-act

Toussaint, J. S. (2017, April 05). Improve the Affordable Care Act, Don\\\\'t Repeal It. Retrieved February 13, 2018, from https://hbr.org/2016/11/improve-the-affordable-care-act-dont-repeal-it


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Latinos and African American Health Disparities

Words: 703 Length: 2 Pages Document Type: Essay Paper #: 45302153

The widespread health disparities between quality and cost are mainly used to determine existing inequalities within healthcare services. In 2016, studies examined healthcare’s relationship with quality and cost relating to lifespan (Chetty et al., 2016). These disparities in healthcare are chiefly attributed to social class and financial value in communities. Those in poorer communities must deal with public healthcare facilities that mean longer wait times, impersonal interactions with healthcare professionals that do not understand them (language or cultural), and potentially poor treatment regarding medical diagnosis (Barr, 2014). Those in wealthier communities can afford private care and therefore faster wait times, better doctors, more accurate diagnoses. With such disparities present in American healthcare, studies aim to understand the rationale behind such occurrences and determine how to improve patient outcomes for working-class communities.
While social class plays a role in healthcare disparities, so does race and ethnicity. “…blacks and other minorities continue…… [Read More]

References

Barr, D. A. (2014). Health disparities in the United States: Social class, race, ethnicity, and health. JHU Press.

Betancourt, J. R. (2013). Defining Cultural Competence: A Practical Framework for Addressing Racial/Ethnic Disparities in Health and Health Care. Public Health Reports, 118(4), 293-302. doi:10.1093/phr/118.4.293

Chetty, R., Stepner, M., Abraham, S., Lin, S., Scuderi, B., Turner, N., … Cutler, D. (2016). The Association Between Income and Life Expectancy in the United States, 2001-2014. JAMA, 315(16), 1750. doi:10.1001/jama.2016.4226

Florida Department of Health. (2018). Minority Health Liaisons | Florida Department of Health. Retrieved from http://www.floridahealth.gov/programs-and-services/minority-health/minority-health-liaisons.html

Minority Healthcare Communcations. (2010). Minority Healthcare Communications Inc. : Focused on Health Care Education Through Conferences, Seminars and Workshops. Retrieved from http://www.minority-healthcare.com/about.html


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Comparing Organizations with Benchmark Data

Words: 959 Length: 3 Pages Document Type: Essay Paper #: 83039440

In seeking to compare organizations with benchmark data, this text will largely focus on two organizations, i.e. Hackensack University Medical Center in Hackensack, NJ and Overlook Medical Center in Summit, NJ. In so doing, the paper will not only describe the organizations selected, but also highlight how the said organizations compare to each other and to state as well as national averages. Further, the paper will attempt to explain differences (if any) in performance measures, while at the same time assessing how publicly reported data impacts safety and quality of hospitals.
Located in New Jersey’s Hackensack city, Bergen County, Hackensack University Medical Center prides itself in being the number 1 hospital in the State (HackensackUMC, 2018). Having been founded 130 years ago, this particular 900-bed “nonprofit, teaching and research hospital has grown to become the largest provider of inpatient and outpatient services in New Jersey” (HackensackUMC, 2018). The institution was…… [Read More]

References

Atlantic Health System (2018). Who We Are. Retrieved from https://www.atlantichealth.org/about-us/who-we-are/approach-care.html

Groene, O. (2011). Patient Centeredness and Quality Improvement Efforts in Hospitals: Rationale, Measurement, Implementation. International Journal for Quality in Health Care, 23(5), 531–537.

HackensackUMC (2018). Who We Are. Retrieved from https://www.hackensackumc.org/about/

Medicare (2018). Compare Hospitals. Retrieved from https://www.medicare.gov/hospitalcompare/compare.html#cmprTab=0&cmprID=310001%2C310051&cmprDist=0.0%2C0.0&stsltd=NJ&dist=25&lat=0&lng=0&state=NJ


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Are Poor People Less Healthy Than Wealthy People

Words: 1029 Length: 3 Pages Document Type: Essay Paper #: 73086469

Inpatient Admissions
If poor people were as healthy as the rest of America, we actually would not see any decline in inpatient admission because the rest of America is really not very healthy. As several studies have recently noted, an alarming trend is occurring in American health care: wealthier Americans are now receiving more care than poorer Americans. As Almberg (2016) notes, “in 2012, the wealthiest fifth of Americans got 43 percent more health care ($1,743 more per person) than the poorest fifth of Americans, and 23 percent more care ($1,082 per person) than middle-income people.” With the rising cost of health care and the rise in premiums and deductibles—along with the long waits just to receive care in many health care facilities (Nicks, 2012), poor people are foregoing inpatient care while wealthier individuals are filling up the spot.
The big surprise is that wealthier people are also becoming less…… [Read More]

References
Almberg, M. (2016). Wealthier Americans now receive much more health care than middle class or poor, reversing a 50-year trend: Harvard study. Retrieved from http://www.pnhp.org/news/2016/july/wealthier-americans-now-receive-much-more-health-care-than-middle-class-or-poor-rever
Cutler, D., Morton, F. (2013). Hospitals, market share, and consolidation. JAMA, 310(18), 1964-1970.
Goldhill, D. (2009). How American health care killed my father. Retrieved from  https://www.theatlantic.com/magazine/archive/2009/09/how-american-health-care-killed-my-father/307617/ 
Grabmeier, J. (2017). For richer or poorer, we all eat fast food. Retrieved from https://news.osu.edu/news/2017/05/04/eat-fast-food/
Kripalani, S., Theobald, C., Anctil, B., Vasilevskis, E. (2013). Reducing hospital readmission: Current strategies and future directions. Annual Review of Medicine, 65, 471-485.
Nicks, P. (2012). Waiting for health care. Retrieved from http://www.nytimes.com/2012/05/21/opinion/for-the-uninsured-the-wait-for-health-care.html
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Diagnostic Errors is a Threat to Patient Safety

Words: 1302 Length: 4 Pages Document Type: Essay Paper #: 57755208

Introduction
Lack of time and sufficient resources have led to diagnostic errors. Cognitive biases of clinicians, underlying problems with healthcare systems, poor teamwork and communication, lack of reliable medical systems have been attributed to missed and delayed diagnoses in the healthcare sector. Doctors formulate ‘working diagnoses’ when patients are admitted to hospitals. Although a diagnosis is uncertain at this point, doctors treat the patient as if the working diagnosis is precise. The working diagnoses are confirmed when a patient improves after a few days of treatment, otherwise the doctors have to consider whether it was wrong (Lambe et al., 2016). However, the time taken to make the right diagnosis through trial and error greatly reduces the patient’s chance of surviving. Little consideration is given to how doctors make diagnoses and refines them to come up with treatment plans for their patients. Physicians require enough time to run correct diagnoses, make…… [Read More]

References

Brennan TA ; Newhouse JP; et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med. 1991; 324: 377-384

Lambe KA ; O\\\\'Reilly G ; Kelly BD; et al. Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review. BMJ Qual Saf. 2016; 25: 808-820

Resources Related to Diagnostic Errors. Content last reviewed December 2017. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/diagnostic-safety/resources.html

Shojania KG ; Burton EC ; McDonald KM; et al. Changes in rates of autopsy-detected diagnostic errors over time: a systematic review. JAMA. 2003; 289: 2849-2856

Singh, H. (2013). Diagnostic errors: moving beyond “no respect” and getting ready for prime time. BMJ Quality & Safety, 22(10), 789–792. http://doi.org/10.1136/bmjqs-2013-002387


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contraceptive counseling

Words: 2607 Length: 8 Pages Document Type: Essay Paper #: 46605880

Policy and Economics Brief
Executive Summary
The Department of Health of Human Services has a mandate to increase the proportion of wanted pregnancies by 10% by 2020, which means reducing unwanted pregnancies. While there are a number of different options for achieving this, the one that is most proven in terms of the literature is structured contraceptive counseling. As our clinic has a mandate to safeguard the health of the women in our community, and as unwanted pregnancies have a variety of adverse impacts, particularly on vulnerable populations, we should offer structured contraceptive counseling. To do so would allow us to reduce the number of unwanted pregnancies among our patients, improving their health and economic outcomes. Further, the economics of such counseling are exceptionally positive. As with a lot of preventative medicine, structured contraceptive counseling costs little in terms of either fixed or ongoing costs. Furthermore, because it diverts patients…… [Read More]

References

DiCenso, A., Guyatt, G., Willan, A., Griffith, L. (2002) Interventions to reduce unintended pregnancies among adolescents: Systematic review of randomized controlled trials. British Medical Journal. Vol. 324 (7351) 1426.

Guttmacher Institute (2016) Unintended pregnancy in the United States. Guttmacher Institute. Retrieved May 3, 2018 from https://www.guttmacher.org/fact-sheet/unintended-pregnancy-united-states

Herd, P., Higgins, J., Sicinski, K., & Merkurieva, I. (2016) The implications of unwanted pregnancies for mental health later in life. American Journal of Public Health. Vol. 106 (3) 421-429.

Lee, J., Parisi, S., Akers, A., Borrerro, S., & Schwarz, E. (2011) The impact of contraceptive counseling in primary care contraceptive use. Journal of General Internal Medicine. Vol. 26 (7) 731-736

Lindberg, L., Zimet, I., Kost, K. & Lincoln, A. (2016). Pregnancy intentions and maternal and child health: A analysis of longitudinal data in Oklahoma. Maternal and Child Health Journal. Vol. 19 (5) 1087-1096.

Logan, C., Holcombe, E., Manlove, J. & Ryan, S. (2016) The consequences of unintended childbearing. The National Campaign to Prevent Teen and Unplanned Pregnancy. White paper. Retrieved May 3, 2018 from http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.365.2689&rep=rep1&type=pdf

Madden, T., Mullersman, J., Omvig, K., Secura, G., & Peipert, J. (2013) Structured contraceptive counseling provided by Contraceptive CHOICE Project. Contraception. Vol. 88 (2) 243-249.

Sonfield, A., Kost, K., Benson, R., & Fisher, L. (2011). The public costs of births resulting from unintended pregnancies: National and state-level estimates. Perspectives on Sexual and Reproductive Health. Vol. 43 (2) 94-101.

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Off Label Drug Use in Pediatrics

Words: 711 Length: 2 Pages Document Type: Essay Paper #: 82508369

Circumstances under which children should be prescribed drugs for off-label use are when the medication they need is not available in a dosage distributed for children but has been shown to be used safely by children when given in the appropriate dosage level based on their body weight in the past. Care providers should be aware of what medications can be safely given to children in this way and what precedents have been established in the past. Just as in law, a court will examine prior cases to see how they have been judged before a decision is made on a current case, a nurse should reflect on what medications have been safely prescribed to children using off-label drugs and should only prescribe those that have been used safely before.
If the nurse feels compelled to prescribe a medication that has no precedent with use among children, the nurse should…… [Read More]

References

Gausvik, C., Lautar, A., Miller, L., Pallerla, H., & Schlaudecker, J. (2015). Structured nursing communication on interdisciplinary acute care teams improves perceptions of safety, efficiency, understanding of care plan and teamwork as well as job satisfaction. Journal of Multidisciplinary Healthcare, 8, 33.

Mir, A. N., & Geer, M. I. (2016). Off-label use of medicines in children. Int J Pharm Sci Res, 7(5), 1820-28.

Neville, K. A., Frattarelli, D. A., Galinkin, J. L., Green, T. P., Johnson, T. D., Paul, I. M., & Van Den Anker, J. N. (2014). Off-label use of drugs in children. Pediatrics, 133(3), 563-567.