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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New Jersey Helath Care policy

Words: 1241 Length: 4 Pages Document Type: Essay Paper #: 99715316

Staffing legislation in NJ
One of the tenets of healthcare is the provision of adequate healthcare for all patients and the health care needs to be the safest possible that the medics and the facilities can offer. This has been a concern for many institutions yet few states like California have actively enacted the legislations that have to do with staffing legislations. It is indicated that in the past decade, approximately 15 state and the federal government have proposed or successfully enacted the regulations and legislations that address nurse staffing in the acute care hospitals (Reiter K.L. et.al., 2012). This indicates that there is the need to have such legislations put in full operational force in the various health care facilities and cover states, New Jersey not an exemption in this. The patients herein deserve to have adequate care bearing that it is one of the states with the highest…… [Read More]

Reference s
API Health Care, (2014). The Top 3 Benefits of Acuity-Based Staffing for Your Organization. Retrieved September 30, 2018 from http://apihealthcare.com/sites/default/files/API_Healthcare_Benefits_Acuity_Based_Staffing_WP.pdf
Department of Professional Employees, (2006). The Costs and Benefits of Safe Staffing Ratios. Retrieved September 30, 2018 from https://dpeaflcio.org/programs/factsheets/archived/fs_2006_staffratio.pdf
Reiter K.L. et.al., (2012). Minimum Nurse Staffing Legislation and the Financial Performance of California Hospitals. Retrieved September 30, 2018 from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3337946/
Sime T. & Fentie W. (2016). Staffing: Practices and Challenges. Retrieved September 30, 2018 from http://www.ijsrp.org/research-paper-0416/ijsrp-p5239.pdf
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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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Developing Effective Team Work

Words: 1898 Length: 6 Pages Document Type: Essay Paper #: 45639091

Delivering Safe and High-Quality Healthcare
For effective discharging of duties by health professionals which will, in turn, give a quality service to patients under their care, there is a need for effective inter-professional communication among personnel in a hospital environment. While territoriality concept within the sector is being adhered to, that, however, should not be a barrier to a fluid collaboration among health workers of different backgrounds. There is a need to formulate a working communication strategy to solve the lingering inter-professional problems in hospital environments generally, and particularly, in the emergency department. As important as it is, a look at inter-professional communication in emergency department shows a seemingly unfavorable situation among practitioners involved in this one of the most significant subsectors of health profession (Varjoshani1, Hosseini, Khankeh, & Ahmadi, 2014). Among other numerous issues in the department, this paper looks at the problem of boisterous atmosphere in the emergency…… [Read More]

References
ER Tech Job Description. JobHero. https://www.jobhero.com/er-tech-job-description/
Kessler, D., Cheng, A., & Mullan, P. (2014). Debriefing in the Emergency Department. Annals of Emergency Medicine
Morley, L. & Cashell, A. (2017). Collaboration in Health Care. Continuing Medical Journal of Medical Imaging and Radiation Sciences. 48, 207-216.
Northouse, P. G. (2007). Situational Approach. Leadership theory and practice, Thousand Oaks, CA, US: Sage Publications, Inc.7, 93-115.
Rapp, A. (2017).7 Key Responsibilities of an Emergency Room Nurse. eMedCert. Electronic Medical Certification. https://emedcert.com/blog/key-responsibilities-of-an-emergency-room-nurse
Varjoshani1, N.J., Hosseini1, M.A., Khankeh, H.R., & Ahmadi, F (2014). Tumultuous Atmosphere (Physical, Mental), The Main Barrier to Emergency Department Inter-Professional Communication. Global Journal of Health Science. Canadian Center of Science and Education; 7, 1916-9744.
“What is Situational” (2014) Leadership? How Flexibility Leads to Success. St. Thomas University. STU Online.
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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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US Priority Populations

Words: 685 Length: 2 Pages Document Type: Essay Paper #: 40465926

Priority Populations
In definition, a priority population is that which is being targeted by a particular program for a given course. When defining priority populations, many people dwell on the social factors of the population, including race, culture, ethnicity, gender, income, sexual orientation and language. The Agency for Healthcare Research and Quality uses the priority populations that were earlier defined by Congress in the Healthcare Research and Quality Act of 1999. This includes children, women, racial minorities, the elderly, ethnic minorities, low-income, rural, inner-city and those with special health needs (e.g. those with chronic illnesses and various disabilities) (Tyler & Hassen, 2015).
The rural Americans face considerable health disparities. These can be said to be the differences in their health conditions as compared to that of the general population. The main factors that point to health disparities include high number of diseased or disabled persons, high death rates, extensive suffering,…… [Read More]

References
Rural Health Information Hub. (2017, September 6). Healthcare Access in Rural Communities Introduction - Rural Health Information Hub. Retrieved September 24, 2018, from https://www.ruralhealthinfo.org/topics/healthcare-access
Tyler, I., & Hassen, N. (2015). Priority Populations Project: Understanding and Identifying Priority Populations for Public Health in Ontario (pp. 32-35, Tech. No. ISBN 978-1-4606-6562-6). Ontario: Queen’s Printer for Ontario. doi:https://www.publichealthontario.ca/en/eRepository/Priority_Populations_Technical_Report.pdf
Warshaw, R. (2017, October 30). Health Disparities Affect Millions in Rural U.S. Communities. Retrieved September 24, 2018, from https://news.aamc.org/patient-care/article/health-disparities-affect-millions-rural-us-commun/
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Analyzing an At Risk Population

Words: 1743 Length: 6 Pages Document Type: Essay Paper #: 32076856

Analysis and Application
An Existing At-Risk Population
Obesity has been a major health issue in the United States that leads to numerous diseases. The obesity rates have been on the upward trajectory over the past few years. According to Hales, Fryar, Carroll, Freedman, and Ogden (2018), the rates of obesity have increased from 33.7 percent to 39.6 percent in the past decade. Obesity is defined as having a body mass index (BMI) that is 30 or greater (Hales et al., 2018). Severe obesity is defined as having a BMI that is 40 or greater. This is attributed to the lifestyle changes of people and the over-reliance on fast foods. especially in America, junk food is far cheaper than healthy alternatives. This makes it attractive for low-income families, which contributes to the increased obesity rates for middle to low-income groups. With the increased work schedules, people are finding it hard to…… [Read More]

References
Abranches, M. V., de Oliveira, F. C. E., da Conceição, L. L., & Peluzio, M. d. C. G. (2015). Obesity and diabetes: the link between adipose tissue dysfunction and glucose homeostasis. Nutrition research reviews, 28(2), 121-132.
Finkelstein, E. A., Trogdon, J. G., Cohen, J. W., & Dietz, W. (2009). Annual medical spending attributable to obesity: payer-and service-specific estimates. Health Affairs, 28(5), w822-w831.
García-Jiménez, C., Gutiérrez-Salmerón, M., Chocarro-Calvo, A., García-Martinez, J. M., Castaño, A., & De la Vieja, A. (2016). From obesity to diabetes and cancer: epidemiological links and role of therapies. British journal of cancer, 114(7), 716.
Hales, C. M., Fryar, C. D., Carroll, M. D., Freedman, D. S., & Ogden, C. L. (2018). Trends in obesity and severe obesity prevalence in US youth and adults by sex and age, 2007-2008 to 2015-2016. JAMA, 319(16), 1723-1725.
Roberto, C. A., Swinburn, B., Hawkes, C., Huang, T. T., Costa, S. A., Ashe, M., . . . Brownell, K. D. (2015). Patchy progress on obesity prevention: emerging examples, entrenched barriers, and new thinking. The Lancet, 385(9985), 2400-2409.
Seidell, J. C., & Halberstadt, J. (2015). The global burden of obesity and the challenges of prevention. Annals of Nutrition and Metabolism, 66(Suppl. 2), 7-12.
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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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How Staffing Legislation Affects Hospitals

Words: 692 Length: 2 Pages Document Type: Essay Paper #: 98540681

Staffing Legislation
Staffing legislation is meant to improve safety, quality and outcomes of care for patients by ensuring that there are enough nurses on staff for the number of patients who come through a facility. Staffing regulations are meant to guarantee that the best ratio of patients to nurses is achieved in each hospital that receives taxpayer funds. As Rothberg, Abraham, Lindenauer and Rose (2005) indicate, by improving the nurse-to-patient staffing ratios, health care facilities can implement a cost-effective safety intervention that improves the safety and quality of care of patients.
Staffing legislation does an effective job of addressing the issue in competitive markets. In other words, where there is strong competition among health care providers, staffing legislation helps to ensure that hospitals focus on acquiring talented nurses and retaining them (Everhart, Neff, Al-Amin, Nogle & Weech-Maldonado, 2013). However, in regions where competition is not strong, staffing legislation has negligible…… [Read More]

References
Everhart, D., Neff, D., Al-Amin, M., Nogle, J., & Weech-Maldonado, R. (2013). The effects of nurse staffing on hospital financial performance: Competitive versus less competitive markets. Health Care Management Review, 38(2), 146.
Martin, C. J. (2015). The effects of nurse staffing on quality of care. MedSurg Nursing, 24(2), S4-S4.
Rothberg, M. B., Abraham, I., Lindenauer, P. K., & Rose, D. N. (2005). Improving nurse-to-patient staffing ratios as a cost-effective safety intervention. Medical Care, 43(8), 785-791.
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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.