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Health isk Behaviors
Drug and Alcohol use
Drug and Alcohol Use among Teenagers and Adults between the ages of 18-25
The Issue of Drug Abuse in Youth
Parental ole and Drug Abuse in Adolescents
Adolescent age 7
Suggestion to reduce Drug Abuse in Teenagers
Drug and Alcohol Use among Teenagers and Adults between the ages of 18-25
Although there have been many significant achievements in drug abuse prevention over the past few decades, drug use among youth continues to be a leading health risk. Alcohol, tobacco, and other drug use have had an extraordinary impact on morbidity and mortality of youth. The cost of negative outcomes attributed to adolescent drug use affects nearly half a million individuals annually (Peterson, 2010). Economic costs of the use of alcohol tobacco and other drugs by youth were estimated to reach $484 billion in 2004 (Centers for Disease Control and Prevention, 2004).…
Adamson, S.J., Sellman, J.D., & Dore, G.M.( 2005 ) Therapy preference and treatment outcome in clients with mild to moderate alcohol dependence. Drug and Alcohol Review, 24(3),. 209-216.
Balloon, B., Kirst, M., & Smith, P.(2006) Youth help-seeking expectancies and their relation to help-seeking behaviours for substance use problems. Addiction Research and Theory, 12(3), 241-260.
Bernice Young, 2011 Drug use highest among American Indian teens, lower among blacks published online in November 2011 http://californiawatch.org/dailyreport/drug-use-highest-among-american-indian-teens-lower-among-blacks-13463 Accessed 11 November, 2011
Bottlender, M., & Soyka, M.(2005) Outpatient alcoholism treatment: Predictors of outcome after 3 years. Drug and Alcohol Dependence, 80(1), 83-89.
The presence of violence is one of the most dangerous behaviors associated with substance abuse particularly with alcoholism for the reason that it is a behavior that can cause significant injuries or fatality associated with substance abuse consequences. Substance abuse is a psychological and mental morbidity as a form of another issue for the fact that it signifies maladaptive behaviors that are not usual for a normal person. These are the main issues that are addressed for the reason that these symptoms should be given the consideration to be treated in the most convenient way to improve the client's wellness upon providing interventions as indicated by Brenston (2009).
Some basic life skills that will be helpful for substance abusers are the ability to create therapeutic environment such as providing the patient with a calm environment that will decrease their level of aggressive and agitative behaviors. Establishing rapport is one of…
ACDE (American Council for Drug Education) (2011). Basic facts about drugs: Alcohol. Available: http://www.acde.org/common/alcohol2.pdf.
Brenston, Alfred (2009). Importance of counseling. Phoenix: Fox press.
Boston, Randy (2011). Effects of alcohol in the body. Available: http://www.jhu.edu/health/pdfdocs/EtOHEffects.pdf .
Delton, Hilda (2009). Implications of Substance Abuse Patterns. Dallas: Lance and Rogers.
Medicine: health Risks increase in relative proportion to body weight
The objective of this paper is to provide a two page narrative concentrating upon illustrating a viable understanding of the deteriorative significance of the contemporaneous prevalence of obesity and overweight as two of more prolific health hazards within the U.S. It has 8 sources.
In spite of the significance and instrumentality of the exceptional degree of development and advancement that has been attained within the technologically oriented world that we contemporarily survive and interact within, health risks and disorders continue to emerge and spread rather prolifically.
Even more noteworthy, moreover, is the fact that, while the collective field of medicine does indeed address the rising problems quite effectually, a majority of the newly emerging crucial health disorders appear to be, for the larger part, avoidable disorders that are brought about as a result of self-inducement.
The current prevalence…
While the prevalently subscribed rate of weight loss, conforming to ostensible safety, revolves around 1/2 to 1 kg a week (Daum, 1997), there are some that assert the effectuality of losing only 1/2 kg a month (Barlow & Dietz, 1998).
Steps to be taken & assessment criteria
In regard to countermeasures to be taken against the onset of obesity it is especially important to keep in mind the fact that it
According to Summers, the English suffragists perceived the obvious connection between the straining of the female body and the impossibility of social or political emancipation: "English suffragists and dress reformers also recognized that the body, its clothing, and emancipation were inextricably linked."(Summers, 146) the corset was thus the first piece of clothing to be condemned by dress reformers of the late nineteenth century.
If the actual health risks of wearing a corset are hard to delimit properly, it is certain that the tight-lacing lessened the woman's vitality and their ability to be active in any way. The Victorians emphasized thus the women's liability, their physical weakness and their low vitality as sings of definite and perfect femaleness. The corset outlined more than anything the feminine shape, rendering it even more contrasting to the male body, thus highlighting the typical gender attributes for weakness, meek behavior and demureness. The breathing difficulties…
Klingerman, Katherine Marie. "Binding Femininity: An Examination of the Effects of Tight-Lacing on the Female Pelvis. http://etd.lsu.edu/docs/available/etd-04/unrestricted/Klingerman_thesis.pdf
Kunzle, David. Fashion and Fetishism. New York: Sutton, 2005.
Steele, Valerie and Colleen Gau. "Corset." Encyclopedia of Clothing and Fashion. Ed. Valerie Steele. Vol. 1. Detroit: Charles Scribner's Sons, 2005.
Summers, Leigh. Bound to Please: A History of the Victorian Corset. New York: Berg, 2001.
Workforce Health isks
WOKFOCE HEALTH ISKS AND EPUTATIONAL DAMAGE LINKED TO ASBESTOS IN COMPANY BUILDINGS.
Usage of Asbestos
Asbestos: A Long-Term Process
isks of Asbestos
Effects on Your Heart
Best Way to Communicate with Public
Ways to make people secure
Prevent Inhaling Asbestos
Measures to educe the Effects of Already Exposed Asbestos
Methods to Keep Premises Secure
With increased awareness and technological advancement across the globe, workforce rights have gained significant importance. All the companies have become conscious about providing rights to their workforce because of their increased importance for the company's growth and progress. Labor rights have gained significance in the law of every country. It refers to all claimed set of legal rights that are guaranteed by labor and employment law. It has become a necessary part of the constitutions of all the countries across the globe (Cleveland, 1998). These rights…
Barry S. Levy, V.W.S., 2006. Social Injustice and Public Health. New York: Oxford University Press.
Carrington, P.D., 2007. Asbestos Lessons: The Consequences of Asbestos Litigation. The Review of Litigation, pp. 33-45.
Cleveland, S.H., 1998. Global Labor Rights and the Alien Tort Claims Act. Texas Law Review, 76(6), pp. 22-33.
LaDou, J., 2004. The Asbestos Cancer Epidemic. Environmental Health Perspectives, 112(3), pp. 23-39.
Health of Indigenous Australian Using Ecological and Holistic Health Paradigm
Patterns of health and illness
Impact of Broader Environments
Health is a basic component of human life that comprises of multiple facets. The description of health has witnessed dramatic change during past few years, as it has become a holistic phenomenon. Previously, it was considered that a healthy person is the one who does not suffer from any ailment or illness. However in recent times, the physical, psychological and communal aspects of human life have been amalgamated to give a broader perspective to human health which is identical to the concept of indigenous communities (Hjelm, 2010).
Numerous organizations are working extensively for providing adequate health care to the world population since many decades. However, it is appalling to notice that discrimination on social, economic and…
Australian Institute of Health and Welfare 2012, Australia's health 2012, AIHW, Australia.
Biddle, N & Yap, M 2010, Demographic and Socioeconomic Outcomes Across the Indigenous Australian Lifecourse: Evidence from the 2006 Census, ANU E. Press, Australia.
Caltabiano, ML & Ricciardelli, L 2012, Applied Topics in Health Psychology, John Wiley & Sons, Great Britain.
Carson, B, Dunbar, T & Chenhall, RD 2007, Social Determinants of Indigenous Health, Allen & Unwin, Singapore.
Furthermore, and despite its popularity as a tourist destination because of its natural beauty, the Appalachians are not a sterile environment by any means and the people who live there have higher risks for certain types of conditions than their counterparts elsewhere. According to Bauer and Growick (2003), "Americans who live in Appalachia experience unique and different ways of life than most Americans. Appalachian culture runs from the bottom half of the State of New York through the mountains of West Virginia and Southeast Ohio to the flatlands of Alabama. This area of the country offers different perspectives and challenges to life. Because of the geographical vastness and uniqueness of the Appalachian culture, many people with disabilities who live in Appalachia are unable to access rehabilitative services and agencies" (emphasis added) (p. 18).
Likewise, many rural residents throughout Appalachia may have septic tanks and will lack access to other…
Anguiano, R.P., & Harrison, S.M. (2002). Teaching cultural diversity to college students majoring in helping professions: The use of an eco-strengths perspective. College Student Journal, 36(1), 152.
Barrett, E., Hackler, R., Highfill, K.A., Huang, P., Jiang, X., Monti, M.M., & Peipins, Lucy. (2002). A Norwalk-like virus outbreak on the Appalachian Trail. Journal of Environmental Health, 64(9), 18.
Bauer, W., & Growick, B.M. (2003). Rehabilitation counseling in Appalachian America. The Journal of Rehabilitation, 69(3), 18.
Brown, J.W., & May, B.A. (2005, April). Rural Appalachian women's formal patterns of care. Southern Online Journal of Nursing Research, (2)6, 1-21.
" ("Let My Baby Live..." NP) Other messages of the campaign were to stress the need to avoid high risk pregnancy, prior to age 18 or after age 35 and to stagger pregnancies by two years to help the maternal body recover and be strong enough to care for the developing infant and go through labor successfully. The campaign, promoting these ideas states that it has been successful in reaching its goals, and has currently reached 66% of the population in the regions where the campaign was launched. ("Let My Baby Live..." NP) There is not mention as to whether the campaign will end, or be expanded to a broader audience in Turkey.
Turkey's example program could serve as a template for other health issues that need to be expressed to the public in Turkey and in other nations with challenged health care delivery infrastructures and limited public knowledge of…
Brennan, Teresa. Globalization and Its Terrors. London: Routledge, 2003.
Kaul, Chandrika, and Valerie Tomaselli-Moschovitis, eds. Statistical Handbook on Poverty in the Developing World. Phoenix: Oryx Press, 1999.
Weiker, Walter F. The Modernization of Turkey: From Ataturk to the Present Day. New York: Holmes & Meier Publishers, 1981.
E-Health Project in Turkey" International Telecommunications Network Website Retrieved November 15, 2007 at http://www.itu.int/ITU-D/e-strategies/e-applications/Turkey_E-health/index.html
Healthcare Case Study Schuylkill County, PA
County Overview - Schuylkill County, Pennsylvania is located in the heart of the anthracite Coal region of Pennsylvania where the Schuylkill iver originates. Pottsville is the county seat, and the county showed a population of just under 150,000 as of 2010 with a density of 190 persons per square mile. The total area of the county is 782 square miles, almost all land, less than 1/2 a per cent water. The county's history, likely due to large coal deposits, focused on the railroad and industrialization (Schuylkill Chamber of Commerce, 2011).
The county experienced the high point of its population during the 1920s and 1930s, and has been losing people ever since, most between 1950 and 1970, with about a 1-2% population loss since the turn of the century. This is likely due to the lack of appropriate jobs and opportunities within the county. Schuylkill…
County Health Statistics - Healthcare 2010. (2009, March). Retrieved from Pennsylvania Department of Health: http://www.portal.state.pa.us/portal/server.pt-in_hi_groupoperator_1=or&in_hi_req_objtype=18&in_hi_req_objtype=17&in_hi_req_objtype=512&in_hi_req_objtype=514&in_hi_req_objtype=43&in_hi_req_objtype=1&in_hi_req_apps=7&in_hi_req_page=10&in_ra_topoperator=or&
Comprehensive Plan. (2010, March). Retrieved from City of Pottsville, PA: http://www.city.pottsville.pa.us/html/cp1.htm
Election Statistics. (2010, June). Retrieved from Pennsylvania Department of State: http://www.dos.state.pa.us/portal/server.pt/community/running_for_office/12704
Schuylkill County. (2010, June). Retrieved from Sperling's Best Places USA: http://www.bestplaces.net/economy/county/pennsylvania/schuylkill
Health Care oles in Communication
Communication is a fundamental piece of health care education and has been shown to improve health outcomes, patient compliance, and patient satisfaction. Quality health care emphasizes knowledge and utilization of communication skills. Health care professionals often express anxiety and lack of confidence and are deficient in a creating a situations that are conducive to open and candid communication with patients (Kameg et. al., 2009).
Effective communication involves gathering information, establishing a relationship or connection with a patient, and supporting the person through words and other non-verbal forms of interactions. Effective communication involves not only the interactions between the staff and the patient but also the interactions between staff and the interactions between the staff in front of the patient. Many times the high demand for services in a health care facility cause the staff to overlook the importance of good communication skills and enables situations…
Beer, J.E. (2003). Nonverbal Communication: Communicating across cultures. Cultures at work. Retrieved May 29, 2011 from http://www.culture-at-work.com/nonverbal.html
Coiera, E. (2006, May). Communication systems in healthcarre. Clinical Biochemist Reviews. nursing.Vol. 27, Issue 2, 89-98. Retrieved May 28, 2011 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1579411/
Gamble, T.K. & Gamble, M. (2006). Communication works. Burr Ridge, IL: McGraw-Hill.
Health Communication. (2010). Health communication. Healthy people 2010: Objectives for improving reproductive health. Office of Disease Prevention and Health Promotion. Retrieved May 29, 2011 from http://www.hhs.gov /opa/pubs/hp2010/hp2010rh_sec2_healthcomm.pdf
"Studies of the relationship between managed care penetration in the health care market and expenditures for Medicare fee-for-service enrollees have demonstrated the existence of these types of spill over effects" (Bundorf et al., 2004).
Managed care organizations generate these types of spillover effects by increasing competition in the health care market, altering the arrangement of the health care delivery system, and altering physician practice patterns. Studies have found that higher levels of managed care infiltration are linked with lower rates of hospital cost inflation and lower physician fees are consistent with competitive effects. "Other studies demonstrate the impact of managed care on delivery system structure including hospital capacity, hospital admission patterns, the size and composition of the physician workforce and the adoption and use of medical equipment and technologies. More recent evidence has linked market-level managed care activity to the process, but not the outcomes of care" (Bundorf et al.,…
Altman, D.E. And L. Levin. (2005). The Sad History of Health Care Cost Containment as
Told by One Client. Health Affairs, 24(1).
Bodenheimer, T. (2005). High and rising health care costs. part 1: Seeking an explanation.
Annals of Internal Medicine, 142(10), 847-54.
Howeve, befoe giving the medicine, anesthesiologist caefully examines the condition of the pegnant woman to whom anesthesia is to be given. Epidual anesthesia duing labo and nomal delivey does not cause unconsciousness; thus, patients do not lose thei psychological aletness (Halpen and Douglas 2008).
Accoding to (Oebaugh 2011), epidual anesthesia is commonly administeed by injecting the medicine in the lumba egion of the back, specifically in the epidual egion. The detailed pocedue egading the administation of epidual anesthesia has aleady been discussed in the pevious section of the pape. Howeve, the anesthetic dug injected in the epidual space inteupts the passage of neve impulses that oiginate in epoductive ogans and tavel though neves to lowe spine and then to bain. This hindes the feeling of sensation/pain that is poduced in the lowe pats of the body.
The degee of insensitivity induced depends on few factos that include the…
Oily fish contains a particularly important EFA, which provides protection against heart disease. It can also help prevent osteoarthritis and rheumatoid arthritis, cyclic breast pain, skin diseases such as eczema and psoriasis and help the development of the baby's brain during pregnancy. Another important EFA is found in oily nuts such as almonds, walnuts and razil nuts, which counteracts deposits of harmful cholesterol. Some recent research suggests that EFA's can improve your mood, prevent inflammation, water retention and can help weight loss. Monounsaturated fat remains liquid at room temperature, olive oil being the best known source. it's also found in grape seed oil, avocados and some spreads. Olive oil is rich in fat-soluble vitamin sAD. E and K, vital antioxidants that help to prevent cancer, arthritis and heart disease.
Different people require a different number of calories to lose weight and maintain health, which is dictated by their build, level…
Controlling the global obesity epidemic. Retrieved November 24, 2004 from WHO. Web site: http://www.who.int/nut/obs.htm
How to Pick a Nutritional Plan. Retrieved November 21, 2004 from PDR Health. Web site: http://www.pdrhealth.com/content/nutrition_health/chapters/fgnt04.shtml
Koop, C. (2000) Retrieved from American Journal of Clinical Nutrition, Vol. 72, No. 2. Web site: http://www.ajcn.org/cgi/content/full/72/2/503S
Preventing Childhood Obesity. RWJF President and CEO Reflects on Institute of Medicine Action Plan. Retrieved November 22, 2004 from the Robert Wood Johnson Foundation. Web site: http://www.rwjf.org/news/special/risaObesityInterview.jhtml
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.…
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.
Healthcae Regulation Reseach
Regulation is a key aspect in the health cae industy. Regulation is necessay to safeguad the public inteest. In paticula, egulation in the health cae industy is all the moe significant as it diectly impacts the life and health of consumes (Field, 2006). The vaious egulatoy institutions implement health cae egulations to safeguad the geneal public fom vaious health isks and augment public health and well-being. Health cae egulations and standads ae impeative and fundamental to make cetain that thee is compliance and to povide safe health cae to evey peson that has accessibility to the healthcae system. They ae established and executed at the local, fedeal and state levels (Field, 2006).
Selected Health Cae Regulation
The selected health cae egulation is the HIPAA Pivacy Rule. The HIPAA Pivacy Rule was allotted by the United States Depatment of Health and Human Sevices to limit the usage and…
Pritts, J. (2008). The importance and value of protecting the privacy of health information: Roles of HIPAA Privacy Rule and the Common Rule in health research. National Academies.
Health and Safety Legislation in elation to Employee Protection for Accidents at Work
Every individual within a workplace environment has the legal rights to protection against any work related risk, which may arise on the course of duty performance. Generally, the employees' health and safety legislation impose a range of duties to both employers and employees. The employees' health and safety guides apply to the self-employed as well as the diverse categories of employees such as manufacturers, designers, and suppliers. In different states, the legislation expresses a wide-based duty guideline within the Health and Safety at Work Acts. These regulations or acts are further spelt out in details within the subsidiary regulations, including those dealing with health and safety management, accident and/or risk management (Johnson & Geraldine, 2013, p. 57), as well as other emerging issues specific to health and safety of employees at work. This paper aims at providing…
Chamberlin, K.W., Cottle, M. & Neville, R. (2007).Responsibilities in notifying accidents to the health and safety authorities.Health and Safety Management, 4(3), 67-78.
Hansson, P. (2008). Employment laws and employee accident claims. Employment, Safety and Health, 14(5), 27-42.
Johnson, W.B. & Geraldine, C.K. (2013).The management of health, safety and welfare of employees at work.Employment Rights and Conditions, 3(1), 56-68.
Occupational Health and Safety Act (2000).Workplace injuries management and workers compensation.Journal of Employees' Safety and Health, 73(4), 78-97.
This is related to the fact that the use of pesticides is very poorly regulated. (Protect Farm orker's Health) the use of pesticides has become an area of research and concern by the health authorities. This aspect has been well documented but experts are of the opinion that there are "...insufficient studies examining the effects of multiple pesticide exposure." (Rosenbaum and Shin, 2005)
2.2.3. Access to health benefits and care
The general consensus from the literature on the subject is that migrant and seasonal farm workers and their families are "…overwhelmingly uninsured." (Rosenbaum and Shin, 2005) the 2005 study of the health of migrant farm works by Rosenbaum and Shin indicates that in 2000, "…85% of migrant and seasonal farm workers were uninsured, compared to 37% of low-income adults nationally." (Rosenbaum and Shin, 2005) the study also found that both migrant and seasonal farm workers had less access to health…
Health Problems among Migrant Farmworkers' Children in the U.S. ERIC Digest.
September 27, 2008.
ILO warns on farm safety Agriculture mortality rates remain high Pesticides pose major health risks to global workforce. September 27, 2008.
Overview of America's Farmworkers. September 27, 2008.
"What is the role of Congress in policy making process"?
Policy is a plan to identify goal or possible course of actions with administrative or management tools to accomplish these goals. n the other hand, policy is the authoritative decision made by the U.S. executive, legislative, judicial branch of government to influence the decision of others. Government is a key player in decision-making process and congress plays important roles in decision-making . In the United States, both House of Representatives and House of Senate fulfill the congressional policy responsibilities, and congress plays important role in health policy, which includes obesity prevention measures or health insurance program. Congress is an important arm of government that makes law. Important strategy that congress uses to make policy preference is by passing a bill into law. Typically, the congress could make a decision to pass or not to the policy of the…
Oregon Department of Human Services.(2008). The impact of federal policy on Oregon's health care reform efforts: Opportunities and barriers within Medicaid and the State Children's Health Insurance Program. Medical Assistance Programs.
Waller, M. (2005).Block Grants: Flexibility vs. Stability in Social Services. Brookings Institution Policy Brief.
Zuckert, M.P. (2002). Launching Liberalism: On Lockean Political Philosophy. Lawrence: University Press of Kansas.
Other ways to celebrate achievements would be to send thank-you cards, congratulatory notes, make phone calls, and send emails.
4. Being able to set challenging goals - people often strive to achieve what is expected of them, but if they are presented with a set of challenging goals they will work even harder to accomplish them.
5. Being able to provide the necessary tools to succeed - no team will stay motivated if they do not have the necessary tools that are required to do their job. This includes: equipment, internal support, inventory, marketing materials, and training among other things.
6. Performance management - teams expect their leader to manage individuals who do not perform up to standard. Many managers often ignore these situations because they are afraid to deal with them. They hope instead that the situation will resolve itself. This is never the case; bad situations that are…
5 Little-Known Giant Health Care Issues Facing the United States. (2007). Retrieved November
11, 2009, from Nursing Online Education Database Web site:
Francis, Margaret. (2007). Effective Management. Retrieved November 11, 2009, from Changing
Health Needs for Teenage Pregnancies
hat are the special needs of teenagers who are pregnant? Certainly the fact that an expectant mother in her teens is quite different than a married woman in her mid-twenties in terms of the psychology -- and the physical needs -- of her condition, and so there are things a pregnant teenager needs that are likely different from a mature woman. This paper delves into those special needs and basic situations that teenagers face when pregnant.
The Healthcare Needs of Pregnant Teenagers
First of all, according to Tricia Michels, writing in Public Health Reports, pregnant teens are already facing "stigmatization in many aspect of their lives" just by the mere fact that they are pregnant and all their friends are living normal teenage lives (Michels, 2000, p. 557). Hence, tending to their new unborn babies is another challenge that must be approached with intelligence and…
Coila, Bridget. (2010). Health Risks for Pregnant Teens. Livestrong.com. Retrieved December
13, 2012, from http://www.livestrong.com .
Michels, Tricia M. (2000). "Patients Like Us": Pregnant and Parenting Teens View the Health
Care System. Public Health Reports, Volume 115, 557-575.
Phone numbers are displayed liberally. A stop-smoking hotline is listed with a toll-free telephone number. Links to sponsoring organizations like the Centers for Disease Control allow visitors to read more, and a "Get expert help" section invites viewers to use instant messaging to communicate with a "National Cancer Institute smoking cessation counselor."
Illustrations are used sparingly. No negative illustrations such as those depicting lungs decayed by cancer are included, keeping the imagery on the Web site positive and inoffensive. Most of the illustrations included on smokefree.gov are photographs depicting men and women exercising and enjoying the great outdoors. The images refresh themselves often, like a slide show. The smiling faces on the models imply that quitting smoking will make anyone feel healthier and more alive. Inclusion of people from various ethnic groups in the smokefree.gov photo database is helpful in reaching a broad audience. Background of the Web…
London, F., Rankin, S.H., Stallings, K.D. (2005). Patient education in health and illness
5 thed.). Philadelphia, PA: Lippincott-Raven Publishers.
National Cancer Institute. Retrieved June 16, 2008 at http://www.cancer.gov/
Smokefree.gov. Web site retrieved June 16, 2008 at http://www.smokefree.gov/index.asp
In addition to the physical discomfort he suffered, he was terribly embarrassed about his situation and it began to dominate his life. Adult diapers only exacerbated his loss of self-esteem and internal catheters presented too great a risk of recurring urinary tract infections.
With the benefit of access to the necessary materials from my father's practice as a cardiovascular surgeon, I began experimenting with a design for an external catheter that might increase my grandfather's independence and confidence but without presenting the same types of health risks as an internal catheter. The entire process from conceptual design to a practical and usable prototype took months, but eventually, we were able to construct a wearable external catheter fashioned mainly from components of an oxygen mask, a standard hospital urination drainage bag, and lengths of two-centimeter tracheal intubation tubes. Once we produced a reliable design, the benefits were immediate, because my grandfather…
This, then, is a theory with a very wide extent, which seeks to move away from the biotechnical perspective, in direction of a more all-inclusive evaluation of health. Health is a right for all the people and it's an ideal state while nowadays it is been sold as a commodity by private insurance companies to increase their profits. This therefore is resulting in the loss of the people's lives and health.
At all stages in life, health is determined by compound interactions between communal and monetary factors, the corporal environment and individual behavior. And these factors which affect health are known as the determinants of health. Many other factors are there which combine together to affect the health of individuals and communities. Whether people are well or not, is determined by their conditions and surroundings. Factors such as the living standards, the state of environment, genetics, earnings and education level,…
http://www.rochesterunitarian.org/1999-2000/20000326.html www.who.int/hia/evidence/doh/en / http://www.uclan.ac.uk/facs/health/hsdu/homepage/health.htm
Health: The Foundations for Achievement by David Seedhouse June 2001
Ethics: The Heart of Health Care by David Seedhouse April 1998
sufficient health care for runaway teenagers is a topic of grave concern to most in the medical and social professions, both nationally and in the state of California. With limited treatment options, higher risks of STD's, HIV, and other diseases, improper prenatal care, and a lack of community care options, runaway teens receive grossly inadequate health care. This paper will address those concerns, specifically in the state of California, as well as offering possible solutions to the problem, and will examine the role of the registered nurse in the solutions presented.
It is important to note that the life of a runaway teenager is filled with health risks and danger. Marie and Cheri are just one example. They were 13 when they ran away from home in an attempt to escape a drug addicted father who sexually abused them. With only $200 between them, their food supply and housing was…
Advanced Practice Registered Nurses Council. (2004). Information on APRNs. APRNs. Retrieved from Advanced Practice Registered Nurses Council on March 03, 2003. Web site: http://www.scnurses.org/A_P_Council/aprns.asp
American Civil Liberties Union. (May 14, 2003). Letter to the House Urging Opposition to the Musgrave Amendment to HR 1925, the Runaway, Homeless, and Missing Children Protection Act. Retrieved from American Civil Liberties Union website on March 3, 2004. Web Site: http://www.aclu.org/news/NewsPrint.cfm?ID=12643&c=225
California Board of Registered Nurses. (Fall, 2003). What is the RN Scope of Practice? The BRN Report, 15(2), 7-9.
California Office of the Attorney General. (2002). 2002 Reports of Missing Children by County. Sacramento, CA: California Department of Justice.
Community Teaching Plan
Community Teaching Work Plan Proposal
Directions: Develop an educational series proposal for your community using one of the following four topics which was chosen within your CLC group:
Primary Prevention/Health Promotion
Secondary Prevention/Screenings for a Vulnerable Population
Planning Before Teaching:
Estimated Time Teaching Will Last:
Three 2-hour sessions
Location of Teaching:
Athens Community Health Department
Supplies, Material, Equipment Needed:
Laptop; digital projector; screen
Community and Target Aggregate:
Athens Community Health Department, Athens, Georgia
Secondary Prevention/Screenings for a Vulnerable Population
Session I: Sources of Vulnerability
Session II:Implications for Healthcare Providers
Session III: Innovative Practice; Gordon's Functional Health Patterns Assessment
Epidemiological ationale for Topic (statistics related to topic):
The literature on vulnerable people clearly indicates that the special needs of these populations and the ubiquitous barriers to quality care access lead to traceable disparities in the provision of healthcare and in their health outcomes…
Agency for Healthcare Research and Quality (AHRQ). National healthcare disparities report 2008. Chapter 3, Access to healthcare. Washington: AHRQ; 2008. Retrieved http://www.ahrq.gov/qual/nhdr08/Chap3.htm
Edelman, C.L. And Mandle, C.L. (2006). In D. Como, L. Thomas (Eds.), Health Promotion Throughout the Lifespan. St. Louis, Missouri: Mosby.
Migrant Health Problem
Presently, access to social and health services for most migrants is determined by their legal status. Undocumented migrants have least possible access to health services. Legal status is one of the preconditions for ability involved in receiving adequate care. Further, the availability, acceptability, quality and accessibility of such services is dependent on different influences such as cultural, social, linguistic, structural, gender, geographical and financial factors. From this, different knowledge and beliefs about ill health and healthy status deter migrants from engaging national health services.
Health literacy within such awareness senses entitlements individuals to availability and care services that pose barriers to using similar services (Becker, 2003). The situation also shows dependence on various migrants irrespective of the existing legal or socio-economic statuses. The nature of mobility makes it difficult to establish the available providers of health care service. Temporary and seasonal workers prefer delaying care until there…
Becker, G. (2003). Socioeconomic Status and Dissatisfaction with Health Care among Chronically Ill African-Americans. American Journal of Public Health, 93(5), 742.
Carrasquillo, O., Carrasquillo, A. & Shea, S. (2000). Health Insurance Coverage of Immigrants Living in the United States: Differences by Citizenship Status and Country of Origin. American Journal of Public Health 90 (6): 917 -- 923.
Huang, J., Yu, S. & Ledsky, R. (2006). Health Status and Health Service Access and Use among Children in U.S. Immigrant Families. American Journal of Public Health 96 (4): 634 -- 640.
Okie, S. (2007). Immigrants and Health Care -- At the Intersection of Two broken Systems. The New England Journal of Medicine: 525 -- 529.
Disease Control and Prevention (CDC) website, the Healthy People 2020 Initiative was launched in 2010 in order to address a comprehensive assortment of health related issues concerning the American people and society (CDC, 2011). The initiative has four primary goals and objectives which includes; 1) attaining higher-quality and longer lives that are free from preventable diseases, disabilities, injuries and even premature death, 2) achieving equity in health, eliminating disparities, and improving the health of all groups of Americans, 3) creating social and physical environments that promote healthiness for all people, and 4) promoting quality of life along with health development and healthy behaviors throughout the stages of life. In all aspects of life, and certainly geared towards healthier American citizens, the idea and concept of becoming healthy by the year 2020 is a laudable exercise.
Tracking certain behaviors is generally accepted as one methodology in determining how effective (or ineffective)…
CDC (2011) Healthy people, accessed on April 8, 2015 at http://www.cdc.gov/nchs/healthy_people/hp2020.htm
Kann, L.; Kinchen, S.; Shanklin, S.L.; Flint, K.H.; Hawkins, J.; Harris, W.A.; Lowry, R.;
Olsen, E.; McManus, T.; Chyen, D.; Whittle, L.; Taylor, E.; Demissie, Z.; Brener,
N.; Thornton, J.; Moore, J. & Zaza, S.; (2014) Youth risk behavior surveillance
Chosen Business: City estauant
Befoe discussing what the coe activities the company undetakes to achieve its opeational objectives, it is vital to highlight these opeational objectives. The following section gives a bief oveview of these objectives:
The stategic objective of Taste Inn is to become the most liked band among its customes, a financially and opeationally stong company in the eyes of its investos, and a competitive paticipant in the food and hospitality industy of Austalia. The majo opeational objectives of the company include:
A stong custome base:
The most impotant opeational objective of the company is to stengthen its custome base by attacting moe and moe customes towads its poduct offeings. It aims to build a stong public image in the eyes of its customes and the society in which it opeates.
Become a financially and opeationally stong copoation:
The second most impotant…
Introduce products with innovative taste and new ingredients, use extensive marketing campaigns
Introduce products with innovative taste and new ingredients,
Poverty and Community Mental Health
Based on the supplemental reading for this week found in the resource folder, we can agree that poverty is a solid predictor of multiple challenges found in the field of mental health. In your own words (support your response by citing your sources) express your understanding of poverty and how it influences Community Mental Health at large (your response should meet the criteria found on the discussion board rubric). Please do not respond by using bullet points, utilize complete sentences to respond to this question.
Despite spending close to three trillion dollars a year on healthcare, significantly more than any other country in total or per capita, the United States does exactly maintain a healthy population (comparatively speaking) (Lavizzo-Mourey, 2015). Although there have been many proposed and attempted reforms to the system, and there have been many different ideas about how to make the system…
Best, M. (2006). Ethics in Health Services Management. Quality Management in Healthcare, 311.
Jones, T. (2015). A Descriptive Analysis of Implicit Rationing of Nursing Care: Frequency and Patterns in Texas. Nursing Economics, 144-154.
Lavizzo-Mourey, R. (2015). Why We Need to Build a Culture of Health in the United States. Academic Medicine, 846-848.
Savage, C., Lindsell, C., Gillespie, G., Lee, R., & Corbin, A. (2008). Blackwell Publishing Ltd. Improving health status of homeless patients at a nurse-managed clinic in the Midwest USA. Health and Social Care in the Community, 469-475.
The objective is to use one set of variables (columns) to predict another, for the purpose of optimization, and to find out which columns are important in the relationship. Here, we can compare the lifestyles through social status, activities they are involved in, physical activities and diet.
esearch tells us that obesity and being overweight play a role in cardiovascular disease, diabetes, hypertension, coronary heart disease, arthritis and colon, breast, uterine and prostate cancers. The health risks of being overweight are no secret, of course, and yet there appears to be no widespread urgency to address this trend (UCLA, 2009). Through this study, the writer hopes that public becomes more aware on which lifestyle they would like to choose -- hopefully, the health and wellness campaign that will be of benefit to everyone in the long run. Parents of overweight children have to go all-out to present healthy diet alternatives…
University of California - Los Angeles (2009, February 13). New Factor in Teen Obesity: Parents. ScienceDaily. Retrieved March 5, 2009, at http://www.sciencedaily.com/releases/2009/02/090209125824.htm .
Feinstein, a.R. (1996) Multivariable Analysis. New Haven, CT: Yale University Press.
Between 1995-2002, 99% of all births in ussia were attended by skilled health personnel, while the number of physicians per 100,000 people was 420 between 1990-2003, and the number of people with sustainable access to affordable essential drugs in 1999 was between 50-79% (http://hdr.undp.org/statistics/data/cty/cty_f_US.html)."
Nutrition, Water and Smoking
The United Nations reports that in 2000, 99% of ussia's population had "sustainable access to an improved water source. Between 1999-2001, 4% of the population was undernourished, while between 1995-2002 of all children under the age of 5, 3% were underweight and 13% were under height for their age group. From 1998-2002, 6% of all infants in ussia were born with low birth weight (http://hdr.undp.org/statistics/data/cty/cty_f_US.html)."
One of the leading, preventable health risks is smoking.
In 2000, 10% of all adult ussian women smoked, compared to 63% of all adult men (http://hdr.undp.org/statistics/data/cty/cty_f_US.html)." This illustrates why men may be more likely to suffer from…
Lokshin, Michael M. And Ruslan Yemtsov. (26 February, 2001). "Household Strategies for Coping with Poverty and Social Exclusion in Post-Crisis Russia." The World Bank
Group. (accessed 28 February 2005). http://econ.worldbank.org/working_papers/1417/).
UN Development Programme. (accessed 28 February 2005). http://hdr.undp.org/statistics/data/cty/cty_f_RUS.html ).
WHO. (accessed 28 February 2005). http://www.who.int/countries/rus/en/ ).
Syndemics of Adolescent Health
There are several social theories that attempt to explain health risks for defined demographics, such as adolescents. Socioeconomic theory suggests a lower status for an individual increases the risk of morbidity and mortality (Ward, Meyer, Verity, Gill, and Luong, 2011). In contrast to a focus on the individual, social quality theory suggests that social inclusion and empowerment lowers health risks. Syndemic theory, on the other hand, proposes that the morbidity and mortality of a defined demographic is determined by both social and economic factors (reviewed by Bruce, Harper, and AMTNHAI). To assess the value of socioeconomic and social factors in determining the health of adolescents, a study examining syndemic factors in adolescent gay males will be analyzed.
A Case Study in Syndemic Theory
A recent study investigated the syndemic of tobacco use in adolescent and young adult homosexual men in New York City (Storholm, Halkitis,…
Bruce, Douglas, Harper, Gary W., and AMTNHAI (Adolescent Medicine Trials Network for HIV / AIDS Interventions). (2011). Operating without a safety net: Gay male adolescents and emerging adults' experiences of marginalization and migration, and implications for theory of syndemic production of health disparities. Health Education and Behavior, 38, 367-378.
Storholm, Erik D., Halkitis, Perry N., Siconolfi, Daniel E., and Moeller, Robert W. (2011). Cigarette smoking as part of a syndemic among young men who have sex with men ages 13-29 in New York City. Journal of Urban Health, 88, 663-767.
Ward, Paul, R. Meyer, Samantha B., Verity, Fiona, Gill, Tiffany K., and Luong, Tini C.N. (2011). Complex problems require complex solutions: The utility of social quality theory for addressing the social determinants of health. BMC Public Health, 11, 1-9. Retrieved 14 Apr. 2012 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3167771/?tool=pubmed .
Health Disparities of Uninsured
Statistics show that approximately 47 million of America's population lacks medical coverage, and another 38 million has inadequate health insurance. What these statistics imply is that one-third of Americans are insecure and unsure about whether they would afford healthcare if they fell sick or needed medical help today. The State of Texas tops the list, with an uninsured population of approximately 8 million, representing 25.1% of the total (Code ed, 2006). Minority groups form a bulk of the uninsured population (Wu & ingwalt, 2005). The impact of a large uninsured population, however, is massive -- the uninsured affect both themselves and the communities in which they live, compromising the quality of care and placing everyone at risk. They do not often have a primary care physician, which means that they neither seek out medical care when they are supposed to, nor turn up for preventive care…
Abdullah, F., Zhang, Y., Lardaro, T., Black, M., Colombani, P.M., Chrouser, K., Pronovost, P.J. & Chang, D.C. (2009). Analysis of 23 Million U.S. Hospitalizations: Uninsured Children have Higher All-Cause In-Hospital Mortality. Journal of Public Health, 32(2), 236-244.
ACEP. (2013). The Uninsured: Access to Medical Care. American College of Emergency Physicians. Retrieved 22 July 2014 from http://www.acep.org/News-Media-top-banner/The-Uninsured -- Access-To-Medical-Care/
ANA. (2008). ANA's Health System Reform Agenda. American Nurses Association (ANA). Retrieved 22 July 2014 from http://www.nursingworld.org/content/healthcareandpolicyissues/agenda/anashealthsystemreformagenda.pdf
Bernstein, J., Chollet, D. & Peterson, S. (2010). How does Insurance Coverage Improve Health Outcomes? Mathematica Policy Research Inc. (No. 1). Retrieved 22 July 2014 from http://www.mathematica-mpr.com/~/media/publications/PDFs/health/reformhealthcare_IB1.pdf
Health Promotion Case Study
In this scenario the individual has been asked by a local law firm to come into the organization and establish a wellness program to promote the health of its employees. The firm includes a team of 20 lawyers, 3 managers, 45 paralegals, 5 administrative assistants, 2 information technologists and 4 part-time housekeeping and maintenance staff. The partners agreed last year to install a fully equipped gym in their building because otherwise they would receive a discount on the health insurance if 85% of the employees were participating in the gym at least an average of 90 minutes a week. At the time of renewal of the health care benefits package, the organization was disqualified from the discount because only approximately 10% of the employees were participating in the gym. This case involves a solution for engaging more of the law firm employees in health promotion activities…
Wieczner, J (2013) Your Company Wants to Make You Healthy. The Wall Street Journal. Retrieved from: SB10001424127887323393304578360252284151378
Gaines, M. (2012) How to Motivate Employees to Exercise. Chron. Retrieved from: http://work.chron.com/motivate-employees-exercise-1860.html
Garity, C. (nd) Corporate Fitness and Active Aging. Retrieved from: http://wellness.nifs.org/blog/bid/39826/Corporate-Fitness-Programs-Can-Motivate-Employees-to-Exercise-at-Work
Condoms are effective against the spread of AIDS as transmitted through sexual activity. The condom prevents the transmission of fluids between individuals during sexual activity. It is that transmission of fluids that can result in the transmission of the AIDS virus between people. In many poorer communities and countries, condoms have proven effective in reducing the rate of AIDS and HIV transmission between individuals. Condoms do not, of course, affect the rate of transmission by other means, such as intravenous drug use or transfusions. But they do lower the rate of transmission because a lot of AIDS and HIV transmission does occur through sexual activity. Education plays an important role because in many communities and countries, condoms are a novel idea, and people are unaccustomed to using them. There also has to be a certain degree of female empowerment to insist on condoms as a means of protection,…
Health Hazard/isk Communication
The term "risk communication" denotes any purposeful avoidance of risk-related information exchange between concerned parties. In this context, it (avoiding risk/hazard communication) may be defined as an act of transmitting or conveying information to parties in various areas including: environmental or health risk levels, meaning/significance of environmental or health risks, and actions, policies or decisions endeavoring to manage or control environmental or health risks. Concerned parties include scientists, government, industry groups, agencies, corporations, unions, professional organizations, scientists, the media, individual citizens, and interested groups (Florini, 2007).
Justification for Lying or Withholding isk/Hazard Information
In the past, one could adopt an 'experts know best' stance and merely inform citizens that, while one has identified a risk, they need not worry, and simply state how authorities are planning to deal with it. Today's public is not automatically acquiescent to authority figures, and demands to be more closely involved when…
Florini, A. (Ed.) (2007). The right to know: transparency for an open world. New York, NY: Columbia University Press.
Huang Y. (2004). The Sars Epidemic and Its Aftermath in China: A Political Perspective. In: Institute of Medicine (U.S.) Forum on Microbial Threats; Knobler S, Mahmoud A, Lemon S, et al., editors. Learning from SARS: Preparing for the Next Disease Outbreak: Workshop Summary. Washington (DC): National Academies Press (U.S.). Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK92479 / on 7 March 2016
O'Malley, P., Rainford, J. & Thompson, A. (2009). Transparency during public health emergencies: from rhetoric to reality. Bulletin of the World Health Organization; 87:614-618. doi: 10.2471/BLT.08.056689
Sandman, P.M. (2003). "Dilemmas in Emergency Communication Policy," In CDCynergy Emergency Risk Communication. Atlanta, GA: U.S. Centers for Disease Control and Prevention. Retrieved from www.psandman.com/articles/dilemmas.pdf on 7 March 2016
Health and Ecological Effects of Turf Fields
These are a recent type of synthetic turf, covered by a grass-like ground that strongly resembles natural grass in looks and function (STC 2015). They are said to function this way on a year-round basis in all weathers and for prolonged use without need for recovery. ecause it is synthetic, it is offered as a suitable solution and replacement for worn-out playing fields. At the same time, it does not need water or fertilizer as much as its natural counterpart. It is also available in different attractive styles, which match the locality (STC).
Sellers of artificial turf fields argue that natural grass fields cannot remain fresh and resilient if used for more than three to four days in a week, under the rain or when grass does not naturally grow (STC 2015). The low maintenance and water needs of a huge turf…
Cheng, H. et al. Environmental and Health Impacts of Artificial Turf: a Review. Vol. 48
number 4, Environmental Science and Technology, 2014. Retrieved on November 4, 2015
Ginsberg, G. et al. Human Health Risk Assessment of Synthetic Turf Fields, Based upon
Health Promotion: Diabetes Education and Prevention
Given the need for specificity in nursing theory for addressing a particular topic such as diabetes education and prevention, Nola Pender’s Health Promotion Model would seem to be particularly useful. The model is designed to assist people in making needed lifestyle changes. It is based upon the presumption that people wish to maximize their health potential and possess enough self-awareness to grow in their capacity to self-regulate (Pender, 2013, p.5). While health professionals can act as facilitators, ultimately the model focuses on people’s ability to engage in self-initiated changes in behavior and in their environment. Type 2 diabetes is a lifestyle ailment for most individuals. Although the nurse can act as a teacher and a guide, it is the individual who is suffering from diabetes who must make decisions on a daily basis that will affect his or her life.
Pender’s model is particularly…
All spending includes state and federal expenditures. Growth figures reflect increases in benefit payments and disproportionate share hospital payments; growth figures do not include administrative costs, accounting adjustments, or costs for the U.S. Territories.
Federal Fiscal Year: Unless otherwise noted, years preceded by "FY" on statehealthfacts.org refer to the Federal Fiscal Year, which runs from October 1 through September 30. for example, FY 2009 refers to the period from October 1, 2008 through September 30, 2009.
Urban Institute estimates based on data from CMS (Form 64) (as of 12/21/11).
From this entire chart, the entire increase in expenditure of…
Clark, Cheryl et al. "State Medicaid Eligibility and Care Delayed Because of Cost." New England Journal of Medicine, 368 (2013): 1263-1265. Print.
Ellwood, Marilyn Rymer et al. An Exploratory Analysis of the Medicaid Expenditures of Substance Exposed Children Under 2 Years of Age in California. U.S. Department of Health and Human Services, 1993. Print.
Goodnough, Abby. "October 25th." The New York Times. 25th October. 2012. Web. 29th March 2013. [ http://www.nytimes.com/2012/10/26/us/spending-on-medicaid-has-slowed-survey-finds.html?_r=0 ].
Grannemann, Thomas W. And Mark V Pauly. Controlling Medicaid Costs: Federalism, Competition, and Choice. Washington DC: American Enterprise Institute, 1983. Print.
Health Organization Case Study
The mission of Banner Healthcare is to make a difference in the lives of people through excellent patient care. They achieve this by providing leadership for excellence in patient safety and clinical care. Traditionally, healthcare institutions focused on analyzing aggregate performance, questioning causation, monitoring scorecards and identifying gaps. Planning and managing stages at integral to the process of achieving Banner Healthcare's vision. Planning entails the development of standards, rules, and work teams necessary for the work. Concurrent management involves patient-oriented care and coordinated health care. Across the various work teams, care management efforts and the number of people are involved in making clinical improvements across the organization have been gradually increasing.
This occurs regardless of whether they are work groups, system wide teams, strategic initiatives, and special projects. The work is organized under functional teams. Besides the functional teams, initiative work groups and clinical consensus groups…
Wickramasinghe, N. & Sharma, S.K. (2010). Creating knowledge-based healthcare organizations. Hershey Penns: Idea Group Pub.
Health Structures in Government Levels
Health at different Government Levels
Health Structures at Government Levels
Health at Government Levels
A national government has a task in ensuring quality health assurance standards across its region are up-to-date. Similarly, increased rates of unexpected epidemics have put governments under the surge of dealing accordingly with factors that can affect the nation directly and indirectly. Different governmental levels of health are identified and objectified in various agency websites. In this context, I have identified with a state level website; Illinois Public Health Institute website. Information presented to the website articles prioritizes in reducing and preventive, curative diseases, complementing health policies and championing for environmental changes.
Website Article eview
The Illinois Public Health institute articulates its review and implication to health quality through partnership programs. The website has supported state-oriented health involvement in ameliorating health levels, in Illinois. The institution has show-cased partnering programs with…
Baum, F and Kahssay, H.M. Health development structures: an untapped resource. World Health Organization. Vol 1 Issue 1. Pg 96-114.
Ladeia, M.L., Jacob, P., Borges, M.C., Rogero, M. M and Ferreira, S.R.G. (2011). Studies of Gene variants related to Inflammation, Oxidative, Stress, Dyslipidemia and Obesity: Implications for a nutrigenetic approach. Journal of Obesity. Vol 1, Issue 1. Pg 1-31.
5th March 2012. Illinois Public Health Institute. Retrieved from URL http://www.iphionline.org / Accessed on 27th March, 2012.
Health Care -- Risk Management -- Session Plan
The simple, general definition of "insurance" undergoes numerous variations according to the natures of insureds and of possible claimants. A healthcare organization, by virtue of its complexity, may be faced with a multitude of factors that must be considered for adequate coverage. A review of various insurances shows that types of claims, types of insured individuals/organizations, and types of claimants interact to determine the types of insurance needed.
The Basic Concept Of Insurance
Generally, insurance is a contract in which one party indemnifies or guarantees another party against loss that might be caused by a specific event or danger (Merriam-ebster, Inc., 2013).
The Key Factors To Be Considered In Choosing An Insurance Company And Policies For A Healthcare Organization
A healthcare organization seeking the optimal insurance company and policies must examine a number of factors to obtain required coverage with reasonable rates…
Boone, E. (2000, February). Challenges and solutions in medical professional liability. Retrieved on February 21, 2013 from search.proquest.com Web site: http://search.proquest.com/pqcentral/docview/200324292/13C55BEFBD15235F1C3/1?accountid=14375
Investopedia U.S.. (2013). Liability insurance definition. Retrieved on February 21, 2013 from www.investopedia.com Web site: http://www.investopedia.com/terms/l/liability_insurance.asp#axzz2LcID4cdz
Larson, A. (2005, March). Workers' Compensation as the "exclusive remedy." Retrieved on February 21, 2013 from www.attorneys-usa.com Web site: http://www.attorneys-usa.com/workers_comp/exclusive_remedy.html
Merriam-Webster, Inc. (2013). Insurance. Retrieved on February 21, 2013 from www.merriam-webster.com Web site: http://www.merriam-webster.com/dictionary/insurance
The penalties for being out of compliance when OSHA comes knocking should be enough to motivate any healthcare facility to devise a plan to make sure that they are in compliance with OSHA's regulations. The startling thing is that it took an initiative like NEP to wake these facilities up and get them thinking about being compliant. Since they deal with people and their well being on an everyday basis, these are things that they should have been doing all along and not just because there is an increased probability of getting into trouble by OSHA.
Harris, S. (2012). OSHA in Health Care: Out of Sight & Out of Mind? etreived from http://ohsonline.com/articles/2012/04/01/osha-in-health-care.aspx
Healthcare workers. (2012). etrieved from http://www.cdc.gov/niosh/topics/healthcare/
New OSHA inspection initiative focuses on healthcare. (2011). etrieved from http://www.puresafety.com/public/workingwell/?p=1209#.UAa4aFJ6EM
Occupational Safety and Health Administration ("OSHA") Targets Nursing and esidential
Care Facilities. (2012). etrieved from http://www.hancocklaw.com/p/OSHA_Newsletter_212_May_H1768037.PDF
Prepare Your Facility…
Harris, S. (2012). OSHA in Health Care: Out of Sight & Out of Mind? Retreived from http://ohsonline.com/articles/2012/04/01/osha-in-health-care.aspx
Healthcare workers. (2012). Retrieved from http://www.cdc.gov/niosh/topics/healthcare/
New OSHA inspection initiative focuses on healthcare. (2011). Retrieved from http://www.puresafety.com/public/workingwell/?p=1209#.UAa4aFJ6REM
Occupational Safety and Health Administration ("OSHA") Targets Nursing and Residential
isk Involved in Poor Chart Documentation: An Overview in Total Quality Management
Poor chart documentation in the behavioral health field is a concern for risk management and a critical area for total quality improvement. Poor chart documentation can lead to an audit by accrediting bodies and in severe circumstances lead to discharge. There are many legal ramifications associated with poor chart documentation. This paper will highlight the importance of poor chart documentation, the consequences of poor documentation, and suggest possible tools for resolving documentation errors. The best tool for eliminating chart documentation risk is developing a risk management system appropriate to the health care setting.
Poor chart documentation costs behavioral health providers thousands of dollars in malpractice costs every year. Errors related to chart documentation can be severe; a patient can suffer an untimely death for example. In fact, statistical evidence suggests that each year thousands of patients…
Aron, DC. & Headrick, L.A. (2002). Educating physicians prepared to improve care and safety is no accident: It requires a systematic approach. Quality and Safety in Health Care, 11, 168-173.
Burke, M., Boal, J., & Mitchell, R. (2004). Communicating for better care. American Journal of Nursing. 104(12), 40-47.
American Society of Healthcare Risk Management, American Hospital Association. (2004). The
growing role of the patient safety officer: Implications for risk manager. Chicago: American Hospital Association.
Health Promotion Lesson Plan
The concept of health promotion is thought of as "the science and art of helping people change their lifestyle to move toward a state of optimal health" (Dunphy et al., 2011, p 25). Serious heart conditions can be prevented, which is why it is so important to utilize community education techniques in order to help try to warn community members of the complications before they occur. This current lesson plan works to create three separate community lesson plans, based on specific age ranges. The age 18-29 focuses primarily on the use of social media and health advocacy efforts in association with the American Heart Association. For ages 30-49, there is also a focus on these two, combined with more community oriented issues, and for 50-60, there is much more of a focus on financial training along with community organized workshops.
Prevention has become a major issue…
References McLeod, Saul. (2010). Erik Erikson. Developmental Psychology. Simply Psychology. Web. http://www.simplypsychology.org/Erik-Erikson.html
While the study had a number of scientific limitations; the two most significant were: 1) although the response rate of interns that volunteered to participate was 80%, those that did participate may not have been representative; and 2) the case-crossover analysis cannot account for the contribution of within-person factors that may have been co-variables with exposure status.
As a result of the related research, hospitals will be using medical resident interns as a means of making up for the lack of doctors caused by financing concerns. The redistribution of medical interns was expected to be completed before the next residency training year starts July 1, 2005, however, it remains currently underway. The Association of American Medical Colleges has stated that the health care system would be better off if the cap were lifted so hospitals could respond to the needs of their communities, such as adding a new cardiology…
Barger, L., Cade, E., Ayas, N., Cronin, J., Rosner, B., Speizer, F. & Czeisler, C. (2005).
Extended Work Shifts and the Risk of Motor Vehicle Crashes among Interns. NEJM
Cauchon, D. (2004). Medical Miscalculation Creates Doctor Shortage. USA Today,
Croasdale, M. (2004). Residency Slots Reallocated to Relieve Doctor Shortages.
ichard Mitchell and Professor Daniel Dorling from the University of Leeds and Dr. Mary Shaw from the University of Bristol on the parliamentary constituencies of Britain revealed a number of social policy scenarios. The study traced the impact of the variations to society that might be brought through the effective execution of three social and economic policies. Firstly, they examined the efficacy of the policy of modest redistribution of wealth to counteract the health inequalities. During the decades 1980s and 1990s there were a considerable variation in the wealth possessions of rich and poor reflected in the major variations in their health enumerated by mortality rates. The study revealed that by returning to the inequalities in wealth of 1983 about 7500 deaths annually could have been prevented. (educing health inequalities in Britain)
The study assessed the impact of such policy to be most effective in the Birmingham Ladywood constituency in…
Health inequalities kill thousands" (27 September, 1999) Retrieved at http://news.bbc.co.uk/1/hi/health/456807.stm . Accessed 3 September, 2005
Introduction to health inequalities" Retrieved at http://www.dh.gov.uk/PolicyAndGuidance/HealthAndSocialCareTopics/HealthInequalities/HealthInequalitiesGeneralInformation/HealthInequalitiesGeneralArticle/fs/en-CONTENT_ID=4079644&chk=8WiiZg. Accessed 3 September, 2005
Link BG; Phelan JC. (May, 2005) "Fundamental Sources of Health Inequalities" Policy
Challenges in Modern Health Care. pp: 71-84. Retrieved at http://www.rwjf.org/research/researchdetail.jsp?id=1944&ia=141 . Accessed 4 September, 2005
As a result, millions of Americans remain unable to bear the heavy financial toll of medical expenses. Indeed, the problem of a lack of insurance for many is related to the problem of the cost of healthcare. So confirms the article by Consumer Reports (CR) (2008), which finds that "health-insurance premiums have grown faster than inflation or workers' earnings over the past decade, in parallel with the equally rapid rise in overall health costs. Industry spending on administrative and marketing costs, plus profits, consumes 12% of private-insurance premiums." (CR, 1) This reiterates the case that the undue imposition of costs by the healthcare industry -- a reflection of a free-market industry with little to no regulatory oversight -- has negatively impacted the accessibility and quality of healthcare for many of the poorest users.
Moreover, these users are most vulnerable to the long-term economic damages provoked by unexpected healthcare costs. So…
Bureau of Labor Education (BLE). (2001). The U.S. Health Care System: Best in the World, or Just the Most Expensive? The University of Maine.
Childress, M. (2010). Poverty is on the Upswing, but Metric is Out of Date. The Washington Independent.
Cockerham, W.C. (2004). Medical Sociology and Sociological Theory. The Backwell Companion to Medical Sociology.
Consumer Reports (CR). (2008). High Health Care Costs. Consumer Reports Health.org.
Such equipment should be adequate to ensure personnel are protected from chemical exposure to the eyes, skin, and respiratory tract. PPE may be upgraded or downgraded by the site industrial hygienist, HSM, or qualified Site Safety Officer based upon site conditions and air monitoring results (Levin, et al., 2002)
Work practice and administrative controls
Administrative controls or work practice controls are changes in work procedures such as written safety policies, rules, supervision, schedules, and training with the aim of reducing the interval, frequency, and sternness of exposure to hazardous chemicals or situations. Workers who handle hazardous chemicals in the workplace should be familiar with the administrative controls required fewer than 29 CF 1910.1200, and the OSHA Hazard Communication Standard. This controls are perhaps most important, because they impact your people directly. On the one hand, they are the simplest, since all it takes is education. On the other hand, education…
Annual report on 9/11 health (September, 2009). Retrieved on March 20, 2010 from http://www.nyc.gov/html/fdny/pdf/2009_wtc_medical_working_group_annual_report.pdf
Burright, D. et al., (1999). Evaluation guidelines for air sampling methods utilizing chromatographic analysis. OSHA Salt Lake Technical Center, U.S. Department of Labor: Salt Lake City, UT.
Harris, J.S., (ed.) (1997). Occupational medicine practice guidelines: Evaluation and management of common health problems and functional recovery in workers. The American College of Occupational and Environmental Medicine. Beverly, Mass.: OEM Press.
Levin, S. et al.,. (2002). Health effects of World Trade Center site workers. America Journal of Industrial Medicine 42:545 -- 547.
arity: Health Care EIT is one of many luxury and acute care investment properties on the market.
Imatability: Given the lack of available credit for starting new property ventures and construction, the company's current facilities do give it an advantage. Financial barriers to industry entry are higher than they were in the past. This can act as a barrier to 'imatiblity' of its business model.
Organization: Health Care EIT has a fairly concentrated organizational structure. While this can be an advantage in terms of assuring consistency of service, it can also result in narrowness of vision, such as (perhaps) a tendency to focus too much on high-end offerings, when seniors may have less financial leverage than in the past.
Sources, rarity, and imatability of cost advantages
Economies of scale may be possible, given the size of Healthcare EIT. Unlike some of its competitors, the company was an early, first mover…
Executive Officers. (2010). Health Care. REIT. Retrieved November 3, 2010 at http://www.hcreit.com/about-hcn/executive-officers
History (2010). Health Care. REIT. Retrieved November 3, 2010 at http://www.hcreit.com/about-hcn/history
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…
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.
Health Care Reform Federal Deficit
The American Health Care Crisis and the Federal Deficit
The United States spends more than any other country on medical care. In 2006, U.S. health care spending was $2.1 trillion, or 16% of our gross domestic product. At the same time, more than 45 million Americans lack health insurance and our health outcomes (life expectancy, infant mortality, and mortality amenable to health care) are mediocre compared with other rich democracies. We spend too much for what we get.
Nothing is new about these sobering realities. The Nixon administration first declared a health care cost crisis in 1969. Four decades later, the United States still has not adopted systemwide cost controls because the politics of health care make it extraordinarily difficult to control costs. I explain below why this is so (Marmor, et al., 2009).
The starting point for understanding the politics of cost control is…
1. Eakin, Douglas and Michael Ramlet. (2010) "Health Care Reform is Likely to Widen Budget Deficits -- Not Reduce Them." Health Affairs, 29, no.6:1136-1141. Eakin and Ramlet examine the underpinnings of the Congressional Budget Office's projection that enacting the Patient Protection and Affordable Care Act will decrease deficits, and conclude that it is built on a shaky foundation of omitted costs, premiums shifted from other entitlements, and politically dubious spending cuts and revenue increases. A more comprehensive and realistic projection suggests that the new reform law will raise the deficit by more than $500 billion during the first ten years and by nearly $1.5 trillion in the following decade. This is an excellent article with regards to my article, written by two policy commentators at the forefront of their field. This article shows expertise in medical economics and offers compelling, clear arguments for the increase in the federal deficit due to the massive spending on entitlements as a result of passing the Patient Protection and Affordable Care Act. They project deficits, opposing the Congressional Budget Office, through their insightful analysis.
2. Marmor, Theodore, Jonathan Oberlander, and Joseph White. (2009) "The Obama Administration's Options for Health Care Cost Control: Hope vs. Reality." Ann Intern Med. 150:485-489. Controlling the costs of medical care has long been an elusive goal in U.S. health policy. This article examines the options for health care cost control under the Obama administration. The authors argue that the administration's approach to health reform offers some potential for cost control but also embraces many strategies that are not likely to be successful. Lessons the United States can learn from other countries' experiences in constraining medical care spending are then explored. This article offers evidence for the lack of cost containment in the Obama administrations' plans for health reform. It gives a good analysis of the international scene in health care as well.
3. Collins, Sara, Michelle M. Doty, Karen Davis, Cathy Schoen, Alyssa L. Holmgren, and Alice Ho. (2004) "The Affordability Crisis in Health Care." Commonwealth Fund Biennial Health Insurance Survey. Published in 2004, The Commonwealth Fund Biennial Health Insurance Survey, conducted from September 2003 -- January 2004, presents new and timely information on where the American public stands on solutions to reform the health care system. The survey finds widespread support for federal efforts to extend health insurance to more people, as well as a widely held belief that the financing of health care should continue to be a shared responsibility among individuals, employers, and the government. The survey also uncovered potential reasons for such strong support for health care reform. Among the insured and the uninsured alike, there is concern that health care security in the United States is eroding. People are experiencing reductions in insurance coverage that are threatening their financial security.
4. Etheridge, Lynn (1984) "An Aging Society and the Federal Deficit." The Milbank Memorial Fund Quarterly. Health and Society, 521-543. This article serves as early warning sign of the deficit battles to come. It argues that the conflict between the growing needs of an aging society and a federal budget which cannot afford its current commitments has become one of the nation's most difficult government policy dilemmas. Assistance for the elderly through Social Security, Medicare, and other programs-is already the federal government's largest fiscal responsibility. In 1985 these programs will require nearly half of all domestic program spending an estimated $256 billion. The future costs of these commitments will rise rapidly well into the next century, accounting-with national defense and interest costs-for virtually all of the spending increases in the projected $200 to $300 billion deficits. Etheridge asserts that the decisions about the nation's assistance to the elderly -- and about reaffirmation, reform, and/or retrenchment of these commitments-will thus be central to the coming budget debates.
Health eform Act
The work of Flanagan, Miller, Pagano, and Wood (2010) entitled "Employee Benefit Plan eview -- Meyerowitz, Health care eform Is Here -- Now What?" states that health care reform laws are expected to have an impact that is significant in nature and this is on the health insurance industry as well as on employee benefit issues as well. The Patient Protection and Affordable Care Act (PPACA), which was then supplemented and modified, less than one week later, by the Health Care and Education Tax Credit econciliation Act (HCEA)." (Flanagan, Miller, Pagano, and Wood, 2010) Those two laws are referred to as "Health Care eform" or "Health eform Laws." (Flanagan, Miller, Pagano, and Wood, 2010) The Health eform Laws are reported, while being extremely lengthy and in depth and very detailed to "leave open a host of issues that will have to be resolved either through agency regulations…
Current Internal Revenue Code (Standard Federal version), SEC. 45R. EMPLOYEE HEALTH INSURANCE EXPENSES OF SMALL EMPLOYERS (2010) WK_ Current Internal Revenue Code SEC 45R EMPLOYEE HEALTH INSURANCE EXPENSES OF SMALL EMPLOYERS.pdf
Part III - Administrative, Procedural, and Miscellaneous Section 45R -- Tax Credit for Employee Health Insurance Expenses of Small Employers Notice 2010-44
National Tax Advisory (2010) What you need to know now about the tax aspects of health reform litigation. 6 Apr 2010.
IRS Rulings & Other Documents (2002-Current), Rev. Rul. 2010-13, Internal Revenue Service, (May 3, 2010) WK_ IRS Rulings Other Documents 2002-Current Rev Rul 2010-13 May 3, 2010.pdf ©2010 Wolters Kluwer.
Health and Nursing
eduction of bedsores through implementation of Hospital wide turntable
Does the implementation of a hospital-wide turntable team have a positive impact on the reduction of bedsores?
eduction of Bedsores
A pressure ulcer (PU) or bedsore can be defined as an injury to underlying tissue of the skin that occurs due to pressure or friction. In most cases, the injured tissue sores due to the pressure exerted over a prominent bone. PU has also been defined as areas of necrosis due to tissue compression amid the bony prominence and the extracorporeal surface for a prolonged time period (Gray & Krapfl, 2008). It is therefore apparent from these definitions that exposure to pressure for a lengthy time is the primary cause of bedsores.
To prevent or minimize bedsores therefore, it is imperative upon medical practitioners to put intervention measures in place that will reduce exposure to pressure. The human…
Gorecki, C., Brown, J.M. & Andrea, N.E. (2009) Impact of Pressure Ulcers on Quality of Life in Older Patients: A Systematic Review. Journal of American Geriatrics Society. DOI: 10.1111/j, 1532-5415.
Gray, M & Krapfl, L.A. (2005) Does regular repositioning prevent pressure ulcers? Journal of Wound, Ostomy and Continence Nursing. Vol.35, No.6, 571-577.
Ikechokwu, E.C., Idowu, O.A. & Anekwe, D.E. (2012) Prevalence and Factors Associated With Healing Outcomes of Hospitals-acquired Pressure Ulcers among Patients With Spinal Cord Injury. Journal of Public Health and Epidemiology.Vol. 4(2), p. 44-47.
Kaitani, T., Tokunaga, K., Matsui, N., Sananda, H. (2010) Risk factors related to the development of pressure ulcers in the critical care setting. Journal of Clinical Nursing. Vol.19, 414-421.
Healthcare Quality Management
PDCA Modeling in Healthcare
Psychiatric emergencies in medical settings may be particularly challenging since the staff does not encounter them frequently and may not have experience dealing with behavioral crisis intervention. The purpose of this exercise is to help staff improve understanding and coping with nonmedical emergencies that occur in medical settings using the PDCA cycle.
X is a 41-year-old male admitted to a medical unit with a diagnosis of possible stroke. The patient is ambulatory, 5'10," and 350 lbs. Mr. X presented to the emergency department the day before after apparently losing consciousness at home. The initial CAT scan of his head was negative. It is suspected that Mr. X may be an IV drug user since his urine toxicology screening came back positive for opiates. The medical staff thinks that Mr. X had a seizure prior to admission, but he has shown no abnormal signs…
Bennet, L., & Slavin, L. (2009, April 3). What Every Health Care Manager Needs to Know. Retrieved from Continous Quality Improvement: http://www.cwru.edu/med/epidbio/mphp439/CQI.htm
i Six Sigma. (N.d.). Focus - PDCA. Retrieved from I Six Sigma: http://www.isixsigma.com/dictionary/focus-pdca/
Pestka, E., Hatterberg, D., Larson, L., Zwygart, L., Cox, A., & Cox, D. (2012). Enhancing Safety in Behavioral Emergency Situations. Medsurg Nursing, 335-341.
On the contrary, a comprehensive medical care solution that tackles the main issues driving up health care costs in America is possible. The main problem experienced by the average American is that health insurance premiums are cost prohibitive for the middle-class, but being uninsured can bankrupt a family forced to deal with even a minor catastrophic illness. Therefore, a national health insurance program has to be part of the solution. However, one cannot overlook the role that unpaid medical bills and exorbitant malpractice premiums also play in the modern healthcare crises. As a result, the solution must include a way to reduce malpractice premiums through tort reform, and a way to reduce the percentage of medical bills that go unpaid. The proposed three-prong approach would tackle all of those issues, without forcing any unwilling person to participate in a nationalized healthcare program.
American Tort Reform Association. "Medical Liability…
American Tort Reform Association. "Medical Liability Reform." ATRA Issues. 2007.
American Tort Reform Association. 6 Nov. 2008 http://www.atra.org/show/7338.
Kershaw-Staley, Tracy. "Miami Valley Hospital Files Lawsuit Over Unpaid Medical Bills."
Dayton Business Journal. 2008. Dayton Business Journal. 6 Nov. 2008 http://dayton.bizjournals.com/dayton/stories/2008/01/07/story5.html .
Since being healthy includes a sound mind, less worrying over financial problems leads to a stronger, sounder mind.
Drinking a lot of water throughout the day is another health-promoting behavior. Drinking a lot of water adds natural moisture to your skin, giving a fresh glow today and helping the aging process tomorrow. It also helps when I exercise to drink more water because being properly hydrated during exercise allows me to have a better, more productive workout. Drinking water also improves my energy and increases both my mental and physical performance. Additionally it allows for proper digestion and relieves headaches and dizziness. For those reasons I believe that not smoking and drinking water regularly are two of my important health-promoting behaviors.
My Detrimental Health ehaviors
As improvements in health become more necessary and evident, the medical industry will continue to work to improve the overall health of all individuals. However,…
The American Heritage Dictionary of the English Language. (2005).
Massachusetts Cost Limiting Proposal
One of the major problems of the current healthcare system implemented by the State of Massachusetts is the cost of maintaining the program and providing the necessary healthcare to Massachusetts' citizens dependent on the state insurance program. Ideally, of course, the program would be paid for via the revenues generated form business contributions, premium payments into the state system, and general tax funding. Revenue can only make up half of the solution for paying for the system, however; costs must also be effectively managed and strictly limited if the program is to be successful in the long-term. One proposal for limiting these costs is switching from a reimbursement-for-services model of physician payment to the creation of performance-based salaries or regular payments.
There are several features of moving to a pay-for-performance rather than a pay-for-service model that have the potential to yield significant savings. As…
Are healthcare inequalities UK
Defining Health Inequality
The term healthcare disparity or healthcare differences have been defined in a number of ways. Healthcare inequality can be defined as the difference of the health levels of any tow comparable demographic groups within a certain country or a region even when proper healthcare facilities are available. The inclusive incidences include higher rates of mortality as well as morbidity within the people who belong to lower occupational classes and are poorer. These rates are higher as compared to the mortality rates in the people who belong to better occupational classes being richer and more privileged. Second important aspect that has been highlighted in the definitions of healthcare inequality includes increased rates of occurrence of mental healthcare-based issues in people from poor classes.
A number of countries have been highlighted with healthcare inequalities including Canada and UK. Since 1980, the documentation of…
Asthana, S, and Dr. Halliday, J 2006, What works in tackling health inequalities?: pathways, policies and practice through the life course, Studies in poverty, inequality, and social exclusion, The Policy Press.
Barron K. 2009, Health inequalities: written evidence; Volume 422 of HC SeriesPaper (Great Britain. Parliament. (Session 2007-08). House of Commons)) Written evidence, The Stationery Office.
Davies P. 2007, The NHS in the UK 2007/08, 9th edn, The NHS Confederation.
Dowler E. 2007, Challenging health inequalities: from Acheson to choosing health, Health and Society Series, The Policy Press.
Healthcare in the United States: Where We Have Been, Where We Are Going
The current healthcare crisis in America is not one that happened over night. It is one that has been building for more than a quarter century. There was a time in America when healthcare was a stellar institution: research, cures, technological advances, and treatments. The focus of healthcare was maintaining and improving the quality of life. Then, during the early 1980s, managed care became an entity between the physician, the patient, and the healthcare provider of hospital services. It began subtly, but has, today, become one of the most aggressive and successful business ventures of our time; and it has been the unmaking of a once stellar and progressive American institution.
Managed care is a "distinctly American" product (Birenbaum, 1997). It was legislation introduced by the Nixon Administration with the intent to regulate healthcare and to maintain…
Bernstein, A.B., Hing, E., Moss, A.J., Allen, K., Siller, A., and Tiggle, R. (2003). Health Care in America: Trends in Utilization. Hyattsville, MD: National Center for Health Statistics.
Birenbaum, A. (2002). Wounded Profession: American Medicine Enters the Age of Managed Care. Westport, CT: Praeger.
Birenbaum, A. (1997). Managed Care: Made in America. Westport, CT: Praeger.
Committee on Health Care Access and Economics Task Force on Mental Health (2009). Improving Mental Health Services in Primary Care: Reducing Administrative and Financial Barriers to Access and Collaboration. The Official Journal of the American Academy of Pediatrics, March, 30, 2009, pp. 1248-1251.