Health Care Trends
With the passage of the Affordable Care Act the personal health of every American has become an important issue. While most health care funds are spent treating diseases and other health problems, there has recently been a push toward focusing on prevention of health problems. For example, "chronic diseases such as heart disease, cancer, stroke, and diabetes are now responsible for more than 75% of health care costs." (Berman, 201, p.328) But as these health problems are almost entirely preventable a focus on prevention could save a great deal of money that would be better spent elsewhere. Therefore many Americans are beginning to endorse policies that prevent health problems before they start. Some of these ideas involve incentives to reward people for healthy behavior while others involve penalties to punish those who do not. However, research indicates that punishments are not as effective as incentives when it…… [Read More]
Healthcare Data Compare Healthcare Grade of Maryland to Florida
Healthcare grades: The Commonwealth Fund
The Commonwealth Fund grades all states on access to healthcare, avoidable hospital use and costs, healthy lives, and prevention and treatment. For example, Pennsylvania ranks 12 on access: nearly
percent of nonelderly adult patients are insured and 92% of children. Florida has around 74% and Maryland around 83% of adults insured and 82 and 91% of children, approximately. In Pennsylvania, 86% of at-risk adults have had a checkup within two years versus 87 and 88% in Florida and Maryland respectively; 90% of patients in PA have not had to forego seeing a physician within the last two years because of cost versus 84% in Florida and 89% in Maryland (approximately). The low rates of insurance coverage in Florida reflect higher unemployment and poverty rates, combined with a higher percentage of workers who labor part-time and do…… [Read More]
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…… [Read More]
Advanced Nursing Practice
Nora Pender Model of Health Promotion:
Improving healthcare access to underserved diabetes patients in rural areas
The health promotion theory used to justify this project will by that of the Nora Pender Model of Health Promotion. The focus of this study will be upon expanding access of rural communities to healthcare. Pender's model stresses the need to work with patients to empower them to make positive life choices. When healthcare access is limited, it is essential that patients are given the tools to make empowering choices regarding their healthcare on a day-to-day basis. Rural patients are often hampered by access to both information and regular quality care. The model suggests that with knowledge and support provided by more accessible care at local clinics this can change.
The philosophy of the model is that health is "a positive dynamic state not merely the absence of disease"…… [Read More]
Health Belief Model and Health Education
Public/population health standards place the conventional medical individual care model within several determinants of health. Currently, various public health models exist and are available for a huge range of purposes such as the Health Belief Model. These various health models exist to provide an improved understanding of the dynamics relating to the health and wellbeing of populations. In addition, there are social determinants of health (SDOH), which basically refer to the political, social and economic factors that impact the health of individuals and populations. The social determinants of health also refer to the ecological model and place significant emphasis on healthcare institutions and organizations established by humans to organize or structure social processes relating to individuals and populations’ health including health education. This paper examines how the Health Belief Model can be used to address the issue of health education.
The Issue of Health…… [Read More]
Health Promotion Plan
Health Promotion in Hospice
The use of Dorothea Orem's Self-Care Theory as the framework for the health promotion plan, for improving depressive symptoms among hospice patients (Nursing Theories, 2012), is appropriate and consistent with a patient-centered care model. This model provides enough room for a gradient of patient self-care efficacy, from fully autonomous to unconscious, which is appropriate for the hospice setting. The author of Health Promotion in Hospice emphasized the need to increase the care efficacy of both hospice patients and their caregivers and mentioned how the role of a hospice nurse must remain fluid to constantly changing care needs of hospice patients. Under Orem's model there is thus a gradient of self-care need and autonomy that is negatively correlated and where deficits emerge the nurse must step in to meet these care needs.
I would also emphasize the concept of 'nursing client' discussed in Orem's…… [Read More]
Healthcare Contact Workers
Controversy of Healthcare Contract Workers
Benefits of Hiring Contract Workers for Healthcare
Drawbacks of Hiring Contract Workers
Lack of Loyalty and Motivation
Healthcare Contract Workers
Controversy Surrounding Healthcare Contract Workers
This paper is designed to analyze the role of healthcare contract workers. This paper discusses the reasons of being hired by different companies. The advantages that a company has by appointing temporary employees are also highlighted. As every aspect has two sides, therefore disadvantages are also discussed. There are many controversies that temporary employees have to face while working in any company. Companies believe that there resources might be wasted if they invested more in temporary employees hence they have to survive on their own. They face reliability issues and permanent employees do not trust them a lot. This paper gives an overall analysis on the difficulties…… [Read More]
Healthcare Administration Mission Viejo Executive Summary
Over the last several years, the healthcare delivery environment has been continually evolving. This is because consumers are demanding efficient ways for receiving a variety of services. That is focused on reducing costs and enhancing quality. The result is that the entire system is continually changing to keep up with them. In the case of Golden Age Hospital (GAH), they are reaching a crossroads with rising number of seniors locally and nationally. This is in response to the rising demographic and many local facilities feeling overwhelmed. The new location can be utilized as an integrated business model that will achieve these larger objectives. In the long-term, this will make them more competitive and able to respond to changes in the way industry is operating. Those who are able to do this will see their employee turnover rates decrease and they can enhance the care…… [Read More]
Health Promotion Program Proposal
Sexual violence has been a longstanding issue around the world. Women and children face rape, molestation, sexual assault each year. In the United States alone, the annual national average for rape and sexual assault victims is 288,820 (age 12 or older). While the figures for child molestation may be higher than anticipated, the reported sexual assault cases reveal the majority of victims range from ages 18-34 at 54%. The age group at the highest risk for sexual violence is 12-34. Women are at highest risk of experiencing attempted or completed rape with statistics revealing 1 out of every 6 women in America have been or have almost been raped. Of the rape victims reported, 90% are adult female and 82% of juvenile victims are female (RAINN, 2016).
The age range of 16-19 is the more dangerous for a female as they are 400% more likely to…… [Read More]
Health disparities refer to a certain kind of health-related difference closely tied to economic or social disadvantage. They negatively impact groups of individuals systematically subject to greater economic and social barriers to a hygienic environment and health, on the basis of their ethnic or racial group, age, gender, religion, mental health, socioeconomic standing, geographic location, gender identity or sexual orientation, physical, cognitive, or sensory disability, or any other characteristics that are associated historically with marginalization or discrimination (Department of Health & Human Services, 2011b).
Of all industrialized countries, the U.S. expends maximum resources on the area of healthcare; despite this, millions of U.S. citizens do not enjoy a chance to live a healthful life. Overall population health in the U.S. has witnessed improvements over time, but health disparities for underserved, racial minority and ethnic minority communities continue. Vulnerable population clusters such as ethnic and racial minorities, disabled individuals,…… [Read More]
Health Care Delivery Structure
Alzheimer's disease is a progressive brain disease and the most prevalent root cause of dementia. In the present day, more than five million people living in America are suffering from Alzheimer's disease. It is the 6th prominent cause of death in the United States and is the 5th causal factor of death for individuals older than the age of 65 years old. It is estimated that the number of individuals suffering from this disease might even triple up by mid of the century with this number being expected to rise to one million for the U.S. (Illinois Department of Public Health, 2014). Despite the fact that plenty of the states in America were engrossed and pensive with issues of budgeting in the past four years, state policymakers have went on to develop and offer refinement to regulations on assisted living or residential care for Alzheimer and…… [Read More]
Health promotion among diverse populations
Health status of a minority group: African-Americans
As is the case with all precious commodities, good health is not distributed equally throughout the population. Profound disparities exist between genders, ethnic groups, religious groups, and also between races. While some of these differences may be attributed to genetics, environmental and social trends as well as epigenetic factors (the interaction between environment and one's genetic makeup) are also factors. This paper will specifically focus on the current health status of African-Americans as relative to whites and to the American population at large and suggest interventions to improve that status.
African-Americans: Current health status
Overall, the health status of African-Americans as a group is considerably worse than that of the general population based upon a wide array of health indicators. African-Americans are disproportionately more likely to suffer from and die from chronic illnesses like heart disease…… [Read More]
As expected, NIHSS scores indicated mild stroke severity, while the FIM scores suggested moderate motor deficits. A comparison of the demographic variables for the patients that met the inclusion criteria with those that did not, revealed no significant differences except in terms of stroke severity, laterality, and comprehension impairment.
The results of the cognitive evaluations (MMSE vs. MoCA, r = .79, p < .001; MMSE vs. cFIM, r = .56, p < .000; MoCA vs. cFIM, r = .67, p < .000) revealed good agreement between the three instruments (Toglia et al., 2011) and mirrored the results of Stewart et al. (2012). A comparison of the mean scores for MMSE and MoCA, however, revealed a significant difference (24.4 vs. 17.8, respectively, p < .001) in terms of sensitivity to subtle changes in cognition. This finding supports the conclusion that the MoCA may be more sensitive to MCI than the MMSE.…… [Read More]
Promoting Positive Health Behaviors
Every Woman Matters Program was launched in 1992 in Nebraska, United States of America, for the women residents of the state. This program encourages women to get annual check-ups for free. The program is designed for women aged between 40 to 74 years, who have none or restricted health insurance, along with earning low levels of income. The women residents of Nebraska can fill out enrollment forms available to them from various hospitals as well as on the internet in order to be facilitated by the program (Nebraska Department of Health and Human Services, 2011). If the application is accepted, the program will send a welcome pack which the applicant should take with them on their doctor's appointment. They should ensure to inform the doctor beforehand that they are a part of Every Woman Matters Program.
The Program administrators will then inform the applicant of their…… [Read More]
China Preventive Health Services and U.S. Preventive Health Services
The objective of this study is to compare and contrast China preventive health services and U.S. preventive health services.
The work of Clarke (2010) reports that prevention "was a prominent feature of the health care reforms that took place in the late 1960s through the early 1970s. During that time strategies such as universal vaccination, promotion f lifestyle changes, population screenings, and safety regulations were introduced and became widely accepted as means to improve public health while reducing health care expenditures." (p.3) The U.S. while one of the world's richest and most technologically advanced nations, is experiencing a severe lack in meeting expectations for health status and the costs are reported as "alarmingly high." (Clarke, 2011, p.3)
Specifically, the age-adjusted prevalence of obesity in the United States in 2007-2008 is reported to have been 33.8% overall, 32.2% among men and 35.5%…… [Read More]
Public health service: A renewed debate on the role of health Insurance
Nine pillars of the Affordable Care Act
The upside of the Affordable Care Act
Health reform for masses
Challenges posed by the ACA
Public health service: A renewed debate on the role of health Insurance
There are few other topics in the public health domain that have stirred more controversy than the Patient Protection and Affordable Care Act (PPACA) effective from March 2010. The law was part of the Obama administration's most significant effort to regulate the U.S. healthcare system. The main goals of the law were to:
a) Increase the quality and affordability of healthcare insurance
b) Lower the rate of uninsured population using a more expanded insurance network through private and public insurance companies
c) Reducing the healthcare cost for the U.S. government and individuals
The bill aimed to alter the healthcare insurance by lowering the…… [Read More]
Health economics questions
What are the two basic tools of economics? Give an example of each with respect to health, medical services, and hospitals.
The two basic tools of economics are marginal analysis and optimization techniques and supply and demand analysis. Marginal analysis and optimization techniques underline the fact that economics is the science of studying scarce resources. Only though setting specific criteria when deciding how to use scarce resources can costs be minimized and outputs be maximized. In the field of healthcare such analysis is particularly critical, given that hospitals must often make decisions about what types of technology to spend money on and which types of specialists to hire, based upon the needs of the population. Health insurance agencies are famously criticized for refusing to cover specific procedures because they deem less costly measures to be equally effective, even if the patient or his or her…… [Read More]
Organizational Responsibility and Current Health Care Issues
Ethics is the assessment and research of the human habits in regard to moral concepts, particularly those in a certain team, occupation, or specific organization (The Free Dictionary, 2012). People deal with lots of ethical/moral problems everyday and how they react might result in significant and legal ethical/moral ramifications. In the healthcare market, having approaches for making ethical/moral choices is a necessary part of the task. This paper will provide a circumstance that happens in a medical workplace and if the choice of the medical assistant will have an effect on the decision-making procedure, which can bring about legal and honest complexities.
The situation provides a skillfully experienced medical assistant and Licensed Practical Nurse (LPN) working in a clinic or medical workplace as a workplace assistant. Alone in the workplace and in charge of the phone calls throughout lunch, the assistant gets…… [Read More]
The administration and operating costs should be reduced to 20% of the premium earned. The 80% of the expenses should be spent on providing healthcare services to the holders of health insurance. The law further states that in case the insurance organizations fail to follow they are required to rebate the insurance premium to consumers. The unreasonable premium increase will not allow the companies to mint profits. They will be required to rebate $4 million in State of Kansas alone. The amount is $91 per family in the state having an insurance cover (HHS, 2013). The legal implications for not spending on health have enabled the insurance services providers to facilitate their consumers.
New Care Act support preventing illness:
The individuals of Kansas State are now enabled through the Act to seek insurance cover even after having pre-conditions for their health. The coverage plan for individuals with pre-conditions has enabled…… [Read More]
Governmental healthcare centers concentrate on providing primary care to individuals and to control and manage the spread of infectious diseases and to manage natural disasters (Christian et al., 2008). However, in the public domain, health care differs from one country to another. This can be specifically applied in developed nations, where social, economic and political factors are most likely to influence public health policies and centers and their accessibility and availability (Christian et al., 2008). This research proposal concentrates on presenting an overview and detailed background of health centers in English-speaking countries. The countries selected are Australia, Canada, the United Kingdom and the United States.
Governmental health care centers concentrate on the provision of primary care to individuals and on controlling and managing the spread of infectious diseases and managing responses to natural disasters (Christian et al., 2008). However, in the public domain, health care differs --…… [Read More]
Funding Health Care Services
The writer of this work is a senior advisor of XYZ Health Care Organization and has been tasked with making a recommendation regarding how health care expenses associated with the following services should be funded within your state. The recommendations made will then be a part of a proposal that will be shared with state legislators.
State of Alabama
The State of Alabama has several programs funding healthcare. For example in 1997, legislation was passed to make provision of health care to children of families who were not able to purchase private health insurance. This program is known as the Child Health Insurance Program (CHIP) at the federal level and is called ALL Kids in Alabama. It is reported that the original U.S. legislation "provided $24 billion in aid to be used over a ten-year period. The Department of Public Health is reported to be…… [Read More]
Electronic Health Records
Since the introduction of electronic health records, the U.S. government, information systems developers and associations of healthcare providers have worked toward establishing a uniform, integrated system of electronic health records. This collaboration is designed to significantly enhance patient safety and treatment, as well as effectively assist in the management of public health issues such as disease. While some health practitioners report difficulties in dealing with electronic health records, it appears that continued efforts and refinements are gradually solving problems of computerization and are improving healthcare.
Characteristics and Components of Efficient EHR
In 2003, the Institute of Medicine released a report called Key capabilities of an electronic health record system. In this consensus report, the Institute stated that an electronic health records system should consist of:
"a longitudinal collection of electronic health information for and about persons;
2. [immediate] electronic access to person- and population-level information by authorized…… [Read More]
Community Assessment Project
Gore, Oklahoma is like any small town. Located in the Eastern part of the state it is known for the tremendous amounts of fishing and outdoor activities. The city currently has a median age of 46 years old. It has a total of 496 males and 454 females. However, like all areas, the city is facing considerable challenges related to the health of the community. To fully understand what is happening requires focusing on evaluating its health status and the current / future needs for planning. Together, these elements will illustrate the trends inside the community and the best way to address them. ("Gore Oklahoma," 2014) ("Town of Gore," 2014)
The Health Status of Gore, Oklahoma
The health statistics of Gore are showing how they are mirroring the same kinds of trends impacting the state and the nation when it comes to obesity rates. In this case,…… [Read More]
Obama Care Plan
Health care is undergoing a dramatic transformation and needless to say it is one of our largest industries that contribute handsomely to the Gross Domestic Product, greater demands are placed for the value of dollars that are being spent to provide for healthcare services to patients. Now-a-days, in this ever demanding environment marketing as a discipline is being practiced (Berkowitz, October 2010)
In early days it was a great debate that whether marketing should be practiced in a profession or not. Recent trends have shown that in order to provide for patients there needs to be an effective marketing team. In modern era, the consumers are not only able to access information but they are also able to communicate their experiences of healthcare services via comprehensive social networks i.e. with other people online on the internet or out on the streets. The Web provides a platform where…… [Read More]
United States Health Care System
The objective of this work in writing is to answer as to what is working with the U.S. health care system and what is not working with the U.S. health care system. This work will address the needed reforms and the current role of government in health care. Finally, this work will answer as to what the role of government should be in health care.
This is not your father's U.S. health care system. No statement is ring more true as previous U.S. generations saw little governance of the health care system as it was a private industry in the American structure. Government today is however, greatly involved in the health care system and to many, such as the writer of this work, the government has overstepped its boundaries in a democratic governance structure.
What is Working and What is Not Working in the U.S.…… [Read More]
Anticipatory Guidance Project
Mammogram screenings guidelines
The suitability of screening mammography has been a contentious issue because of a number of reasons. For instance, the lack of consistency of screening guidelines reveals the complexities in coming up with definitive conclusions on the suitability of the procedure. Another issue with mammographic screening is the degree to which a mammography helps to reduce mortality among women. There have been arguments from some quarters that there is no evidence that mammography reduces mortality. In addition, sometimes screening can provide false-positive results resulting in needless additional testing, which may include the probability of invasive surgical processes. These controversies have elicited intense debates from various components of the society.
Background information about the guidelines
The American Cancer Society gives a number of guidelines on mammogram screenings (The American Cancer Society, 2013). First, it recommends that women who are 40 years and older of age should…… [Read More]
Dr. Robb-Nicholson's data best supports the scenario that more incidents of breast cancer will be discovered due to the reduced number of screenings that the new guidelines suggest. According to the numbers she gives, the mortality rate for breast cancer decreases every year and this decrease can be attributed to the previous screening guidelines. She writes that the USPSTF has based the new guidelines on statistics rather than clinical data and the message that they are conveying to the public is that the number of deaths that regular screenings at beginning at the age of forty is too small to keep the guidelines as they were previously. (6)
The best approach would be to keep the guidelines the way they were before the change. There was not enough clinical data to support the change in guidelines. Also, because the mortality rate for breast cancer has steadily declined with women following…… [Read More]
Community Health Promotion Project Design: Intimate Partner Violence
The special emphasis population at focus in this project is those who are affected by Intimate Partner Violence. The community agency that will be identifying and treating these individuals is the Public Health Department.
Primary Program Components
The primary components of the program described herein include the following:
(1) Assessment for intimate partner violence and training curricula to make sure that the program uses the most current best practices as they are emergent;
(2) Component for technical assistance and training for increasing local capacity for primary prevention of Intimate Partner Violence;
(3) A component for implementing, assessing and refining the comprehensive prevention program plan; and (4) A component for evaluation. (Connecticut Department of Public Health, 2009)
Conceptual Framework: Socio-Ecological Model
The Socio-Ecological Model has been chosen for this program because it "supports a comprehensive public health approach that not only addresses an…… [Read More]
While all of these do not exist in each behavioral change, but there are specific principles that must be applied for the behavioral change to be effective and long lasting.
One population-based application of TTM is quitting smoking, which is difficult for anyone who smokes, just as most cessation models are difficult. Creating an effective way to quite smoking for entire populations would save lives and millions of dollars in health care costs around the world. The model would need to reach a large number of smokers, it would need to develop reports and manuals to help the smokers during the five stages of intervention, and it would have to include follow-up for those who needed more help with the cessation process. It would also require assessment to the general good of the population, and assess which treatment methods were more successful (reactive or proactive). The results in the study…… [Read More]
The State Division of HIV/STD works with local health districts to provide Chlamydia screening to all adolescents receiving pelvic examinations at STD clinics, at family planning clinics or at prenatal clinics. Although the VDH does strive to test the male partners of infected females, the emphasis of the program is obviously slanted to screening and treating females. Women and girls in general are also more likely to seek medical care, for all ailments. The Division of HIV/STD of the VHS provides educators the resources "to counsel selected high-risk teens and locate contacts for treatment. This Division also collects and disseminates aggregate data on all reportable STDs in Virginia," although again this may, because of its focus on public health clinics, disproportionately emphasize low-income youth (Adolescent, 2009, VHD). "The Division also funds HIV prevention programs targeting youth. Programs include prevention education for at-risk communities and populations and 19 projects to reach…… [Read More]
Seniors have specific oral health needs. Meeting those needs requires an increase in personal hygiene, an improvement in lifestyle habits, and an increase in oral health service use. When these core needs are met, the specific oral health issues that affect seniors can be minimized, leading to improved health outcomes. Increasing personal hygiene requires shifts in attitudes toward oral health care, access to information, and access to affordable oral health care tools that are designed specifically for seniors. Lifestyle habits have a tremendous impact on oral health. Diet, smoking status, and drug and alcohol use are all factors that impact oral health. Accessing oral health services is difficult for many seniors. Some may live in rural areas where accessing oral health is physically difficult. Others may not be covered. In fact, most seniors do not have insurance coverage for oral health care. Not being able to afford oral…… [Read More]
Community Diagnosis: Pearland, Texas
The community of Pearland is an ethnically-diverse, growing community located adjacent to the thriving metropolis of Houston, Texas (PEDC, n.d.). The population for the community was estimated to be 93,305 in 2011, up by 2.25% from the previous year (Census, 2013a). By comparison, the U.S. population grew by just 1.67%. There are slightly more females than males (51.4 vs. 48.6%) in Pearland and the median age is 34.1 years. This represents more women on average and a younger population by 3.1 years than the rest of the United States. An estimated 97.5% of residents considered themselves to be of one race and these are: 49.8% White, 20.0% Hispanic or Latino, 15.2% African-American, and 12.5% Asian. Pearland is therefore a minority community.
In terms of immigration patterns, Pearland is equivalent to the rest of the country (Census, 2013a). An estimated 15.3% and 12.8% of the…… [Read More]
General Electric and Philips health care have persistently provided forward thinking technology that have paved the way to a safe and high quality of care to patients. They possess solid foundation and have become experts in the field of health care technology such as medical imaging, information technology, and patient monitoring systems. Both organizations focus on sustainability of health care systems and quality delivery of care to patients. In addition, both organizations strive to be the best within the industry in ensuring the delivery high quality health care to patients. In this paper, we investigate how both companies have survived over the past 10 years with the health care changes and a struggling global economy. Also investigated is how both companies have managed to sustain their quality, innovation, and safety while containing costs to health care partners so that a high quality of health care can be delivered to each…… [Read More]
incidence tuberculosis as an Urban Health issue among ethnic minority group in Canning Town, Newham Borough of London. Large scale incidence of tuberculosis (TB) has been a major concern for public health planners in the UK. The report is structured as follows to enhance a greater understanding of the TB rate in Newham and strategies to reduce the TB rates in Newham London.
First, the report explores the TB rates in the entire UK. Moreover, the report provides the rational the TB cases in an urban health issue since Newham is a part of London. Moreover, the paper provides overall urban health issues and their implications to urban residents. The paprt explores the TB incidents in London and narrow the incidents to the Newham in London. Moreover, paper compares the TB rates of all important cities in the UK to enhance a greater understanding of urban health issues. Finally, the…… [Read More]
Within this section of Chapter One, a historical perspective of NHS will be provided. This discussion will identify problem areas that have emerged in relation to NHS with an attempt made to address the manner in which such problems have historically influenced reform efforts.
With the passage and associated provisions of the NHS Act of 1946, NHS was implemented in the UK in 1948. The NHS Act of 1946 served as the means by which a pattern of health service finance and provision was established in the UK following World War II (Baggot, 1998). According to Baggot, on the basis of the Act, the principle of collective responsibility by the state for the establishment of a comprehensive health service system was introduced, allowing for the planned use of services by the entire population at no cost. It was also intended that equality of access to services would be…… [Read More]
Georgetown is the county seat of Sussex County in Delaware. Georgetown is considered part of the Salisbury, Maryland-Delaware metropolitan statistical area. It shares no boundaries with any major metropolitan area, as Georgetown is located in a rural region. It is known as the Deep South of Delaware because it is historically and culturally connected with the south (Georgetown Chamber of Commerce Business Directory, 2013). Georgetown is technically a town, not a city. According to the United States Census Bureau (2012), Georgetown has a total area of 4.1 square miles of land bring a total of 11 km2. As of the 2012 census, the population of Georgetown is 6,628.
Georgetown is divided into seven administrative departments that work in conjunction with the town manager to serve the needs of the community (Town of Georgetown, 2013). These seven departments include finance, administration, planning, police, public works,…… [Read More]
Marketing in Healthcare
Catholic Healthcare West
Catholic Healthcare West (CHW) is a not-for-profit healthcare organization serving parts of Arizona, Nevada and the majority of California. With 42 hospitals it is the largest Catholic hospital system in this part of the United States. The organization focuses its services upon the poor, who cannot afford private hospital services. Regardless, the aim is also to provide high-quality healthcare to those in need. The target market is thus the poor in the western areas of the United States.
Taking into account the size of Catholic Healthcare West, it should not be a problem to implement new services without a loss of either mission or customers. New services should however be implemented with the proper care to ensure that the focus remains as originally intended.
The service management strategy of CHW has always been collaborative. By collaborating with other groups who share the vision and…… [Read More]
In the future, this will improve quality and it will reduce the total number of uninsured. This is when productivity and the standard of living will improve by proactively addressing these issues while they are small.
To deal with any potential challenges left behind from the Affordable Care Act requires looking at alternatives which can be augmented with the law. The various options that are available include:
Enacting provisions that apply to immigrants: The figures that were examined earlier in the table titled Immigration Status and the Percentage without any Health Insurance Coverage. They are showing that naturalized citizens and non-citizens do not have any kind of health care coverage. Inside the group of non-citizens are illegal immigrants. According to the Pew Foundation, they determined that the total number of illegal immigrants among this group is accounting for 28% of the population. (Lee, 2012)
Moreover, the Department of Homeland…… [Read More]
In 2004, Arizona's Proposition 200 wanted state and local governments to verify the identity and immigration status of all applicants for certain public benefits, and to require government employees to report violations (Wood pp). Attitudes about the problem have hardened in recent years in some states, both out of concern about the economic impact, particularly in a time of slow job growth, and out of concern about the security threat posed since 9/11 (Wood pp). The concern over illegal immigration has intensified as the federal government has shifted more of the cost and control of welfare benefits to the states, further burdening state budgets (Wood pp). Some anti-immigrant groups say illegal immigrants siphon more than $1 billion a year in social services from the Arizona treasury, roughly $700 per family in the state (Wood pp). Ira Mehlman of the Federation for Immigration Reform, says, "Arizona has a serious problem on…… [Read More]
community's access to health care technology and determine how that access (or lack thereof) affects your community economically. 2) Assess your community's demand for health capital and determine the factors contributing to the level of demand that you find. 3) Assess your community's demand for health insurance and determine the factors contributing to the level of demand that you find.
The learning objectives of this research paper are: 1) To identify factors which influence the production of health care services. 2) To apply the use of technology and information resources to investigate issues in health economics. In addition to these learning objectives, this research paper will review the factors which limit the production of health care services in the High Point, Guilford County region of North Carolina. The factors which limit access to health care from the health care clients perspective will also be explored.
The practice of health care…… [Read More]
This is not the way it should be; people should not have to choose between what is best for themselves and what is best for the people they love because an insurance company is standing in the way of their lives. People have the right to health care and the right to be the healthiest that they can be, whether that health is given through medical visits or through sustenance. A universal health care system would ensure that every citizen has the opportunity to receive the best care possible so that they can live and healthy and long life no matter how much money they make and what job they have. Health care is not something that is negotiable in a country as wealthy and developed as the United States.
Universal health care would improve the health of the people of the United States and would ensure the health of…… [Read More]
3%) are very satisfied with their health care services, compared to only 41.5% of Canadians; a lower proportion of Americans are dissatisfied (6.8%) than Canadians (8.5%).
Atlas (2009) acknowledge that Americans have much better access to important new technologies like medical imaging than patients in Canada or the U.K. Maligned as a waste by economists and policymakers naive to actual medical practice, an overwhelming majority of leading American physicians identified computerized tomography (CT) and magnetic resonance imaging (MRI) as the most important medical innovations for improving patient care during the previous decade (Fuchs & Sox, 2001). This is justifiable in the presented table showing the most important recent medical innovations, below. Hence, Atlas (2009) claim that the United States has nearly 27 MRI machines per million compared to about 6 per million in Canada and Britain.
According to" The U.S. Health Care System as an Engine of Innovation," 2004 Economic…… [Read More]
Therefore environmental studies are of great importance to public health .the air we breathe, water that we drink, and the interaction which is complex between humans and the surrounding. Environmental studies help us understand how the build as well as the natural environment can influence the health of people in a community. It also helps us understand how the risk factors that cause certain diseases can be reduced. The environmental; risk factors can lead to development of diseases such as cancer, asthma and food poisoning. Due to incorporation of chemistry, engineering and toxicology in environmental studies there can be combined expertise that will help in answering public health related questions. Environmental health which is a discipline of both public health and environmental studies can be divided into various aspects like water quality, noise control, air quality, food protection, management of solid waste and so on. All these are important aspects…… [Read More]
AMERICA'S HEALTHCARE REFORM
Your Chosen Title
The overhauling of America's Health Care Systems has been a highly debated topic because it affects the quality of life, of virtually all residents living in America. A large portion of America's budget is spent on the healthcare system, however many Americans live day-to-day without healthcare coverage or medical insurance. It is surprising to know that although Americas has one of the strongest economies in the world, it lacks in this area. This resonates in the minds of many troubled Americans, who find themselves in serious economic problems due to their inability to provide healthcare coverage for themselves and their family.
Members of government and of the political arena understand that a demand exists, this demands is one that calls for healthcare coverage for all in America. In March 2010 congress responded to this demanded passed what is known as The Patient Protection and…… [Read More]
The problems facing Medicare recipients and the federal government almost seem to be overwhelming. There are proponents of a plan to privatize Social Security and health insurance, placing the onus on the individual to pay for his own health care through savings specifically for this. Some others would have the program go through the private HMOs who have, in the past, contained the costs of care by having primary care physicians manage a patient's care and purposely keeps the costs of care down.
As with Medicaid, the recipients of Medicare would have difficulty obtaining health care without this program. The recipients would most likely have no other health insurance. The trend being what it is, a lot of individuals retiring today are fortunate to have pensions from their companies, much less health benefits. Without a national health insurance plan, like Medicare, those individuals would have to pay for health care…… [Read More]
0, 4.0, and 4.5 percentage points in FYs 1982, 1983, and 1984, respectively, for States whose growth exceeded certain targets, OBRA-81 also reduced eligibility for welfare benefits, thus making it harder for poor families to qualify for Medicaid (Klemm, 2000). The legislation of this era began to weaken this link by specifying eligibility criteria based on income in relation to Federal poverty guidelines. In 1991, spending controls were established, provider donations were banned, and provider taxes were capped. As a result of the mandates of the previous era, the recession, and other factors, a great deal of pressure was placed on already strained State budgets, most of which were running deficits by 1991 or 1992. Increasing Medicaid caseloads (average annual growth of 12%) and mounting expenditures prompted some States to turn to alternative financing mechanisms, which relied on disproportionate share hospital (DSH) payments, combined with the use of provider donations…… [Read More]
The most controversial aspect of the plan was the proposed national health insurance plan. In the November 19th address, President Truman called for the creation of a national health insurance fund, to be run by the federal government. This fund would be open to all Americans, but would remain optional. Participants would pay monthly fees into the plan, which would cover the cost of any and all medical expenses that arose in a time of need. The government would pay for the cost of services rendered by any doctor who chose to join the program. In addition, the insurance plan would give a cash balance to the policy holder to replace wages lost due to illness or injury (Truman Library).
Obama's Universal Healthcare Proposal
The Obama-Biden plan provides affordable, accessible health care for all Americans, builds on the existing health care system, and uses existing providers, doctors and plans to…… [Read More]
Attorneys, however, note that the suits are reflective of an increase in negligent doctors, who are hard pressed to serve a larger and more demanding patient load. Medical care is more costly and it is true that doctors fail to establish bedside relationships with their patients. Others point out that problems lie at the door of the insurance industry and management of hospitals (Committee, p. 1).
Because we discovered the problem in time, Mr. Jones was able to apologize and explain to the patients affected concerning the true nature of his outbursts. They did not have to pay for their treatment and none of them brought lawsuits against Mr. Jones or the hospital. We retained Mr. Jones, but advised him to notify the management if it appeared that there might be future outbursts. It is true that hospitals are much more diligent today because of risk management practices. Because of…… [Read More]
Conflicts of interest abound in healthcare, presenting major ethical and legal problems. With the exception of insurer-owned healthcare institutions, hospital owners and insurance providers often have competing or conflicting interests. For the most part, though, managing costs is a tremendous concern for both parties. Hospital owners or administrators might be driven more by issues related to overall patient outcomes, human resources management, and organizational culture, whereas insurers frequently seek methods of denying care to better manage their own costs and promote profitability. Insurance companies are generally more transparently profit-driven, with healthcare institutions sometimes claiming to be driven more by the motive to provide care to patients at whatever costs. However, ethically motivated healthcare institutions are becoming less common in the United States as purely for profit institutions have come to dominate the healthcare landscape (Grey, 1986). Healthcare administration education programs have failed to provide competency measures ensuring that the leaders…… [Read More]
An electronic health record (EHR) is a person's authentic health record that is shared among various agencies and offices (Hasanain, 2014). The role of EHRs is getting to be expanding persuasive as progressively tolerant data winds up computerized and bigger quantities of customers express a need to have portable access to their health records. It is an electronic form of a patient's paper record. EHRs offer the upside of making data about patient consideration accessible, in a protected way, to numerous approved clients (Kierkegaard, 2019). In spite of the fact that EHRs change in content and usefulness, they are regularly intended to incorporate the therapeutic and treatment accounts of the patient, just as the patient's findings, meds, vaccination dates, radiology pictures, and lab and test results, among other data. EHRs can possibly coordinate data from various sources and give a progressively thorough perspective on patient consideration despite the fact…… [Read More]
Promoting Positive Health Behaviors
Evaluating the Every Woman Matters program and other cancer screening programs
Cancer rates continue to escalate in the U.S.: cancers of the breast, cervical, prostate, and colon are on the rise and despite improvements in screening and treatment, early detection efforts must be improved to reduce healthcare costs as well as to promote healthier lifestyles. Particularly amongst the very poor, screening for cancers is problematic. Often there is a lack of education and access to venues for screening and the poor do not have the financial resources to take time off from work to see physicians for non-emergency care. With these factors in mind, a number of pilot programs have been instituted to expand access to cancer screening for high-risk populations.
Every Woman Matters (EWM)
The Every Woman Matters program was designed to improve the health of low-income woman through increasing access to breast and cervical…… [Read More]
This research applies to elderly patients primarily that hold strong beliefs about certain healthcare practices. The researchers concluded that information about colorectal procedures needs to be presented to patients in a culturally sensitive manner. This information could be applied equally well to other culturally diverse populations even though the population sample is relatively small. This research also helps the nursing practice by suggesting new avenues for education and patient care delivery in the future. This research article would benefit from additional or lengthier analysis of the literature to support the conclusions drawn from the researcher, based mostly on the small sample size used in the survey.
Colon cancer screening among older caregivers - Article 3
This article discusses colorectal cancers among older women. The purpose of the study is to describe participation in cancer screening among older women whose mean age is 65 years who are primary caregivers for a…… [Read More]
Hughes, A., Watanabe-Galloway, S., Schnell, P., & Soliman, A. (2015) studied the differences in colorectal screening between rural-urban in Nebraska. Their investigation into the reasons behind this gap indicated a few differences, some of which were not of the expected variety. The authors found that rural residents were more likely to believe that colorectal cancer cannot be prevented, and thus they did not feel screening was worthwhile. A higher percentage of rural residents also indicated that cost was a barrier, as well as things like perceived embarrassment, perceived unpleasantness were indicators found more frequently among rural residents. The study indicates that there are definitely some cultural factors that speak to the rural-urban divide. However, they also found that people with a personal doctor had a higher rate of receiving screenings. This indicates that physician density can also play a role – people without a doctor are more likely to not…… [Read More]
Cancer and Women’s and Men’s Health
Cervical cancer is a kind of cancer that takes place in the cells of the cervix, which is basically situated in the lower part of the uterus that links to the vagina. It is imperative to note that different strains or forms of the human papillomavirus (HPV), a sexually transmitted infection, have a role to play in giving rise to a great deal of cervical cancer.
Available Preventative Services
The United States Preventive Services Task Force (USPSTF) gives the recommendation of screening for cervical cancer in women between the ages of 21 years to 65 years with pap smear for every three-year period. It is also recommended for women between the ages of 30 and 65 years who wish to prolong the screening period, and therefore screening with a mixture of cytology and human papillomavirus testing for every five-year period. In the same manner,…… [Read More]
Gordon's Functional Health Pattern (Teen)
Adolescent Summary - Gordon's Functional Health Pattern
Date of Visit: 8/31/2012, 10:30am.
Race/Gender Hispanic, Female
Weight: 34 kg.
Height: 4ft. 7 inches
BMI: Normal Range 16.6 kg/m2
Reason for Visit: Evidence of exasperated asthmatic conditions. (Not an acute asthma attack). Became overexerted at school, 8/30/12. Restless night and complaints of tightness in chest and inability to catch breath. Slight wheezing can be heard during exhales. Potential asthma complications; albuterol has proven slightly ineffective in easing symptoms and discomfort.
Financial History: Patient is fully covered under parent's insurance. Mother works; serving as informant and escort to physician. Single parent household.
Past Health History: Patient is fully immunized and receives all routine health and wellness physicals and exams as appropriate. Last physical exam 5/30/2011, prior to beginning of summer camp. History includes struggle with exercise-induced asthma (albuterol use via bronchodilator).…… [Read More]
" (O'Malley, 190) The basic argument is that there is a certainty of a relationship between low-income and diminished health standards and treatment opportunities. Thus, the close association between low-income and the African-American race has a direct bearing on the severe disparity in racial vulnerability to breast cancer.
As stated, this is also often because those in races tending toward lower income will often not receive proper screening and, if even possible, will be forced to undergo a treatment with its own health risks. Upon diagnosis, primary treatment is centered on chemotherapy, which uses traditional radiation methods to attack the cancer cells leached to one's system. Additionally, where tumors are present in the breast, a surgical procedure called a mastectomy will be performed. The mastectomy is generally considered the first choice in attacking a tumor in the breast and is effective in cases where detection occurs early enough. It is…… [Read More]
Public Health Inconvenient Truth
The article describes the public health sector as an institution that was established with altruistic motives, while businesses are considered as profit-oriented. This presents a ground for skepticism on the part of the public health sector, especially to protect the financial interest of its clients/beneficiaries. However, considering the current hike in the cost of care and health research, the public health sector may no longer resist such a partnership due to the observed need for financial support available through businesses (Majestic, 2009). This expected partnership between the two bodies is also seen as slightly mutually beneficial. The public health sector gets the funding it needs, while businesses get top/priority medical considerations for its staff and an improved public image. However, sharing of other resources or brand promotion in favor of the public health system is not usually inclusive of such partnerships (Majestic, 2009).
Changes…… [Read More]
Information Systems in Health Care: Personal Health Records
Information systems in health care are critical to processing and storing data related to patients and patient services, which in turn ensures that safe, quality care is provided to every patient (Heeks, 2006). One area that needs focus among health care providers is the area of the personal health record (PHR), as Kahn, Aulakh and Bosworth (2009) point out: a gap exists between what patients receive in terms of their personal health information and what they expect and want. The ideal personal health record is one in which the digital application is easily used by patients to help them manage and maintain their health information in an accurate, secure, private and effective way. (Health IT, 2013). The PHR should be managed by patients so that they can store data from multiple sources, such as their health care providers or themselves; it…… [Read More]
When creating a risk management plan for a government program a number of important (even crucial) steps must be taken. In this paper a review of those steps is presented. Also, interventions which are important for improving healthcare are presented. Hence, this paper should serve as a five page report to the city council.
The simple, straightforward definition of needs assessment is as follows: project leaders and developers must know in advance what resources are necessary -- are vital -- for the completion and success of the program. In other words, needs assessment relates to that time, what financial commitment, what staff and what other tools and resources will be necessary in order to have a program that is functional and purposeful.
Because needs assessment and project management go hand in hand, the project managers working on a new program have a practical goal of making…… [Read More]
Blog: Place Within Populations
Blog -- Place Within Populations
How individual and community social behaviors and responses to the physical environment alter, disrupt, impair and/or damage the ability of human physiology to fight infectious diseases. The following concepts will be explored: drug resistant microorganisms, herd immunity, and re-emergence of vaccine preventable diseases, genetic susceptibility of some populations.
The idea that individual and social responses to the environment can impact human health, particularly with regard to the ability to fight off infectious disease is not new. As far back as the 1800s when John Snow connected an epidemic of cholera to sewage in the Broad Street pump, epidemiologists (as they are now known) have been making connections between behavior, environment, and disease. Some variables influence public health through policy rather than through medical practice. The public health system has labeled phenomena such as these social determinants of health (SDH). The World…… [Read More]