Healthcare Essays (Examples)

Healthcare
Health Care Law Ethics

Health care over the years has become one of the most important debates to take place within the United States of America. This fact holds particularly true for the major part of the Obama Administrations whose New Health Care policies has been criticized extremely (Zhi Qu, 2010). The world, however, is still waiting for the final curtain to rise and to witness the climax which would be a while since the complete form of the plan will be implemented in the year 2014. The full effect of the Bill therefore is still something that will be witnessed in the near future but that doesn't mean that the criticism with regards to the bill is going to subside anytime soon.

The Center that has been presented in this situation, which functions under the heading of "The North Florida Women's Center" has been defined as a not for profit organization…

Healthcare Issues, Systems, And Policies
America, once the global leader in the health of its population and among the nations with the highest quality and most readily available healthcare services, has now fallen behind almost twenty other countries, including some that only became industrialized in the last third of the 20th century, and with substantial assistance from the United States. While most other so-called "First-World" nations have already embraced several fundamental concepts that appear to be the most efficient trends in modern healthcare delivery, the U.S. is still mired in problems associated with the failed model that is responsible for the continuing decline of healthcare quality (on the scale of entire populations), availability, and (especially) affordability. That is not necessarily completely, but largely, a function of a systemic failure in contemporary American politics: private-sector lobbying of elected public officials who actually write legislation.

Population Growth and Demographic Issues

With respect to the relationship…

Health Care
As human beings, our health and longevity have never been better. Many people today live to 100 years and beyond, and often in good and active health. One of the major reasons for this is better health care and more access to health care for more people. On the other hand, however, many people do not have access to the same health care services as others. Often, the main barrier is funding. In many cases, people cannot afford a certain level of health care because of its rising costs. Others cannot afford the insurance levels required to cover their health care needs, often with fatal consequences. The major challenge here is that officials need to recognize that human beings all have certain rights. Indeed, surely the right to life should be among the rights to pursue happiness and the like. Health care goes hand in hand with this. Because…

Healthcare Economics
Overall Healthcare And Economics

Healthcare economics: Current challenges from a nursing perspective

Although the subject of healthcare economics has been hotly-debated, on one issue there is widespread agreement: the aging of the population will substantively increase the demand for healthcare in the near and far future. As the population worldwide is aging and living longer, the need for essential services over a longer lifespan will generate more costs for an already-beleaguered healthcare system. "Just under a decade ago, senior citizens accounted for only 12% of the American population, according to the U.S. Census Bureau. By 2050, that figure is expected to grow to 21%" (Can the U.S. meet the aging population's healthcare needs, 2013, Wharton). A larger percentage of the population will thus be on Medicare, the federal government insurance program for the elderly -- which tends to compensate physicians at a lower rate of reimbursement than private plans. Demand to…

With that in mind, even more changes will be coming to the planet in the near future. Even within the next 10 years, those changes are going to become more obvious and the health of people who are ingesting these chemicals and modified foods will likely begin to decline. When that gets coupled with the obesity epidemic, there will be a generation that will not live as long as their parents did (Simmons, 2009). This will be the first time that has happened, and obviously is not the way the U.S. population wants to go with longevity numbers and health issues. It is possible to make changes to avoid these kinds of problems, but so far nothing is being done to make those changes and soon it will be past the time to do anything differently.
Technology is highly important in health care, and will continue to play a role…

Health Care Professionals
Healthcare professionals

The paper is based on the healthcare professionals. It starts by analyzing the reasons why there may be physician shortage rather than a surplus in the United States. The paper as well analyses the factors that contribute to the nursing shortage in the U.S. And the roles of health professionals within the health care system. Lastly it covers the roles of a health service administrator within health care system of U.S.

There are various reasons why there may be a shortage of physicians rather than a surplus in the United State: In 1990s the main concepts was that physicians were to be trained in numbers that were much greater than the demand for medical care in the U.S. could support. Mixed reaction came from different corners, as majority recommended cutting down of about 20 to 25% of the physician-generating capacity of the country, a section of researchers warned…

Healthcare Information Technology
Electronic Medical ecord:

User friendliness is among the significant factors- probably the most essential factor- hampering extensive usage of Electronic Medical ecord EMs in respiratory therapy within my organization. User friendliness features a powerful, usually direct connection with my organization's efficiency, error level, operator exhaustion and operator satisfaction- are all essential elements for EM usage. Moreover, within my organization, it's been observed that efficient coaching and execution techniques impact user adoption of EM rates also, but coaching is both tougher and much pricier, and execution is a lot more complicated and challenging when user friendliness is missing. It has proven challenging for espiratory therapists to gauge EM user friendliness as part involving the purchase procedure for a number of factors. Correct evaluation by buyers has resulted in-depth research inside our organization utilizing new abilities (HIMSS, 2009).

Two Organizations:

SAMHSA has worked to improve use of health information technologies (HIT) to ensure…

Health Care Information System
The study looks into the importance of health care information system and its latest innovation system. In this paper, I also analyze various innovated health care system which improves the delivery of services to patients. IT further looks at the case study of hospital or clinic which already using the said system. In this case the study looked at Brigham and Women's Hospital, and its pros and cons, then make a recommendation to the community health care management for adoption.

Information Technology (IT) is the best avenue, with a great potential to improve quality, safety and efficiency of Health care in the community. However, Health care information system (HCIS) can be defined as the gathering of programs and procedures, which can enable data entry, storage and the use of health care and administrative data about the patients, health care workers, health institution and other institutions connected with healthcare…

Health Care Systems
Over the last several years, America's health care system has been undergoing a tremendous amount of changes. At the heart of these transformations is the role of the federal government in regulating the delivery of various services. For some this is troubling, as it will lead to a larger form of socialized medicine. This is when consumers will have less choice and the underlying quality will decrease. While others think that the government can protect consumers and negotiate lower prices for everyone. These contrasting views are highlighting how America's health care system is a combination of government and private entities working together. To fully understand what is taking place requires looking at: the definition of the health care system, the impact of beliefs / values, providing examples of models for health care delivery and explaining how these areas are used in the U.S. Together, these different elements will…

Health Care Disparities ace elated
Healthcare disparities

Serial number

Socioeconomic status and health

Correlation between socioeconomic status and race

Health insurance and health

Who are the uninsured people?

Causes of health care disparities

Suggestions for better health care system

The latest studies have shown that in spite of the steady developments in the overall health of the United States, racial and ethnic minorities still experience an inferior quality of health services and are less likely to receive routine medical testing which contributes to disease and even death. This research paper will seek to answer the question as to why there is race related disparity in health care and what we can do to improve the health care for those affected due to their race.

Health Care Disparities ace elated

esearch Methodology:

A comprehensive survey was conducted in both public and private sector of the United States health care system in order to examine the public opinion about the racial disparities in the…

Health Care
One of the most contentious social issues in the United States today is the debate over the responsibility of the state to provide basic health care services for its people. Normal Daniels argues that "if social obligations to provide appropriate health care are not met, then individuals are definitely wronged. Injustice is done to them." The essence of Daniels' argument is correct. This paper will extend Daniels' argument using philosophical tradition. I believe that there is a social obligation to provide appropriate health care for people.

Plan

In this essay, I will summarize Daniels' argument, lend it support using a range of philosophical traditions and will address the most critical counterargument against the provision of health care by the state. Daniels' argument can be rooted a utilitarianism or deontological ethics with equal strength. His proposition that libertarian philosophy also supports universal health care is weaker, and indeed the libertarian case is…

Healthcare System of Norway
Health Policy of Norway

Analysis of Health Policy

Pressures on Health Care Delivery

High Cost

Ageing Population

Increased Diseases

Waiting-time Prioritization

The healthcare systems are developed to provide necessary healthcare facilities. It is also aimed to maintain health of their citizen in compliance with the state and international regulations. Norway is considered as one of the country, holding prominent place in global economy as well as growth rate and per capita income (Pontusson2011). It is also observed that the country is also similar to other states in Scandinavian region governed on the principles of a welfare state. In such context the importance of healthcare policies and systems is increased. The research is focused to investigate the policies, regulations, and healthcare system of Norway. The impacts of these polices are also reviewed in analysis and discussion sections. Finally the conclusion is formulated on the basis of secondary research.

There are two major healthcare system used in…

Healthcare Spending
The United States Health Care System is probably the worst organized system. It expends double than other developed countries on health care system but face worse outcomes. The Government is running healthcare programs but still lagging behind the rest of industrial world. The healthcare expenditures are rising year by year with no significant outcomes.

Current National Health Expenditures

The national health care expenditures of United States have increased at an alarming rate since the past decade and it is still growing at a rate of 10% every year. According to the recent statistics, U.S. expend more than any industrial country on healthcare systems that is about $2 trillion or $8,000 per person but still unable to provide quality health care. These expenditures accounts 17% share in Gross Domestic Product (GDP) and it is expected to reach at 21% by 2020.

According to the report of Organization for Economic Corporation and Development (OECD),…

Health Care in the U.S. And Spain
What Can the U.S. Learn About Health Care from Spain?

In 2009, Spain's single-payer health care system was ranked the seventh best in the world by the World Health Organization (Socolovsky, 2009). By comparison, the U.S. health care system ranted at 37 (Satiroglou, 2009). The Spanish system offers coverage as a right of citizenship that is constitutionally guaranteed. Spanish residents pay no expenses out-of-pocket, with the exception of a few select services. They do pay for drug costs themselves and many complain about long waits to see specialists to get certain procedures. However, on average the Spanish health care system ranks better than that of the United States in many categories. Almost everyone is an agreement that the U.S. health care system is in need of serious reform. However, deciding exactly what these reform should be as a point of contention among providers, lawmakers, and…

787,000 young Americans were added to the population of insured individuals, indicating a concentration on resource penetration in this specific population subset.
Administrative Impact:

The administrative implications of the Affordable Care Act are considerable and revolve mostly around the enormous undertaking of extending health coverage to a far wider number of Americans. In the text provided by Collins, we are given a sense that the primary objective of the Act is to provide public support for coverage to those currently disenfranchised by healthcare costs. Collins indicates that "the law's most significant coverage provisions will begin in 2014, with a substantial expansion in Medicaid eligibility that will cover adults earning up to 133% of the poverty level, or $29,726 for a family of four, as well as subsidized private coverage, available through new state insurance exchanges, for families earning up to 400% of poverty, or $89,400 for a family of four." (Collins,…

Healthcare Finance
Efficiency and Effectiveness: Three Perspectives

Define and describe efficiency and effectiveness. hat are the differences between efficiency and effectiveness? How can a healthcare organization use this information?

Efficiency refers to the accomplishment of a task or a set of tasks in the most economical fashion, both in terms of time spent and resources utilized. By contrast, effectiveness refers to the ambition of achieving the best possible results from completion of a task or a set of tasks. hat they have in common is that they are both critical dimensions of the provision of healthcare. However, there may be some imbalance in how they are applied.

This is shown in an article by Treven (2012) which indicates that some healthcare practitioners view effectiveness and efficiency as being at odds with one another. According to Treven, "the author of a recent NY Times opinion article, Gilbert elch, argues that we are not putting enough…

Health Care Industry
In the last 10 years, health care has changed dramatically. Technology has taken over in many ways, and a lot of doctors now have their patients' records all stored electronically (St. Sauver, et al., 2013). While convenient, there are risks. Another way health care has changed over the last decade is through the survival rates for things like cancer and heart disease (Tulenko, 2009). These are still serious and life threatening illnesses, but many more people are living through them today because of the advances in treatments, medications, and technology that have made it easier to prevent and treat specific diseases and conditions. It is fascinating to see how well something can be addressed today that only a decade ago might have been a diagnosis with little to no hope attached to it. Doctors and nurses play big roles in health care, but there has also been a…

Health Care Teams and Collaboration
Delivery system of a health system depends on numerous interfaces and multiple practitioners. There are different health care practitioners in a health care institution depending on their field of practice and their level of education. During a four-day period in a health care institution, a patient may have a chance to interact with 50 different employees of the institution. These employees are nurses, physicians, technical staff and others. For efficiency of nursing practice, critical information communications need to be accurate and precise. Therefore, this means that team communication and collaboration are essential. If teams in a healthcare organization do not communicate, the patients are at risk of injury or death due to poor care (eeves, Zwarenstein & Goldman, 2009). Lack of a clear communication structure in the institution may result to medical errors. A medical error may occur because of lack of critical information or misinterpretation…

Definition and Description of the Issue Health policy and immigration policy are interconnected, as attitudes towards immigrants—especially those who are undocumented—have impacted the substantive content of healthcare policies like the Affordable Care Act. Similarly, immigration policies have been influenced by real or imaginary threats immigrants may pose to public health or public health spending. Political and economic expediency guides both health and immigration policy, whereas frontline healthcare workers including nurses have a direct ethical and professional responsibility to patients regardless of immigration status. Effective public policy blends the ethic of duty to care with an honest evaluation of budgetary constraints and evidence-based practice. As much as possible, immigrant-related health policy ignores emotionally laden and fallacious rhetorical arguments.
Background
Since the nineteenth century, healthcare and immigration policy have been inextricably linked. New immigrants have been blamed for public health problems and for burdening the public health budget, and have also been labeled as being…

A healthcare organization has both formal and informal structures that occasionally conflict with one another. Formally, this healthcare organization is approaching that of a service line. It is flatter than a traditional hierarchy, with several of the bureaucratic layers removed. Yet there is a senior leadership team with official, formal authority, presiding over different departments and work groups. Wadsworth (2017) in fact recommends a similar organizational structure and design for focused healthcare organizations like this one, in which performance metrics need to be integrated with issues like billing and reimbursements, patient satisfaction data, marketing, and human resources. There are some ad hoc elements to this organization’s planning procedures, but generally the service line design does help the eldercare institution achieve its goals and objectives. As a service line structure, the healthcare organization has both centralized and decentralized decision-making processes. Some key decisions are centralized, with little if any input gleaned from…

Part 1: Describe the role of analytics in healthcare. How does HIT support or hinder this?
Thanks to today’s advances in technology, the relevance of analytics in healthcare cannot be overstated. As a matter of fact, Cornelius (2015) points out that “advances in technology have enabled the medical community to generate and capture more data than ever before” (p. 95). In essence, analytics in healthcare has got to do with the utilization of the available (and relevant) data, i.e. patient data, to derive meaningful as well as actionable insights. The said data is often obtained from EMRs/EHRs.
In basic terms, it is via analytics that both structured and unstructured data is transformed into information that is not only meaningful, but also useful as far as the further enhancement of the efficiency of services offered in a healthcare setting is concerned. In the final analysis, therefore, analytics come in handy in the organization of…

EHR SYSTEM Health Care Data
Situation: A healthcare institution that makes use of an enterprise EHR system having multiple interfaces to other health information platforms.
Part 1: The kinds of data that would be kept in each system
There are various forms or types of data that would in this case be kept in each system. This would include patient management data, clinical data, laboratory data, billing data, etc. In essence, patient management data has got to do with not only the registration as well as admission of patients, but also the relevant discharge or transfer reports/statements and statistics. On the other hand, when it comes the clinical data, of essence would be data relating to clinical decision support. Next, laboratory data would be inclusive of feedback from lab machines. It is important to note that in this case, lab machines could be integrated with orders and billing to further promote and enhance utility.…

Healthcare ProposalAbstractSocioeconomic status and high prices of healthcare insurance premiums are some of the critical factors that define the way US citizens are covered. However, a large subgroup of the population remains uninsured, particularly those who live in remote or rural areas or do not fall under the age categories of Medicare or Medicaid programs. This paper aims to put forth a new legislation proposal with changes in the terms that cater to addressing the disparities in health coverage, insurance paying alterations, cost-control tactics of the physicians, and vast integration of telehealth mechanisms for maximizing healthcare access. These reforms are expected to reduce discrimination against social class and area of living with greater network adequacy standards and fill gaps for upgraded economic growth.Keywords: Healthcare insurance coverage, premiums, Medicaid, Medicare, social class, remote access, telehealth, cost-control by physicians, legislation proposal, network adequacy standardsHealthcare ProposalGood healthcare needs to be free of discrimination…

Regulation of food and drug safety is such an accepted part of Americans’ daily lives, it is easy to forget that people did not always enjoy this security. The 1906 Pure Food and Drug Act regulated the types of drugs which could be legally sold in the United States as well as prohibited food tampering and adulteration (Glass 2014). The Act’s passage ensured that proper testing is necessary to show that drugs are both safe and effective. Today, the process by which drugs are approved by the Food and Drug Administration (FDA) remains controversial. Many scientists allege that the process is too easy, particularly when trials are sponsored by powerful pharmaceutical companies. While the 21st Century Cures Act was designed to streamline FDA approval, its critics have alleged that it will “weaken already weak rules for device approval that have led to thousands of complaints” (Loria, 2016, par.32). Even before the passage…

AbstractRemote patient monitoring devices have become more convenient and effective in administering health care in the US. The technique is of great value for the patients and the healthcare practitioners as it appears to focus majorly on reducing healthcare costs by use of technology. However, one of the challenges with the current Remote Patient Monitoring technology is the unapproved accuracy of the devices used. Recently, at least five Remote patient monitoring devices have been launched to improve home-based patient outcomes. Some of the devices include Continuous Glucose Monitoring Device, MitraMicro sampling Device, Affordable surgical robots, AI-powered wearables, and Remote heart monitoring device. At the conclusion, there is a recommendation that organizational and clinician competency should be evaluated and enhanced to guarantee quality care, organizational change, and integration of missions.IntroductionTo experience improved patient outcomes and a significantly reduced cost in healthcare, most US healthcare systems adopt remote patient monitoring (RPM) technology.…

Introduction Healthcare is becoming progressively more complex. There are numerous areas within health care that demand change in everyday healthcare practice. Nonetheless, it is the onus of the medical providers to deliver high quality care and make a significant different in the general well-being and health of every individual they provide services to. In the contemporary setting, patient-centered care is at the heart of healthcare. Nurses are obligated to adhere to healthcare policies and standards. These take into account decisions, plans, as well as actions that are established and undertaken to accomplish specific health care objectives within the society. Every health care professional is responsible for considering the appropriateness of applying them in the setting of any certain clinical circumstance or situation The main objective of this paper is to analyze a case study of a 2nd year nursing student on her Professional Experience Placement and consider her actions through the…

Evidence Based Practice (EBP) and the health care in US hospitals The concept of EBP is founded on the evidently sufficient research on how to safely handle health conditions such as heart failure, asthma and diabetes among other conditions. The challenge however is, even in the face of the numerous research conducted which focus on the patients, there is still a wide gap between research and the implementation. This gap is what EBP seeks to address with the ultimate aim of making health care safe and efficient for the patients. By putting into practice what has been research, a significant impact can be made in the life of the patients as has been the history and practice of nursing from the times of nursing practice pioneers such as Florence Nightingale. In a nutshell, EBP is the judicious and contentious utilization of the current best evidence in conjunction with patient values and…

Healthcare Disparities: Minority Populations Introduction
The United States is a major world power and a major industrialized nation. Despite this fact, its healthcare system does not provide universal access to care, in stark contrast to most other affluent world powers. Some citizens have access to highly comprehensive insurance through their employers while others do not. Certain low-income individuals qualify for either subsidized insurance through the Affordable Care Act (ACA) or for Medicaid, the state-administered healthcare insurance program for the poor that is partially federally funded. The disparate ways in which healthcare insurance is provided in the United States often results in highly disparate allocations of care to individuals. But even when patients have insurance, cultural, linguistic, and psychological barriers can further exacerbate equal access to care for minority populations.
Definition
The existence of healthcare disparities in the United States has been well-documented. Not only are certain illnesses such as diabetes and heart disease more…

Until roughly around the 1980s, the United States remained at the forefront of healthcare by most metrics such as life expectancy and infant mortality. From the 1980s onward, most population health statistics have declined considerably to the point where Americans live shorter lives than those in much poorer countries like Greece, Cuba, and Chile (Galea, 2017). Yet healthcare spending remains exorbitant, with Americans by far outspending their counterparts around the world. The reasons why American health has declined is due to a number of interrelated contextual variables. The healthcare system itself is not to blame; it remains among the world’s best and most advanced, with truly remarkable tools, technologies, and techniques at the disposal of most Americans. Sure, poverty and affordable healthcare remains one of the most significant barriers to achieving population health goals, but America’s failing bill of health is also related to broader social and political issues. The…

African Americans: State of Health Compared with National AverageAfrican Americans suffer significant health disparities when compared with their non-Black counterparts. According to Chinn, Martin & Redmond (2021), health equity among African Americas has suffered because of institutional and individual racism and discrimination, both in terms of socioeconomic discrimination in employment and education, and also because of healthcare provider discrimination, as providers may give insufficient weight to higher risk factors for this demographic in areas such as heart disease, stroke, and even mental health issues.This is particularly manifest because of a long history of African American mistrust of the healthcare establishment, perhaps most notably exemplified in the Tuskegee Syphilis study, whereby participants were denied appropriate healthcare treatment for the sexually transmitted disease, against their knowledge, but also as well as statistics which indicate higher postpartum mortality among Black women, up to four times more than their white counterparts (Chinn et al.,…

Introduction The advent of advanced communication technology platforms such as smartphones and social media sites has made global communication fast and effective. Seamless flow and exchange of information has been quite fundamental in the growth of business, consumer insight about various products available in the market etc. Generally the innovations in communication technology have had a serious impact on every sector of the economy including healthcare, manufacturing, sales, government etc. Close to 74% of the people who access and use the internet and 80% of the people who use social media sites actually use the platforms to research about medical information, news, hospitals, and doctors (HCP, 2018). The social media is a powerful communication tool on general healthcare. It is impactful in the creation of professional networks and in the sharing of experiences. This said though giving and sharing excessive information through social media platforms may cause devastating consequences on employees…

Healthcare management often entails resolving communications crises and disputes. For a hospital to operate efficiently and effectively, the organization needs to cultivate and maintain harmonious relationships between governance, medical staff, administrative staff, and boards of trustees. Often it seems like these disparate stakeholders are pulling in opposite directions, but nothing could be farther from the truth. When all members of the organization are on the same page, they can work together to achieve common goals. Often the job for the administrator is to discover the common ground between disparate members of the organization and work hard to ameliorate tension. The factors that can contribute to tension between members of the organization often have to do with finances and/or budget allocations. Medical staff pushes for the latest tools, technologies, and interventions that can help patients, but the hospital may be facing a budgetary crisis. Yet financial disputes come down to differential philosophies…

Role Conflict and Ambiguity in Healthcare Organizations As Almost, Wolff, Stewar-Pyne et al. (2016) point out, providing quality care to patients depends upon nurses operating in an environment that is positive and where there are “collaborative working relationships among healthcare team members” (p. 1490). When stressors negatively impact the workplace, communication can breakdown, conflict can arise and role ambiguity can become a problem. Managers can play an effective part in addressing the issues of role conflict and ambiguity in order to keep the workplace environment stress-free so that nurses and healthcare team members can cooperate, collaborate and communicate effectively. The best way to do this, according to Almost et al. (2016) is to develop an organizational culture in which roles are clearly and precisely defined and delineated so that workers know their places, their duties, and the methods by which they are expected to achieve organizational objectives.
Olivares-Faundez, Gil-Monte, Mena et al.…

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…

Issues Driving Change in Healthcare
Healthcare is driven by policy changes like those embedded in the Affordable Care Act, by shifting social norms and attitudes towards healthcare, and by demographic changes such as the aging population. The Affordable Care Act was revolutionary in that it mandated universal coverage but still fell short of transforming the ethos of a market-driven healthcare system. As a result, the Affordable Care Act did not lead to appreciable changes in insurance structuring. The Affordable Care Act did, however, instigate a new dialogue about the ethics, role, and function of healthcare in America. Social norms also drive change in the healthcare system. In fact, the Affordable Care Act itself helped change social norms and values, helping more Americans understand the importance of improved efficiency and reducing healthcare disparities. As social norms and values change, it may be possible to imagine a future in which Americans no longer…

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…

AbstractThe Overkill case study discusses issues around low-value care and ways of minimizing healthcare costs while increasing the quality of output. Low-value care is the administration of health interventions whose costs or harms exceed benefits. It arises from information asymmetry between the doctor and their patient. The doctor has a lot of knowledge on treatment plans, while the patient has little knowledge and relies fully on the doctors recommendations. The doctors decision to offer low-value care is a form of moral hazard. All the same, the inclination to offer low-value care could be minimized through adopting capitation compensation systems to replace fee-for service systems. The latter encourage physicians to focus on the quantity of care rather than the quality of care, thus heightening the need to offer low-value care. This assignment uses the information in the case to answer questions on why people receive low-value care, issues associated with overdiagosis,…

Peer Discussion I agree with you healthcare assessment as it relates to capacity. I agree with the majority of your post related to inadequate supply of healthcare professionals and protective equipment. Its appears a majority of this is attributable to unexpected demand for healthcare services and an overall lack of infostructure. As you alluded to in your post, fatigue also had a major impact on the lack of accessibility of human capital during the pandemic. This ultimately resulted in lower capacity due to low staffing, longer hours, and a higher infection rate. I somewhat agree with your assertion related to machines and how technology can help mitigate capacity constraints. However, these innovations will require large amounts of capital investment which will ultimately lower profits in the short term for longer term gains in capacity.Peer Discussion 4HelloI agree with your three main components of capacity. Here, the components of balance, frequency…

Health Insurance Exchange: State versus Federal According to Goldstein (2018), ever since the ACA has been in effect, states with their own healthcare exchanges have fared significantly better than those who simply rely upon the federal exchange. States have greater flexibility in advertising directly to potential enrollees and can extend the signup period. The local flexibility also means that consumers can receive more personalized help, given that state exchanges are only responsible for informing a smaller pool of individuals about the confusing process of signing up and selecting insurance (Goldstein, 2018). On the other hand, it is also important to be realistic about the extent of a state exchange to fundamentally help consumers. State exchanges cannot ignore federal requirements that insurance policies must meet certain stipulated standards and have mandatory enrollment, regardless of consumers’ preexisting conditions.
As a result, premiums are expected to go up, regardless, and there are fears that the…

Healthcare Informatics: Tele-health technologies 1) Tele-health technologies represent a sub-division of healthcare information technology which aid in delivering long-distance health education, public health, clinical care, health administration and relevant information. They encompass hardware as well as software and enhance general system efficacy through the maximization of individual practitioner productivity and elimination of geographical care obstacles. Perhaps the most ideal use of tele-health technology is real-time interactions, where patients and practitioners located at different places interact via audio- and video-enabled devices. Providers and patients may also be located at the same place, interacting via such virtual-connect technologies (e.g., videoconferencing) with a remotely-located expert. Such appointments facilitate on-going care via one’s routine physician without needing in-person appointments (Chiron health, 2017).
2) Taking into account extant tele-health options and approaches for assessing systemic implementation plans with regard to advantages and disadvantages in primary care facilities, the ideal choice is audio- and video-enabled devices. Substituting virtual…

While Obamacare sought to improve so many of the issues plaguing healthcare in America, it also played a part in making the problem worse and more complex. Health insurance premiums rose, making the monthly fees for health insurance an extravagance for so many people. The Gallup-Sharecare Well-Being Index showed that 11.7% of Americans did not have health insurance as of the second quarter of this year, which is a 0.8% increase from the last quarter of 2016: this means that 2 million Americans appear to have dropped their coverage during this interim (Backman, 2017). This comes as no surprise, since health insurance was becoming more and more expensive: “…premiums rose significantly across the board this year for those who don't qualify for federal subsidies, and many folks just couldn't afford them. Furthermore, a large number of insurers pulled out of the open exchange, leaving consumers with a narrower range of…

HEALTHCARE Healthcare: Public Healths Most Influential LeaderMichael Dowling is one of the most influential public health leaders who have worked tirelessly to provide quality healthcare services for the common public. He is currently the president and chief executive officer (CEO) of Northwell Health, a nonprofit healthcare network in England.His contribution to healthcare could be interpreted from the fact that he is named the third most influential person in healthcare (after Albert Bourla and Stephane Bancel), whereas his rank was second last year (the Olt, 2021). His name in the Modern Healthcare magazine for 100 most influential people of healthcare for the 15th consecutive year. He has been a key contributor to the development of Northwell. He helped develop 22 hospitals, 830 ambulatory services, and regular physician practices and generated $15 billion every year. He is engaged in continuous research and development to give updated medical services to the public. After…

How would you rank the various forms of health care financing by consumers? Which characteristics of health insurance are most important to customers?
While some nations such as the United Kingdom have a single, national health insurance system funded by the government, the United States has embraced a hybrid system in which financing encompasses private insurance, government-provided insurance, and self-financing (Trivedi 2017). Individuals may receive healthcare coverage as part of employer-provided benefits or they may purchase such plans themselves and pay a monthly premium. Private health insurance companies include both for-profit and nonprofit entities. The Affordable Care Act (ACA) placed additional limits upon private insurance companies such as prohibiting them from barring individuals based upon preexisting health conditions and limiting how much variation can exist in terms of the premiums other than factors such as geographic area, age, and tobacco use (Trivedi 2017). Despite these protections, many consumers still struggle to…

Health Care Cost and Quality Analysis Introduction
Healthcare is significantly costly within the United States. Recent research studies have indicated that there is no correlation between health care cost and quality. For instance, despite the fact that there has been a significant increase in spending in the United States, the per capita spending projections are just about 200 percent higher compared to other developed nations. Regardless being top globally in terms of costs, the U.S is ranked 26th with respect to life expectancy and is also poorly rates on other healthcare quality indicators (Burke and Ryan, 2014). The purpose of this paper is to analyze one public agency and one private agency, delineate their roles and major activities in addressing cost and quality in healthcare, their current and projected initiatives and the implications they have for nursing.
Roles and Major Activities in Addressing Cost and Quality
Different agencies in the United States play different…

Policy BriefTitle Primary Care Access for Elderly and Low-Income IndividualsStatement of Issue Low income individuals, households, and elderly populations often do not have the base case needed to basic primary care service offerings. This ultimately causes concern for society overall as primary care providers are critical element within the healthcare infrastructure.OverviewHealthcare is a very convoluted and contentious issue within the United States. The two primary areas of contention are overall access to healthcare and its affordability. Access to a certain extent has been alleviated through the Affordable Care Act, which mandates insurance for certain segments of the population. However, poor, elderly, and certain minority segments of the population do not have adequate coverage. In some cases, they dont have health insurance at all. This lack of insurances within these populations creates higher costs for those who do pay adequate health insurance premiums. For example, individuals may look to…

The role of regulation in nursing practice cannot be overstated. Towards this end, there are various regulatory agencies that provide guidelines as well as standards for various practice settings. For my practice setting, the U.S. Department of Health and Human Services (HHS) remains a key regulatory agency. HHS concerns itself with not only the protection of the health of the American public, but also the provision of services deemed essential. More specifically, HHS highlights its mission as “to enhance and protect the health and well-being of all Americans” (HHS, 2018). According to HHS, under Congress’ authority, agencies create laws from time to time with an aim of assisting the government to execute its public policy. In essence, my area of focus is infection control and prevention. It is important to note that as various studies have indicated in the past, one of the most significant threats to the safety as well…

Analysis Paper-Diverse Cultures Diverse CulturesHealthcare providers and those who work with Native Americans must understand specific cultural beliefs when treating individuals from this population for alcoholism (Austin et al., 1993). The American Indian perspective on health and illness highlights the importance of understanding the culture. This perspective is based on the idea of self-determination, which includes the freedom to make decisions regarding one's health and well-being. This perspective has specific issues that affect Native American communities, such as lack of trust in healthcare providers, lack of resources for treatment and rehabilitation, lack of available support for families and significant others, and involvement with tribal governments all these factors are in direct opposition to the principles espoused by the person in environment perspective. Therefore, this paper presents a Critical analysis of advanced clinical practice theory and evaluates the person in environment perspective related to advanced clinical practice from "SPOTLIGHT ON…

Quality Health If I were to assume the CEO position and recommend someone for the Chief Quality officer, being a position that predominantly deals with quality data collection and handling, a background knowledge and experience in the clinical sector would be of requisite importance. The individual also needs to have a comfortable knowledge in technology and IT since he is an individual who will be interacting with the technology department staff quite often. At a personal level, the individual needs to be a team player and a team builder. He needs to be a coach who is able to handle emotionally charged challenges and the adverse events. A person with knowledge in the business administration would also be instrumental in ensuring the CQO position is filed in with the most qualified person.
Unintended consequences of the use of electronic documentation tools
In as much as the electronic documentation is meant to make work…

Introduction In any academic study, there are inevitably going to be limitations to the study that have to be taken into account when evaluating the results of the study. The authors are supposed to build these limitations into their conclusions, but if they do not then the reader must. Therefore, it is important to understand what the limitations of any given study are, and how they might have influenced the results.
Britz & Dunn
Britz & Dunn (2009) studied the relationship between self-care and quality of life. The authors begin with the hypothesis that decreased quality of life among patients with heart failure arise from self-care deficits. In other words, if people don't look after themselves the don't do as well. So, rocket science, but okay.
The limitation of this study are listed by the authors as having a small sample size and the potential homogeneity of the sample. These two limitations can influence…

As Block, Bustamante, de la Sierra and Cardoso (2014) point out, there are more than 12 million Mexican immigrants in the U.S. who have no realistic access to affordable care, as nearly half of them are uninsured. Indeed, access to quality care is next to impossible for all groups with a low-socioeconomic background (Sherrill, Crew, Mayo et al., 2005). The Affordable Care Act (ACA) was meant to provide greater access to care for low income populations; however, it “does not address lack of insurance for some immigrants, and the excluded groups are a large proportion of the Mexican–American community” (Block et al., 2014, p. 179). Block et al. (2014) suggest that the solution to this problem should be an innovative new form of health insurance coverage, such as bi-national health insurance—but they note that their research indicates such a concept is unlikely to find traction among an overwhelming majority of…

Planning and Implementing Change in Healthcare: Creating a Mentoring Program
One of the most common problems on all nursing units is the tendency of nurses to “eat their young,” or to be highly critical of younger and less experienced nurses. Given the need to recruit and retain new nurses to address the deficit of retiring nurses and to ensure that currently employed nurses are not overburdened and overworked, addressing this issue is particularly pressing. The proposed change is to institute a mentoring program to facilitate dialogue between new hires and existing staff. This will increase goodwill, improve training and communication, and reduce errors, thus hopefully reducing the phenomenon of nurses “eating their young.”
Proposed Change
To remedy the problem, it is necessary to address the root cause or phenomenon. “In most cases, nurse bullying is the result of ineffective communication and coping skills in a high stakes environment,” (Katz, 2014, par. 8). According to…

Q1. What positive and negative impacts do chronic health conditions have on someone's view of their selves?Although almost patients at some point in their lives find themselves suffering some degree of sickness and ill health, experiencing a chronic illness, especially when someone is young, can put the patient outside of the normal growth trajectory of someone in their age group, psychologically as well as physically. Chronic illnesses can foster a sense of depression, a lack of self-efficacy, and can force young people to delay common milestones such as going away to college and embarking upon a new occupation. Feeling fear, anxiety, tension, anger, and depression is common and can cause patients to underestimate their abilities (Ebrahimi Belil, et al., 2018, par. 3.2.2). When chronically ill patients feel a greater sense of self-efficacy and ability to manage their symptoms, while acknowledging their limitations, they are less likely to suffer from such…

Summary The article titled: “Can Technology Improve Healthcare Decisions?” details the importance of making decisions and how technology impacts decision-making. Specifically, the article discusses making personal health decisions and uses the example of wearing a seatbelt to provide a picture of the significance of the process. To make wise personal health decisions, the article uses a basic formula: medical information + your information = wise health decisions (Dugas, 2017). The ‘your information’ aspect involves a person’s beliefs, past experiences, and perspective. People tend to remain in their current path by either choosing the default option given or not choosing an alternative path. Technology can be used to understand the nature of risk, gain information (i.e. physical activity monitor) to make the kinds of informed personal health decisions needed to live a healthy life.
Strength and Validity
Dugas (2017) offers various examples to support his claims that technology can aid in decision-making regarding personal…

New staffing legislation would require Medicare-participating hospitals to establish committees consisting of staff nurses who will make decisions regarding unit staffing needs. According to Rothberg, Abraham, Lindenauer and Rose (2005) many states have introduced legislation that would limit the ratio of patients to nurses, meaning that most hospitals would be required to staff more nurses—and as Rothberg et al. (2005) point out, “increased staffing places a considerable financial burden on hospitals” (p. 785). Their study showed that by limiting the number of patients to nurses at 4 to 1, the average cost per life saved was approximately $450,000 and that “as a patient safety intervention, patient-to-nurse ratios of 4:1 are reasonably cost-effective and in the range of other commonly accepted interventions” (Rothberg et al., 2005, p. 785). Everhart, Neff, Al-Amin, Nogle and Weech-Maldonado (2013) found that nursing staff levels impact financial performance in markets where there is a great deal…

Legal and Ethical Issues in Healthcare: violation of professional boundaries
Introduction

The nursing profession emerges top of the most widely trusted and respected professions (NCSBN, 2018). The results of these polls are an indication of the special relationship that exists between nurses and those under their care. A patient will normally expect a nurse to act in a manner that is in their best interest and respect of their dignity. Therefore, this is both an ethical and legal issue and requires that a nurse abstains from achieving personal benefit at the expense of the patient and does not jeopardize the therapeutic nurse-patient relationship (Wiles, 2011). To successfully attain that tryst and practice within the professional requirements, a nurse must have the relevant knowledge on professional boundaries and maintain them (Slobogian, Giles & Rent, 2017). Therefore, this paper discusses professional boundaries for the nursing profession, especially in the age of social media, and…

Open Versus Closed Systems Perspectives: Healthcare Processes According to Zakus & Bhattacharyya (2007), one of the great paradoxes of modern healthcare is despite the “availability of many cures, treatments, and preventive measures” for both severe and mild ailments, there remains a failure to engage in effective delivery of treatment to patients (p. 278). One possible explanation to this conundrum is that while the actual technology and medical care may be of high quality, the systems which deliver such care are faulty. Systems theory suggests that many of these issues lie in the fact that healthcare organizations are closed rather than open systems. Closed systems are by their very nature impervious to outside influences and determined to maintain standard operating procedures. Although this can ensure consistency, given that healthcare is a field constantly in flux, it is not an effective approach for the long term (Zakus & Bhattacharyya 2007).
In contrast, open systems…

Although significant progress has been made in the recent past, there is still need to further enhance the effectiveness of the entire healthcare system with an aim of ensuring the delivery of better care. The public sector’s role on this front is more of an overseer as far as quality is concerned in the healthcare setting. In the words of Oliver (2014), “in the absence of a public sector presence in the country’s system for external quality assurance, the private sector will have much wider discretion concerning quality assurance activities” (147). Public-based quality initiatives set the standard for quality assurance activities which is a role that may not be effectively played by the private sector as a result of the potential for conflict of interest. This is more so the case given that the governance as well as sponsorship of quite a number of entities that concern themselves with accreditation…

Health Care Needs and Interaction with Health Care System Introduction
Aboriginal persons from the rural and secluded expanses of South Australia together with the Northern Territory are usually forced to travel to hospitals situated in the city in order to gain access to inpatient and outpatient healthcare services in addition to receiving expert care, examinations and investigations that are inaccessible in their individual geographic locations. In addition, their journeys and experiences may be challenging owing to lack of financial support as well as language barrier with English not being their first language (Kelly et al., 2015). Extensive comprehension of the Aboriginal patient experience is a significant element of enhancing the delivery of health care services and welfare for the Aboriginal people. The purpose of this project is to analyze and delineate the experiences of an Aboriginal individual together with their journey as a patient in receiving health care.
Describe the rationale for understanding…

Strategy and Healthcare Marketing1. University Hospital: The Rockefeller University HospitalThe mission of the hospital has been identified as the promotion of human health as well as the enhancement of the quality of life via not only the conduction of research (clinical), but also the provision of patient care that could be deemed relevant and beneficial in a setting that makes it possible for learning, medical practice as well as science to blend in a seamless manner so as to advance the agenda of health promotion and disease prevention (The Rockefeller University Hospital, 2021). Although the university hospital does not have a clearly stated vision and value statement, it does identify its overall insight as the conduction of research that further projects the understanding as well as knowledge of medicine. Captured within the statements is a clear intention of management to promote human health and wellbeing via the establishment of a…

Overview Working at the Primary Care Clinic at the Veterans’ Administration (VA), nurses are exposed to a range of diagnoses and patient care concerns. The experience helps evolve core competencies in a range of practice areas. The VA calls the Primary Care services “the foundation of VHA healthcare,” as well as the first point of contact with the VA healthcare system for most veterans,” (U.S. Department of Veterans Affairs,” 2016). Therefore, the clinical environment is varied and challenging, revealing the different ways healthcare providers and nurses establish long-term relationships with patients and coordinate care services across a broad spectrum of needs.
Week 8 Journal
This week, I fulfilled the DNP objectives during clinical practice with the Primary Care Clinic at the VA. Several instances showcased the nurse’s role as patient advocate. Clearly, advocacy plays a critical role in VA healthcare, with nurses increasingly being called upon to help empower patients and their families…