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Objective Term Paper

… " (Christensen, 2013, p. 1) However, as noted by Christensen not everyone purchasing insurance through the exchanges will be on the receiving end of a government subsidy. The result reported is that "people will be forced to see the doctors who agreed to the treat people for a low price rather than their favorite doctor or a specialist across town. The New York Times article freely quotes from consumer advocates who are outraged that these subsidized insurance plans will not be as generous in the choice of providers as those policies purchased in the private market." (Christensen, 2013, p. 1) Ritger states that the determination of whether the "quality of care in the new market is comparable to private offerings remains to be seen." (p.…. [read more]

Community Assessment of Kent County Essay

… Initial Impressions Regarding Kent County:

As a registered nurse, my initial impression regarding Kent County is that the area contains a fairly poor health care system and ever-growing health related problems. The impressions were not informed by personal bias but by information I have heard about the area and its geographical location.

Issues that May Affect Kent County's Health:

The below par access to health food, violent crime, and recreational facilities as required by national benchmarks.

Lack of health insurance to a huge portion of the population and dissatisfaction with life.

The existing disparities in access to health care services and barriers to health care access.

The poor environmental conditions related to health.

The problem of flooding, which poses significant risks to some well water…. [read more]

Health Care Delivery Systems Research Paper

… The best practices principles identified by the World Health Organization are: (1) The partnership or collaborative arrangement demonstrates a clear added value; (2) The partnership or collaborative arrangement has a clear goal that concerns a priority area for WHO; (3) The partnership or collaborative arrangement supports national development objectives; (4) The partnership or collaborative arrangement ensures adequate participation of stakeholders; (5) The roles of partners are clear; (6) Pursuit of the public health goal takes precedence over the special interests of participants; (7) The structure of the partnership or collaborative arrangement corresponds to the proposed functions; and (8) The partnership or collaborative arrangement has an evaluation or self-monitoring mechanism.

8. Key Strategic Planning Elements in Healthcare Systems Management

The strategic planning elements most frequently utilized…. [read more]

Healthcare System in South Africa Essay

… Moreover the constitution entitles the citizens of the country to gain access to the emergency medical treatment through government operated facilities. The constitution of the country defines that no citizen of the country will be refused from gaining access to the medical facilities of emergency nature. It is important to note that the government is focused to provide its citizen adequate healthcare facilities. The first step towards that is the provision of emergency medical treatment from the state. The white paper on the development of a national healthcare system was implemented in 1997. The core policy of the country is defined in the white paper outlining key steps for the country's healthcare services. The policy is primarily based on Primary Health Care (PHC). The strategy…. [read more]

Case Management Managed Care Research Paper

… Healthcare

The Impacts of Case Management and Managed Care on Health Care Cost Reduction

The United States has the priciest health care system in the world, with per capita health expenditures far above those of any other country. For a lot of years, U.S. health care expenditures have been rising faster than the overall rate of inflation in the economy. A few experts have disputed that high and rising costs are not such a grave problem. "Most observers disagree with this view, pointing to the negative impact of employee health care costs on employers, the government budgetary problems caused by rising health care expenditures, and an association between high health care costs and reduced access for individuals needing health services" (Bodenheimer, 2005).

Managing health care…. [read more]

Caring for the Old Essay

… an elderly's caregiving need will change in the course of their disease. There are several caregiver tasks which are done on as needed basis; while others need to be done on a daily basis. Because an individual with an acute illness has varying needs in the course of their illness the responsibilities of a caregiver also change. Depending on the different needs an elderly person who is under care, the responsibilities of a caregiver range from; administering medication, monitoring the symptoms of the illness, advocating for appropriate medical acre, providing them with transport to and from their appointments, treatments and tests, handling issues pertaining with insurance, participation in end-of-life addition to reaching out to family members and the friends of the elderly person, the…. [read more]

Hispanic-American Population Assessment Pockets Term Paper

… It looks forward to adding more specialists and services to its list. It continues to work closely mostly with the Hispanic-American community to identify its other basic needs not yet attended to, unavailable or currently un-affordable (Serve the People).

Latino Health Access launched the Healthy Eating, Active Communities project in the 92701 zip-code where 92% is Latino (LHA, 2011). It contributes to fill the feeding and physical activity needs of its more than 61,000 residents who live below the federal poverty level at 68%. In addition to high population density, Santa Ana is also short of open space for physical activity at only 0.9 acres per 1,000 persons. The National Parks & Recreation recommends 10 acres (LHA).

Active Living in Santa Ana or ALISA is…. [read more]

Health Population: Elderly Research Paper

… Nurses can assess and educate the patient's ability to administer medications, educate on dosages, purpose and side effects. They can also observe the medication effectiveness and monitor side effects.

Nurses collaborating with doctors and pharmacists could simplify the amount of medications needed by patients, address the possible need for puncture packs for the elderly, as well as assist patients with med lists for doctor's appointments. This simplification could lower costs for the elderly and the community.

Describe theories of motivation and behavior change, which you are using.

The health belief model is one of the most consistent in the prediction of behaviors, particularly when it is used in conjunction with the ecological model that incorporates the individual, people and their environment, along with the developmental…. [read more]

Care Coordination Relating to Elderly Patients After Discharge From Emergency Room or Hospital Annotated Bibliography

… Care Coordination Relating to Elderly Patients With Congestive Heart Failure After Discharge From Emergency Room or Hospital Within 30 Days

A growing body of evidence supports the need for careful care coordination for elderly patients who suffer from congestive heart failure, diabetes, and/or hypertension for at least 30 days following their discharge from a hospital or emergency room. To determine the current best practices and guidance in this area, a summary of the relevant literature is provided below in an annotated bibliographic format, followed by a summary of the research and important findings in the conclusion.

Bisognano, M. & Boutwell, A. (2009). Improving transitions to reduce readmissions. Frontiers of Health Services Management, 25(3), 3-5.

Authors report that a growing body of research confirms the high…. [read more]

Future of Healthcare Essay

… The corridors should have windows for allowing daylight in and should be inclusive of clocks with the time of day displayed clearly. The light should be filtered so that the hallways are not shadowed so as to confuse someone with cataracts and other vision problems. As well the use of signs that are high in contrast and have a large font will also assist the elderly in finding their way around easily.

Emergency Department Design

The Emergency Department should also accommodate the elderly through having triage areas that are different from the usual triage areas. Instead of overhead lights that glare brightly and open waiting areas the smaller triage areas with walls that absorb sound and that are not as brightly lit are more comforting…. [read more]

Community Health Assessment for Los Essay

… Most residents are unaware of the plans. Sufficient emergency communications, medications, transport and assistance programs.

Community Diagnosis

Los Angeles county is one of the largest in the United States, according to population figures, and it has many areas of wellness and preparedness that are exemplary. The county has worked for many decades to clean up the air quality in the region, and although it remains above the national average, the rates are lower than they have been in many decades. This means that the people of the county are safer and less prone to lung ailments than previously. This can be seen in the reduced number of lung cancer deaths and the lowered incidence of lung problems from residents. The area has a large number…. [read more]

Community Assessment Demographic Data Research Paper

… II. Analysis of Data

Health problems perceived by the nurse include poor nutrition, diabetes, obesity, cancer, tuberculosis and heart disease. The local residents often do not recognize the extent and severity of the health problems, especially tuberculosis, heart disease, poor nutrition, and obesity. Community leaders and leading health professionals do recognize the severity of the problems affecting the residents of Georgetown, Delaware.

Poverty in the community prevents adequate access to health care services in Georgetown. Especially among non-whites in Georgetown, poverty impacts when the individual seeks care. This means that many health problems develop further than they would if preventative measures were taken. Therefore, health prevention is the most important feature of a proactive community health program in Sussex County.

Currently, there are some actions…. [read more]

Nursing Assessment Taking the History Essay

… However, the Craig (2007) article does provide some useful basic information concerning what information should be taken in the patient history and in general the article is well-written and direct. Some of the references to alcohol may not apply outside the UK; however, most of the information is relevant for nurses, social workers, psychologists, physicians, and other health care workers who are interested in taking complete patient histories. However, as mentioned above the article does has some minor inadequacies and supplementing the information in this article with information in the references provided in this paper will result in a more complete understanding of what is required in the history taking process. Craig's (2007) recommendations could be adopted into most practices, but again as mentioned above…. [read more]

Nurses Deliver Evidence-Based Care? Term Paper

… (Beyers, 104)

It is worthwhile to extend some evidences that visualize the prevailing results of EBN. Empirical data demonstrating the efficacy of nursing intervention have been visualized to exert a crucial part in performing the distinction in patient consequences, when applied properly. One such clinical study, analyzed the efficacy of the self-management program on COPD patients. Bourbeau and Maltais, et al. during 2003 organized randomized, blinded regulated trial on 191 stable COPD patients and followed up for the whole year. About 96% were dispensed to a self-management program offered by case managers for an hour a week in the home of the patients for about seven to eight weeks, and simultaneously about 95% were offered to a regulated group. The patients in the self-management group…. [read more]

Standards of Care/Mental Health/Cultural Competence Essay

… Patients who utilize family interpreters or non-professional interpreters, for instance nurses, clerks, and technicians are the ones that would be less satisfied with their visitation (Furler, 2012).

Potential Solutions

Culturally competent assessment skills are vital to assist communication, to show reverence for cultural diversity, and to inquire culturally sensitive queries about practices and beliefs that need to be measured in the transport of health care. The more information a nurse has about a particular culture, the more precise and complete the cultural valuation will be. For instance, if nurses are not aware that a lot of Hispanics use traditional healers for example curandros, masjistas, sobodoes, y (j)erberos, and esperititas, they will not recognize how to ask exact and suitable questions about the person's use of…. [read more]

Healthcare System Essay

… The average life expectancy in Norway is high (Burger et al. 2012). This is a significant factor in increasing pressure on the healthcare system of Norway. The old age citizens require healthcare facilities more frequently than the young aged public. The intensity and severity of the old age healthcare requirements play an important role in exerting pressure on the system. The policies of healthcare provision are also observed as facilitating at the first place in case a patient is qualified for benefits. The policy enables the patient to gain healthcare treatment on the basis of severity of the diseases (Haveman et al. 2011).

Increased Diseases:

There are multiple causes for increased healthcare diseases. The increase is due to declining nutrition in food, environmental, and socio-economic…. [read more]

Privatization of Healthcare Services Dissertation

… With this reality check and overall change in approach permissions were granted to individuals for setting up and running private hospitals with government regulations. This revived the private sector and many public institutions were privatized over night. Both types of institutions private and public still co-exist in China but number of private hospitals and clinics remain far greater. In most cities the private hospitals and clinics privatized at an incredible speed going from 40% of all institutions in 1998 to 56% private institutions in 2005, this rapid privatization led to establishment of un-registered private entities (Black Clinics). Earlier to 1980 there were four groups who were allowed to setup and run private practice; First group was individual practitioners with a license prior to the Cultural…. [read more]

Hisory of Palliatve Care Palliative Ghost Writing

… Development of instrument that can be used in improvement of palliative care

There are legal standards that are being used in the United States to help sustain the lives of young children. Creation of machines to help in the program to sustain lives especially of those children suffering from long life diseases like cancer is the current project. This is an initiative taken by the pediatric palliative care department. The program will play a significant role in prolonging lives especially to those children with serious illness. Two instruments in the suggestion for use and reviews made to see the effectiveness. Parents and palliative care employees from various institutions gave opinions to act as a guideline on the effectiveness and progress. The instruments are essential in…. [read more]

Health Program Assessment: Inequality Essay

… Why do you think those barriers exist?

Most research on the subject demonstrates that Philadelphia's public health issues are inextricable from its general rate of inequality. The demographics most impacted by the city's pressing public health issues are those who are equally impacted by prevailing economic challenges. As the text by Melwert indicates, while housing and schooling issues are found on the surface, these problems are rooted in a more entrenched economic hierarchy. According to his article, "higher-than-average rates of smoking, inactivity and obesity don't help. But, it's the socio-economic indicators -- like high drop-out rate, violent crime, and childhood poverty -- that really weigh it down." (Melwert, p. 1) This denotes that in spite of the behavioral challenges that our program will address, many…. [read more]

AACN Synergy Model for Nursing Patient Care Research Paper

… of money, stating that she had 3 potatoes left to eat until the end of the month. On the first of the month, which was 3 days away, she would receive her Social Security check and be able to get her medications.

Patient Characteristics

The Synergy Model describes the patient's characteristics (Table 1) that span the continuum of health and ill- ness. Each characteristic exists on its own continuum. These characteristics assist the nurse to recognize how each patient is vulnerable. Recognizing and understanding these characteris- tics and how they can change with a patient's condition or situation helps in recognizing the essential nurse competencies that synergize to result in optimal patient outcomes.

Sophie's complexity as a patient was increasing because she lacked the financial…. [read more]

Palliative Care Queensland Professional Writing

… The aforementioned components should be there as part of any action plan that is devised to provide palliative care as part of the policy.

It should be noted here that in order for PCQ to provide healthcare services to the local population all over Queensland, there are certain recommendations that need to be made a part of the policy. It is recommended that the Minister for Health provides resources at the earliest for 24-hour palliative care information that would be available over the telephone and all over the state along with support and referral service (Palliative Care Queensland, 2012). Apart from this, skilled nurses along with other allied health and all the required support should also be made available over the internet. Special alterations need…. [read more]

Diversity in the Healthcare Industry Term Paper

… Diversity in Healthcare: A Synopsis of Current Trends

Diversity in Healthcare

Minorities and Health Care

Diversity and Women

Ecosystems Approach to Diversity

Managing Diversity: Best Practices

Progress in Reform

Diversity in Healthcare

Human Resource Management is a diverse and wide encompassing field that embraces a number of topics, not the least of which is diversity management. As the world becomes increasingly multi-dimensional and diverse, the issue and importance of diversity initiatives has permeated almost every industry, including the health care industry. Diversity within the health care industry is a growing problem, and one that administrators and HR representatives are working to identify and address. The following synopsis examines the current state of diversity within the health care industry and suggests approaches to alleviating diversity issues…. [read more]

India Healthcare a Change Toward Universal Thesis

… India Healthcare

A Change Toward Universal Healthcare in India

With a population of roughly 1.1 billion people, India is the second most populous nations on the Earth. And a condition directly pertinent to this disposition is its distinctive struggle to meet the needs, demands and ambitions of such enormous citizenries. Widespread poverty, inequality, social unrest and political upheaval are all conditions which persist both in remote rural regions and concentrated urban centers, representing a genuine challenge to India's ascendance as a major playes in the world community.

In parallel, the enormity of potential represented in such labor force, consumer interest and resource authority increasingly has coincided with a heightened openness toward internationalization of corporate investment trade interactions and the general progress of development. On the…. [read more]

Working With a Diverse Population Term Paper

… By restoring the mind, one restores the body -- and vice versa.

Also, in the clinic, I have performed emergency life-saving procedures in cases such as cardiac arrest, respiratory arrest, massive hemorrhage, or similar emergencies, as necessary -- drawing upon my willingness to work independently as well as part of a team in the field of medicine. But communication, whether with patients regarding their at-home treatments or the staff one works with, is always key.

I have come to realize that technically, health care is changing all the time. In my previous work for Ameriscan, to take just one example, I was able to become fluent in the necessary expertise to operate state-of-the-art equipment that is presently available in only seven facilities in the United…. [read more]

Leadership and Management, Health Care Term Paper

… States, however, control Medicaid payments, not the federal government alone. Thus, several states have begun implementing alternative services such as home-health care, to contain Medicaid costs. This has given birth in those states especially to an expanded sector of health care services that are professional without being housed within a monolithic facility such as a nursing home. In such cases, for example, benefits may be "individually tailored to each qualified person using state and federal long-term care funds. For instance, an elderly woman living alone in her own home may require minor nursing care and help with household tasks at a cost of roughly $900 a month" (Fox-Grage & Shaw 2000, 30), which is significantly better for the stakeholders than $51,000 a year, and open…. [read more]

Health Care in the U.S Term Paper

… The Spanish System

The health care system in Spain is still reeling from the recent global recession. High unemployment rates are expected to continue, which places a strain on the ability to support the national health care system (OECD, 2011b). The ability of the national health care system in Spain to provide services depends on an inflow of taxes from the people. Anything that harms the economy also harms the national health care system. The same is true in the United States, only the impact is not as great, because the system is not entirely dependent upon government funds.

The national health care system and Spain is known as the SNS. It is operated by the National Ministry of Health and Social Policy. It is…. [read more]

Healthcare in the United States Research Paper

… What can the United States learn from the case of India? The two nations seem to represent opposing extremes in healthcare. The United States needs to rein in costs on its existing healthcare infrastructure while India suffers from a lack of funding and poor infrastructure. The United States has extensive regulations governing private insurance and medical practice while India's consumers still pay direct fee for service payments to their loosely regulated physicians. The United States is overdeveloped, India is underdeveloped. Both, however, adopt free market principles for determining the price of medical services. The cost and complexity of U.S. healthcare has created a demand for affordable services that India meets through medical tourism at the expense of its own citizens. While medical tourism can be…. [read more]

Health Care Industry Has Undergone Essay


The Agency for Healthcare Research & Quality is a federal agency under Health & Human Services working to improve the quality, effectiveness and safety of health care. AHRQ gathers information in surveys; funds research projects and provide evidence-based practice guidelines for health care practitioners. The AHRQ's Consumer Assessment of Healthcare Providers and Systems (CAHPS) program provides a national benchmarking database (Journal of Rehabilitation Research and Development, 2002). The Agency for Healthcare Research and Quality's mission is to improve the quality, safety, efficiency, and effectiveness of health care for all Americans. AHRQ supports research that helps people make more informed decisions and improves the quality of health care services.

AHRQ does this by improving care safety and quality by developing successful partnerships and generating the…. [read more]

History of Managed Care Term Paper

… Managed Care

The American health care system is in a crisis running deep and threatening to undermine the moral and ethical basis of care provision. Privatisation and open market system have not resulted in optimal health care provision, but rather contributed to cost control procedures and blatant denials that have left patients at the mercy of profit mongering HMO's. The future for managed care as it is today, is really bleak and a change is imminent and urgent.

The United States is undoubtedly one of the best-developed countries in the world with high standards of living. Unfortunately, though, the country is struggling with a health care crisis, which is running deep and threatening to undermine the moral and ethical basis of care provision. Without any…. [read more]

American Healthcare System Term Paper

… The M + C program confirms that there are significant problems associated with combining the two programs. In addition, it seems that consumers prefer the Medicare program.

Moral Hazard and the denial of care

Public Health and Managed Care are sometimes in conflict but they desperately need one another. According to an article published in the Journal of Law, Medicine & Ethics, explains this collaboration and the conflict that often exist between the two systems. The article asserts,

Managed care, with its seemingly infinite structural and organizational variation, dominates the modern American health- care system for the non-elderly U.S. population. Through its emphasis on standardized practice norms and performance measurement, coupled with industrial purchasing techniques, prepayment, risk down streaming, and incentives-based compensation, managed care has…. [read more]

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