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Health Systems Issues and Strategic Research Paper

… Table 2

U.S. Life Expectancy in Years

Mortality

1970

1980

1989

1990

1996

Life Expectancy in Years

Life Expectancy at birth

70.8

73.7

75.1

75.4

76.1

Men

67.1

70.0

71.7

71.8

73.1

White

68.0

70.7

72.5

72.7

73.9

Black

60.0

63.8

64.3

64.5

66.1

Women

74.7

77.4

78.5

78.8

79.1

White

75.6

78.1

79.2

79.4

79.7

Black

69.4

73.6

74.9

75.2

76.1

Source: Baum, Jennings & Manuck, 2000, p. 29.

Figure 1. U.S.Life Expectancy in Years.

Source: Based on tabular data in Baum et al., 2000, at p. 29.

Figure 2. U.S. Life Expectancy in Years: Men.

Source: Based on data in Baum et al., 2000, p. 29.

Figure 3. U.S. Life Expectancy in Years: Women.

Source: Based on tabular data in Baum et al.,…. [read more]


Healthcare Management Health Care Essay

… However, insurance companies feel exploited because much of their premiums, 85% is used in enhancing quality care (OECD, 2011). This provision can garner support because it promotes a healthier nation through provision of quality care, but it can as well be rejected by those in support of insurance companies.

Conclusion

The proposed health care reforms taking effect in 2011 addresses post -- acute and long-term care, and the insufficiency of financing, lack of care coordination, lack of community and home-based services and poor quality care. The reforms taking effect in 2011 function to enhance provision of affordable and accessible care for the seniors, disabled and children covered under Children Health Insurance Program. These reforms also provide preventive care for those enrolled under Medicare. However, the…. [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]


Healthcare Issues, Systems, and Policies Essay

… By inundating members of both houses of Congress with lobbyists, that sector (just like the investment and banking sectors) employs approximately six lobbyists per legislator (Kennedy, 2006).

The relationships and tacit mutual understandings that are generated through this political lobbying process routinely produce legislation that is economically beneficial to the industries represented by lobbyists and (in effect) also stifles any legislative changes that would limit or threaten the profitability of the healthcare and health insurance industry. In addition to the direct effect of premium increases on healthcare costs, the complete dominance of private healthcare by the health insurance companies (and certain inefficiencies in Medicare and Medicaid) contributes indirectly (but substantially) to the cost of healthcare by encouraging providers to increase their fees for services, since…. [read more]


New Healthcare Challenges for a Divers and Growing Elderly Population Term Paper

… There were an estimated 3.3 million African-Americans over 65 in 2010, according to the Administration on Aging (AoA). By 2050, it is expected that the elderly population of African-Americans will account for about 11% of the 65-and-older population in the United States (AoA).

And although African-Americans are living longer, the majority of those over 65 years of age have had "at least one chronic health condition and many have multiple conditions" (AoA). The AoA provides a breakdown into the most frequent chronic conditions that afflicted older black people between the years 2005 and 2007.

Topping the list is hypertension, with 84% of elderly African-Americans reporting this medical problem. The following medical ailments are listed with percentages of black elderly people in parentheses: a) diagnosed arthritis…. [read more]


Health Care Essay

… Address the proposition that health care quality is currently a national priority. Include one or more examples from health policy and/or current events to support your response.

Health care quality is indeed a national priority. In many instances, quality healthcare is a societal priority as lives are significantly impacted by it. To begin, due to the Affordable Care Act of 2010, the healthcare profession is undergoing a fundamental shift in regards to the patient experience. The U.S. health care system is now shifting the focus from acute and specialty care to that of primary care. This shift will alter the skills and qualifications needed to be successful on the job. Also, due primarily to that aging of the baby boomer generation, the need for primary…. [read more]


Healthcare Administration Essay

… Studies also showed that they felt more comfortable going to the health care facility which is closest to their homes. Furthermore, they felt uncomfortable with the clinics that assessed them repeatedly and where they had to wait for longer period of times to be treated. They felt that they aren't always able to get the acute treatments when they need them. The elderly felt very comfortable with the idea of being given health care in their homes and there acute care in a healthcare facility should be optimized. The CEO role should be to ensure that hospital systems are in place and that the workforce is delivering on the promises of a highly efficient care (Cosgrove et al., 2012).

Studies on hospital staff have revealed…. [read more]


Health Education Term Paper

… Health Education Plan: Red Hook

The main issue with health education in the Red Hook area is that the residents lack health awareness. This includes issues such as STDs, chronic diseases, and routine exams to screen for potential problems. Not every person who lives in that area is struggling with this issue, but there are significant numbers of people who miss out on the screenings they should be getting for various ailments and potential health problems. Naturally, that is a significant issue within the community, because people who are not screened for (and treated for) illness in its early stages can experience significant problems later in life (McKenzie, Neiger, & Thackeray, 2009). Additionally, this puts a financial drain on the healthcare system and causes difficulties…. [read more]


Misconceptions and Confusion in Healthcare Essay

… The decimated cognitive abilities of those afflicted with serious illness or injury, as well as the limited mental acuity of elderly patients ravaged by the natural effects of aging, have converged to make modern end of life care a multifaceted process in which primary physicians, nurses, spouses and children all combine to come up with sensible solutions to life's most challenging circumstances. To prevent those tragic occasions when a patient is removed from life support against their own predetermined wishes, or conversely, when they are kept alive for years in a vegetative state, proper advance care planning is increasingly becoming a priority for the medical profession and patients alike. A consortium of leading medical minds, led by renowned respiratory physician Karen M. Detering, collaborated on…. [read more]


Health Care Disparities Race Related Research Paper

… Their health conditions as compared to that of white women are quite adverse. One of the examples of their unfavorable health conditions is the high maternal mortality rate. The maternal mortality rate is highest among western nations. African women die four times more during child birth as compared to white women. This is because the colored, especially those belonging to low income families, do not have an access to the facilities that are necessary to get positive birth outcomes.

Medical Errors:

The medical errors in United States health care system cause about 44 to 98 thousand deaths. In addition to that, these errors also incur a loss of dollar 25 billion each year. Unfortunately due to high racial discrepancies most of such disadvantages are tolerated…. [read more]


Health Care Drivers for Increased Medicaid Funding Research Paper

… Health Care Drivers for increased Medicaid funding: A study in the United States.

The Per capita health care spending has increased to about 2,814 in 1990 to more than $7,000 today. With such increased amounts, it is obvious that everyone in America would not be able to afford such so much. This led to the creation and the need for a program like Medicaid. Medicaid is basically a national health insurance program for people with low income. In the year 2000, about 42.7 million people received Medicaid. (Einhorn 25) This shows that Medicaid itself was a program that was a crucial factor in the medical necessities of a lot of people. The demand for health care is still expected to increase thus making an even…. [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]


Population Health to Prepare: & Essay

… The lack of available doctors in a given area may also be an issue. "The Association of American Medical Colleges estimates that in 2015 the country will have 62,900 fewer doctors than needed. And that number will more than double by 2025, as the expansion of insurance coverage and the aging of baby boomers drive up demand for care. Even without the health care law, the shortfall of doctors in 2025 would still exceed 100,000" (Lowrey & Pear 2912). It is recommended that an area have 60 to 80 primary care doctors per 100,000 residents, and 85 to 105 specialists while some areas have few as 40 primary care doctors and 70 specialists per 100,000 residents (Lowrey & Pear 2012). Rural areas, in particular, are…. [read more]


Business of Health Care Term Paper

… Coverage -- In a move to give health insurance coverage, additional people will generate a new trend of challenges. Failure to improve access means there would be still a problem in care delivery. Medicaid and Medicaid patients have demonstrated it challenging to find a physician or doctor. Having adequate health care providers to take care of new patients will be in short supply (Kolker, 2011). Besides the downside of the new provision, there is much opportunity.

Opinion of the ideal health care system

It must be noted that the GDP of the United States is higher than that of other nations; consequently, the United States' higher rate of healthcare expenditure is immense. Other numerous elements influencing health including social and cultural conditions, economic and social…. [read more]


Health Care in the U.S Research Paper

… Some people may think that its against their freedom. Moreover, people have to pay the disapproved categories from out of pocket cash. Thus it stings people to get an insurance and yet pay for the healthcare expenses. (Singapore Healthcare System, 2013)

The insurance needs the people to be earning. The person must be employed to avail the facilities offered. This creates a problem for the self-employed and the unemployed people. As they cannot get themselves insured, they face difficulties in paying for their healthcare expenses. This makes the system a little biased. It also leads to an increase in the number of uninsured people. A total of 830,000 people are uninsured in Singapore. (Singapore Healthcare System, 2013)

The Singapore health system does not have proper…. [read more]


Healthcare Reform Essay

… As a nurse administrator, one has to be vigilant so as to make sure that the nursing and other paramedic staff is working with honesty and competence to help the people who are sick. It is also the role of the nurse administrator to make sure that all the equipment required for primary or preventive care is available at the hospital or the health care center. The nurse administrator has to see whether or not the attendance of the nursing staff is up to the mark or not. The aim of the nurses should not just be to provide treatment or services, but also to counsel the patients. The patients need to be told that if they develop the same symptoms again they should come…. [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]


Diversity in the Elderly Population Essay

… Of course, any demographic shift brings with it social and economic challenges, not least for healthcare systems. The notion of a greying population is usually framed in terms of the added demands and pressures they will bring. But although there will be challenges in adjusting, the overall picture is far from bleak if policymakers enact sensible change. (The Economist Intelligence Unit, 2009, 4)

In a fair vision of health care, there is an ethical, efficient, and dynamic system in place to monitor and moderate the health needs of the elderly. In this vision, the health care system promotes different, more ethical attitudes regarding aging in that it is a natural process that people can enjoy and prepare for with greater consideration of ethnic, cultural, and…. [read more]


Elderly in Monrovia, CA Term Paper

… This service organization contracts with over fifty other community agencies to deliver services that promote the well-being and independence of seniors (Sapp-Pradia, 2009).

Home delivered meals and nutrition programs

Home-based care and illness management

Alzheimer's Day Care

Health and Wellbeing classes and information

Integrated Care Management

Elder Care

The community is well poised to assist seniors in Monrovia with these and other services such as legal advice, health insurance, activities, and even ombudsman programs. Program help sheets, documents, and forms for enrollment are easily accessed at the Los Angeles County web page (www.lacounty.gov), or simply by calling the Senior Services Office. While there are gaps in service due to reliability of funding, the number of secondary agencies that assist in these programs are wide-range enough…. [read more]


Economics of Healthcare Essay

… " (2010, p.10 In addition, "Not only are consumers less likely to discriminate on cost, but providers of healthcare services have greater incentive to provide medical treatments that are only marginally more effective at much higher cost. This is the opposite of how the price mechanism works in a free market, where consumers (who are paying out of their own pocket) search for the cheapest prices and providers work hard to provide services that are equally efficacious but less costly." (Boyapeti, 2010, p.1) Secondly, Licensure, which is the "practice of restricting entry into a market by forcing practitioners and providers to seek permission before doing so." (Boyapeti, 2010, p.1) A common misconception is that medical licensure provides consumers with protection however, holding a license provides…. [read more]


Health Policy Economics Class Essay

… The National Association of Community Health Centers argues that over 18 billion dollars are wasted each year for visits to emergency rooms that are avoidable as a result of being treatable in non-urgent or primary care settings. This figure is calculated on the assumption that 35% of all visits to emergency rooms are avoidable, by far a conservative estimate. Furthermore, overutilization of emergency rooms drives health care costs high and also decreases the quality of care significantly. As the overcrowding of emergency rooms causes increase in health care costs for the providers, many are switching off their emergency departments since they are becoming too expensive to run. Moreover, as waiting times in emergency rooms are increasing, the patient perceptions of emergency room health care quality…. [read more]


Determinant of Health Term Paper

… Determinant of Health of Income and Social Status

Definition of Determinants of Health

Since the 1990's, a very important body of research (Wilkinson and Marmot, 2001) has emerged about the determinants of health. Evidence has been systematically collected about how path- ways through societal, political, environmental and economic determinants become translated into illness and disease, and how social conditions and settings in which people live their lives not only influence how they behave, but also have a direct impact on their health. The social determinants approach seeks to address the social dimensions of health and illness that arise at the level of populations. Thus it is a population health approach, concerned with improving the health of whole populations or specific sub-groups of the population. It…. [read more]


Health Policy Analysis: Nursing and Medicaid Term Paper

… HEALTH POLICY ANALYSIS: NURSING & MEDICAID

Medicaid Policy Analysis

The Plight of the Poor and Medicaid Policy Framework

Visible and Vocal Advocate

Inherent Inequality in American Democracy

Eligibility, Physician Behavior and Low-Income Population Access to Care

Questions Addressed in this Study

Analysis & Evaluation

HEALTH POLICY ANALYSIS: NURSING & MEDICAID

The objective of the following work in writing is to examine Medicaid policy and to answer questions including those of: (1) What necessitated or facilitated the creation of the policy? (2) What was the policy attempting to accomplish? (3) Who had input into the development of the policy? (4) Was public comment solicited prior to the finalization of the policy? (5) for Whom Does the Policy Advocate? (6) What Purpose Does the Policy Serve in…. [read more]


Health of a Community Essay

… Free and unbiased health insurance counseling is provided at many occasions through a dedicated team of volunteers (Lundy & Janes, 2009).

Ethnicity, race and immigration status are also influencing attributes that creates an unconstructive impact on to the members of the community on a broad spectrum. Historical facts and figures elucidate the piece of information that Gainesville has been dominated by the majority racial communities, thus it is imperative to note that racial and ethnic discrimination has been present within the city and its dwellers. Furthermore, the discrimination existed for the people with reference to their ethnicity, race and immigration status when the access to health care was concerned (Lundy & Janes, 2009).

Finally, exploring the socio-demographic factors that take account of income, educational level…. [read more]


Health Maintenance Organization Impact on the Minorities Thesis

… HEALTH MAINTENANCE ORGANIZATION IMPACT ON THE MINORITIES COMMUNITY: HISPANICS, African-American AND LATINOS

The focus of this research study is the health maintenance organization impact on the minorities' community and specifically the communities of Hispanics, African-American and Latinos in the locations of New York City, New Jersey, Connecticut and Chicago. In recent years it has become increasingly clear that the U.S. .healthcare system is failing in making the same quality of care provision for ethnic minority populations as are made for the majority white population and the racial and ethnic disparities in accessing quality healthcare have been documented in research studies. It is reported that African-Americans experience the highest rates of mortality from heart disease, cancer, cerebrovascular disease and HIV / AIDS than any other U.S.…. [read more]


Future of Health Care Term Paper

… The cost for this style of medical care delivery is very expensive. It is important currently and in the next fifteen years to develop a health care system that allows for the uninsured to receive care at costs that can be afforded and if not afforded then absorbed by the taxpayers. Over the next decade and a half it will become vital to promote and develop programs that allow for goods a services to be delivered even to those who are not insured (Kohler, 2001).

The St. Louis area is fraught with rising medical care costs. Those costs are forcing companies to either raise the employee premiums or stop offering insurance all together. In the future years to come there has to be a method…. [read more]


Medicare: Healthcare to Protect Term Paper

… Kaiser Commission report on the future of Medicaid deals with the problem of Medicaid spending. There was rapid growth in Medicaid, especially between the years of 1988 and 1992. Since 1992, the growth rate for Medicaid has gone down, but there are still a great many individuals needing services. Even though the growth rate has slowed, there are still important lessons to be learned from 1988 to 1992's figures. Because of the growth explosion during those years, Medicaid decided to work with managed care and try a few other avenues that might help them have more money to help more people. Basically, it made them aware that there was a problem with the current system and they could not deal with the number of individuals…. [read more]


Health Care A) the Different Forms Term Paper

… Health Care

a) the different forms of long-term care for elderly Americans provide choice for patients and their families and so give at least a sense of control to people in a time of need. These people face differing circumstances. Richardson (1995) points out that more than 70% of chronically disabled people receive long-term services in the home from family members and friends, but when circumstances warrant, they can use a formal care system such as home health, mental health programs, social services, nursing homes, rehabilitation facilities, and so on. One problem faced by the system is the difficulty in predicting needed levels and types of long-term care services for the future (Richardson, 1995, p. 195).

Similar issues are raised for the elderly population, noting…. [read more]


Health Care Reform Term Paper

… Health Care Reform:

For quite some time, the debate on the health care reforms has been centered on a number of key issues. These key issues have included the question on whether there is an essential right to health care, who should have access to health care, the circumstances that grant access to health care, the method of government support for health care, the quality achieved for the figures spent, the sustainability of the expenditures and the role of the federal government in bringing about such change.

Given the fact that health care in the United States is offered by many separate legal entities, health care facilities are mostly owned and managed by the private sector. Apart from programs such as Medicaid, Medicare, TRICARE, Children's…. [read more]


Health Care System Evolution Organizational Analysis and Continuum Essay

… Health Care System Evolution, Organizational Analysis and Continuum of Care

The objective of this work is to examine the evolution of the health care system and how health care delivery systems have influenced the current health care system in regards to Medicare/Medicaid. This work will conduct an organizational analysis for the Centers for Disease Control and Prevention including the stakeholders impacted by this component and how they are affected. Finally, this work will examine the continuum of care for Diabetes care program in the United States including the services provided and how these fit in the continuum of care. This work will examine how the equity contributes or fails to contribute to the overall management of healthcare resources and will examine the future trends of…. [read more]

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