Wednesday, October 23, 2019

Health Care Delivery System in the United States Essay

Introduction: The problem: Access to health care physically and financially, healthcare system in today’s society has failed to provide quality care for the U.S. Americans. There are so many ways that the system falls short in providing proper care. The healthcare is mainly based on the government to provide care for a particular group of people according to their income and not everyone has the same treatment, some having to pay for care through some type of insurance premium. When looking at this system of care, families are all dealing with the same issues in relations to not getting the treatment and quality care that they need. Many providers is having to see more patients in clinics than anticipated in terms causes a shorter visit with patients to address any kind of concerns and with uncoordinated care this leads to decrease in quality care of patients. High risk patients could be an issue for providers, because of the risk of malpractice, and increase of having malpractice insurance therefore providers are reluctant to see these patients which causes the patients to have less options for treatment choices. Healthcare Expenditure: this will continue to increase and families will continue to struggle and stress over how they will pay their medical bills. Healthcare systems are not slowing down on their costs and most of them are not willing to give families an efficient healthcare system for a better quality of care. The healthcare expenditures are increasing and the families incomes are not sufficient to compensate which makes this so stressful and hard for families to afford. When looking at the pharmaceutical spending, this has increased drastically. Medications is continuing to increase in costs, therefore, families are not able to get medications that are needed for care. Quality of care: has been a proven factor to be declined, patients with chronic and long term disease are not getting the therapy and drug regimen that is needed to give them a better quality of life. Many elderly patients and patients with disabilities are not able to receive homecare services that are needed to assist them with care. This is an ongoing battle with many American families who are uninsured as well as insured families. Care is not being coordinated and managed for patients with long term and chronic illnesses. Internal Factors: finance and delivery systems should be combined, both of these factors work together for the improvement of each other. Delivery system and payments are declined because the quality and effectiveness are not valued in the healthcare system therefore we have less quality of care and increasing in costs. Without improvements in these two areas the healthcare system will continue to fail in providing a more efficient system for our families and ou t-of-pocket payments are burdening families and care is being refused, emergency rooms are overflowing and office visits are declining. External Factors: The development of new technology affecting the healthcare system in ways as such advance equipment to treat certain diseases that wasn’t offered in the past and patients are not able to afford the treatment because of the increase in costs. Many advance technology procedures are performed in surgery that is consuming our incomes. Patients with chronic diseases are not able to receive the care because of new technology and the price increase that goes with the technology. Solution to health care access physically and financially, According to (Nichols, 2007) all Americans must take on a responsibility for their own health and the health of their children. This means having policies established which would be affordable for American families and polices established to assist the families who need financial assistant in acquiring an insurance policy. Guidelines also must be followed with this plan with the responsibility of the individual and the insurance comp any. This would be balanced to assist families with affordable insurance and benefit the insurance market that would create a quality delivery system as well as cost efficient. The responsibilities to the family is following the guidelines and policy, maintaining their health by having their yearly check-ups, scheduling routine appointments to see their provider as necessary when a problem may arise and maintaining their insurance coverage. The shared responsibilities is the insurance companies provide a stable plan that will improve the delivery system by making American families a priority with having access to a health care system in which quality care is provided and affordable to the family. Solution to health care expenditure, Preventive measures and promoting health can help with health care spending. Management of long –care diseases and establishing a good foundation with advance health technology well build better patient satisfaction, along with cost effectiveness. The reforms improvements values is not a routine step, many believe that the change in delivery systems may decrease the costs, but some feel that it should be more stable in costs by establishing guidelines that are more promising and effective. These guidelines and policies should be put in place to improve the health care system.(brennan, cafarella, kocot, mckethan, morrison, nguyen, shepherd and Williams,2009). Solution to quality of care, According to (fingado), electronic health record system will allow a continuum of patient care for better quality and manageable coordination to patient records. When coordinating patient care all systems must be involved to get a better outcome. Health care systems through health care electronic employee record helps with continuation of patient care and prepare better management plans. This health care system also allow staff to advance knowledge through training and exercise to improve better patient care outcome. Why my response is correct, Me as a health care professional have witness patients who are non-compliance regarding their health and working with uninsured families have different outcomes than patients who is compliance with preventive care usually are in better physical health than families who are not. There are many preventive measures that families can initiate better health, exercising on a regular basis, selecting healthier choices in diet menu, seeking preventive care as necessary, and be in compliance with treatment regimen, prevent bad habits such as smoking and alcohol abuse. Patients who maintain good health behaviors usually have better outcomes during surgical procedures, healing process is less and better outcomes with other treatment plans. Conclusion, according to our reading, Americans should have an effective health care system where families are provided with safe care and an affordable health care plan for the continuum of care. Explanation is given how many patients visit their health care provider and usually never see their primary care provider and how care should be directed toward patient satisfaction. Our reading mentions The Patient Protection and Affordable Care Act that extends health care plans to primary care that would benefit most Americans to having a better outcome and assessing why acute visits happen so frequently. According to (Thorpe and ogden,2010) excessive spending is being directed towards Fee-For-Service where the main focus is on the amount of patient being seen and costs instead of patient care improvements. The new health reform law is establishing changes to remove this system away from Medicare and other payers. References Niall Brennan, Nichole Cafarella, S. Lawrence Kocot, Aaron Mckethan, Marisa Morrison, Nadia Nguyen, Mark Shephard and Reginald D. Wiliams. (2009). improving quality value in the U.S. Health Care System. Retrieved August 2009, from www.brookings.edu/reports/2009/08/21-bpc-qualityreport Nichols, L. M. (2007). A Sustainable Health System for all Americans. Retrieved July 2007, from www.newamerican.net/files/NSC%20Health%20Policy%20Paper Thorpe, K. E., & Ogden, L. L. (2010, June 2010). Analysis & Commentary The Foundation That Health Reform Lays For Improved Payment, Care Coordination, And Prevention. Health Affairs, 29,6, 1183.

Tuesday, October 22, 2019

Should Seriously Ill Patients be allowed to Refuse Medical T essays

Should Seriously Ill Patients be allowed to Refuse Medical T essays There are two ways to look at the issue of patients refusing to take medical treatment. The first way would be through the eyes of the patient. What are the patients rights? Who decides what the patients rights are? Can a patient refuse treatment? On the other hand, we have the medical aspect. What do the doctors do if someone does not want treatment? What is their obligation to the patient? Is it forcing treatment on the patient? This is a very controversial issue in our society today. And unfortunately it will be an on-going issue for years to come. So what are the rights of the patient when it comes to medical treatment? Lets take parenting for example. Parents make medical decisions for their children until they are 18 and are considered adults by law. That should not change when someone becomes ill and needs medical treatment. It seems that when someone becomes seriously ill everyone else decides what the patient needs and doesnt need. As adults patients should be able to make decisions on their own with the input of medical staff and their family. Sarah Guy believes that, If patients are adults, they have every right to refuse medical treatment for any reason. Furthermore, doctors and family members in many cases think that a patient losses their right to make decisions when they become ill. In some situations, more so with a mental illness, a patient may not be coherent and because of that may make poor decisions for themselves. Lee E. Obermeyer feels that patients should be able to refuse treatment on certain terms. The first is that the patient be given a psychological exam to determine if he /she is able to make the decision. Once the patient is deemed competent, they must undergo a meeting with the medical staff to discuss the aspects of treatment. If the patient wishes to deny any treatment, they may do so at this time. Is there a responsibility to the hospitals a...

Monday, October 21, 2019

Realistic Views for Unrealistic Motives essays

Realistic Views for Unrealistic Motives essays Realistic views for unrealistic motives The reality of war is, by nature, hellish. There is much more to warring than the idea of That man is bad, and he has nothing more than bad intentions for people that do not ad hear to his way. By meaning of more to warring, I mean that there are more implications than an unjust leader. I can clearly think of a few reasons not to go to war: Iraqs sovereignty, the USs place in the world and our duties, the cost of war in both You have to first realize that as ugly as it may seem, Iraq is a sovereign nation. As the leader of a sovereign nation Saddam reserves the right to do what he wants when he wants so long as it stays within the boarders of his country and that alone is between Saddam and his people. It is flat out not our war. We cannot simply take over this country on the basis that it is an evil harboring nation and that it could, eventually do harm to other ways of life. Even if it already has in the past, who are we to predict the future and impose our way of life. that act alone would consist of arrogance, imperialistic thought, and a total lack of a global perspective. It is not Given that Iraq has imposed and invaded in the past, none of the actions taken have been directly aimed at the United States. It is true that Saddam has threatened the US but that is all and only after the fact that we became involved. The wars that have already been fought only involved the neighboring countries Iran and Kuwait. Even though the US supports some of those neighboring countries, it is not our war. In being a sovereign nation, we have to respect the countries right to act as an independent sovereign nation. When we did fight Saddam in dessert storm we were only there to protect Kuwait (oil) and our goal was to push Saddam back into his own ...

Sunday, October 20, 2019

A Harrowing Use of Harry

A Harrowing Use of Harry A Harrowing Use of Harry A Harrowing Use of Harry By Maeve Maddox I regret that I did not make a note of where I saw this, but it did make me gasp: inspire harrying tales that will either make you gasp for air or make you sit there and shake your head. Whenever I encounter the alteration of an established expression, I do a Google search to see how prevalent it is. The good news is that I found only three such uses, but the bad news is that, considering the viral nature of the internet, even three could be the thin edge of the wedge. Here’s the lengthy harrying tale of one of my final forays with cradle robbers. A blogger writing about dating Once Were Warriors-Harrying tale of life in a dysfunctional Maori family comment on a movie site Only last week I heard a harrying tale of clergy abuse right here in Methodism. A writer on a religious site The word these writers were reaching for is harrowing. Both harrying and harrowing derive from the same Old English word hergian: to make war, to lay waste. There may have been a time when the two spellings were interchangeable, but if so, it hasnt been the case for several hundred years. I doubt very much that the writers who wrote harrying in these examples were doing so in the attempt to restore an ancient spelling. In modern usage the verb to harry means: harass, goad, torment. For example, a dog might harry a cow by nipping at its heels. A harried person is one troubled by persistent annoyances and interruptions. Harrying denotes being bothered, but the word is much milder than harrowing. The word harrowing is a much stronger word, but as people have grown urbanized and as most children dont read widely in the classics, the word has become a dead metaphor. A harrow is a farm implement with vicious teeth, used to break up plowed ground. A harrowing experience is one that causes great emotional pain. NOTE: A favorite theme of medieval art and drama is the Harrowing of Hell, based on the belief that between the crucifixion and the resurrection, Christ descended into Hell to rescue the righteous who lived before him. Both harry and harrow have been used with the meaning to rob. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Expressions category, check our popular posts, or choose a related post below:100 Beautiful and Ugly Words15 Great Word Games20 Slang Terms for Law Enforcement Personnel

Saturday, October 19, 2019

Microsoft vs. Apple OS Research Paper Example | Topics and Well Written Essays - 1250 words

Microsoft vs. Apple OS - Research Paper Example Operating systems handles the details of the interaction between the user and the hardware. The operating systems are generally used in nearly all computing devices ranging from desktop computers to video games. There basically two prominent operating systems that exist for various functions and professionals; Microsoft windows and the Apple operating system. Depending on the function, the two operating systems exhibit some dissimilarity. For example, for architects and landscape architects, Microsoft windows has traditionally been one of the dominant operating system as it is compatible with a variety of programs relevant to the field such as the Autodesk AutoCAD (Cantrell & Michaels CHAP 1). The operating system OS X and Windows are two different types of operating systems that are created by Apple and the Microsoft companies respectively. The operating system OS X will run on Apple hardware only otherwise referred to as Mac computers, but Windows operating system will run on almos t any compatible hardware referred to as PC computers as well as those produced by Apple organization. Most people who prefer the Apple Mac computers operating on the apple OS X platform argue that Mac accessories are more reliable, that is, they are less prone to program crashing or unexpected shut-downs than PCs which operate on the Microsoft windows platform. However, this remains to a matter to be debated upon by proponents of both operating systems. According to a consumer report survey of laptop computers for the year 2008, two computer gadgets emerged out as the best laptop brands (Peterka pp17-19). These were Mac manufactured by Apple and the Lenovo which incidentally runs on the Microsoft windows operating system. But of the two, Lenovo had a better score than the former in terms of reliability. The Mac on the contrary also recorded a higher score than Lenovo in terms client service and satisfaction. Arguments have therefore erupted as to which operating system is more supe rior to the other. Microsoft windows operating system on the other hand, is a computer software developed by the Microsoft corporation. It is indeed among the leading personal computing platform. The organization’s nature of allowing for the licensing of its windows software products to some firms that have been in the computer manufacturing business, has been the key factor that has seen to Microsoft domination in the computer market. In most cases, Microsoft windows has work in hand in hand with other giant computer manufacturing firms such as HP, Toshiba, Dell and many others. They have availed some of their hardware to virtually all computer users owing to their high compatibility with a variety of computer sets (Silverman pp5-10). The ease of availability of Microsoft products has therefore means that the organization greatly benefits from economies of scale in a way that the cost of these products becomes less expensive. This consequently implies that Microsoft operatin g system based computer products are affordable and easily accessible when compared to the Apple Macs. The affordability of Microsoft products has also been associated with certain stumbling blocks. For instance, through Microsoft’s ever willingness to partner with virtually any party intending to do computer related business activities, the company is therefore usually obliged to carry out all that is within its premise to ascertain that their clients are able to get a Microsoft software that is compatible with the new hardware that the partner company is manufacturing. This might the cost the company a great deal in terms of constant updating of its products which may put the Microsoft Corporation at a shear point of bloating. Also, Microsoft operating system has won the favor of the majority of people owing to the fact that more often than not, it usually ensures that its even its newer operating system can still be compatible even with the older operating system. However, but just like other case, this has also

Decision Making Tools Essay Example | Topics and Well Written Essays - 3000 words

Decision Making Tools - Essay Example This is a formal technique used in organizations where there are many possible causes that are competing to be implemented. In this respect, the Pareto Analysis is used as a problem solver that estimates each course of action’s benefits to the project. After the estimation, the analysis will then find the most effective actions that will bring a total benefit that is closest to the optimal possible benefit (Mullen 1991, p. 56). Where managers are interest in finding the causes of the problems, the Pareto analysis offers a creative way that enables a team to stimulate their thinking and though organization. This decision making tool is inhibited by important problems which initially were small but continue to grow as time passes by. The Pareto analysis is thus more practical when combined with other analytical tools such as the fault tree analysis and failure mode and effects analysis. The Pareto Analysis helps organization in the identification of the top 20% causes of problem s that the management needs to address in order to resolve 80% of the problems facing the organization. After the identification of the top 20% causes, other analytical tools are used in the identification of the root causes of the organization’s problems. Some of the tools that are used for the analysis include the Fish-bone analysis and the Ishikawa diagram which are effective in looking for the root causes of problems. When the Pareto Analysis is applied in risk management, the management are given the opportunity to concentrate on the risks that have adverse effects on the project’s operations (Perrow 1986, p. 69). Advantages of Pareto Analysis One of the advantages of Pareto Analysis is realized in the undertaking of knowing the relevance of each stock keeping unit. A stock keeping unit’s relevance is helpful in determining the resources that are need in managing the stock keeping unit. The resources are mainly considered in the context of money and time th at are allotted to one particular stock keeping unit. The nature of an organization determines the importance of a stock keeping unit by using different data that will be applicable to the organization. If the company is a small retail company, the Pareto Analysis will generally be used focusing on the units sold or the sales in dollars. Pareto Analysis in this instance will be used to identify the bottom selling unites and the top selling units by using the sales data of the organization (Rodrigues 1991, p. 15). Larger manufacturing companies will generally apply the Pareto Analysis with a focus on the cost of goods sold. A manufacturing company will thus apply the Pareto Analysis on cost of goods sold to concentrate its efforts in ensuring that the costs of the most expensive materials are lowered. The production planners of an organization will use the Pareto Analysis to keep a very close control on the spending part for the production of a particular stock taking unit that has a higher beneficial perspective to the organization in the context of the yearly cost of goods sold. The production planners will also seek to lessen the yearly expenditures for that particular part by looking for an

Friday, October 18, 2019

National Institute of Health Essay Example | Topics and Well Written Essays - 500 words

National Institute of Health - Essay Example And they are more inconsistent, affected by momentary events and dominated by objects in their immediate environment". However, when every function of the child is predominated by such behaviour then it is time to take cognizance. (Barkley, Russell. A, 1998). This disorder was first described by Heinrich Hoffman in 1845. A child with this affliction will either be hyperactive or will seem to be always lost in a brown study. The main causes for this disease are supposed to be neurobiological and genetic. A possible correlation between the use of alcohol and nicotine during pregnancy has been established by various studies. (Stock, Margaret, n.d). The hormone epinephrine (also known as adrenaline), is released during stressful situations producing an increased heart rate and increased blood flow to the muscles. Stimulants act similarly by increasing the levels of the neurotransmitters dopamine and norepinephrine in the brain. In addition they also act on the limbic system that reward behaviours like sexual intercourse, eating and drinking or in other words actions that are beneficial to the continuation of the species. These are normally accompanied by positive sensations due to increased levels of dopamine in the limbic system. Stimulants mimic this activity but at a much more enhanced level producing euphoric sensations by directly increasing dopamine level