Inequitable Healthcare

With the skyrocketing costs of the advanced medical technology and specialty pharmaceuticals, decreasing insurance reimbursement and high levels of uninsured patients, healthcare providers are required to be more cost effective in delivering their services. Some health care facilities operate under very tight budget. In 1992, Congress established 340B drug pricing program in order to provide discounted drugs for covered entities, such as “high-Medicaid public and private nonprofit hospitals, community health centers, and other safety net providers”1, to help those facilities to deliver pharmacy services to those underinsured or uninsured outpatient populations. This program is based on the agreement between the Secretary of

Clinical research is from acute to chronic care experience throughout life span. It involves health promotion and preventive care for individual, families and communities in different settings. It is important for nursing research to widen the scope in order to have a greater impact in future. The aspect of health promotion and preventive care are very important because some diseases are better prevented than treated and while some changes are irreversible such as aging are part of human experience. Health systems and outcomes research focuses on how health care delivery influences quality, cost and experience of patient.

Creating a high–performing value-based healthcare system The Institute of Medicine talks about “Crossing the Quality Chasm” that explains the impact of macro-systems on micro-systems in health care. Macro-systems are the organizations and environmental forces that support and influence micro-systems. Micro-systems are the people, processes, and practices that interact daily with patients or support patients at the local level. The macro-systems have greater impact on overall health system performance.

And it is also affecting the function of the society and making changes, like increase dominance of doctor, expanding medical domain. Medicalization is related to everyone who live in the world, we might also affect by the new rules or norms caused by medicalization. We should take more attention on this issue and find out the possible solution to the medicalization.

Some who are very sick are normally sent to the main clinic where they can see a doctor for thorough assessment and examination, if need be they can be referred to the hospital for diagnostic investigations or else they are treated locally. 4.5 USEFULNESS OF CONCEPT TO THE WORLD Owing to advancement in health technology, the cost of care is on the high side leading to increasing numbers of health insurance systems, because most people cannot afford the cost of new high-technology services. While being called "health" insurance, it is actually "illness 'insurance, which pays some or all of the costs of medical care in case of illness and is available from several sources.

This separation of ambulatory from inpatient care creates complexities as providers try to support patient comfort and recognize the need for some similar support structures that are costly to duplicate in multiple locations. Given changes in healthcare policy, diseases affecting the population, and economic factors, the ambulatory care centers of the future will be reflections of all the issues as a physical response.(Barker, Pocock, Hobbs, & Inc., 2015).” With the help of the Affordable Care Act, the goal of delivering and sustaining quality health care through the use of ambulatory services will help improve the current state of the American health care system by providing provider incentives and enable patients to make better lifestyle choices for

This report addresses the issues arising from the case study report of Guelph General Hospital. Over the years, the hospital has experienced challenges in the delivery of services to consumers. This is especially due to the expanding numbers of patients that have affected the normal functioning of the hospital system. Starting with the improvement of the emergency department, GGH has focused on the practices that would accommodate the increasing demands for medical services. The lean methodology is one of the implementations that aimed at reducing wastage within the system, in order to create value for the services offered.

The modern healthcare sector remains one of the most important aspects of the evolution of our society. The fact is that the health of the nation depends on the efficient functioning of the given sphere and its ability to provide care to all individuals who have need for it. However, the peculiarities of the modern healthcare, medicines, technologies used to examine patients and diagnose illnesses, precondition the extremely high price for certain services. In this regard, the question of reimbursement becomes extremely topical for the healthcare sector as there are numerous attempts to improve the existing approach and attain lower prices along with better results. Anyhow, the current system peculiar to the USA could be considered extremely

Today’s patients are more diverse, have more complex health needs and typically require more than one discipline to address issues regarding their health status. These increasing needs have brought about the emergence of interprofessional communication and collaboration. The most effective communication occurs when health care professional work in tandem and better enable them to address these complex and challenging needs of their patients. This interprofessional approach allows sharing of expertise and perspectives to form a common goal of improving outcomes.

Hi Jessa, I commend you for sharing your profound insight. I completely agree that focusing on changing the fundamental aspect in which health care is delivered plays a significant role in saving or reducing health cost for patients and hospitals. In addition, a collaborative approach that includes the patient and allow them to participate in routine care will net better health result and reduce emergency visits to the hospital. when people are working together and feel like they are part of a team with a shared purpose, then professionalism is enhanced, trust among group members is increased, communication flows better, and satisfaction of those on the team is increased (Freshman, Rubino, and Chassiakos, 2011). Healthy collaborative relationships

Barriers that prevent residents from receiving proper excersise and nutrition include lack of transportation, inadequate sidewalks, sufficient income, absence of social support, and time. Large quantities of rural individuals who are uninsured are more likely to utilize the emergency department when care could have been managed in a primary practice. A community health center can help with unnecessary visits to the emergency room by providing low to no cost primary care through preventative services for rural areas suffering from poverty. In rural communities there are significantly fewer mental health providers than urban areas. Mental health providers with expertise and higher level of specialization are particularly rare in rural areas.

We live in a world where the communication is the foundation for sharing information between people and debating is a formal way of communicating. Debating on the “Insurance policies obtained through the Affordable Care Act should be replaced by High Deductible Health Plans paired with tax free Health Savings Accounts” was challenging in many ways. My team was on the con side. From the beginning, all members of the team agreed that the Affordable Care Act is a controversial and complicated topic, however, ACA has made a number of positive changes to the health care system and increased access to health care services. In addition, the ACA has a tremendous impact not just on patients, but also on health care providers and workers.

despite significant growth in the physician workforce and physician-to-population ratios (General Accounting Office, 2003). Maldistribution is influenced by personal, professional, organizational, economic, political and cultural factors. It is necessary to acknowledge the fact that even with certain communities experiencing challenging conditions such as high poverty rates and geographic isolation will continue to need federal and state assistance to attract physicians. We need to think differently and extend the reach of doctors to the community rather than spend their time on a lot of documentation, clerical activities, and tasks that can be handled by other allied health-care

Major categories of external environment issues are political, technological, regulatory, and social. While all of these issues are important in healthcare, I think that social, political, and regulatory issues are the most important in this health care environment because those issues creates a lot of change and problems in healthcare. Health care reform, a social issue, bring forth new political and regulatory issues. Increasing aging population is another major issue in health care that will affect the system drastically. Change is inevitable in the health care industry, and this changes includes new policies and regulations as the healthcare environment shift and is a so why these issues are of most

I think there are many ways an ANP can influence health policy such as by providing high quality of care, lowering cost of care, increasing healthcare access and excellent nurse-patient relationship. Healthcare advocacy is very complex and requires access to the resources of power, wealth, will, time, energy, along with other necessary social and political skills and resources. As (Gould, Fleming, & Parker, 2012) state “advocacy is a fundamental instrument of health promotion practice and suggests strategies to apply these principles in