Perhaps one of the most important developments in recent years is the increasing emphasis placed on health care providers to contain costs. In such a climate, euthanasia certainly could become a means of cost containment. In the United States, thousands of people have no medical insurance; studies have shown that the poor and minorities generally are not given access to available pain control, and managed-care facilities are offering physicians cash bonuses if they don't provide care for patients. With greater and greater emphasis being placed on managed care, many doctors are at financial risk when they provide treatment for their patients. Legalized euthanasia raises the potential for a profoundly dangerous situation in which doctors could find themselves far better off financially if a seriously ill or disabled person "chooses" to die rather than receive long-term care.
I was shocked when the Cleveland Clinic Foundation announced that they were no longer accepting Caresource insurance which is part of the Medicaid program. I knew that this was going to affect a lot of people who count on Cleveland Clinic Foundation for their care. Also, our advancements in technology have been astonishing but still present as a concern because of the cost to purchase, operate, and maintain the equipment is a huge investment in which sometimes the federal government provides financial coverage. In summary, these predicted increases in health care costs must be looked at in terms of prevention and/or cure and effective planning for the the future must start
River Park Hospital has budgetary constraints on their healthcare system, leading to a limited amount of employees. With this confronting constraint, it causes the human resource department to limit the amount of employees to hire, causing the hospital to be more state-of-the-art and teaching employees how to perform more skills, rather than limiting them to a minimum skill-set. Capella Health, a major healthcare organization, has been the major sources of revenue for River Park. In 2005, River Park Hospital was one of the first four hospitals from HCA to be partnered with Capella Healthcare (Capella Healthcare, 2013). Capella plays a major role in the hospital’s capital and operating expenditures.
This caused a strained relationship with doctors and patients and patients didn’t want to receive care anymore. The government tried to solve the problem by enacting “the Kerr-Mills Act of 1960 to provide medical indigence for beneficiaries” (Stevens, 1996). The elderly in America celebrated the fact that the government was meeting their expectations. They had access to quality health care and a program to help with medical fees. Period of Shifting Focus (1970s and 1980s)
1.) What do you believe are the three most pressing issues facing nursing associations today. Be descriptive in your analysis. • Marketing Issues- If nurses do not know about the nursing associations available to them how are they supposed to join? Professional nursing associations are rarely marketed to staff members, which can lead to decreased membership in the long run.
Introduction Since Nightingale’s Notes on Nursing was published in 1859 (Polit & Beck, 2012), nursing research with a focus on evidence-based practice has driven patient care practices and policies within healthcare facilities. At my facility, practice changes are driven through the Practice Council of the Shared Governance Council with support from the Research Council. Within the Organization The concept of these councils is to empower the nurses to lead change within the facility. One barrier to the continued success of the council is some ideas within the council become stagnant and do not disseminate. Often times, the bureaucracy involved in implementing a change within the hospital slows the process, increases workload of the change agent which ultimately loses council member buy-in.
The Role of Interpreter in Medical Settings Successful health care relies deeply on efficient communication between provider and patient. However, researchers ,have discovered that there is a huge gap in communication between doctors and patients where unprofessional interpreters,such as bilingual nurses, relatives or friends of patents are used(Harold Michael Lesch & Bernice Saulse,2014).Often very few of those interpreters have a clear understanding of what their role is, including the interpreters themselves(Sandra Hale).As a result, professional interpreters are in high demand. 1,The importance of medical interpreting. In the United States, the end of the twentieth century and the beginning of the twenty-first witnessed important changes
Finally to summarize my learnings from the course HCA 6280, I want to mention the top five ethical issues that are facing the future of health care industry. First, managers are challenged to create a balance between the quality and efficiency. Due to the fact that there is no consistent framework to measure efficiency, this concept has remained vague and needs more literature research. Second, the disparity in access to care is the biggest dilemma of the U.S. health care system.Third, Due to the increase in the number of baby boomers more healthcare professionals are needed than before to provide coordinated care for chronic diseases. Healthcare managers need to focus on recruiting more competent professionals and create strategic planning
Your discussion states a valid explanation about how there many issues associated with health care and there is not one simple answer. The health care reform act has improved health care for many although the direct problem faced by many Americans is affordability (Stoltzfus Jost, & Pollack, 2016). I have cared for many patients who have confided how they are unable to pay for prescriptions. Without these medications, these individuals are unable to maintain their chronic illnesses and return back to the hospital. This is a vicious cycle that ends up costing the patient, hospital and government time and money.
Even one instance of abandonment can cause a nurse to find it difficult to have the trust of coworkers. They may also find it problematic trying to gain employment with any past of abandonment. From all this research I have learned additional actions that are forms of abandonment that I hadn’t thought of previously. I feel that I am better prepared to not commit any acts of abandonment now that I have gained new knowledge and understanding. As a nurse I do not want to ever place patients in danger, not only to avoid reprimand from the board of nursing, but also because each patient is some ones loved one and I feel all people no matter what their past is like deserves great nursing care in a nonjudgmental way.