...depending on if there are any people with limited English proficiency. The geography in which the facility is located has a affect on who is needing care and what their needs may be. Sylvan (2013), "One-fourth of the U.S. population lives in rural areas. Compared with urban Americans, rural residents have higher poverty rates, a larger percentage of elderly, tend to be in poorer health and face more difficulty getting to health services. The circumstance of where you live has a significant overall effect on the number of primary-care doctors, specialists, hospitals and other health resources available. In rural communities, lack of transportation and distance to an emergency room or a hospital can be important barriers to receiving prompt treatment” (Factors Affecting Health-Care Delivery). Personal and ethical beliefsof the community also determine what the make up of the facility will look like. Some communities are high in spiritual beliefs, some in home remedies, some in vaccinating, some in preventative care. Depending on what the community is like determines what kind of care they offer. At Ashton court for example these residents are high in spiritual beliefs and faith. Therefore, Ashton court offers a prayer room and spiritual support as well as the medical side of care. Sylvan (2013), " some factors affecting health-care delivery are related to an individual's circumstances....
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...Poverty and health care are considerable issues that are affecting us Canadians. Poverty is on the rise as our population continues to grow, more people have an effect on our health care now. The Canadian health care system is not up to date and Canadians are wanting change and a better health care place. Poverty has always been a problem anywhere and now with the increase population the demand for food and a living space is higher but not all needs are met creating a higher poverty and homeless rate within Canadians. There is an increase in poverty around Canada. Over two years poverty has risen 19% in Edmonton with 2,618 homeless people. Poverty also has an economic cost. These costs include the impact on our healthcare system, loss of productivity and increased policing and judicial costs as social breakdown results in crime. The governments now have the ability to change structures and policies that greatly impact those living in poverty. Poverty rates among Aboriginal Canadians are significantly higher. They are frequently the last hired and the first laid off, but even when they are employed they work for low wages and poor benefits. Therefore, it is not a country's total wealth that is relevant, but how that country distributes...
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...of the health care systems in the world, extensive processes of international collaboration and migration present the profession of nursing with an escalating challenge in terms of cultural diversity. Ideally, cultural awareness in health care provision entails being sensitive to the different values and perceptions of members of a given community. This is because with the rise in the world population, the percentage relating to minorities has been steadily on the rise and thus the relevance of understanding the aspect of global and cultural awareness. In essence, the adoption of a culturally competent system of health care is important as this ensures that health care professionals remain sensitive to the existent differences between groups, not only in accordance to the outward behavior but also to attitudes relating to emotional events like pain, disability and depression (Christine & Karren, 2013). In this paper I will discuss the scope of global and cultural awareness in relation to the health care system by depicting the various aspects that surround the scope of global and cultural awareness. Factors of culture affecting an individual’s health status The various cultural factors that may have an impact on an individual’s health status are literacy levels, ethnicity, traditions, and health disparities. Literacy levels bear a significant influence on an individual’s health status with the issue affecting many people in the world who exhibit low levels of health literacy...
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...Kdjfosijfosidjfsjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjijoijoijjjjjjjjjjjjjjjjjjjjj The most important issue affecting the future of health care delivery in America is simply cost. The exorbitant cost of healthcare is the deciding factor in whether and when people get necessary medical care, what doctors they see, and what treatments are available to them. Unfortunately, due to rising costs and the number of insured many people in the US are forgoing basic healthcare services The most important issue affecting the future of health care delivery in America is simply cost. The exorbitant cost of healthcare is the deciding factor in whether and when people get necessary medical care, what doctors they see, and what treatments are available to them. Unfortunately, due to rising costs and the number of insured many people in the US are forgoing basic healthcare services. It has always been a dream of mine to one day open up a medical clinic in the US that specializes in serving the medical needs of individuals who do not have access nor can afford basic quality to healthcare; however one of the major obstacles that I will have to face is cost. As of 2008 nearly 50 million people the US lack basic health care coverage. The vast majority of these individuals are adults between the ages of about 18 to 64, and most of these individuals are from working families working from low to moderate income. ...
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...end of life care: Outline Gurbani Virk SOC313: Social Implications of Medical Issues (CGF1516A) Instructor: Mark Mussmann Date submitted: May 4, 2015 Introductory Paragraph Miller family is filled with traditions, diversity and cultural values. In the scenario, Grandma Ella has been experiencing various issues with regard to having alternative treatments and medicines. Ella’s decision is hugely influenced by her cultural and traditional expectations that may influence directly or indirectly on the care given to her in her end of life days. In addition to that, there are other systems like micro, mezzo, and macro influences affecting Ella and her family members due to her medical condition of having cancer for more than 10 years and its prognosis. The debate is over whether Grandma Ella would have advantages or disadvantages by receiving end of life care at a hospital setting or hospice and palliative care will be given for her at home. As a social worker, I have a big responsibility for deciding on Ella’s treatment plans which may get affected by her other family members who have to take care of their own medical and personal problems. Outline I. Introduction A. Background Information 1. Grandmother Ella’s condition has significant implications on her life and the lives of other family members 2. Cultural and traditional issues, context of health care setting as well as psychological and social issues affect decisions on privilege of care given 3. Micro...
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...Hospital Healthcare Delivery System Imagine a child experiences a traumatic event such as a house fire sustaining life-threatening injuries or develops a musculoskeletal disorder and may not walk again. Where would one go with a child such as this? A child that would need an individualized care plan catered to meet his or her needs without financially crippling their family and incorporating them in the healing process. A place of such magnitude and offers multidisciplinary services does exist and that place is Shriners Hospital for Children. Shriners Hospital, founded in 1922, aims to achieve optimum health for its patients by helping each child become healthy and independent. Through its broad range of medical and rehabilitative services, it accomplishes this goal through treatments, surgeries, and therapies in orthotics, prosthetics, occupational, and recreational. To deliver exceptional care, its healthcare delivery structure and the many factors that affect it contributes to its weaknesses and strengths as a non-profit healthcare provider. The following addresses Shriners Hospital healthcare delivery system, the economic, licensing, and regulating factors, trends affecting the industry, and pricing dynamics it encounters. Health Care Delivery Structure Health care delivery structure is the system through which a healthcare organization provides health care services that met the heath needs of the targeted population. The healthcare delivery structure of Shriners...
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...occurrence and public health response towards the HIV/AIDS disease. It deals with a broad range of issues in public health through the emergence of information and the reaction to the new disease. It touches on issues concerning the heterosexual community, gay community and the medical community. It did show not only research in AIDS but also the way the federal government responded to it. The movie gives general overview of how medical research was carried out during those days. The main themes in this movie are the plight of the medical community dealing with research, government response to research and social alienation in health care. The gay community experienced a lot of suffering due to social isolation. The center for disease control singled out the gay community as the only ones who were at high risks of...
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...society, and there is an increasing need for health care reforms in the modern society due to the increasing costs on healthcare, the high rate of various diseases in the community decreasing the quality of the national health on a regular basis. The modern U.S. health care system is not very effective in the context of delivery, finance, management, and/or sustainability, and this is the major reason to imply certain changes and reforms in this field promoting its efficacy and success in the market. People living in the modern society should feel valued and important in the healthcare system receiving the needed assistance and support in a timely manner not depending on their health and economic status. Bar-Yam (2006) stated that “efforts to implement cost controls and industrial efficiency that are appropriate for repetitive tasks but not high-complexity tasks lead to poor quality of care” (p. 459). Thus, health care reforms will help to improve the quality of care increasing the efficiency of the U.S. health care system in the modern society inspiring much confidence, stability and security on the part of the patients. The U.S. health care system is overwhelmed with the inefficiencies and problems affecting the quality of care provided for the general population. The greater number of reforms in this field will change the situation for better applying the new and innovative technologies and strategies in this field. The health care spending has increased dramatically in America...
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...Asthma An important issue that needs to be further researched in the health care field is Asthma. Asthma is a disease that affects the lungs; it causes wheezing, breathlessness, chest tightness, and coughing (CDC, 2014). Asthma affects children and adults, but is deemed the most common long-term disease among children (CDC, 2014). It is a prevalent disease in the United States affecting 25.7 million people, including 7.0 million children (CDC, 2015). The reason it is important to continue further research on Asthma is because in most cases, the causes remain unknown. With such a large number of people affected by this disease, research related to this issue is important from an organizations perspective. Organizations have the duty to ensure that health care is affordable and accessible to those who are in need of health care. Curing asthma would be a great start in cost reduction; price cuts are a necessary component in making health care more affordable. Research There are a multitude of research applications that can be applied to one’s thinking and decision making as a heath care professional in regards to Asthma. Health care professionals must direct their research to the cause of Asthma. Without knowing the cause, a cure will be obsolete and treatment options will only be help to control the disease, never cure. Programs such as the National Center for Health Statistics and the National Center for Chronic Disease Prevention and Health Promotion are working with...
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...Health Care Reform: Impact on Patient Safety, Quality of Care, and Economics November 7, 2015 Health Care Reform: Impact on Economics, Patient Safety and Quality of Care With the implementation of the Affordable Care Act (ACA) in 2010, never before in the history of the United States has there been a more opportune time to cater to the stakeholders, American citizens, and health care industry to improve quality and the way in which health care is delivered. Health care reform has changed and improved the entire spectrum of the health care environment. The three primary goals of the ACA are; consumer protection, improving quality/ lowering cost and increasing access to affordable care (DHHS 2014). Health care reform has affected all three of these goals and have impacted both positively and negatively, patient safety, quality of care and American economics. Impact of Health Care Reform on the Economy According to a study by the Congressional Budget Office (CBO), there have been substantial savings in Healthcare costs. One major reason for the savings is preventative health care. Preventative healthcare saves money on prevention and early detection of illnesses and diseases. The result is people don’t have to wait until their illness becomes so serious that they end up having to go to an emergency room for costly procedures. It has also lowered heath care cost by making preventative health care available and affordable for 33 million Americans who would...
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...Tina McCray Professor Williams English 111-800 November 14, 2013 The Need to Address Social Issues Affecting Abortion Abortion discussion in the public domain has most often centered on the policy and failed to address the major causes, which are the social issues. There is minimal focus on social reasons why 1.3 million women abort each year in the United States (Finer and Benshaw 15). Most of the reasons for carrying out abortion are addressed on two pillars alone: health complications and rape or incest. A third and a much bigger pillar, social reasons, have been ignored. Statistics show that a whopping 93% of abortions are due to social reasons (Finer and Benshaw 13). More attention should be focused on addressing the social aspects affecting abortion in contemporary society. The social reasons that make women want to abort include poverty, fear of heavy emotional and financial responsibility, and Incrimination of Teen pregnancy and unwanted pregnancy. Poverty trims down a mother’s capability to provide for a child, increasing the incentive to abort. As much as this may be reduced by existing social or welfare aid programs, abortion is still stigmatized as the problem of the poor. The less money one has, the less likely one will be able to afford bringing up a child, making abortion the only plausible option. This is made worse by the heavy emotional and financial responsibility to provide for children with little resources that poor people possess. Statistics show that...
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...Access to Mental Health Services Abstract Within the American Healthcare system there are three key components. The key components include access, cost, and quality. Access to healthcare is the ability to obtain healthcare services in a timely manner when one needs it. Cost refers to many things in healthcare. It depends upon the individual, national, or provider’s perspective of costs. Quality is the desired healthcare outcomes of an individual or the healthcare outcomes of the population. Access to mental health services is a major issue in the United States. Children are greatly affected by this and often fall through the cracks in the system. Less than half of all children receive the mental health services they need. The Affordable Care Act initiated by President Obama is setting strides to improve the availability of mental health services within communities. This law requires that all health insurance providers cover mental health services. Congress has also increased funding to improve access of child mental health services. Improvements with access include, but are not limited to, integrating primary care physicians with mental health providers and the expansion of child mental health services. These improvements will educate primary care physicians on the available mental health services in their surrounding communities, allowing them to refer their patients as needed while providing a continuum of care. The expansion of child mental health services will...
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...Today’s health care system changes frequently with the many political issues that affect patient outcomes and nursing. It is important for nurse leaders to maintain a certain awareness of the changes and be active participates in advocating and decision-making of the political issues that arise for the health care field and nursing, especially in their particular field of practice. Although there may be times that a nurse leader may need to advocate for other fields of nursing, politics, and policy making. Health care is affected by decisions made by the federal and state government. The persons in those seats are mainly political personal and not health care people. Because these people are not medical or nursing people, the decisions made may impact negatively the field or profession that is why it is important for nurse leaders and nurses to be aware of the decisions made about the profession and health care. Becoming a member of a professional organization will help nurse leaders increase their knowledge about the issues affecting the nursing profession and health care in the federal and state level of legislation. Nurse leaders should consider participating in professional organizations and political issues to provide feedback and input that affect the delivery of health care and the nursing profession. Facility policy and services provided may be affected by the changes in managed care because of changes in regulation, laws, and national health care policies...
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...to provide high quality and efficient health services to the people of Victoria in accordance with the philosophy of St Vincent’s Health Australia. The mission is based on the values of compassion, justice, human dignity, excellence and unity. The health service embraces the policies and principles of equal employment opportunity, occupational health and safety and quality improvement. JOB TITLE Title Division 1, Grade 2 Year 1 Registered Nurse Program Graduate Nurse Program Award Hours od Duty Nurses (Victorian Health Services) Award 2000 38 plus ADO entitlement Performance appraisal 6 weeks, At 6 weeks, 3 months, 6 months (end of probationary period), 9 months and 12 months and/or as required by the Nurse Unit Manger and/or Practice Development Nurse - Graduate Date October, 2010 BASIC JOB PURPOSE The Grade 2 Year 1 Registered Nurse, under the guidance of the Nurse Unit Manager or Associate Nurse Unit Manager, will be responsible for the delivery of high quality patient care within the healthcare team. The Grade 2 Year 1 Registered Nurse will Page 1 October 2010 Position Description Division One, Grade 2 Year 1 Registered Nurse be responsible for ensuring his / her own professional development in order to maintain clinical skills and knowledge. KEY RESPONSIBILITIES RESPONSIBILITY AREA 1: Continuum of Care The Grade 2 Year 1 Registered Nurse will ensure that the nursing care delivered is at the highest possible standard...
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...Reynolds HCAD 650 February 24, 2013 HIE Implementation with Conflicting Federal and State Laws Health Information Exchange (HIE) is a primary determinant of Stage 2 Meaningful Use in order for health care organizations to qualify for the Medicare and Medicaid Electronic Health Record (EHR) Incentive Program (Healthcare Information and Management Systems Society (HIMSS), 2012). This emphasis on EHRs and HIE come from Congress’ passage of the Health Information Technology for Economic and Clinical Health Act (HITECH Act), which was part of the American Recovery and Reinvestment Act of 2009. The issue for facilities in meeting the Meaningful Use requirements is the conflicting federal and state laws that govern consent required to share patient information. At the federal level, the Health Insurance Portability and Accountability Act (HIPAA) of 1996 established the baseline consent standard “as ‘No Consent’ required for treatment, payment and health care operations disclosures, and includes specific Opt-In or Opt-Out processes for sensitive health information” (Christiansen, Apgar, & Melamed, 2011, p. 2). The “No Consent” default established by HIPAA pertains to the disclosure of Protected Health Information (PHI) where the purpose is for the treatment, payment, and health care operation (TPO) to remove previous obstacles in the care delivery process by various providers. HIPAA gives individuals greater disclosure control beyond TPO and for specific programs...
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