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Current economic issues impacting healthcare
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Camden is an example of this type of place-based approach. Camden is among the poorest city in the United States. It population face high rate of poverty and often lack access to care, with high utilizers of ER and hospital visits for preventable conditions that are treatable by a primary provider. As a result, individuals have difficulty accessing primary care along with a number of “behavioral, social, and medical issues” (Heiman & Artiga, 2015). The Camden Coalition used data to identify a small group of patients who had consumed a large quantity of medical resources and limited assets. Using these finding, the coalition designed and implemented a citywide health-information exchange, to coordinate care and locate patients in needs of intervention.
In Camden, New Jersey, Dr. Jeffrey Brenner is pioneering efforts to improve healthcare delivery through medical “hotspotting” (Doctor Hotspot, 2011), the geographical mapping of patient healthcare costs using computational statistics (Gawande, 2011). Medical hotspotting enables communities to identify residents receiving the worst health care by identifying hotspots of high medical costs and frequent emergency room visits (Gawande, 2011). As with all macro level change, Dr. Brenner pursued his goal of improving health care through a process of planning. His process closely follows the IMAGINE Model outlined by Kirst-Ashman and Hull (2012).
Health Information Exchange (HIE) was introduced by President Bush in 2004 (Kruse, Regier & Rheinboldt, 2014) so it is not a new concept. HIE is instrumental in gaining overall population health as it can lead to a reduction in healthcare costs, increase patient safety, and increase health outcomes. Regional Health Information Organizations (RHIOs) are a conglomerate of healthcare providers and patients in a region that exchange healthcare information with the goal of delivering quality care to the individuals they serve. This paper will discuss the pros and cons of RHIOs, key challenges in gaining long term viability, and provide ways in which capital is raised to support HIE.
As the twenty-first century continues to move forward, humanity finds itself in a predicament unlike any other. Cities are overcrowded, impoverished peoples go hungry regularly, natural resources are depleting from overuse, and the degradation of the environment are daily occurrences on this planet. With so much taking place, how do we reach the point where our planet flourishes and prospers efficiently? Seemingly so, we have reached a point of no return. Yet according to Jeffrey D. Sachs, we can still maintain a flourishing, prosperous planet and the ideas that lie within this document review the main conclusions in the book Common Wealth by Jeffrey D. Sachs.
This book written by Melvin L. Oliver and Thomas M. Shapiro, addresses the following question: What will an examination of the black middle class, compared to the white middle class, reveal, in terms of economic stability and distribution of wealth? The authors answer this question in seven chapters. Using different studies, statistics, and history, this book conducts a socioeconomic comparison of the two races in America.
In the documents titled, William Graham Sumner on Social Darwinism and Andrew Carnegie Explains the Gospel of Wealth, Sumner and Carnegie both analyze their perspective on the idea on “social darwinism.” To begin with, both documents argue differently about wealth, poverty and their consequences. Sumner is a supporter of social darwinism. In the aspects of wealth and poverty he believes that the wealthy are those with more capital and rewards from nature, while the poor are “those who have inherited disease and depraved appetites, or have been brought up in vice and ignorance, or have themselves yielded to vice, extravagance, idleness, and imprudence” (Sumner, 36). The consequences of Sumner’s views on wealth and poverty is that they both contribute to the idea of inequality and how it is not likely for the poor to be of equal status with the wealthy. Furthermore, Carnegie views wealth and poverty as a reciprocative relation. He does not necessarily state that the wealthy and poor are equal, but he believes that the wealthy are the ones who “should use their wisdom, experiences, and wealth as stewards for the poor” (textbook, 489). Ultimately, the consequences of
Care anywhere is a new way to look at health care and Eric Dishman really sheds some light on the importance of this idea. I have never taken the time to stop and think about this idea, but now that Dishman brings it up I wonder why we don’t already have this, because technology has come so far that, that isn’t what is holding us back from achieving this goal. Dishman
Trinity Community Hospital is based in an economically sound community. Structured 25 years ago, in a prime location this 150-bed, non-for-profit hospital offers to the community residents a broad range of general medical, surgical, and support services. Patient Protection and Affordable Care Act (PPACA) of 2010 signed into law requires a non-profit hospital is to conduct a community needs assessment. To justify their tax exemption every three years thorough analysis of community assessment will be widely publicize. Interventions will also need to be included to meet assessment needs must also meet at least one of the following criteria:
...ntralizing and taking a holistic approach towards health for underserved communities, could lead to improved show rates, as well as, knowledge and communication between patient and health care providers. Especially in under marginalized communities, where advocacy and resources are lacking and needed the most, the manner in which health officials effectively educate and provide the resources to these communities need to be strategically assessed to translate scientific research into practice. With the value and importance of public health increasing, I desire to address the social determinants of health to reduce health disparities through utilization of technology and partnerships with community organizers. Thus, I believe a degree from Oregon State will be an excellent opportunity for me to merge my skills, backgrounds, and passions, turning a vision into reality.
For decades, individuals living in rural areas have been considered medically underserved. Access to healthcare is a problem that has been increasing for individuals in rural America due to aging populations, declining economies, rural hospital closures, rising healthcare costs, healthcare provider shortages and difficulties attracting and retaining healthcare personnel and physicians (Bauer, 2002). This population experience more health disparities than t...
Edwards, N. C., Etowa, J., Peterson, W. E., & Kennedy, M. A. (2012). Community health
According to healthypeople.gov, a person’s ability to access health services has a profound effect on every aspect of his or her health, almost 1 in 4 Americans do not have a primary care provider or a health center where they can receive regular medical services. Approximately 1 in 5 A...
The TASO model catered to the community because it allowed flexibility and confidentiality. If a patient was unable to travel to the facility, they were able to have their treatment brought to them. This helped many who were unable to afford the travel to a facility, but also those who were not able to physically go and receive treatment from a facility. On the other hand, those who did not want to disclose their medical situation to another were able to have their treatments done at the facility, which maintained confidentiality (Ellner, et al. p. 14). If a patient had access to a phone and had a question or concern, they were able to call a hotline to receive advice. For those in more rural areas, TASO was able to build outreach centers
Geographic studies on health care and wellbeing have often been divisive. Some researchers have primarily been devoted to health structures, examining correlates and predictors or describing patterns in data using sophisticated statistical techniques (Aday & Andersen, 1974; Buor, 2003; Wilson & Rosenberg, 2004); whereas others have focused on psychosocial elements and/or the cognitive environment and how they influence or inform the patterns of health care access, usage and behavior (Parr & Philo, 2003; Parr, Philo & Burns, 2004). The task for most emerging health geographers and researchers, including myself, has been to merge these dichotomized approaches to health studies and social science at large (Hartshorne & Clark, 1962; Lawson & Staeheli, 1990; Clark, Lissel & Davis, 2008). This critical realist worldview argues that phenomena in the real world that we study as researchers are structured and possess causal powers and liabilities (Sayer, 2015).
This is a community profile that aims to identify a specific health improvement issue within a local geographically determined community. ‘A community profile is an attempt to describe a particular community or neighbourhood. It uses a variety of different techniques to build up a picture of the community from a number of perspectives’ (Barnardos.org.uk, 2004) including several components of a community such as its demographic characteristics, patterns and trends i.e. its epidemiology in order to make comparisons between different localities to determine areas needful of specific health improvements with the goal of improving local people’s health and reducing health inequalities. A core definition of community as distinguished by Macqueen and Mclellan et al (2001) is ‘a group of people with diverse characteristics who are linked by social ties, share common perspectives, and engage in joint action in geographical locations or settings’.
Since a significant part of the population is young females, there is a need for services regarding gynecology, family, and pediatric care (Taylor, 2004). Despite most of the population being young, diabetes and hypertension also play a role in the population and therefore, services are needed to address these issues (Taylor, 2004). Since most of health care center populations are from low income households, health care centers usually provide enabling services such as “case management, translation, transportation, outreach, eligibility assistance, and health education” as well as other comprehensive services (Taylor, 2004, p. 8). To assure health care centers are fulfilling its purposes, each health care center goes through a Performance Review Protocol where the health care center is graded more on their performance than its compliance, unlike its former Primary Care Effectiveness Review (Taylor,