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Importance of strategic planning in healthcare
Cost are rising for all kinds of medical care
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Challenges to medicine
The four biggest challenges to medicine are rise in health care cost, nursing staff shortage, new and reemerging infectious diseases and increase longevity and Alzheimer’s disease. Rise in healthcare cost There is constant increase in healthcare cost around the globe. In 1980, the health expenditure of the United States was approximately $250billion which has increased to about $2.3 trillion in 2008.
The price rises when demand increases relative to supply. This is the current trend in health care. America is graying, the increase in older adults population have increased the health care need. However, there are other forces that influence the cost of health care. The increase in hospital expenses, fee of the health care provider, increase in drugs price, political decisions such as additional taxes and increased regulations can impact health care costs. In addition, an increase in lawsuits which influence the cost of malpractice insurance for medical practitioners also increases the healthcare cost. The advancement of technology in area medicine is also one of the factors that increases the healthcare cost.
The rise in healthcare cost can be decreased by adopting planned
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Alzheimer’s disease is sixth leading cause of death on the United States. In addition there are many challenges in caring patient with Alzheimer’s disease. Patient with Alzheimer’s disease have communication problem, change in personality and behavior like sleep problems, hallucination and delusion, paranoid behavior, agitation aggression wandering . So, they need more trained staff and twenty four hour continuous care and assistance. As discussed above there is nursing shortage and Alzheimer’s disease further adds work load to the staff. This will cause work burden and burnout in nursing staff and leads to poor care, increase injury, infection and
For decades, one of the many externalities that the government is trying to solve is the rising costs of healthcare. "Rising healthcare costs have hurt American competitiveness, forced too many families into bankruptcy to get their families the care they need, and driven up our nation's long-term deficit" ("Deficit-Reducing Healthcare Reform," 2014). The United States national government plays a major role in organizing, overseeing, financing, and more so than ever delivering health care (Jaffe, 2009). Though the government does not provide healthcare directly, it serves as a financing agent for publicly funded healthcare programs through the taxation of citizens. The total share of the national publicly funded health spending by various governments amounts to 4 percent of the nation's gross domestic product, GDP (Jaffe, 2009). By 2019, government spending on Medicare and Medicaid is expected to rise to 6 percent and 12 percent by 2050 (Jaffe, 2009). The percentages, documented from the Health Policy Brief (2009) by Jaffe, are from Medicare and Medicaid alone. The rapid rates are not due to increase of enrollment but growth in per capita costs for providing healthcare, especially via Medicare.
The United States is projected to spend nearly 20 percent of the Gross Domestic Product on healthcare by 2020.According to a Mckinsey study $447 billion of the 1.7 trillion the U.S. spent on healthcare in 2003 was in excess of what it should have spent based on its wealth. A 1 % increase in the rate of health-spending results in an increase of about $2 trillion in spending on health over the next 10 years.
On a global scale, the United States is a relatively wealthy country of advanced industrialization. Unfortunately, the healthcare system is among the costliest, spending close to 18% of gross domestic product (GDP) towards funding healthcare (2011). No universal healthcare coverage is currently available. United States healthcare is currently funded through private, federal, state, and local sources. Coverage is provided privately and through the government and military. Nearly 85% of the U.S. population is covered to some extent, leaving a population of close to 48 million without any type of health insurance. Cost is the primary reason for lack of insurance and individuals foregoing medical care and use of prescription medications.
Last year the average cost of an insurance policy for a family of four was $20,728.00 according to the Milliman Medical Index (2012 Milliman Medical Index, figure 1). The median household income for 2012 was $51,017.00 according to Steve Hargreaves for CNN Money (2013, para. 1). This means the average American spends almost 40.62 percent of health care premiums. This figure is simply too high to sustain. By comparison the median household income in 2005 was $67,019 according to the United States Census Bureau ( Median Income for 4-Person Families n.d.). The average cost of healthcare according to the Milliman Medical Index for 2005 was $12,214 which was only 18.22 percent. (2005 Milliman Medical Index, figure 1). The percentage Americans spend on health care has more than doubled since 2005. If we don't find a way to get the costs of providing health care under control, then this country cannot survive.
The amount of money that is spent on healthcare is a quite a bit of money but about 10% of all the money is a result of some sort of medical fraud or abuse. This is about 120 billion dollars. With HIPAA (Health Insurance Portability and Accountability Act) medical fraud and abuse can be tracked easier. HIPAA was enacted in august of 1996; this was to help improve the portability and continuity of the health insurance.
Second our nation spends about $765 a year on carless healthcare which features unimportant medical tests and produces. Third is performing reckonable accident Errors that been impaired on patients whereas the Amount also was listed at $1.7 Million from 2008.Fourth the U.S.reckless spends about 100-200 billion a year in curing uninsured patients. Fifth the most common talked about Drugs of all is Tobacco which increases up to about 96 billion. Healthcare not only does give patients importance of everything but also we even have technology equipment along with so many life benefits enhancing is ridiculously high and is way over the line. Which is why so many of our medical learners are not being trained enough to understand on the...
70% of the patients with Alzheimer’s disease and other types of dementia live at home. Patients who are living at home typically receive help from their family members and friends; they also get community–based services, homemaker services, and adult day care centers. Many people with dementia end up in long-term care facility or a nursing home because they need 24-hour care and hand-on assistance with even the simplest of tasks. These patients struggle with eating, bathing, dressing, and using the restroom, which can be very difficult if the assistant has not had training. It would be very difficult to treat patients with high-grade dementia in the regular
In order to make ones’ health care coverage more affordable, the nation needs to address the continually increasing medical care costs. Approximately more than one-sixth of the United States economy is devoted to health care spending, such as: soaring prices for medical services, costly prescription drugs, newly advanced medical technology, and even unhealthy lifestyles. Our system is spending approximately $2.7 trillion annually on health care. According to experts, it is estimated that approximately 20%-30% of that spending (approx. $800 billion a year) appears to go towards wasteful, redundant, or even inefficient care.
I worked with Dementia and Alzheimer patients as a Certified Nursing Assistant for almost three years. Working with the elderly has been one of my greatest achievements. I assisted my residents with bathing, grooming and making them feel comfortable. I was able to create a favorable environment for my residents while working with them. I had the opportunity to see patients go from early stage to their last stage of dementia. This gave me an opportunity to want to do more for people who are in need of my care. From my experience, I learnt that nursing is not just a job; it’s a responsibility and a calling, and it requires that you derive joy in what you are doing even in the toughest moment of caring for your
There is no doubt that health care costs are rising out of control. Look again at the information presented in this paper. It should make sense of things.
Alzheimer’s is a form of dementia that affects the brain. There is no cure for it but many treatments. Alzheimer’s is fatal and there are few stages of dementia. It is the 6th leading cause of death, more than 5 million Americans have it, and 15,5 million caregivers gave around 17.7 billion hours of unpaid care that cost around $220 billion in 2013. In my family, my grandmother who is 86 years old has very early stages of Alzheimer’s. She started having symptoms when she was 81. My grandfather took most of the care of her but as he got ill my aunt Kathy took over. When my grandfather got ill and had to be in 24 hour care, we all agree to put my grandmother in assisted living care 10 minutes from one of my aunt’s house.
There are three issues when it comes to the health care cost rising. The first is the rising cost in prescription drugs. The second area of rising cost is the increased technologies when it comes to the medical industry. The third problem is the aging population. Prescription drugs are the area of the fastest growing health care expense, and it is projected to grow at 20 to 30 percent each year over the next several years. There are many newer, more expensive drugs on the market, and the use of these prescriptions is exploding. In addition, with so much television advertising, many consumers ask their doctors for expensive, brand name drugs when there may actually be a generic drug that works just as well.
A myth about Alzheimer disease says that nothing can be done about the disease. This is not true. Much can be done to assist the person with Alzheimer’s disease to maintain the highest possible level of functioning as long as possible and in providing the highest quality of life.
The U.S. expends far more on healthcare than any other country in the world, yet we get fewer benefits, less than ideal health outcomes, and a lot of dissatisfaction manifested by unequal access, the significant numbers of uninsured and underinsured Americans, uneven quality, and unconstrained wastes. The financing of healthcare is also complicated, as there is no single payer system and payment schemes vary across payors and providers.
What will US healthcare look like in 2050? According to Getzen (2013), trends in better health will lead to greater need for long-term care and chronic care for the aging population while correspondingly trending toward less acute illnesses (p. 438). Personalized prognostic healthcare will lead to healthier longer lives (Lawrence, 2010). Physicians will become leaders of teams within healthcare organizations rather than the independent practitioners we are familiar with today (Getzen, 2013, p. 438). Thus, the concept of the primary care physician will become a thing of the past (Lawrence, 2010).