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Strengths and weaknesses of patient centred care
Essays about patient centered care
Patient-centered care
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The United States is in a constant state of healthcare reform at this time. With this reform comes the need for change. Patient Centered Medical Home (PCMH) is a new healthcare system for providing care to given populations. As the healthcare reform is in full swing at this time we will briefly review a patient population that is benefited by PCMH, what conditions are followed by PCMHs, who pays for the services provided, what type of insurance are included by PCMHs, what providers are in the PCMHs, how the providers paid in the PCMH system, and the results of the current progress of the PCMH. It is believed that “Every child and youth deserves a medical home” (American Academy of Pediatrics, 2014). This appears to be true for all age groups in all populations. PAMH are designed to provide care to their patients from birth to death in all areas of care. This includes a comprehensive healthcare team with the primary care providers (PCP), and the rest of the provider and healthcare staff. This team provides treatment to their patients using a patient centered approach and providing care for wellness to illness for both acute and …show more content…
The information could not found where PCMH was covered by any private plans. It looks like in Illinois, only people that have government or state funded healthcare insurance qualify for the PCMH plans. If this system does work well for the government then it could be assumed that private insurances companies at some time would offer PCMH. With the constant reform that is going on in the United States, what is found to work well with decreasing cost of care and improving patients’ outcomes should be adopted by all healthcare systems and insurances in order to meet the over all goals that have been set up by the government (Patient-Centered Primary Care Collaborative, 2008) (American College of Physicians Leading Internal Medicine, Improving Lives,
Due to the Patient Protection and Affordable Care Act signed into law on March 23rd, 2010; health care in the US is presently in a state of much needed transition. As of 2008, 46 Million residents (15% of the population) were uninsured and 60% of residents had coverage from private insurers. 55% of those covered by private insurers received it through their employer and 5% paid for it directly. Federal programs covered 24% of Americans; 13% under Medicare and10% under Medicaid. (Squires, 2010)
The current health care reimbursement system in the United State is not cost effective, and politicians, along with insurance companies, are searching for a new reimbursement model. A new health care arrangement, value based health care, seems to be gaining momentum with help from the biggest piece of health care legislation within the last decade; the Affordable Care Act is pushing the health care system to adopt this arrangement. However, the community of health care providers is attempting to slow the momentum of the value based health care, because they wish to maintain their autonomy under the current fee-for-service reimbursement system (FFS).
Yong, Pierre L., Robert Samuel Saunders, and LeighAnne Olsen. The Healthcare Imperative: Lowering Costs and Improving Outcomes : Workshop Series Summary. Washington, D.C.: National Academies, 2010. Print.
A strong primary care foundation is fundamental to constructing an effective health care system. Patients who have regular access to a primary care physician are more likely than those who do not to receive the necessary preventative care before their conditions become too difficult or expensive to treat (Bindman, Grumbach, Osmond, Vranizan & Stewart, 1996). Additionally, primary care physicians are significant to providing better care to low-income patients. Access to primary care correlates positively with better management of chronic conditions and reduced mortality (Starfield, Shi & Macinko, 2005). Despite the necessity of primary care in regards to health system performance, there has been little value and investment in primary care for decades (McGlynn et al., 2003). Consequently, health care in the U.S. is left poorly coordinated and expensive.
It is no secret that the current healthcare reform is a contentious matter that promises to transform the way Americans view an already complex healthcare system. The newly insured population is expected to increase by an estimated 32 million while facing an expected shortage of up to 44,000 primary care physicians within the next 12 years (Doherty, 2010). Amidst these already overwhelming challenges, healthcare systems are becoming increasingly scrutinized to identify ways to improve cost containment and patient access (Curits & Netten, 2007). “Growing awareness of the importance of health promotion and disease prevention, the increased complexity of community-based care, and the need to use scarce human healthcare resources, especially family physicians, far more efficiently and effectively, have resulted in increased emphasis on primary healthcare renewal.” (Bailey, Jones & Way, 2006, p. 381).
I believe this can only benefit the hospital and patient care, and have a new way that the patient is cared for. Treating the whole family, instead of just the patient is what the future is all about. Implementation of this type of care requires creating a partnership between the patient, physicians, nurses, and patient’s families. This can only improve performance improvement, and treat the patient the way we would want to be treated. My goal is to decrease the patients and families anxiety throughout their hospital experience, and keep the whole family informed of the patients treatment plan.
Later in 2002 American academy of pediatrics extended this model to include 37 specialties and in 2007 different physician associations collaboratively proposed the principles of patient centered medical homes. [2] Based on this model in 2006, American society of anesthesiologist proposed similar model, perioperative surgical home model in the field of surgery for achieving triple aims; improving patient health care and providing quality health care at low costs. [2]However these concepts have evolved two decades earlier their popularity has increased only after the implementation of affordable care act in 2010 as it introduced the concept of Accountable care organizations which requires different healthcare providers to work collaboratively to provide quality healthcare services at low costs. Similar to perioperative surgical homes, enhanced recovery after surgery model (ERAS) is popular outside United States.
Patient-centered care is a broad topic that can be discussed on a daily basis within the healthcare world. Patient-centered care is when healthcare providers and facilities provide care that is respectful to the patient’s preferences, needs and values. It can also be described as physicians who practice patient-centered care can improve their patients’ clinical outcomes and satisfaction rates by improving the quality of the doctor-patient relationship, while at the same time decreasing the utilization of diagnostic testing, prescriptions, hospitalizations, and referrals (Rickett, 2013). Unfortunately, ideal patient-centered care is hard to come by, especially in all 50 states because there is a shortage of money and proper resources needed
...lthcare system is slowly shifting from volume to value based care for quality purposes. By allowing physicians to receive payments on value over volume, patients receive quality of care and overall healthcare costs are lowered. The patients’ healthcare experience will be measured in terms of quality instead of how many appointments a physician has. Also, Medicare and Medicaid reimbursements are prompting hospitals, physicians and other healthcare organizations to make the value shifts. In response to the evolving healthcare cost, ways to reduce health care cost will be examined. When we lead towards a patient centered system organized around what patients need, everyone has better outcomes. The patient is involved in their healthcare choices and more driven in the health care arena. A value based approach can help significantly in achieving patient-centered care.
This caused PMH to become increasingly dependent on inner-city residents, who have a higher median age and higher incidence on Medicare coverage. In 1998, the board of trustees authorized a study to determine whether to open an ambulatory facility (Pate Health Clinic, PHC) in the downtown area about ten blocks north of PMH.
In 2015, the Centers for Medicaid and Medicare Services (CMS) released the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) which implements the final rule which offers financial incentives for Medicare clinicians to deliver high-quality patient centered care.5 Essentially, taking the time to learn the patient’s goals and treatment preferences allows for the patient to walk away from the medical treatment or service feeling understood and cared for by the provider.4 Thus, resulting in a better, more comprehensive plan of care. Policy makers are hopeful that the new incentive-based payment system will accelerate improvement efforts.
These clinical staff will make house calls to United Healthcare clients secured by Medicare who face perpetual, and conceivably costly, conditions, for example, diabetes or congestive heart failure (Triad Business Journal, 2013). It 's a speculation United Healthcare trusts enhances tolerant health through more financially savvy, higher-quality care, and thus, helps the organization 's main concern (Triad Business Journal, 2013). It is expected that the House Calls system will be looking after 75,000 Medicare patients before the current years over (Triad Business Journal, 2013). United Healthcare right now covers around 250,000 seniors in the state with its Medicare Advantage items. Moreover with the strategic plan to hire more nurses and healthcare providers, such as in home visits offer the opportunity to assess the patient’s medication regimens, offer routine physical evaluations and react to any healthcare demands (Triad Business Journal, 2013). United Healthcare plans and suppliers envision such normal, preventive care will take off emergency room office visits or healthcare facility stays for more genuine, and costly, problems in the future (Triad Business Journal,
Healthcare reform has been debated throughout history, and continues to be a debate today. An initial healthcare plan was supported by Theodore Roosevelt in 1910. He campaigned on the promise of national healthcare, but he was defeated. Harry Truman proposed it thirty years later but the plan was vigorously opposed by American Medical Association (AMA) as socialized medicine (Palmer, 2010). As a Family Nurse Practitioner (FNP) who has been practicing for more than a year, an advanced nurse with a Master of Science in Administration for ten years, a military nurse leader for twenty years, and a home health and ICU nurse for more than twenty – five years, I agree that we need to rethink the direction of healthcare. Without healthcare reform, the number of uninsured is predicted to increase to 54 million in 2019 according to Deutsche Bank Research trends (2010). This increase in uninsured patients will put a strain on emergency rooms (ERs) as many uninsured patients use ERs as their primary care, which increases healthcare costs and offers poor follow-up care for the patient.
Each day, medical research is taken to new and improved levels changing life as we know it. The experiments grow ─along with technology─ and shape this world for the better. Since no one in this world is alike, treatments are being discovered to take care of patients in their own ways. To fit with all these differentiated needs, healthcare has been broken up into multiple categories. Each section is specifically responsible for the unique care of patients but the end goal over all, is the same (treating others). One of the best known units of healthcare that is needed today is Pediatrics. Children under the age of five in America receive better healthcare from their pediatrician than an average family doctor. The specialist in the medical field came to this conclusion by stating that a pediatrician has the specialized knowledge needed in caring for the youth population. As I prove this study to be factual, my research paper will explain how pediatrics came about over time, how much of an alteration there is between a pediatrician and a family doctor, and why this particular care is essential to all children.
Patient-centric care practices are becoming the foundation of the current healthcare system. However, there is work and research to be done before a fully integrated and patient-centric system is in place throughout the healthcare system. Murphy (2011) has taken a closer look at the patient-centric care system, and what must be done before the patient truly becomes the center of the healthcare universe. Patient-centric care makes the patient and their family members a significant part of the care team, which may help to remove unneeded and unwanted services (Murphy, 2011). Murphy (2011) determines four areas within the healthcare system that can be improved to increase patient involvement in their care: eHealth, primary care, hospital care, and health information exchange.