In the U.S and other nations of the world, the health expenditure and number of physicians increase as the economy expands. However, physician shortage is of a great concern globally, which the U.S and the Military Healthcare System (MHS) are no exceptions. According to Garber (2004) “a shortage exit when there is unsatisfied demand, which occurs when the quantity of a good or service is less than what people will be willing to buy at the current price”. For example a long wait time to get an elective surgery done, or a long wait for a patient to get an appointment to see the doctor are evidence of physician shortage. Another definition of shortage is “having a projected supply of physicians that meet less than 80% of the forecasted demand or need, calculated at the estimated means (Scheffler, Liu, Kinfu, & Dal Poz, 2007). The World Health Organization report (2006) estimated that, 57 countries had absolute shortage of 2.3 million physicians. This shortage according to prior studies implied the lack of a sufficient number of health care professionals to deliver skilled health interventions such as child-birth. Schaffer et al. (2007) projected the global supply of the physician workforce to balance the demand using the demand base model and sufficient surplus in the year 2015. Despite this projection of surplus and balance of the physician workforce globally, the problem of shortage will still remain with some countries and nations as a result of distributional problems that continue to persist, and Africa for instance will need about 65% increases in supply of physicians by the year 2015 (Scheffler et al., 2007). According to Cooper (2004 & 2005) the shortage of physicians in the U.S was related to the economic capacit... ... middle of paper ... ....S and overseas to supplement the care provided to the growing beneficiary population in the MTFs. The MTF is the primary health care facility for TRICARE. TRICARE PCP shortage is due to deployment to war zones, humanitarian missions and special combat skill training. Throughout the research, attempts will be made to respond to the primary question and then the other sub questions in relation to; TRICARE background history, epidemiology, physician types, administration, policies and law, finance, personnel, marketing, ethical issues, beneficiary complaints and satisfaction. Other areas include the role restructuring plays in resolving the beneficiary complaints and the impact the restructuring of TRICARE will have on health care delivery to beneficiaries. The summary, recommendations and conclusion will be addressed finally to complete this research paper.
The Claims and Patient Business Services departments have made remarkable strides on getting back on track due to these changes, which has provided much needed relief to the MSD. However, MSD is still struggling, on the other hand, with a few issues such as high absenteeism and low morale which makes it difficult to balance available staff with incoming call load. There are also a few factions that are often found socializing in other people’s cubicles or going to the lobby to take personal phone calls. Lastly, there has also been difficulty within the management team as a result of both past and future management styles within the department.
In the 1990s the government made the decision to cut back on physician production because it though that it had enough physicians (Dauphinee, 2005). This lead to the greatest net loss of Canadian physicians to other countries, primarily the united states (Dauphinee, 2005). It was approximated that 508 physicians left in 1996 (Dauphinee, 2005).
...on rates have shown to improve when the facility is practicing patient- and family- centered care, which ultimately can increase the reimbursement rates from Medicare and Medicaid. The increase reimbursement rates are extremely important for non-profit health care system such as OhioHealth Mansfield whose revenue comes from over sixty percent in Medicare and Medicaid funding. The PFCC self-assessment tool was analyzed based on OhioHealth Mansfield with strengths and weaknesses, which one big weakness consisted in the personnel domain which consists of support for staff, and the utilization of patients and family involvement in decision making and new employees. The system change of adding the new role of the patient navigator allows collaboration with a diverse team including patient and family members, along with ultimately increasing patient satisfaction rates.
It is enthralling to note that in spite of the advances in healthcare systems, such as our hospital’s ability to provide patients with lower cost, managed One being the Health Maintenance Organizations (HMO), which was first proposed in the 1960s by Dr. Paul Elwood in the "Health Maintenance Strategy”. The HMO concept was created to decrease increasing health care costs and was set in law as the Health Maintenance Organization Act of 1973, after promotion from the Nixon Administration. HMO would, in exchange for a fee, allow members access to employed physicians and facilities. In return, the HMO received market access and could earn federal development funds.
There has been a shortage of physicians, lack of inpatient beds, problems with ambulatory services, as well as not having proper methods of dealing with patient overflow, all in the past 10 years (Cummings & francescutti, 2006, p.101). The area of concern that have been worse...
The CareGroup Case Study comprises various components. The core concepts were broken down into the history of CareGroup itself, CareGroup’s IT, the collapse of the network, dealing with the collapse of the network, and the lessons learned from the entire situation (McFarlan, F. Warren, and Robert D. Austin, pg.1). CareGroup was formed on the basis of three major Massachusetts hospitals; Beth Israel, Deaconess, and Mount Auburn (McFarlan, F. Warren, and Robert D. Austin, pg.1). After a surprising merger of Mass General and Brigham and Women’s Hospital, all three hospitals in CareGroup suffered great financial losses (McFarlan, F. Warren, and Robert D. Austin, pg.2). Due to the multi-million dollar financial losses, CareGroup felt they needed a change, which is when they added Halamka to their team, naming him their CIO (McFarlan, F. Warren, and Robert D. Austin, pg.3).
The number of doctors that present in the United States of America directly affects the communities that these doctors serve and plays a large role in how the country and its citizens approach health care. The United States experienced a physician surplus in the 1980s, and was affected in several ways after this. However, many experts today have said that there is currently a shortage of physicians in the United States, or, at the very least, that there will be a shortage in the near future. The nation-wide statuses of a physician surplus or shortage have many implications, some of which are quite detrimental to society. However, there are certain remedies that can be implemented in order to attempt to rectify the problems, or alleviate some of their symptoms.
Among the 13 nations that have advanced modern medical facilities, USA is ranked 12th and this is primarily because the service brought on board overly by the entire medical industry is poor. World Health Organization equates medical service in US to that offered in less technologically ...
Many developed countries in Europe and the west which are facing a severe dearth of doctors are trying to tackle this problem by bringing in health care professionals from other countries. In a survey it was found that
Every day a man comes home from war. Most having left their families as boys or young men trained in tactics and combat but never being trained effectively on stress management or the dangers of PTSD. Going into war soldiers are instructed to choke it down and bury it deep. Once introduced back into civilian life, where emotions are acceptable and tactics are not the answer, how do these men survive? How do they learn to cope? And most importantly how does the U.S. government train them for the next portion of their lives? In October of 2001 Operation Enduring Freedom, OEF, and Operation Iraqi Freedom, OIF, began and since then over 1.8 million troops have served at least one term ("PTSD in Service Members and New Veterans of the Iraq and Afghanistan Wars," 2009). The Veterans population has increased immensely since the war began in 2001 and the type of warfare witnessed is much different than that of any other previous war.
Enlisted medical caretakers are the biggest human services occupation. They work in clinics, doctors' workplaces, home human services administrations, and nursing care offices. Others work in schools or outpatient centers, or serve in the military. Home wellbeing and general wellbeing medical attendants go to patients' homes, schools, group focuses, and different destinations.
One of the most serious problems facing all veterans today is the lack of proper healthcare. Soldiers, sailors and airmen are leaving active duty without having proper healthcare to cover their physical or mental injuries. The department responsible for veteran’s healthcare is the Department of Veterans Affairs. (VA) According to The department of Veterans Affairs website, “The United States Department of Veterans Affairs (VA) is a government-run military veteran benefit system with Cabinet-level status. It is responsible for administering programs of veterans’ benefits for veterans, their families, and survivors. The benefits provided include disability compensation, pension, education, home loans, life insurance, vocational rehabilitation, survivors’ benefits, medical benefits and burial benefits. It is administered by the United States Secretary of Veterans Affairs.” The VA, who was formerly called the Veterans Administration, was established 21 July 1930, to consolidate and coordinate government activities affecting war veterans. The VA encompassed the functions of the former U.S. Veterans' Bureau, the Bureau of Pensions of the Interior Department and the National Home for Disabled Volunteer Soldiers. On 25 October 1988, President Ronald Reagan signed legislation creating a new federal Cabinet-level Department of Veterans Affairs to replace the Veterans Administration effective 15 March 1989 (V.A.)
The VA (Veterans Affair) Health Care System is one of the largest, most advanced health care networks in the U.S. The VA Health Care System is the provider for veterans, retirees and their dependents and manages all their health care. The VA Health Care is actually one part of the Department of Veterans Affairs. There is also VA Benefits Administration which has to do with compensations and pensions. Then the other part of the VA is the National Cemetery Administration which is in charge of the cemeteries and providing burial and memorial benefits. All these parts make up the Department of Veterans Affairs. (VA History)
The region’s labor market is already tightening, as a result of which competition for skilled healthcare professionals is increasing. Kaiser Permanente would have to compete with the existing hospitals in recruiting and retaining qualified management and staff personnel responsible for the day-to-day operations of each of its hospitals and physician practices, including nurses and other non-physician healthcare professionals. The scarcity of nurses and other medical support personnel in the region presents a significant operating issue. This shortage may require Kaiser Permanente to enhance wages and benefits to recruit and retain nurses and other medical support personnel, recruit personnel from foreign countries, and hire more expensive temporary personnel. Competition for skilled healthcare professionals may lead to a further increase in Kaiser Permanente’s wage
“Wherever the art of Medicine is loved, there is also a love of Humanity,” says Hippocrates. This love is shown through the efforts of those who work and have worked to improve the medical field for so long to better the United States. Throughout the last one-hundred years the health of the nation and the state of our hospitals in the United States has become a big concern. As the people of the United States health decreases the need for an advanced medical field grows. The medical field is already very advanced and has advanced much in the last one-hundred years. The improvement of surgeries, vaccines, treatments, and everyday medicines are the main focus of the medical industry. When looking at the United States one would see that medical improvements have certainly changed the country for the better.