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Health care system in the USA
Problems with our healthcare system
Critiques of our healthcare system
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Problem America spends more money on health care than any other nation in the world. It is surprising to note that despite the amount of money spent on health care, 16.7% of the total population in the nation still remains uninsured. According to World Health Organization reports, ‘America ranks 37 in health system’ (Gardner, 2010). A close look into the issue will reveal the fact that physicians in the US are getting a wage two times higher than those in Europe. In addition, the nation is facing acute shortage of doctors, thus compounding the problem. Probably as a result of these situations, there has been a growth in the number of retail clinics in the nation with the current number being above 1,000. As Kaissi and Zucker (2010) reports, this number is expected to rise to nearly 6,000 soon. These clinics are either independently managed or are in contract with hospitals and staff nursing practitioners instead of physicians. Many people consider these clinics as a boon because of their easy accessibility, less expenditure, and evidence-based care. Many others, especially physician bodies and large hospitals oppose vehemently citing a possible fall in safety and quality, the possibility of the underserved being neglected, the possibility of giving up the medical care received through medical home, (Retail Clinics: Six state approaches to regulation and licensing, California Health Foundation, 2009, p. 1). It includes, as Fairman, Rowe, Hassmiller and Shalala (2011) opine, the possible exploitation by retail clinics for purchase of unwanted medication, and the disputes regarding the ownership of retail clinics due to the differences among the laws of different states. Despite these oppositions, studies have shown that the patie... ... middle of paper ... ... State Health Policy. Retrieved from http://www.ehcca.com/presentations/retailclinic1/witgert_1.pdf ‘Retail Clinics: Six state approaches to regulation and licensing’. (Feb 2009). California Health Foundation, 1-17. Schram, A. P. (2010). Medical home and the nurse practitioner: A policy analysis. Journal for Nurse Practitioners, 6(2), 132-139. Elsevier Science Inc. Turton, H. (Sep-Oct 2010). ‘Have nurse practitioners reached a tipping point? Interview of a panel of NP thought leaders’. Nursing Economics. 28, (5), 347. VandenBranden, S. L. (Dec 2010). ‘The role of the nurse practitioner in the case of children with chronic respiratory disorders’. Pediatric Annals, 39 (12), 800-803. Weinick, R. M., Burns, R. M. & Mehrotra, A. (Sept 2010). ‘Many emergency Department visits could be managed at urgent care centers and retail clinics’. Chevy Chase, 29(9), 1630-37.
Mary recently brought her child to the Express Clinic at their Big Market Basket Food Store. This convenience clinic is staffed by a nurse practitioner from 8:00 A.M. until the store closes at 9:00 P.M., 7 days a week. The nurse practitioner did an exam and prescribed a prescription for an inner ear infection. Mary had it filled in the pharmacy and returned home. Shortly afterwards, she started to have second thoughts, “Should I have just waited and brought my daughter to the pediatrician?” she wondered? Two days later she got a newsletter from the Express Clinic. On the cover page she saw a story headline that said “In a recent survey, 97% of the mothers we surveyed were extremely satisfied with the care they received for their children at Express Clinic.” What strategy was being implemented by Express Clinic? What was the organization trying to counter?
The role of nurse practitioner in the Canadian healthcare system is relatively new compared to the traditional roles of doctors and registered nurses, and as with any new role, there are people who oppose the changes and others who appreciate them. Some members of the public and the healthcare system believe that the addition of the nurse practitioner (NP) role is an unnecessary change and liability to the system because it blurs the line between a doctor and a nurse; this is because nurse practitioners are registered nurses with additional training (usually a masters degree) that allows them to expand their scope of practice into some areas which can be treated by doctors. Other people feel that nurse practitioners can help provide additional primary care services, while bridging communication between nurses and doctors. There are always legitimate challenges to be overcome when changing a system as complicated as healthcare,
Nurse practitioners (NPs), one type of advanced practice nurses, are licensed by the states where they practice and certified by private boards. Nurse practitioners hold advanced degrees in clinical practice and function in a wide variety of settings and across the life span. They provide a broad array of healthcare services ranging from managing treatment plans, to prescribing medications, to implementing health promotion services. As of 2014, 205,000 NPs were licensed in the United States with 86% of those prepared to deliver care to patients in primary care settings (NP Facts, 2015). The progression of the Nurse Practitioner movement that occurred in the 1960 and 1970s emerged as a creative and
Davidson, Stephen M. Still Broken: Understanding the U.S. Health Care System. Stanford, CA: Stanford Business, 2010. Print.
Is Nurse Executive/Nurse Management Practice a Profession? Nursing Economics, 30(1), 38-39. Munoz-Price, L. S. (2009). "The 'Price' of the 'Price'. " Long-Term Acute Care Hospitals.
With the emergence of urgent care clinics, consumers now have another option when it comes time to receiving medical treatment. Often an illness arises during times when a person’s doctor is not available, such as at night or on weekends. This is when urgent care clinics can help.
Zerwekh, J., Claborn, J. (2006). Nursing today: Transitions and trends (pp. 343-346). St. Louis, Missouri:
Despite the established health care facilities in the United States, most citizens do not have access to proper medical care. We must appreciate from the very onset that a healthy and strong nation must have a proper health care system. Such a health system should be available and affordable to all. The cost of health services is high. In fact, the ...
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).
This paper will discuss a case study of Liam, a three-month-old boy who is transferred from the General Practitioner (GP) to paediatric ward with bronchiolitis. Initially, Liam’s chief health issues will be identified, following by nursing assessment and diagnoses of the child’s need. Focus will be made on the management of two major health problems: respiratory distress and dehydration, and summary and evaluation of the interventions with evidence of learning. Lastly, a conclusion of author’s self-evaluation will be present.
Healthcare is a continuous emerging industry across the world. With our ever changing life styles and the increased levels of pollution across the world more and more people are suffering from various health issues. Nursing is an extremely diverse profession and among the highest educated with several levels ranging from a licensed practical nurse (LPN) to a registered nurse (RN) on up to a Doctorate in Nursing. Diane Viens (2003) states that ‘The NP is a critical member of the workforce to assume the leadership roles within practice, education, research, health systems, and health policy’.
According to Harry A. Sultz and Kristina M. Young, the authors of our textbook Health Care USA, medical care in the United States is a $2.5 Trillion industry (xvii). This industry is so large that “the U.S. health care system is the world’s eighth
times, and as a result become increasingly popular (Dalen 2016). Retail clinics treat a range of
Medicine, medical supplies, and medical treatment are multi-billion dollar industries crucial to the wellbeing of the public. Doctors and other members of the health-care industry do their best to provide excellent care for the nation’s sick and injured, while scientists and researchers work to develop new drugs and technologies to fight disease. We often view medical care as a basic human right; something that all persons, rich or poor, should have access to in times of need. But despite our notions of what healthcare should be, those who make a living in this industry, specifically owners of firms, must contend with the same economic questions facing businesses in any industry. To learn more about this vast service industry, I interviewed Dr. Martin Slez, a dentist/oral surgeon and owner of a medical practice that provides both general care and specialized treatments for oral diseases. Of the topics discussed, firm goals, pricing, costs, and technology stood out as particularly interesting and unique facets of the organization, as they differed considerably from those in other industries.
The Future of Nursing Being a registered nurse affords one the option of working in many diverse healthcare settings. In any practice setting, the climate of health care change is evident. There are diverse entities involved in the implementation and recommendation of these practice changes. These are led by the Robert Wood Johnson Foundation (RWJF), the Institute of Medicine (IOM), nursing campaign for action initiatives, as well as individual state-based action coalitions. Nurses need to be prepared and cognizant of the transformations occurring in health care settings, as well as the plans that put them at the forefront of the future.