A. Providers Though the overreaching goal of H.R. 315 is to improve maternal health care in areas with the most need, there will be both positive and negative effects of the bill; especially on the providers. The short term positive effects of the bill is that it provides additional funding for HRSA to collect data and research about areas in high need of maternal health care. This additional funding will allow for the agency to utilize all the tools its need to be able provide accurate results so that health care discrepancies can be better found. Another short-term result of the bill is that it will help generate more jobs and openings in areas of high need. These will create more openings for health care practitioners to apply for. With …show more content…
these short-term benefits, there are also negative effects for providers. The short term negative effect for providers will be that shortages will still be in place until the data collected is analyzed and followed up on. Practitioners who are currently serving in high need areas will continue to be understaffed and over worked until the data shows that additional practitioner services are needed. The long-term positive and negative effects of H.R.
315 are many for the providers. The long-term positive effects is that HRSA will have data on how to better place their practitioners so that communities who demonstrate great need will be serviced to. This also means that there will be greater availability for practitioners to apply NHSC positions. It also benefits current practitioners in the NHSC long-term because there will be a greater a supply of additional; practitioners to areas with high need; thus, reducing the burden of the residing practitioners in that area. In addition to the positive effects, the bill will also have some long-term effects for providers. It will require HRSA to find other means to acquire funding to support being able to send practitioners to the newly identified health care professional shortage areas. In order to address the shortage areas, HRSA will need adequate funding to provide practitioners to those areas. In addition to finding funding to support practitioners, HRSA must also practitioners to allocate to the shortage areas. The agency must be able to meet the needs of the health care shortage …show more content…
areas. B. Consumers The goal of H.R. 315 is to better the lives of women in health care shortage areas. The short-term benefits of the bill will be that shortage areas are identified and practitioners will be able to identify communities that are in great need of maternal health care professionals. The short-term negative effects of the bill is that there will not be an immediate influx of practitioners. Because the time gap between collecting data, analyzing it, and appropriating where to send health care professional, many areas in need of maternal health professionals will have to wait for some time before they receive the care they will need. In process of collecting data, it is possible that health care legislation could pass that can inhibit a consumer’s ability to have access and afford maternal health care. The long-term benefits of H.R.
315 will allow women who are need of maternal health care be able to get the care that they need. After the data collected is analyzed and practitioners able to be sent out to shortage areas, those in need of health care will be able to have access to the services they need for healthy maternal care. In the long-term, the bill will allow for a wider access of maternal services and care. It will also increase the ratio of provider to consumer, which allows women to be able to pick and choose what practitioner they would like to receive care from. A long-term negative effect is the lack of funding for practitioners. If legislation is passed that cuts spending on NHSC, consumers will no longer have access to the care that they
need. Issue in Another Country A recent study done by Tsawe and Susuman in 2014, analyzed the determinants and use of maternal health care services in East Cape, South Africa. The study compared the ratio of patients to doctors in the both the rural and urban sides of the town and found that those in the urban areas had better access to doctors and maternal care. Similar, to how it is rural America, many of the women did not receive the care that they needed because they could not make it to the areas of where maternal health care practitioners were stationed. One of suggestions for improving care for the women in East Cape was encouraging physicians to care for those in the rural side of the town. This is similar to the objective of NHSC, providing care for those in health care professional shortage areas. Recommendations for the Bill The current bill, if passed, will benefit those in need of maternal health care professionals. The only recommendation I would have for the bill, is to include data on the effectiveness of non-physician practitioners. Non-physician practitioners, such as Women’s Health Nurse Practitioners and Certified Nurse-Midwives are trained to provide excellent care for patients. But often, many facilities do not recognize the importance of APNs and other non-physician practitioners. The data collected about non-physician practitioners could encourage the hiring of more APNs and other health care practitioners.
We are here faced with the polar opposite extremes in birthing. Seemingly, if a woman has too little prenatal care and education regarding birthing (as in Africa) she may not have the access to a Cesarean when she truly needs it; and at the other end of the spectrum if a woman has enveloped herself in a system that relies too heavily on birthing technologies she may end up with an unnecessary Cesarean surgery. Other paradigms exist for birthing such as in Holland where every woman is provided with a midwife for her birth, and Brazil where the C-section rate tops 80 percent. Yet another microcosmic pocket of birth in the U.S. shows us that C-section rates can be achieved at below 2%.
Health care providers not knowing their surrounding community impacts the way they provide health care to a patient. I hope to use my background in community work with underrepresented populations and the qualities I gained to hopefully reduce and someday diminish the concern that health care isn’t keeping up with the demographics of the surrounding community. The third health care concern I will talk about is another near and dear to me which is the severely low quality health care women in developing countries receive.
Cook, Selig, Wedge, and Gohn-Baube (1999) stated that an essential part of the country’s public health agenda is to improve access to prenatal care, particularly for economically disadvantaged women. I agree with this statement because access to care is very important for the outcome of a healthy mother and child. Improving access to prenatal care for disadvantaged women will not only save lives but also lighten the high financial, social, and emotional costs of caring for low weight babies. Some of the barriers that these women face are mainly structural where the availability of care is limited; the cost of care is a financial burden; and the time to seek care is problematic due to being single mothers working more than one job (Lia-Hoagberb, 1990). Additionally, there is the issue of prenatal care being delivered differently depending on one’s race. A study found that White mothers delivering ve...
Healthcare has been a topic of discussion with the majority of the country. Issues with insurance coverage, rising costs, limited options to gain coverage, and the quality of healthcare have become concerns for law makers, healthcare providers and the general public. Some of those concerns were alleviated with the passing of the Affordable Care Act, but new concerns have developed with problems that have occurred in the implementation of the new law. The main concerns of the country are if the Affordable Care Act will be able to overcome the issues that plagued the old healthcare system, the cost of the program, and how will the new law affect the quality of the health delivery system.
Health care has always been an important issue within the United States, resulting in hours of grueling conversations and arguments to better that which we already have. Most often words on the vine dictate that our health care is never going to improve if the government continues as they are with money hungry politicians. What better way to solve the issue of health care in the United States that to put one Sacramento politician in charge of the approval of all medical insurance and such...or so one may think. Proposition 45 is currently a big debate among the possibly affected states within America, a heated debate to be noted. Most of the people who have joined this debate are in unison with their votes of NO on Prop 45, and it is not
(W. Lease, personal communication, July 23, 2010), the “unknown” of the recent health care reform legislation is an external influence that is most relevant to our organization, stated by William Lease, senior vice president of clinical support services. Mr. Lease states, that health care reform legislation will impact our organization in many ways; especially after 2014. While more employees will have health insurance coverage and there will be more patients to treat; the need for controlling costs and improving efficiency is i...
The purpose of this paper is to serve as an overview and summary of the major points found in “Health Care Reform and Equity: Promise, Pitfalls, and Prescriptions” (Fiscella, 2011) This article outlines both good, potentially bad of health care reform and possible solutions to improve on the program.
Healthcare is one of the most dynamic industries in our great nation. To truly understand just how dynamic the industry is, one needs to understand that healthcare in and of itself is a living, breathing industry that is ever changing and conforming to meet the ideals set forth from a broad group of stakeholders. When one looks at the evolution that healthcare has undergone in the past 165 years, the picture of the true dynamics of this industry is painted. One must take this evolutional history into account when looking at the next ten years in our industry. When looking at these evolutional processes, one can see that the systems have changed as our country and its people have required it to (Williams & Torrens, 2008). When looking at how this industry will change or evolve over the next decade, one can ascertain that it will be by the demands of those involved that change will come.
Human Services is a profession that has been deeply affected by certain legislation passed by Congress. One of the most influential acts that has been passed, was the “Patient Protection & Affordable Care Act”, put in effect by President Barack Obama in 2010.This legislation has affected the department of Human Services profoundly more than any other legislation in the past decade. Many positive changes have been made but, many could argue the downside of some changes as well. It is critical in this line of work, to study and evaluate both sides of the arguments to better the ability to treat and help others.
Healthy people 2020 states “The risk of maternal and infant mortality and pregnancy-related complications can be reduced by increasing access to quality preconception (before pregnancy) and interconception (between pregnancies) care. Moreover, healthy birth outcomes and early identification and treatment of health conditions among infants can prevent death or disability and enable children to reach their full potential.” (CITE HEALTHY PEOPLE) Objective maternal, infant, and child health (MICH)1.1 has the goal of “reducing the rate of fetal deaths of fetuses at 20 or greater weeks gestation”. (C...
...e crucial change needed in health services delivery, with the aim of transforming the current deteriorated system into a true “health care” system. (ANA, 2010)
Foster’s report also said that about 14 million people would lose their employer coverage by 2019, due to small employers terminating coverage and workers who currently have employer coverage enrolling in Medicaid. . CMS also reports Medicare cuts may not be realistic and sustainable, causing 15 percent of all hospitals, nursing homes and similar providers into the red within 10 years. Yet according to Beland and Waddan, the premises will increase only growth by the three quarters of the rate at which it could have grown in the absence of the
Senate Bill 1070 is a law created in Arizona to reduce the amount of immigrants.Every time a police pulls over someone ,in the state that uses a law like this, they have to check their US Citizenship and make sure that they are legal citizens. If the person that gets pulled over is not a US citizen, they will get shipped back to the country they are from. In my opinion the law is good. Less untrustworthy people will be in America. Most of the illegal immigrants that cross over to the United States are unprofessional that take the jobs of poor people that are citizens and creating poverty. Illegal immigrants also abuse the United States. The US gives people money that have little money and expect to get money back in taxes. Most immigrants that are illegal don’t care about the US government, but only want money so they don’t pay taxes back to the US.
As I’m coming to the twilight of my undergraduate degree at Charter Oak Stat College, I’ve chosen to write about the Affordable care act so I can better understand the reality of today’s healthcare system from the facilities, providers and patients point of view. I feel understanding this information will help me create an environment that can adapt and accelerate through the transition due to the affordable healthcare act’s broad impact on healthcare as it was once known and practiced. I feel whether I move forward as a nurse, provider or administrator, this information will be invaluable.
The recommendations would lead to increased costs, but again, the benefits in quality of primary care and efficiency of nursing practice that will result from this far outweighs the financial resources put in, into the long-term. The result will be a nurses’ commitment to patient-centered, quality, safe, and reliable care, as well as improved efficiencies in health care