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Importance of the hospital
Importance of the hospital
Importance of the hospital
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Hospitals, long term care facilities, and mental health all serve as healthcare arenas serving the population in various ways. The hospital provides the most critical type of care, for the seriously ill. Hospitals originally served the poor and ill, but over time with the progression of technology and medical service specialties, they have grown to become healthcare meccas with many outlets. Over the past 30 years the degree of rigor of clinical practice and the scope of scientific knowledge has escalated greatly, and the hospital has become a center of high standards, scientific applications, and advanced technological capability (Williams & Torrens, 2008). The increasing shift of services to an ambulatory care arena facilitated by technological advancement itself has left the hospital with an evermore complex base of patient care, higher acuity, and higher costs (Williams & Torrens, 2008). Markets have changed, pricing pressures have increased, and consumer and payer expectations have evolved for hospitals, changes are constant in the medical arena, and hospitals are no exception.
Long term care facilities
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Hospitals are typically for short term use, whereas long term care facilities provide a broader range of servicing for longer periods of time. Mental health can be a number of options, most provide care for a specific need and can be long term as well. The payment options and funding varies for all three facilities. All three systems are separate because they provide different types of care and the needs of patients vary. The delivery of care can be improved by enforcing rules and regulations that require health professionals ensure that the needs of patients are not compromised in the pursuit of financial reward and that systems of work are improved as part of this initiative (Linsley & Hurley,
“Hospitals today are growing into mighty edifices in brick, stone, glass and marble. Many of them maintain large staffs, they use the best equipment that science can devise, they utilize the most modern methods in devoting themselves to the noblest purpose of man, that of helping’s one’s stricken brother. But they do all this on a business basis, submitting invoices for services rendered.”
The challenges that all acute care hospitals and facilities faces are the demand for highly specialized services has increased. The US population is constantly aging and the elderly tend to need more acute care services. Because many people lack health insurance, they tend to use emergency rooms in the hospitals as their source of care. The increase demand in acute care prompted hospitals to expand their facility
As medical advances are being made, it makes the treating of diseases easier and easier. Mental hospitals have changed the way the treat a patient’s illness considerably compared to the hospital described in One Flew Over the Cuckoo’s Nest.
While most countries around the world have some form of universal national health care system, the United States, one of the wealthiest countries in the world, does not. There are much more benefits to the U.S. adopting a dorm of national health care system than to keep its current system, which has proved to be unnecessarily expensive, complicated, and overall inefficient.
The purposes of hospitals in the 18th century served a different purpose than the 21th century hospitals. The United States hospitals arose from “institutions, particularly almshouses, which provided care and custody for the sickly poor. Entrenched in this tradition of charity, the public hospital traces its ancestry to the development of cities and community efforts to shelter and care for the chronically ill, deprived, and disabled” ("America 's Essential Hospitals,2013").Hospitals in the earlier years in the United States are far more different than they are today.
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...
Mental healthcare has a long and murky past in the United States. In the early 1900s, patients could live in institutions for many years. The treatments and conditions were, at times, inhumane. Legislation in the 1980s and 1990s created programs to protect this vulnerable population from abuse and discrimination. In the last 20 years, mental health advocacy groups and legislators have made gains in bringing attention to the disparity between physical and mental health programs. However, diagnosis and treatment of mental illnesses continues to be less than optimal. Mental health disparities continue to exist in all areas of the world.
Hospitals recognized the need for the case management model in the mid 1980’s to manage the lengths of stay of hospitalized patients and the treatment plans (Jacob & Cherry, 2007). In 1983, the Medicare prospective payment program was implemented which allowed hospitals to be reimbursed a set payment based on the patient’s diagnosis, or Diagnosis Related Groups (DRG), regardless of what treatment was provided or how long the patient was hospitalized (Jacob & Cherry, 2007). To keep the costs below the diagnosis related payment, hospitals ...
Continuing budget cuts on mental health care create negative and detrimental impacts on society due to increased improper care for mentally ill, public violence, and overcrowding in jails and emergency rooms. Origins, of mental health as people know it today, began in 1908. The movement initiated was known as “mental hygiene”, which was defined as referring to all things preserving mental health, including maintaining harmonious relation with others, and to participate in constructive changes in one’s social and physical environment (Bertolote 1). As a result of the current spending cuts approaching mental health care, proper treatment has declined drastically. The expanse of improper care to mentally ill peoples has elevated harmful threats of heightened public violence to society.
Until the middle of the last century, public mental health in the United States had been the responsibility, for the most part, of individual states, who chose to deal with their most profoundly mentally-ill by housing them safely and with almost total asylum in large state mental hospitals. Free of the stresses we all face in our lives, the mentally-ill faced much better prospects for peaceful lives and even recovery than they would in their conditions in ordinary society. In the hospitals, doctors were always accessible for help, patients were assured food and care, and they could be monitored to insure they never became a danger to themselves or others. Our nation’s state hospital system was a stable, efficient way to help improve the lives of our mentally disabled.
This creates the problem of a patient who is no longer psychotic, needing to remain in a hospital because the legal committee will not release him/her. The question whether the hospital is the proper place for that patient and if public safety is an actual concern is at hand. This then raises issues on how to treat a mentally ill individual who has committed a crime after recovering from their psychotic state, to ensure they will not relapse and become a danger to society. In various countries, there is no legal substitute for prevention. In the article, Mentally Ill People Who Commit Crimes: Punishment or Treatment, the author Dr. Melamed proposes the question, "If the individual is no longer ill, but still dangerous, should he or she remain in the hospital or be transferred to a nonmedical incarceration facility?" While some believe treatment is a better alternative, society is unable to bear the costs of treatment/ rehabilitation which means the individual will be transferred to an incarceration facility. In Connecticut, annually, the average cost for an inmate is $33,000 while the average cost for a mental hospital is $500,000. However, psychiatrist cost more than the average prison guards, the additional $467, 000 does not out way the cost for continued treatment in an outpatient facility
This program will affect health care reform in a positive way. All hospitals have a need to address ED overcrowding. There are several reasons why ED overcrowding should be the forefront in improvement efforts. It is important to remember that ED crowding compromises quality of care is costly, compromises community trust, and patient flow throughout the hospital. It is important that ED leaders and other administrators show the ability to adapt, embrace change, anticipate its effects, identify strategies to improve ED overcrowding and be ready to face any challenges that arise. The Urgent Matter Collaborative has done an excellent job improving these issues and will continue to positively impact the health care
National Health Insurance provides universal access to the country’s healthcare. Private facilities are able to run hospitals and clinics, and patients receive the same services for the same cost in both private and public institutions. The following services are offered: emergency health, perinatal health, pediatric health, rural health care, and post-disaster healthcare. There are 1,069 psychiatric facilities that provide nursing care and health resources. Primary Care allows doctors to prescribe psychotherapeutic medicines, but nurses are not permitted to independently diagnose mental
...d procedures are now being monitored to improve clinical processes. Ensuring that these processes are implemented in a timely, effective manner can also improve the quality of care given to patients. Management of the processes ensures accountability of the effectiveness of care, which, as mentioned earlier, improves outcomes. Lastly, providing reimbursements based on the quality of care and not the quantity also decreases the “wasting” and overuse of supplies. Providers previously felt the need to do more than necessary to meet a certain quota based on a quantity of supplies or other interventions used. Changing this goal can significantly decrease the cost of care due to using on the supplies necessary to provide effective, high-quality care. I look forward to this implementation of change and hope to see others encouraging an increase in high-quality healthcare.
“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.