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Accessibility to healthcare essay
Problems with emergency room overcrowding
Accessibility to healthcare essay
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Topic: Wait times in the ER waiting room. Q: Why have wait times in ERs increased so much? Rationale: I feel that wait times in the ER have become a bit of an argument. Experiencing this problem from both sides of the issue I feel that this topic is one of great interest for me. Resources: I have been doing quite a bit of research on this topic. The CDC (Center for Disease Control), ACEP.org(American College of Emergency Physicians), health.gov etc… I have found a lot of information, a lot on what they believe are the causes to the long wait times and also I found some ideas from other countries on how to fix the problem. Not that other countries ideas can fix the problems here in the US considering that our health insurances aren’t the same.
The Crowded Clinic: Critical Analysis The Crowded Clinic Case Study (Colorado State University - Global, n.d.) discusses the issues of practice management as they apply to access to care. Access to care may be as inconvenient as lengthy patient wait times to issues far more serious that may have a profound effect on the health and well-being of a single patient or an entire cohort. In order to properly address the issue and look for a remedy, it is necessary to understand the underlying conditions that create the problem before creating the means to manage the change required to correct the problem. The Crowded Clinic has multiple issues, including social and operational, which are creating the associated inaccessibility to services.
Because of the lack of organization with the health care providers in Canada, the wait times are too long and can cause serious complications to any condition the patient went in for in the first place. This situation of how the health care system can resolve wait times was brought to the government but they continue to ignore the proposals brought to them. It is possible to resolve the problems of wait times without extreme change and expenses in the health care system. The solution is to be found in the reorganization of the health care providers. Lack of assistance in the emergency room can make ones illness to become worse, therefore, causes the patient to be forced to wait in emergency rooms for an extended period of time and when they are finally seen by a health care provider, the outcome is very poor due to lack of registered staff, physicians and proper assessment(Goldman & Macpherson, 2005, p.40). The objective of this paper is to discuss and critically analyze the conditions of emergency waiting rooms. The specific issue this paper intends to explore is extensive and prolonged waiting times for patients accessing health care, patients who need urgent treatment and the vulnerability of elderly patients and children. With an in-depth critique of the barriers to health care and shortcomings of emergency rooms, strategies will be provided to enhance a health care system that makes it more accessible and efficient.
Timeliness in medical care can be of the utmost importance. Letting things progress can result in a slippery circle, where a minor infection, untreated end up being life threatening. With increased damage caused by neglecting health care, or waiting on a health care provider, the physical damage, and costs associated increase, often exponentially.
However, measuring the proportion of people seen within four hours does not provide a full picture of how A&Es are performing. For example, two different A&Es could see the same proportion of patients within four hours but have very different average waiting times. In addition to waiting times, the quality of A&E care can also be measured through patient experience surveys and clinical indicators such as the proportion of patients who re-attend A&E within seven days of their first attendance. Other measures, such as the time a patient waits to see a clinician in A&E, are also now recorded.
...essionals are giving quality care to patients by allowing them the opportunity to voice their opinion of the care they feel was given to them. By reviewing this data, health care facilities can encourage their employees to address areas of concern and strive for success in satisfying their customers.
The ability of the Affordable Care Act to mitigate the current pressure of the uninsured on our healthcare system is unknown. Yet, the prediction is that it will greatly reduce the effect on emergency room systems throughout the nation. This reduction will be greater in the south and southwest regions of the United States (The Henry J. Kaiser Family Foundation, 2013 p. 4). The potential is there, however, the willingness of the population is yet to be seen. What does the future hold? Only the future knows.
He compares the healthcare programs of the U.S. with Canada, Cuba, and France and Moore makes it very clear that the United States is the only modern nation without some version of universal access to healthcare services. Where all other industrialized countries have addressed the issue and the financial challenges associated with it, the United States healthcare system has yet to iron out such problems because of the corrupt health care system itself. To support his claim, he paints the picture of greedy insurance companies denying experimental care to the patients and HMO’s not accepting new patients due to pre-existing conditions (these represent the stakeholders). Incidentally, Moore does rely on anecdotal evidence to prove that emergency waiting rooms in other countries are particularly efficient, and both doctors and patients alike are satisfied with socialized medicine.
Health care has become an issue because of the shortage of doctors in Canada. Many of them are either going to the U.S.A. or going to other countries to practice in hospitals and clinics. The earning cap imposed by the government has forced doctors to work fewer hours than are necessary to serve the public. Many Canadians are without a doctor to help them with their needs, and emergency rooms are filled to capacity with no available beds for those who have to be admitted to the hospital. Waiting time for specialist and specialty tests has become so long that someone diagnosed with a major illness may die before they can be properly treated.
The U.S. expends far more on healthcare than any other country in the world, yet we get fewer benefits, less than ideal health outcomes, and a lot of dissatisfaction manifested by unequal access, the significant numbers of uninsured and underinsured Americans, uneven quality, and unconstrained wastes. The financing of healthcare is also complicated, as there is no single payer system and payment schemes vary across payors and providers.
The US health system has both considerable strengths and notable weaknesses. With a large and well-trained health workforce, access to a wide range of high-quality medical specialists as well as secondary and tertiary institutions, patient outcomes are among the best in the world. But the US also suffers from incomplete coverage of its population, and health expenditure levels per person far exceed all other countries. Poor measures on many objective and subjective indicators of quality and outcomes plague the US health care system. In addition, an unequal distribution of resources across the country and among different population groups results in poor access to care for many citizens. Efforts to provide comprehensive, national health insurance in the United States go back to the Great Depression, and nearly every president since Harry S. Truman has proposed some form of national health insurance.
According to Mexican citizens, the health care system needs further reform to improve the efficiency, availability, and quality of medical services provided to the uninsured. A major source of inconvenience in medical provision is the long wait for treatment. Patients with scheduled appointments, as well as those in emergency situations often have to wait hours for care, and it is an accepted fact for those with Popular Health Insurance that a medical consultation in a hospital would likely engage the entire day.Additionally, both Ordoñez Ramírez and Mercadao Juárez agree that subsequent reforms must be made to change the focus of medical treatment towards serious diseases such as cancer and diabetes, as they are prevalent in Mexican society and especially in women and children, and IRC (chronic renal failure), which cause high hospitalization and mortality rates throughout Mexico.
Thesis Statement: The most important reasons for I avoid public hospitals are people should wait a lot
In today’s healthcare system, there are many characteristics and forces that make up the complex structure. Health care delivery is a complex system that involves many people that navigate it with hopes of a better outcome to the residents of the United States. Many factors affect the system starting from global influences, social values and culture. Further factors include economic conditions, physical environment, technology development, economic conditions, political climate and population characteristics. Furthermore the main characteristics of the Unites States healthcare system includes: no agency governs the whole system, access to healthcare is restricted based on the coverage and third party agencies exist. Unfortunately many people are in power of the healthcare system involving multiple payers. Physicians are pressured to order unnecessary tests to avoid potential legal risks. Quality of care is a major component; therefore it creates a demand for new technology. A more close investigation will review two main characteristics and two external forces that currently affect the healthcare delivery system. Furthermore, what will be the impact of one of the characteristics and one of the external forces in review with the new affordable care act 2010? The review will demonstrate the implications to the healthcare delivery system and the impact on the affordable care act 2010.
Healthcare in U.S.A is not prepaid which causes patients to wait and fill out healthcare documents. This procedure takes time, which can be a hassle for individuals trying to get medical attention on time. Another factor that is affected is the social factor. Centers for Disease Control says, individuals go to emergency rooms for minor problems, which cause larger ones to be neglected at times (Centers for Disease Control, 2016). This affects the social factor because patients do not like to wait when they are in critical conditions or are in need of medical help.
Millions of people go to the hospital each day whether it’s an emergency or an appointment. One day I found myself in this very situation. I didn’t think it was necessary until I got to the hospital.