Spaeth career path has given him different views on issues in healthcare and therefore giving him a broad understanding of healthcare business. One of the biggest challenges today, he states is the changing structure of health care and a declining work. The declining workforce is seeing stress on the worker as the skilled and educated employee doesn’t want to work more than eight hours or on the week-ends in a 7- days- a- week, 24- hours- a- day hospital setting. Another major issue is that hospitals are becoming more specialized where top dollar reimbursement can be achieved which leaves a gap in the traditional services. Lastly, the issues of senior leaders not spend enough time mentoring younger leaders (Grazier, 2005).
The author of the article goes on to say that people in the US are sentenced to do time for crimes that would not produce such a sentence in other countries. According to another article in the New York Times (2008), states spend close to ten percent of their budget on corrections (Liptak &, 2008). In 2007 alone, states spend close to $45 million tax dollars. Not only is simply housing an inmate costly, but healthcare also provides a financial burden. In 1998, the states paid a little over seven dollars a day per inmate for healthcare (Kinsella, 2004).
According to Ulrich and Zimring there are 600 articles that explain that the healthcare design can influence patient outcomes are published. When a hospital has a stressful environment to the patient’s healing process with loud intercom systems and machinery, long hallways that echo, bland colors and cramped rooms, it contributes to the patients stress level. These things will hinder a patients healing ability. Promoting and allow the patient to experience their spirituality and assisting them if needed will promote healing by allowing them a feeling of control and familiarity as being at
They also may be targeted as a people that are frauding the government because of all the medical attention they need. People with chronic conditions are always at the doctors or needing some kind of procedures done. It is very difficult for the government to decipher whose claims are fraudulent and whose are real. The government needs to unite with the insurance executives and come up with a plan and a program to investigate frauds and recover some of the money that has been given out. If the government and the insurance executives work together they would be able to get a lot accomplished.
Bearing with a patient, especially an elderly patient who might be a little slower at comprehending medical terminology can make all of the difference in the world. Medical terminology can be overwhelming to those who study medicine, so to a carpenter or super market manager it can be extremely flustering, so it is important to break down the meaning of the diagnosis to avoid the patient feeling lost. Doing this adds to the patients comfort which is crucial. Developing a trusting, healthy, doctor-patient relationship can take healthcare to a whole new level. One can describe this phenomenon almost as a 'slippery slope' affect in the fact that having a positive, friendly bed side manner with a patient makes the patient more willing to trust the advice of the physician, leading to a faster treatment, ultimately making the patient better with ease.
A third contributing factor is very interrelated to nursing education is that nursing education has shifted from hospital-based diploma programs to university and college programs. This shift created the need for hospitals to increase the percentage of paid nursing staff to keep up with the demand of related to the void of care provided by nursing students (Fox & Abrahamson, 2009). A fourth factor contributing to the current nursing shortage is the economic stress that nursing turnover creates in the healthcare setting. The nursing profession can be stressful mentally, physically, and emotionally creating an argument that nurses are not adequately compensated for their working environment. With other less stressful professional occupations available to a profession that is primarily female individuals are leaving the profession (Fox & Abrahamson, 2009).
This creates unnecessary high cost for the hospital. The emergency department becomes over crowded with non-paying patients leaving no space for patients with private insurance. Majority of ED visits from the uninsured could be better served by a primary provider the problem is the uninsured does not have the means to receive such service from primary physicians. One solution is to create a case management program that focuses on serving individuals with a history of using the Emergency Department for non-emergent issue. The program would use case managers and a database tracking system to enhance patient access to regular healthcare services, connect patients to regular healthcare services and help combat logistical interference in getting the right care.
That one receptionist can change the whole mood of the patient, which continuing on into the visit with the physician. This can make it hard for the physician to treat the patient because the patient may feel closed off now or less receptive to advice from the physician. So I would find interdependence very important knowledge to have in any health care field. Sensitivity is something that is necessary to have when dealing with others. In the health care field one needs to be aware of others feelings
The Globalization of Health Care Rafael Billini Dwight Smith Elisamir Rivera Broward College Abstract This case is based on the globalization within the United States health care system. Unforeseen by many, globalization has entered the health care system due to the overwhelming shortage of specialized doctors in the United States. Due to the demand for health care services, the lengthy education required to become a specialized doctor, and costs of medical services and uninsured patients in United States it has brought forth services to be conducted off shore in countries like India (Hill, 2013). Services provided by radiologist who read CT scan or a MRI are doing so from a remote country like India as it is in the case of Massachusetts General Hospital (Hill, 2013). The Globalization in the Health Care has grown rapidly and insurance carriers have been experimenting with a platform which offers the alternative of doing procedures in excess of $20,000 to be performed in countries like Singapore.
Unfortunately, cost is a barrier to quality medical care to patients in the hospital settings. Attaining a Bachelor’s of Science in Nursing degree allows me to consult, collaborate and coordinate healthcare policy on an administrative level. It is there where decisions are made regarding tests, labs, or medications orders, all of which are major factors in the rising costs of care. If one is to change the environment of nursing in a clinical setting by