According to Rosenau, Lai, and Lako (2012), the United States health care industry P4P is one of the most important developments after capitation and managed care. The target of P4P is to change the behavior patients, physicians, and those working in the health care industry through a system of rewards and punishments. The P4P bonus for physicians can become the form of an add-on to his or her salary to the general fee-for-service. A bonus for a hospital can be additional payments beyond the payments received through the diagnosis group based payment. A punishment through the P4P system can end in the reduction of compensation or other penalties.
As statistics show, there has already been an increase in the cost of health care partially due to the shortage in health care practitioners and the need to offer higher reimbursement for treatments. If predictions are true, and there is a shortage of 125,000 physicians by the year 2025, the cost of health care will increase more rapidly. Because health care and therefore an individual’s life is considered priceless, there are demand shifters that often affect the demand curve of a health care product. As demonstrated in the example above, physician loyalties and experience are just two of the many types of demand shifters. This demand shifters can cause an even steeper rise in health care cost in the real world.
He is the son to two prominent “Yuppie” parents who sought to teach their son a different set of values than that of what traditional parents would have pursued. Foer compares globalization to soccer. His reference is based on personal experience with the game he played as a child. Globalization, in many minds, was supposed to end the era of the small town “Mom and Pop” shops. To the contrary, many of the businesses are still thriving.
Self-Efficacy: A Concept Analysis Introduction Over the last 50 years, healthcare has moved from a perception of the patient as a passive recipient of care to one where patients are active participants in their health management. No longer do patients blindly and faithfully follow the instructions of their esteemed medical professional. Providers now function to support and empower patients to take primary responsibility for their own health. There has also been a shift in emphasis from treatment of acute disease to prevention and management of chronic disease. This change is driven by the economy as well as vastly increased ease of access to information.
This reading tells me that it is likely that we will see more and more social change occur in new order Amish Communities throughout the U.S. as economic pressure towards modernization continues. Also as the pressure continues over time old order Amish may also be forced into social change on some scale. 3. Over the next fifty years the Amish will experience more and more social change in order to survive, unless we see an end to capitalism in the U.S. which seems very unlikely. 4.
It stated that LTC facilities with EHRs will have a new competitive edge. This edge will help the LTC facilities communicate data with local acute care sites (Tabar, 2013). As our population ages the number of people seeking LTC facilities after an acute hospital stay has increased. Chronic diseases, which affect older adults disproportionately, contribute to disability; diminish quality of life and increased health and long-term care costs (Hall, 2013). The implementation of EHRs in LTC facilities or home health can manage patients care to promote improvements in the patients outcome and possible help decrease medical cost.
Going by the contemporary crisis in the Medicare program of America, Bozic (2011) dictates that the solution to the crisis will demand increase in the tax margin on the employees. In addition, doctors and physicians are more likely to face salary cuts to allow proper budgeting of the program. Furthermore, the increase in demand for Medicare will have an automatic upward shift in the cost of insurance. There is a link between the positive effects of Medicare and the Economic effects of the system. The existing economic effects presented by the rise in demand for Medicare occurred because of the rise in the number of aged individuals.
Mortality Rates As the medicinal industry becomes more advanced, life quality drastically improves. There are many causes to why mortality rates in the 1500’s were low but there are also multiple factors that helped changed the mortality rates to the way it is currently. Mortality rates of today have decreased vastly compared to the 1500's mortality rates in Europe. “A mortality rate is a measure of the frequency of occurrence of death in a defined population during a specified interval.” There are sub categories in mortality rates, such as crude, cause-specific, age-specific, infant mortality rates, and much more. During the 1500’s in Europe, one in every three or four children born died before the age of 15.
Affect on Nurses Readmission is costly, especially as proposed new guidelines could deny reimbursement for readmissions. (Robinson et al., 2012). Due these to Medicare reimbursement reductions, health care facilities are looking for ways to offset the decreased reimbursements. Nursing staff have felt the affects -mass lay-offs -decreased pay and benefitsm -increased patient load -decreased support staff -accountable to help prevent hospital readmissions/ increase quality measures Affect on Nurses Provisions in the ACA include increasing both the workforce numbers and providing support training of healthcare professions (Archer, 2012).Through theses provisions in the Reform Act there are increased opportunities in geriatric healthcare.
(Reardon, 2009) The increase in mental health issues causes an increase in physical health issues, both of which are addressed by assistance programs providing insurance to low income individuals and families. This is just a small spotlight on the affects the political policies that led to the Recession of 2007 has had and will continue to have on the ability of human service agencies and professionals to cater to the needs of an increasing demand for assistance with housing, nutritional, and mental health issues as well as medical needs. This doesn't