BHA-FPX4002_Assessment1-2

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School

Capella University *

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Course

FPX4002

Subject

Medicine

Date

Feb 20, 2024

Type

pdf

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Uploaded by ChefSteel12886

1 Evolution of the Hospital Industry: A Comparative Analysis Capella University BHA-FPX4002: History of the United States Health Care System Chanadra Whiting 5/29/2023

2 Evolution of the Hospital Industry: A Comparative Analysis Healthcare has changed immensely over time. This assessment is a comparative analysis of that change in the healthcare industry. This paper will discuss hospital environments, medical staff education, level of care, and paying for healthcare in the 1800s, 1960s, and today. This comparative analysis aims to demonstrate the differences in the different times and show how healthcare has evolved. Hospital Care Evolution Healthcare is forever changing, from not having the correct treatments in the 1800s to providing the necessary treatment to help patients survive today. From the 1960s, of a few people selected to attend medical school to current, anyone can go. Healthcare has developed and continues to grow. Hospital Environment In the 1800s, hospitals were not sanitary or comfortable for patients. And many of the facilities were providers owned, not necessarily medically trained providers. In the 1960s, the hospitals were very small, with less than 100 beds. The hospitals still lacked quality care and an active shortage of providers during this time. And many of the hospitals were locally owned. Currently, today hospitals cater to all walks of life. Today's hospital environment is much more sanitary and comfortable to meet a sick patient's needs. Staff Education Medical education has gone through a number of reforms and innovations over the past century. (Drees, 2012) Medical education in the 1800s was limited to four medical schools. Very few medical staff were trained in medical school environments. There was no mandatory testing or training during that time. In the 1960s, medical training was more developed. Medical schools

3 consist of 3 years of accelerated training. This training was limited to advance high school students. During this time, the Health Professions Educational Assistance Act of 1963 was developed. This act was to report the number of healthcare providers. Today medical staff must be trained and licensed. The training consists of but is not limited to, eight years+ of schooling, extensive course study, board exams, licensing, and continuing education. Medical staffs have a wide range of specialties to select as well. Level of Care In the 1800s, facilities were severely understaffed. Symptomatic treatments and the medications that were given were highly poisonous. In the 1960s, there were some improvements, such as an increase in staff, more effective treatments, isolated viruses, vaccination developments, and more range of surgeries. Currently, today we have levels of care. Primary, secondary, tertiary, etc. Diagnoses are much more accurate, treatments are more effective, and treatments have a broad range. Paying for Your Care Paying for medical attention in the 1800s was an upfront cost. As early as the 1800s, some Americans carried insurance against sickness through an employer, fraternal order, guild, trade union, or commercial insurance company. (Young, 2017) Also, employers provided medical services for their employees. In the 1960s, they had voluntary insurance. The employee had the option to purchase the insurance. The Medicaid and Medicare Act was developed in 1965. This act was designed for older adults and those with low incomes. Medicaid and Medicare are a form of insurance that cover many medical services for patients’ needs. Currently today, patients have so many options to pay for medical care. There are options for bundled payments, employer insurance, state insurance, FSA, HSA, etc. Paying for

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