Comprehensive Health Care History

In order to understand current health delivery services changes and formulate predictions, one must thoroughly comprehend the three developmental eras of the health care system. The evolution of our current health care system began in 1850, and has metamorphosed in three time periods, 1850 to 1900, 1900 to World War II (WW II), and WW II to 2009. Significant distinct and overlapping trends in disease prevalence, availability of health care resources, social organizations, and the public's knowledge and perception of health and illness and technology.

Over the course of our countries history, the delivery of our health care system has tried to meet the needs of our growing and changing population. However, we somehow seem to fall short in delivering our goals of providing quality, affordable and accessible healthcare to our citizens. The history of our delivery system will show we continuously changed the delivery of our system however never mange to control cost. If we can come up with efficient ways to cut cost, the delivery of quality care will follow.

1. Throughout history, a number of reformers have sought to improve the quality of medical care. What common thread connects them? Why did some fail? What were the successful able to see/do that others weren’t?

rehend the PPACA, one must understand the history of the United States’ health care system. The most successful and known reform would be the passage of Medicare and Medicaid. President Johnson’s main objective with his program was to provide health insurance to those over 65 years old, who otherwise wouldn’t be able to receive coverage due to retirement or being financially unfit to purchase health insurance. It has since been expanded to cover those with disabilities, and lower income families (“Overview,” 2015). Brady (2015) examines President Clinton’s attempt to massively overhaul health care in the United States. His plan, the Health Security Act (HSA), required employers to offer health insurance to their employees, and mandated that every US citizen purchase health insurance. This plan would have most likely expand health insurance to many more Americans; however, many feared the large tax increases, restricted options for patients, and with the lack of general support for the bill, it failed in Congress and was never implemented (p. 628). President Clinton’s failed attempt at health care reform opened up the door to future reforms, and it even shared multiple similarities to the PPACA. Smith (2015) updates the history of the health care system in America stating that “In the mid-2000s, America’s uninsured population swelled to nearly 47 million, representing about 16 percent of the population” and how “16 million Americans […] were underinsured” (p. 2). People

Health history of a patient is an important tool in identifying health issues and devising efficient interventions to address them. Hence, health providers can use health history information to diagnose, treat and plan for the care of the patients (Ball et al., 2006). In that light, we will focus on the patient named BB for purposes of privacy and confidentiality. BB is a 70-year-old Caucasian female. The patient resides and recently just moved to Show Low, Arizona. She is married and operates her business with the help of her husband. The interview was conducted at her home in Show Low, Arizona. More importantly, the patient's consent was sought before this meeting and she was assured of the confidentiality of the information shared

In this Assessment nursing course, one of the major things that is taught is the most important part of giving proper care to a patient. Correct patient assessment is needed before any nursing care plan or treatment can be implemented. This post-review of a person’s assessment will demonstrate the proper way to go about assessing a person’s health.

There are four evolutionary phases in healthcare. The first phase was the preindustrial era, which started in the middle 18th century to the beginning of the 19th century. At this time, American medicine was not developing as fast as other countries; in Britain, France, and Germany, medical science and research was much more advanced than America. The postindustrial era began in the late 19th century, physicians in America were becoming more successful than others in the world. The third phase was the corporate era, which was marked by the growth of managed care, organizational integration, the information revolution and globalization. Finally, the fourth phase is the one in which we are in today, it is still fairly new and is characterized by the health care reform, which was brought about by the Affordable Care Act.

A. Identify appropriate history questions to be asked of the patient, nursing staff, or family in order to discriminate critical characteristics or attributes about the presenting problem.

The American Association of Labor Legislation founded in 1906 led introduced the idea of Universal Health Care. Their goal was not to abolish capitalism but rather to reform it. (www.pnhp.org). Decades later after numerous attempts President Obama successfully passed the law to create The Affordable Care Act on March 23, 2010. This act is defined as “a federal healthcare law and is the largest change to American healthcare since the creation of Medicare and Medicaid in the 1960s.(Healthline.com)

One of the greatest changes in healthcare in the past ten years has been the rise of managed care, much to the displeasure of many patients and physicians alike. Managed care arose out of concern about spiraling healthcare costs and was designed to encourage physicians to give patients treatments that were cost-effective out of their own financial interests. "The consumer strategy was directed at imposing some barriers to use by levying various forms of co-insurance. The most common approaches used either deductibles (where the consumer paid the first portion of the bill a technique familiar in other types of insurance) or co-payments (where the consumer paid a portion of the bill and the insurance company the rest) or a combination of both' (Kane et al 1994). Managed care has given health insurance companies an increasingly significant voice in how treatment is administered and allocated. Managed care has proliferated in the past decade despite considerable criticism of the practice of 'nickel and diming' patients as well as the considerable bureaucratic red tape it is has generated. Also, research indicates that healthy, well-insured patients tend to over-consume care without meaningful co-pays but poorer, sicker patients can be deterred even by moderate co-payments and suffer negative health consequences (Kane et al 1994). However, managed care has not gone away and is a reality that all healthcare

What aspects and characteristics of American health care of the 18th and 19th centuries have had a major impact on shaping today’s U.S. health care system?”

Healthcare industry in United States has been an important industry for a long time. It is one such industry that has representation from both public sector and private sector. The current health care system is segregated and fragmented in America. Some states have very effective and efficient healthcare system while some states lack the desired infrastructure. The evolution of healthcare system in USA can be traced back to 1750. The period from 1750 to 1849 is termed as preindustrial period where the care of sick people was primarily handled by families (Brian, 2010). The period of 1850 to 1969 is termed as postindustrial period which reflects the growth of organized medicine and systematic healthcare delivery.

The article "State Children's Health Insurance Program: Origins and Present Status" by Barbara Velsor-Friedrich indicates that State Children's Health Insurance Program (SCHIP) was signed in 1997 by president Clinton. SHIP is financed by both federal and state government funds. The main aim of SCHIP was to provide medical cover for children whose parents had limited earning potential. There was inequality in terms of health care, based on income levels. The children of the working poor did not qualify for Medicaid. Most of the time, such children went without the most basic medical care. The program mostly uses the levels of income as the major parameter for qualification. It worth mentioning that in 1996, there were over 14.5 million children

Technology has been advancing every day, which has tremendous effects on the lifestyle of people. People are dependent on technology, and as a lifestyle of people change, a demand of advance technology grows. Technological advancement has both positive and negative effects, for instance, benefits of technological advancement are time saving, increases the production, simplifies the communication, improved the health care and education and others. On the other hand, technology has decreased the human interaction, people are lazy and dependent due to technology, which has decreased the innovation and increases the health risks such as weight gain and obesity-related health issues. This paper will describe regarding the historical perspectives of U.S health care delivery system. The paper will contrast and describe the two technological advances and their impact on a health care delivery system. In addition, a paper will explain regarding the author and public opinion on technological advances.

There is a critical situation that we are faced with today. We must dissect all the information and evidence in order to help the patient and her family through a tough decision. This is the current situation, L.D. a 39-year-old woman was admitted to the hospital and the health care provider noticed that L.D. has a rare illness called Arteriovenous malformation (AVM). AVM is an abnormal connection between arteries and veins bypassing the capillary system. “They typically consist of two