Pennsylvania is a large state that consists of 67 counties. These counties vary in size, demographics, terrain, setting, population, and employment opportunities. These factors generate challenges in providing consistent healthcare across the state. Further complicating the matter is the fact that Pennsylvania has the third largest number of rural counties in the United States. The following proposal will review the current status of the health care system in Pennsylvania and identify areas in which it can be improved.
There is a clear discrepancy between the urbanized counties of Pennsylvania and the more rural counties in regards to the number of physicians in the area. The state has approximately 248 hospitals throughout the various counties. These hospitals employee 5,001 physicians full time and 1,145 part time. Supporting the physicians is a large number of medical residents and interns with 8,942 spread across the state. These physicians and residents are not equally spread across the state. To show the discrepancy that exists between the urbanized areas and rural areas of
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The NHSC would offer to physicians who practiced in underserved areas assistance with repaying their loans. There were also incentives through Medicare in the form of higher reimbursement rates in underserved areas. Some of the programs developed in the 1970s and 1980s serve as a model to build off of to address the rural physician shortage facing the state. The first step would be to create a scholarship program in which medical students receive funds to help pay tuition when they commit to practice in an underserved area. The state will also need to seek out grant money to improve its existing hospital system. By improving the rural hospitals and ensuring they have updated technologies providers will be more willing to practice in the more rural
Even though this money is being awarded to providers in rural areas, the nation continues to have a shortage of rural health providers (Derksen, & Whelan, 2009). One solution would be to increase this grant money or make it even more available for specialist. Again, the problem with this solution depends on the grant money being available for use. Another concern is that this change takes time; the access to care improvement needs to happen now. Lastly, when the provider has gotten the loan repaid there is not always a motivation to stay in the rural area. If providers leave, problems involving continuity of care
These programs in state level would cater health service on basic levels to rural areas and also the urban areas. However, There must be the same rules and regulations for health care services across the state as well as the country and the access to minority groups to health care services must be fast and continuous in rate. The positives of state flexibility in health care certainly outweigh the negative in that some states have more growth than other states, therefore in these situations, the levels of health care may differ. As population and development grows in a state, the health care industry must grow, thus increasing the need for new technology. "Due to the needs of vulnerable populations and the requirements necessary to make health insurance coverage for them viable, these programs are quite different from standard private health insurance plans (Teitelbaum & Wilensky, 2013)." Private state insurance health care plans have the flexibility of choosing what groups they want to cover and what type coverage they will pay for. Medicaids concern for the needy is ethical and moral, illness or injury doesn't
Pocahontas Memorial will focus on recruiting younger physicians no more than five years out of their training. Due to the aging physician community, younger providers are needed when the current providers retire (Cohn & Harlow, 2009). If the recruitment team focuses on the younger, newly graduated physicians, the physicians they recruit are more likely to stay with the organization longer. Younger physicians also have a different work-life balance approach (Cohn & Harlow, 2009). This is due to the more family oriented view, which, living in a rural community, it is easier to have that balance. Rural areas are generally less stressful as they do not have traditional “big city” issues such as traffic, crowding issues, and the need to rush everywhere.
Similar to my home state of Louisiana, Tennessee has also struggled with a chronic shortage of rural primary care physicians. While this statistic does depict a true challenge for our two states, over the years Meharry Medical College has done an exceptional job in inspiring medical students to one-day practice in a rural setting and bring about better health care to underserved individuals, regardless of race or ethnicity. This aspect
Medical schools need to increase the number of students being accepted from rural areas. These graduating physicians tend to go back practicing back in the rural community.
If I was the governor of Pennsylvania, I would not return to the CON-based health care, it has not shown enough positive results, I would look into trying to fulfill the needs of the community, but it will need to be done in a different way. The number of programs in the open and free market may be too many, as in the case of these hospitals, but overall free market will encourage competition and price reduction, where the certificate of need laws did not encourage competition or lower prices in health
Expand programs such as the National Health Services Corps, the U.S. Health Resources and Services Administration’s Health Profession programs, and state-based loan repayment programs
One of the trends that is consistent between Pennsylvania and Kentucky is the discrepancy between physicians available in rural areas versus urban areas. For example, in Pennsylvania in 2012 for every 100,000 persons in an urban area of the state there was 273 physicians available. While in the rural areas per every 100,000 in population there was only 150 physicians. (2012 Pulse of Pennsylvania’s Physician and Physician Assistant Workforce, 2014). The reason behind this trend is simple, the larger the area the greater the financial opportunities. Also urban areas tend to have larger hospital facilities that provide access to well-equipped facilities, with lab services, radiology departments, staffed surgical suites, new medical devices to assist in surgery such as laser and robotics, and updated imaging devices. (Johnson and Cooper, 1982). These statistics highlight the need to institute methods that will attract providers to the rural areas. Whether this is through scholarship programs for those who intend to work in a rural area upon graduation, accepting federal funds to expand rural hospitals and improve technology, accepting federal funds to expand Medicaid programs, or a combination of all three providers need incentive to move into the rural areas. The standard of care needs to be consistent across the state no matter what area a patient lives in.
Another threat is the current state of rural hospitals nationwide. According to the case study, about 25% of Americans live in rural areas and only about 10% of physicians actually practice in rural areas. There is a 15% gap in the ratio of rural citizens to available practicing physicians. This is a threat to ELH’s need to attract and hire more physicians. In relation to rural hospitals, citizens have longer drive times to their medical facilities. This causes them to delay routine visits which subsequently exacerbates
WVSOM’s reputation for preparing physicians for careers in primary care, and its emphasis on training students to treat poor and rural communities, make it the ideal institution to pursue my goals. I am especially eager to participate in WVSOM’s SP program, which encourages
The implementation of the healthcare reform to the people throughout the United States provides healthcare coverage to all Americans increasing the accessibility to quality healthcare coverage making it more affordable for families. Throughout this paper I will discuss how effective the healthcare reform has been for the state of Pennsylvania, describing what the positive and negative outcomes are, and how the it has impacted the community health within my state. I will further discuss what effects the health care reform has had on economics in health care within my state.
Rural Americans face an exclusive combination of issues that create disparities in health care that are not found in urban areas. Many complications met by healthcare providers and patients in rural arears are massively different than those located in urban areas. Financial factors, cultural and social variances, educational deficiencies, lack of acknowledgement by delegates and the absolute isolation of living in remote rural areas all combined to hinder rural Americans in their struggle to lead a normal, healthy life. Rural hospitals located in rural areas faces many disadvantages, such as; minimum resources, shortcoming or unprepared professionals, and financial disparities. Although many of these challenges could be solved
There are two main measures of medical underservice in the U.S., health professional shortage areas and medically underserved areas and some special need populations. Both measures require communities to apply for designation. These designations allow the government to target resources to those determined to be most in need (Colwill and Cultice, 2003).
In this paper there will be a brief discussion of three forces that have affected the development of the U.S healthcare system. It will observe whether or not these forces will continue to have an effect on the U.S healthcare system over the next decade. This paper will also include an additional force, which may be lead to believe to have an impact on the health care system of the nation. And lastly this paper will evaluate the importance of technology in healthcare.
Given the fact that the United states of America and Canada are linked together sharing a border which is open basically to and from both sides, their health care systems are highly different from each other and how the services are financed, organized and given to the citizens.