As evidenced by the constant battle over health care reform, healthcare in the United States has become a growing problem that must be addressed. While the main controversy seems to be the politics of healthcare reform and whether the government should have total control, the one thing that I believe should be the focus, is the quality of care that is embedded in the patient doctor relationship. It’s quite troublesome when large health insurance companies are swaying politicians to vote for less health care regulation and higher premiums rather than focusing on the quality of care and the importance of the patient doctor relationship, which has become overshadowed. That is why I believe it is important to look at and consider how health care reform such as the PPACA and policies implemented by private insurance companies have affected the doctor-patient relationship and thereby influenced the quality of medical care. One of the many reasons that I find this an interesting and important topic is because I aspire to work in the medical field and the interaction between patients and doctors is important for me to consider and determine how it has changed, whether it be for better or worse, throughout the years as a result of added regulations and new reforms.
A pivotal aspect of receiving quality medical care is being able to communicate your health concerns and have confidence and trust in your doctor, which is essentially the doctor patient relationship. Yet, this
When patients go to a doctor’s office, they need to know that the PA/NP that is treating them is highly qualified. They should feel safe and know that they are in safe capable hands. A patient should never feel like they are not getting the proper care. Patients need to know that they are being
A common value shared throughout this community is allowing your patients to trust you with their health needs. Allowing them to trust you builds a relationship with the patients, as well as others in your profession.
Technology is being used everywhere in the world. For example, technology is used to make cars, clothes, eye glasses, to teach and now it is utilized in health care every day. Technology plays a major role in the health care reform Act to reduce costs, improve access, and save lives. The Patient Protection and Affordable Care Act , and its constitutionality ruling by the United States Supreme Court last June 28, 2012, mandates requiring all electronic medical records for all health care agencies in 2014 ( Jha, 2013, p 1628) . David Blumenthal (2009) surveyed all acute care hospitals in the American Hospital Association and found only 1.5% of U.S. Hospitals have comprehensive electronic medical records system. Also included in the Patient
The latest health care reform has done what few policies manage to do – sicken both republicans and progressive democrats. While we can all agree that a reform of the health care system is sorely needed, we must also acknowledge that “Obamacare” is not the cure-all we so desperately require. Rather, President Obama, like a medieval barber, prescribed a health care reform that treated the symptoms of our flawed system rather than the actual disease. The subsidization of health insurance providers has proven ineffective at providing affordable coverage for all. Certainly one is likely to hear the various incendiary talking points of both the proponents and opponents. Whether it’s the republican candidates blaspheming Obamacare as socialism, or the administration praising the success of health care for all, it is difficult to actually find constructive dialogue. We are purview to many sound bites, but few actual solutions. We have witnessed heated debates, but rarely do we witness intelligent discourse. If beneficial reform is to be crafted and implemented, we must first acknowledge the issues and inconsistencies of the current system and begin to explore alternate methods of providing health care to the American people.
The idea of passing the health care reform was to expand health care coverage, however, in order to do so, many changes must be implemented in order to fulfill the ACA 's promises. The first of which is allowing all individuals to acquire health insurance no matter the age, pre-existing conditions, or other unfair practices. Statistics show that “half of Americas” have a preexisting medical condition in which with the passage of the ACA, it allows individuals to acquire health insurance without the worry of having to pay high insurance bills (Moisse, 2011). The reason why having preexisting health conditions is no longer a factor in acquiring health insurance is because with the passage of the ACA (as discussed earlier, it was made a mandate to acquire health insurance) it is expected that it will balance out economically with the people who require more medical help to their healthier counterparts that do not require as much medical attention (Goodnough, 2016).
The complexity of health care could take the rates on a massive trajectory that does not favor the people covered. Therefore, the financial protection that the levels of health insurance covers, help to guard against the risks related to the unexpected costs of health care. The source of coverage could still have an impact by the insurance coverage and financing alternatives that one has access to; Conversely, private insurance, social insurance, and the national health services are the types of healthcare systems by funding and provision. As we look to health care coverage and the reform of Obamacare, I’ll analyze the impact of the uninsured in the industry and look for a resolution to improve the
Ever since Obamacare was introduced back in March 23, of 2010, it has been one of the most controversial health plans debated by all government parties. The rich hate it and the poor love it. Is Obama care good or bad for the people and the economy? I believe it will be a stepping stone in the right direction for the economy and the people and protecting their rights.
Healthcare reform was designed to help people of middle class to below poverty status afford healthcare insurance, in addition to providing quality care for everyone. When the “Affordable Care Act” rolled out, there were a lot of concerns in regards to the cost and mandating that everyone acquire insurance. The objective was to provide access to low cost insurance; unfortunately, some people remained uninsured, as a matter of fact they were unable to afford health insurance due to the amount of wages they earned.
Bohmer, R., & Knoop, C. I. (2007). The challenges facing the U.S. healthcare delivery system. Harvard Business School, Article 9-606-096.
Healthcare reform in the United States (U.S.), continues to be a hot topic in the news. Whether it discusses how the program will be financed, the need to redesign the organization, or how the process of delivering healthcare will be implemented; one thing that is a frontrunner, is the need for registered nurses (RNs) and advanced practice registered nurses (APRNs) to fill the increased demands on the primary care system (Institute of Medicine, & Robert Wood Johnson Foundation, 2011, p. 375). “Several programs and initiatives included in the health reform legislation involve interdisciplinary and cross-setting care coordination and care management services of RNs” (Institute of Medicine, & Robert Wood Johnson Foundation, 2011, p. 377).
One common theme that has resurfaced throughout the entire Obama administration and has created a great deal of focus and debate is health care reform. The Patient Protection and Affordable Care Act (PPACA) which was introduced by Obama in 2010 creates a new structure of health care. It transforms health care from “late-stage, high intensity, illness focused, tertiary, interventional health service to a much stronger value driven focus on achieving the highest levels of health” (Porter-O’Grady, 2014, p. 65). Through this act, legislation has been created that regulates the way hospitals and physicians are reimbursed, which is built on evidenced-based, quality health care outcomes that are cost effective without infringing upon patient satisfaction. At the heart of this debate is the impact on nursing care, for nursing is the largest health care professional as well as the largest component of health care costs. Any change in the health care reimbursement will greatly affect the nursing practice (Buerhaus, 2010). In order to fully understand the impact of this health care reform, one must understand that health care reform is not a new concept. Health care reform has been transforming since the 1800s.
During the formation of the United States of America, the founding fathers had difficulty to agree on common issues due to their conflicting political stances. The intention of each political party is to form a solution that is in the best interest of the citizens in the U.S and of how to govern the US following its independence from Great Britain. It is safe to conclude that some Americans base their decisions on family affiliations rather than viewing each economic, social, and political problem differently to make an informed decision. The presidential nomination of then Senator Barack Obama marked the country's breakthrough in recent years during the 2008 election. Trends showed favoritism among the young, college-aged population when he ran for office his first time. He won their votes, along with other voters, based on general social and economic proposals he intends to solve. During the President's first and second term, his administration seeks to resolve the healthcare concern, a major political and economic problem, which is causing the country's deficit to swell. On March 23, 2010, President Obama (Whitehouse.gov, 2014) signed the Patient Protection and Affordable Care Act (PPACA), commonly known as "Obamacare," into law. Unfortunately, the United States of America have not come to a unanimous agreement about Obamacare. All together it seems not every person will approve every presidential decision in the country, but Obama’s health care act has sparked some more
In my view The Patients’ Choice Act that was introduced by Paul Ryan in 2009 would have been a better choice for the new health care reform than The Affordable Care Act. Even though there is no health care crisis of the uninsured, Ryan’s plan involved incentives for prevented care that could lower cost of premiums and encourage healthier lifestyles. Under The Patients’ Choice Act, the American people retain their freedom whether to have health care or not; however the ACA has a personal mandate that requires individuals to carry health care insurance or face a fine (tax). Ryan’s plan would have ensure universal affordable health care for all Americans without increasing government spending.
In March of 2010, two pieces of legislation were enacted, the Patient Protection and Affordable Care Act (ACA) and the Health Care and Education Reconciliation Act (HCERA). The ACA’s intent is to expand Medicaid coverage to millions of low-income Americans previously uninsured or underinsured. HCERA was passed after the ACA as a way to make provisions for penalties and payment programs to physicians to name a few. Some of the provisions outlined in the ACA on Affordable Care Act | Medicaid.gov include:
Patient provider relationships play a pivotal role in the healthcare process. This relationship helps to bridge the gap between ailments of the patient and the diagnosis and care of the provider. The need for this relationship and its propensity to create the catalyst for patients need to be fulfilled is second only to the medical knowledge of the provider and the patient 's willingness to get better. As we have moved from a biomedical perspective to a biopsychosocial perspective the relationship between provider and patient has changed from physician centered modes of communication to more of a patient centered style of communication. And with the change of view we find that a strong and cohesive bond between patient and provider is the key to the advancement and overall quality of care for the patient. According to The Impact of Patient-Centered Care on Outcomes a patient centered approach to care has a correlation to a better healthcare outcome. Focusing on the patient increases compliance of the patient.