The Future of Healthcare-Advance, Challenges are Changing the Patient Experience

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.

The aim of the ACA is to provide affordable health care to all Americans, but it still leaves some issues unaddressed that will impact the access to health care. Covino (n.d.), “Though the intentions of the legislation are good, the Affordable Care Act does little to improve the actual health care delivery system” (para.1, page 2). According to the American Medical Association, we are facing an increasing Physician shortage. As of 2010 we faced a shortfall of 13,700 physicians, the estimate is that number will increase to 62,900 by 2015, 91,500 by 2020, and 130,600 by 2025 (Krupa, n.d.), with primary care taking the largest impact. Health Care coverage will be of no benefit if there are no doctors to treat the patients. An example of this occurred in 2002 when Thailand’s’ “30 Bhat Scheme” added (CNN n.d.) “14 million people to the country’s health care system, resulting in long waits and subpar service” (Your health is covered, but who is going to treat you?) Several factors contribute to the physician shortage. Many physicians are reaching the age of retirement, the Association of American Medical Colleges estimates nearly 15 million physicians will be eligible for Medicare in the coming years (CNN n.d.). The increasing cost of malpractice insurance also deters many from pursuing a career in medicine, and is forcing some doctors to retire. Also contributing to the physician shortage is a lack of spots in residency programs. “In 2011, more than 7,000 were left

A big problem that the film addresses is the fact that the United States spends such a large amount of money on healthcare, but ends up with one of the worst outcomes. One of the factors that contribute to this is how doctors are encouraged to see as many patients in a small amount of time. PCP Dr. Erin Martin expresses her dissatisfaction with the constant pressure that productivity should be more valued than the patient’s care. This inevitably drives up the cost and decreases the quality. Unfortunately, medical industries are still striving to gain a profit from health care. Dr. Steven Nissen speaks out saying that “when medicine became a business, we lost our moral compass”. Unlike many other countries, the United States healthcare system is heavily governed by big industries. , hoping to gain money from people’s illnesses.

United States has no dearth of highly qualified, well-trained doctors and still the US healthcare quality fails to meet the established industry benchmarks. Institute of Medicine’s (IOM’s) 2001 Report, “Crossing the Quality Chasm”, clearly states that the American healthcare delivery system is in need of a pivotal change. (Committee on Quality of Healthcare in America (Institute of Medicine), 2001). The exasperation level is continuously rising amongst both, the patients and the providers, and yet the problem of delivering and receiving high quality care remains unaffected. In order to address this problem of healthcare quality improvement and affordability, the Patient Protection and Affordable Care Act (PPACA or Obamacare) was signed in the year 2010. The main aim behind PPACA is to improve healthcare quality and accessibility, at the same time keeping it cost efficient. To facilitate its goal PPACA is trying to achieve the cost effectiveness through reducing the Medicare price growth and regulating the quantity of care by encouraging evidence based practices. This new legislation supports the healthcare system in which the goals of both provider and the patients are better aligned with value as opposed to the quantity of services. Overall the reform under PPACA seeks to establish a direct link between the payments made to the healthcare

Mckinlay and Marceau break down some of their reasons for why U.S. health care system has become on corporatized and profit-driven rather than a service for the people into two categories: intrinsic and extrinsic. One extrinsic factor discussed they discussed was the “bureaucratization of doctoring” which involves the increasing number of physicians working for big businesses rather than maintaining their own private practice. With this came the fact that many doctors were unintentionally treating medical care as if it were some GM factory in which patients were churned out and doctors were rewarded for not quality of care but how many patients they were able to see, diagnose etc. I’ve had my own experience with this when at an appointment, my own gynecologist was lamenting about the fact that she sometimes wishes she were a nurse because she never actually gets to garner relationships with her patients. She

The title of the book being reviewed is Critical Condition: How Health Care in America Became Big Business and Bad Medicine written by Donald Barlett and James Steele in 2004. This title explains what will be described in the book; how health care was transformed into more of a business and reduced the quality of care to the communities served. The main audience was to Americans in general. The purpose of this book was to show Americans the flawed health care system and explain how it grew out of control. The quality has decreased significantly, access to care has been restricted by the insurance moguls and lack of paying providers. Lastly, the cost of going to see a provider for any treatment has skyrocketed while the economy was unstable. The argument was that changing United States health care to a single-payer system will benefit Americans with better, more quality care and also reduce cost overall by eliminating private insurers.

It has been a long time coming of the much needed change with health care. Transformation will come whether people are ready or not. These changes have been talked about but have never gone in effect until recently and more are to come. The Affordable Care Act 2010 outlines some new health care structures, and with these structures will come new opportunities for new roles expanding the health care into a better one to have the health care grow, expand and improve care (Institute of Medicine, 2011).

In 2014, the implementation of the Healthcare Reform has brought about many changes that has impacted the health care community. There are five top elements of the health care system that will require the greatest development would be the health care delivery system, the financial responsibility, the providers such as the physicians and the hospitals, the payers which would be the insurance companies, and consumers which will be the patient (Grand Canyon, 2015). Although many people, including several of the nation’s Senators oppose the changes that the uninsured in this country have been afforded, the question remains, will the changes of the health care reform benefit or discourage patients who need the support? After reviewing the lecture notes, the reports provided by the Common Wealth Fund of 2014, the statement provided by Hackbarth in the article written in 2009, Reforming America’s Health Care Delivery System, there is still uncertainty if the reformation of the health care system does benefit the people in need (Hernandez, J. S., 2011) and (Current System Issues and their Impacts, 2015).

This week's reading in regards to patients care was very educational in learning the struggles of millions of Americans in need of healthcare. The shift from fee-for-service to manage care such as HMO has made it difficult for patients to get the proper health care. Strategies used by HMO included restricting patients choices of physicians; controlling their access to care, limiting the treatments their physicians prescribed; limiting the doctors ability to refer them to specialists and evenually damaging the patient's trust in their doctors.

Throughout my experiences in healthcare, I have come to develop a patient-centered philosophy regarding the future of healthcare and the doctor I would like to become. I have seen first hand the benefits of treating a patient as a whole, and focusing on a patient’s well being through showing compassion and understanding, in order to improve a patient’s quality of care and outcome, which I believe is crucial in the future of healthcare.

The healthcare industry has many issues. Three key issues in healthcare are access, cost, and quality. Each play a different role and each are critical to the healthcare system. Reforming the healthcare industry is an increasingly complex challenge due to multiple layers of legislation already in place and the number of different stakeholders in the industry. When approaching reform, both federal and state governments have proposed legislation that would take steps toward better healthcare systems (Whiteford, & Weissman, 2017). The questions that needs to be asked are; is this enough and will it really help the healthcare system?

The healthcare industry in America has been going through transformations and changes regarding the policies and regulations of individual health facilities at the national level. Notably, the signing of the Affordable care act by former President Barrack Obama facilitated most of the changes in the management of healthcare and regulations guiding the way services need to be offered and the way the facilities need to attend to their patients. Health centers and individual medical practitioners are feeling the impact of the emerging issues because they are prompted to move to action and step up their performance as the new policies demand. Several emerging issues have been identified, and many scholars and experts in health care issues have

Numerous problems plague the US healthcare system today, each of which is capable of preventing millions of Americans from gaining appropriate health coverage for themselves and for their families. Costs of health insurance are skyrocketing, leavings millions of Americans with the decision of paying for the “luxury” of insurance or spending the money in ways that may be more necessary at the time of the decision. Another major problem that affects the structural integrity of the healthcare system relates to the issues of malpractice, in terms of the ability of doctors to meet the incredible costs while keeping their business afloat. A final problem has to deal with the overall efficiency of US healthcare spending as compared with the rest of the world. These problems lead to much turmoil in the US healthcare system which only ranked 37th in the world according to the World Health Organization.

I Work at the county hospital where I provide indirect patient care. Just in this year alone due to regulation change or structural change in leadership, are molding for the reconstruction in how the hospital is seen in the community. Focusing on new technology and changing the overall practice of how the hospital treats and care for their patients. Health care around the world is quintessence reconstructed with the rapid expansion going in all direction in the healthcare field I found three trends in providing valuable assets that are critical to transforming patient's care. Since it is essential that medical institutions are expected to grow and in reaching and achieving defined standards of care, excellent merit in medical education, research

The Centers for Medicare & Medicaid Services reports that the U.S. health care spending has grown more rapidly than any other sector of the economy. In 2015 U.S health care spending grew 5.8 percent, reaching $3.2 trillion or $9,990 per person. Health care spending accounts for 17.8 percent of the nation’s GDP (Gross Domestic Product)("National Health Expenditures," ). Today’s health care systems is not only complex, there is a significance difference from what it used to be in past years. What are the factors that are driving these shifts? The changes are many and represent the major shifts involved fee-for-service to value base reimbursement, nurse and physician shortages, technology advancements, and we can’t leave out the Affordable Care