NURSE MANAGED HEALTH CENTERS AND PATIENT-CENTERED MEDICAL HOMES COULD MITIGATE EXPECTED PRIMARY CARE PHYSICIAN SHORTAGE Des Moines University ABSTRACT There has been an enormous focus on the impending increase in baby boomers approaching the year 2025 and the predicted shortage of primary care providers. This focus has only increased with the implications the Affordable Care Act has created through its provisions of increased insurance coverage for the uninsured. The numbers
and health systems, a continuum of long-term care as well as mental and behavioral health services. The three factors of hospitals and health systems include the structure, organization and key issues facing it. The structure of the hospitals and health systems include the impact of technology as well as the horizontal and vertical integration of hospitals and health systems. It also revolves around the affiliation of the system with each other and other health care system sectors (Williams & Torrens
Medical Model of Disability in Nursing Practice According to the World Health Organisation (WHO) disability is defined as, the loss of anatomical functions, resulting in experiencing difficulties when carrying out everyday activities of daily living and encountering problems when trying to participate in activities: disability can also be as a result of the individual impairment or disability that restrict them from fully interacting with society (WHO, 2001). Equality Act (2010) defines disability
The rapidly growing baby boomer patient population is reshaping caregiving in the United States. The medical community is grappling with the many changes designed to manage the increased demand, such as how providers receive payments and deliver services. As American care providers navigate the baby boomer patient era, talent demand is increasing and shifting from hospitals to long-term facilities. The Rapid Senior Patient Population Expansion Caregiving institutions are bracing for an influx of
changing health care system, the Centers for Medicare and Medicaid Services (CMS) faces significant challenges in the coming years. Key populations served by Medicare and Medicaid will increase dramatically over the next 10 years as the Baby Boom Generation ages into Medicare, more Americans live longer with more chronic illnesses, and the number of Medicaid enrollees increases as a result of program expansions under the Affordable Care Act (ACA) (///citations///). The cost, quality of care, and effectiveness
“Patient-centered care is a quality of personal, professional, and organizational relationships”. (Epstein & Street, 2011, p. 100). There is a general agreement that the current healthcare delivery system will not be able to meet the needs of the chronic health conditions of the increasing baby boomer population. Research has shown that there will be primary care “physician shortage of 45,400 expected by the year 2020”. (Corso & Gage, 2016, p. 192) Due to the challenges faced by the primary care workers in
staff through team-based models and sophisticated health information technology. Formal integration between hospitals and physicians are built by strong capital requirements. Critical advanced planning and analysis of a practice capabilities are important to achieve financial success and improved patient outcomes in a PCMH model. The main challenge with this process is to redesign the patient care model because PCMH mainly focuses on primary care services improvement models but in contrary clinical
health care? Insurance serves an intermediary role in the delivery of health care as it is in most cases pertinent to paying for a person’s care. Relating this fact to the medical model of health, a person gets diagnosed with a disease and needs to get treatment. Due to the extremely high costs of health care, insurance is necessary for people to pay for the care they need (Begay, Lecture, 9/12/17). 3. Distinguish between illness and disease. How are these concepts related to the medical model of health
there is reoccurring theme present that provides an overview of five approaches to promote health improvement. These approaches as are as follows: medical model, behavioral change, education, empowerment, and social change. Each approach is specific in identifying the health issue and methods to provide the best health outcome. For example, the medical approach aims to prevent the onset of disease and morbidity through primary, secondary, and tertiary prevention, which can also be viewed as an intervention
Robert Kane's "Reimagining nursing homes: The art of the possible" Summary In this article, Kane challenges many of the assumptions about long term care and about nursing homes. He begins with the premise that effective long-term care has to meet three different needs which may not be compatible with one another. These three needs are personal care, medical care, and housing. He also discusses a significant indictment of the current nursing home system and his belief that it simply is not appropriate