Fasika Reflection Paper Understanding the overall patients’ socio-economic status plays a key role in caring for a patient and decreasing healthcare cost. In recent years, although the healthcare cost has been on the rise, there is a debate as to whether the rise in cost translates into the quality of care patients are afforded with. Caring is not only treating a disease condition, but also establishing relationship and trust in the overall patient condition. Brenner, in his research study, identified a major contributing factor for the increasing health care cost. Patients at high risk of readmission share common characteristics ranging from poverty, limited resources, lack of education and inadequate medical …show more content…
If we just treats patients temporarily without the much needed follow up the care we provided is not complete. Most of the patients do not have the means to follow-up with their care or they are not well informed about the resource available after they get treated in the emergency room or do not have the means to take care of themselves. Brenner noted multiple emergency room visit for the frequent flyers and showed where the failure in the health care system exists. This made me realize patient care is not only treating disease condition but also to follow through the entire process of healing. The entire health system relies on the assumption that most patients have clear understanding of complexity of their condition. Patients are expected to navigate and follow through the entire health system. However, patients do not have a complete understanding of their health issues, which hinder them from being compliant with their care. Unfortunately this leads to multiple hospital readmission and increase cost. Benner complied a data by gaining access with different hospitals in the Camden areas and tried figure out the root cause of rising health care cost. In this process he began to look for the “ worst-of worst” patients and tried to understand continuity of care . One of the most interesting fact was patients get readmitted for the same reason multiple times and this raises a concern in the current health system because create
The overall process of discharging a patient from a hospital and the transition back home or to a care facility are critical advancements in the overall course of both acute and long-term care. It is important that the hospitals releasing these patients have ensured the proper overall course of care from beginning to end. The lack of consistency with both the discharge process and the quality of discharge planning has led to many avoidable readmissions. To reduce the amount of hospital readmissions, it is imperative that hospitals recognize the need for focused patient care and that programs are being implemented to assist in the care transition.
When a patient misses a doctor/nurse appointment, a follow-up or specialist appointment they are not receiving the care recommended by their doctor/nurse. This could result in the patient becoming more ill and requiring additional time off work, laying an extra burden on colleagues and bosses, there is also the risk of infecting others thus carrying additional burdens as more staff may require time of work or extra appointments. All of this holds a risk of missing deadlines, looking unprofessional and potentially disrupting the training of personnel on unit.
Having access to quality healthcare is major part of one’s life however the cost of care has been on the rise over the past decades and continue to rise every day due to many situation such
The movie fire escape emphasizes that America has the most expensive health care system in the world but is not one of the best in regards to healthcare outcomes and life expectancy. It spends more than what the whole world all together spends on pharmaceutical industry. 75% of the 2.7 trillion dollars were spent on treating preventable diseases which indicate that US health care is more focused towards disease management than prevention. The movie makes a point that there are frequent readmissions and 80% of health care budget goes towards these 20% patients who are frequently readmitted to the hospital due to an existing chronic condition. Health care professionals are paid on the basis of number of procedures carried out on the patient rather than their health outcome. So the focus is not on curing the disease by eliminating the risk factors but merely managing the disease and looking for quick fixes. That is how patients want it too. They want to be cured right away with a pill or surgery but are not really interested in learning the long term solutions and preventative measures.
Readmissions is a basis for financial penalties to hospitals as a provision of the Affordable Care Act by reducing payments to hospitals with an” excess” 30-day readmissions. The data showed that patients living in high poverty neighborhoods were more likely to be readmitted, older and male patients were more likely to be readmitted as opposed to young and female patients. Lastly, patients with CHF, acute myocardial infarction, and those with certain diseases, such as diabetes, liver and kidney disease were at higher risk of being readmitted. The data also showed married patients were less likely to have a readmission because of more social support (Study Links Social, Community Factors with Hospital Readmissions,
There is a strong correlation with an individual or group SES and the quality of health care received. Social Economic Class relates to what group of class an individual fit in based on their income, which can include wages, investments or other source. The quality of care depends on the facilities that is offering the services, the staff, accessibility to the service and the kind of health insurance that the person has. Affording health care is expensive and the lower or poor class has to decide between being able to afford food or other daily needs and going to a clinic for screening. Most of the time, individuals who fall in the class will ignore the health signs while
In 2011, there were approximately 3.3 million readmissions to hospitals, raising healthcare costs and negatively impacting patient health. Two important contributors are discharge planning and education. Many patients do not receive enough of either, and are sent home misinformed about their diagnosis and medications. In order to decrease readmissions, hospitals should utilize interactive patient systems to educate patients while they are in the hospital. This will increase patient knowledge of their diagnosis, as well as make it easier for nurses to go over discharge teachings with the patient. This gives
Interacting with these patient taught me about the challenges they face establishing reliable care. They are often assigned to one of the few clinics in town who will accept such challenging patients for such low reimbursement. Getting to the clinic may require arranging transportation that can deliver the patient to and from an office visit or referral. Often the clinics these patients are assigned to are overcrowded and may not be able to see the patient for weeks or even
For decades, a person’s socioeconomic status or SES has affected the healthcare that people receive due to race and “wealth”. This problem has plagued American society because of these factors leading to many receiving inadequate healthcare. All of these factors for someone’s SES has changed a lot in the healthcare domain that is unfair to many who are not the “ideal”. Due to this the perception, experiences with healthcare waver and are different between the stages of these SES’s. No matter the status of a person they should receive the same amount of care, treatment, and closer.
Patients and given sub optimal care, are discharged prematurely, and end up getting readmitted due to not initially receiving the proper care.
In the segment of Unnatural Causes, “In Sickness and in Wealth”, the documentary highlights the health disparity created by different socioeconomic statuses. There are several factors that lead to these health differences, including but not limited to policies or lack of policies, and racism. Unnatural Causes draws on several family stories to exemplify the wealth health gradient. Within the family anecdotes, I was most intrigued by the idea of health access. This concept is highlighted throughout the different life cases in the segment. However, it is not just limited to these individuals, communities, and time period. Although health access is considered a universal right, access is not equal among individuals in the US. Access to health is determined by an individuals’ wealth. This is exemplified by the poor health outcomes of those in low-income communities; whereas, individuals in higher income communities have better health outcomes.
When patients are discharged from a hospital, they are being discharged without fully being aware that they could end up dying or being readmitted because the doctors did not watch or help the patient enough. There are steps and procedures that hospitals can take in order to figure out what 's best for the patient. The health administration should be doing more for those patients who are about to be discharged from a hospital because death and readmission rates, how it physically affects the patients, and the tools that can be used to help protect the patients better. Some would say that hospitals are just trying to keep you for your money and not for your safety. Having to be readmitted is very hard on patients and can be very costly. A
For years, healthcare costs have continued to increase in the United States and policymakers are constantly trying to find ways to reduce spending. According to reports, in 2011, about $900 billion out of the $2.6 trillion annual health care spending was wasteful spending. In the following year, there was a reported $690 billion wasted annually on healthcare. This wasteful spending is attributed to ineffective health care delivery, cost of adverse events, and poor care coordination that has led to avoidable readmissions (Lallemand, 2012). In the United States, readmissions are the highest amongst patients with chronic diseases accounting for about 90% of avoidable readmissions in 30 days after discharge, and costing the industry an estimated $17 billion. These readmissions are a result of inadequate discharge planning, lack of follow-up, and lack of education on disease management (Jayakody et al., 2016). Policymakers on the federal and state level have developed and implemented several programs, some varying state to state, to help reduce wasteful spending while improving quality of care.
This essay will discuss ways in which a person’s socioeconomic class and his/her social situation can have an impact on his/her health, using examples. We believe that there is a direct link between socioeconomic/social class and health (Adler et al. 1994). I will be defining the key terms: socioeconomic and health, social class then proceed to discuss about how poverty, income, employability, environment and housing can impact on a person’s social situation and their health.
In the health care system, a multitude of errors occurs on a daily basis. Doctors, nurses, orderly’s, etc., everyone in health care settings has responsibilities that warrant careful attention. This was exhibited in the case study titled ‘An Extended Stay’. In this case study, we are introduced to a middle-aged man in his 60s named Mr. Stanley Londborg. He presented with several health conditions, including a seizure disorder, hypertension (also known as high blood pressure), and Chronic Obstructive Pulmonary Disease (COPD).