Impact of Medicare on the Healthcare System Essay

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    Public health is its own system within a larger one known as the healthcare delivery system. The healthcare delivery system comprises of many sectors, all with different perspectives and goals. Public health and the healthcare delivery systems very much complement and compete with each other. Public health as stated by Richard Riegelman is about knowing what not only makes us sick but also knowing what makes us healthy and how that can be achieved if we come together and work as a community.2 Public

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    need for the initiation of policy formation within the United States healthcare system. “In March 2010, President Obama signed into law a comprehensive health reform, the Patient Protection and Affordable Care Act (ACA).” (Estes, Chapman, Dodd, Hollister, Harrington, 2013, p. 144) The ACA promotes preventive care—including related services and family planning—that should result in improved health outcomes and

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    receive preventative care measure such as vaccination, health screenings and so much more. Public health and public care has helped to eradicate major diseases such as polio, measles and mumps. Public health and medical care both work to limit the impact of disease and disability. While people may view public health and medical care as the something, they are complete different, but both work interdependently to improve the quality of life for the population. Charles-Edward A. Winslow defined public

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    it provided healthcare for the underprivileged, increased education and decreased racial injustice. The Great Society moved the nation towards decreased poverty and increased citizen well being, and although there have been policies that did not achieve positive long lasting influences, the overall impact of the Great Society was a triumph. The Great Society was also a success because it provided health care for those in need. The Social Security Act, which created medicaid and medicare, enormously

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    According to Reid, there are four different types of models of health care systems found in the world. These include the Beveridge model, Bismarck model, National Health Insurance or the Douglas Model and the out-of-pocket model. The Beveridge model, a socialized medicine system, is used by Great Britain, where it originated, Spain and New Zealand. In this model, the government owns hospitals and labs as well as employ their workers and specialists, while general practitioners are private. There

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    The three systems whose factors greatly affect the efficient delivery of services are hospitals, long-term care facilities and mental/behavioral health services. Each of these are significantly impacted by diverse influences, affecting the direction and method for health care delivery. For hospitals, the three factors are vertical integration, horizontal integration and sources of power, or stakeholders (). Horizontal and vertical integration are both structure mechanisms, but are very different

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    Oral healthcare is an integral part of the US healthcare system and contributes to the fast growing US healthcare expenditure. Since ages, a pervasive trend of neglected oral health has been observed. Though the long overdue reform act, ACA, has addressed the pitfalls of the healthcare system by improving the access and coverage to oral health, this trend still prevails. Underutilization of oral policy is seen predominantly in the rural residing adults. Almost 20% of US population resides in the

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    advancement of the healthcare system in the United States. There are several factors affecting today’s healthcare system which will influenced the future development of the Advanced Practice Nurse (APN) role. Some of the major factors include the evolving federal and states laws, rapidly growing and aging population, increasing rates of chronic diseases in children and adults, and the cost of healthcare. These challenges require increase need for well trained healthcare professionals (OJN)

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    Social Justice Issue

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    are many reasons health care should be addressed as a social justice issue; 1) poor health is often the product of the “deprivations of severe poverty”, 2) without legislation, disease of epidemic proportions will go unreported due to their economic impact, 3) physician incentive plans jeopardize patient care, 4) the lack of pharmaceutical company regulations, limit the availability of affordable treatments (generics), . . .

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    quality department. In healthcare, Joint Commission regulates and requires facilities to improve patient care, outcomes, and processes. Quality is monitored and or reported through a management council which include: infection control, drug utilization, medical records, risk management and a host of others. This council comes together monthly with new ideas to improve what Glenda Melton calls pain points. For instance, what does not work well, how frequent, and the impact. (lab results) Ms. Melton

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