The pharmaceutical industry has experienced declining fortunes over the past few years. Indeed, although blue-chip pharmaceutical firms previously drove profits through blockbuster drugs, many of those drugs have lost their patent, leading to increased production by generic drug makers and lower profits. At the same time, the pipeline for new blockbuster drugs is at an all-time low; this is not coincidence. While there certainly is a cyclical element involved with the process of innovation, many in the industry posit that discovering blockbusters is simply becoming more difficult. This factor, coupled with the excessive capital and human resources needed to discover new drugs, has led pharmaceutical firms to explore new ways to bolster their lagging pipeline.
Maintaining the highest possible quality of care is a vital part of efficient health system operations. Without quality control the services offered by even the most technologically advanced and skilled healthcare providers will be compromised and patients, among others, will suffer the consequences. Quality of care is a variable with multiple dimensions, each of which requires consistent evaluation and subsequent corrective action when appropriate. The measurement of care quality is difficult because the interaction between variable characteristics can vary from setting to setting. Accordingly, it is important to consider the specific environment in which healthcare services are being provided while assessing care value.
It is not uncommon to hear that one should learn from his successes and mistakes but as I critically analyze my life, I have tried to learn from every experience no matter how irrelevant it might have seemed at first. In fact, my internal medicine philosophy is nothing but the outcome of the lessons of all these experiences. One of my first interests in life as a young child was reading detective novels. Even back then, I was aware why I loved detective novels despite their predictable endings. What I really loved about detective novels was not the hero or the endings but the thought processes that were involved in solving the cases. The novels helped me realize that things are not always what they seem and facts cannot be unearthed unless one has looked at all aspects of an issue. In other words, detective novels helped me develop a love for critical and independent thinking. While medical science has come a long way, especially over the last few decades, human element is still very important in efficient delivery of healthcare practices and diagnosis often depends upon the skills of the healthcare practitioner rather than state of technology. As a medical practitioner, I will not rule out any possibility no matter how remote it may seem but I realize the cost of any negligence may mean the whole difference in the life of someone.
Government and Health Care
The United States government has a huge role in the health care of its citizens. Via the International Revenue System, citizens of the United States pay taxes- some of which are allocated each year towards public health care for the people of the U.S. The expectation is that taxpayers will ensure that people are not denied necessary health care. Besides providing the public with affordable health insurance, it is also the responsibility of the U.S. government to ensure the quality of the the public health care institutions across America.The United States, unlike most industrialized nations, uses a non-universal healthcare system. This means that by law, the government is not required to provide healthcare to all of it’s citizens.
Vitamin D is a natural chemical that is produced in the skin from a vitamin D-precursor via sunlight exposure. Without sufficient amounts of vitamin D, the body will along absorb 10-15% of the necessary calcium. Researchers have recently found that there are vitamin D receptors on organs in the body, such as the heart, blood vessels, endocrine glands, and muscles, indicating the importance in digestion. The purpose of the study is determine the effectiveness or efficiency of binding sites in the oval cavity of individuals in order to correlate the importance of vitamin D in the digestion process.
Introduction and Summary
Improving access to healthcare across many communities is limited by existing practices and trends in social, political, and economic drivers. It is necessary to identify these drivers and the barriers that prohibit effective access to healthcare services, including social status and related concerns. Healthcare organizations must adapt to social and political change in an effort to optimize the quality of care and treatment that is provided to patients, in addition to the ability to expand access to these services in communities where the need is greatest. The creation of an environment that embraces change must recognize where existing weaknesses prevail in order to accomplish the desired objectives and the means to accomplish new directives to expand healthcare access to organizational change. Organizational priorities must change in order to effectively address these concerns and to promote progress within an organization to effectively meet the needs of local residents. Therefore, strategic change is necessary to enable the organization to adapt and to promote expanded access to basic healthcare services. The following discussion will address these strategic requirements in greater detail and will emphasize the importance of specific mandates to improve healthcare access and to promote change to achieve greater organizational success and quality of care for a larger number of patients.
The current trend of Patient-Centered Medical Homes (PCMH’s) seeks not only to lower the costs of healthcare but to improve patient outcomes; it is an important concept to understand in regards to the state of healthcare in America, and as of 2011, 41 out of the 50 states have made some progress towards the formation of PCMH’s (Kaye, N., Bauxbaum, J., & Takach, M., 2011, p. 12). Despite their name, PCMH’s are not a place but a concept, a method of healthcare delivery that “provides comprehensive and continuous medical care to patients with the goal of obtaining maximized health outcomes” (Wikipedia, 2013, p. 1). The PCMH has seven defined components: the personal physician to provide continuity of care, a physician-led team, whole person orientation, coordinated care, quality and safety, alternative scheduling arrangements, and payment reform (Goldberg & Kuzel, p. 303). This paper seeks to explore the development of PCMH’s in Virginia, focusing on methods of healthcare delivery, targeted populations and conditions, participating payers and reimbursement, and the effects of the development of the PCMH on healthcare in the state.
Health Maintenance Organizations (HMO’s) and Patient-Centered Medical Homes (PCMH’s) are both important part of healthcare delivery in the United States, and while there are some similarities between the two healthcare delivery methods, there are some important differences as well. This paper seeks to examine the similarities and differences between HMO’s and PCMH’s and to discuss why things like healthcare information technology, workforce development, and payment reform are integral parts of the PCMH.
In a recent survey conducted by the American College of Healthcare Executives (ACHE, 2012), financial challenges ranked first among eleven issues listed in the questionnaire affecting healthcare organizations in the United States. The biggest concerns were expressed in relation to Medicaid reimbursement (83 %), as well as government funding cuts (81%), and Medicare reimbursement (72%). Other financial challenges affecting the work of hospital CEOs and functioning of the hospitals were (in order of importance): bad debt (69%), reduction of inpatient volume (61%), rising costs for supplies as well as staff and other things (52%), and insufficient funding for capital improvements (43%). Respondents also indicated problems with managed care payments, converting charges to cash, functioning of emergency departments, competition from other (specialty hospitals), and some other financial issues facing the hospital management.
One recent trend in healthcare provision across the world has been the appearance of many paraprofessional positions. In basic terms, this can also be called deprofessionalization. What that means is that skill sets of medically qualified workers are cut so that more applicants can be assessed for available jobs. This has seen some jobs seriously reduced in status, and also pay. This paper will argue that such cuts and reclassifications of jobs can only do long-term harm to the provision of care, whatever their potential short-term benefits, most of which seem to be based on economics rather than originating from a position of providing the best care to all kinds of patients.
Boutique healthcare, or concierge medicine as it is sometimes referred, is a strongly personal form of healthcare, in which the patient pays an ongoing retainer to a physician, with whom they maintain a strong personal relationship. While this can create positive outcomes for patients, especially elderly patients, there are a number of practical and ethical concerns which might limit the effectiveness of boutique medicine when its principles are applied on a wider scale. It works well in small, close knit communities, but is not necessarily relevant to larger, national scale services. There are many advantages and disadvantages to this kind of care for both patient and medical practitioner. Some of the advantages and disadvantages will be examined in this short paper.
An increasing number of situations within the healthcare industry involve the need for ethical decision making nowadays. Thus, it becomes essential for healthcare providers to understand the meaning of ethics and to facilitate the delivery of professional and skilled care. Ethics is becoming increasingly relevant to the day to day practices of nurses, in particular, as they are the frontline in the delivery of patient care. This paper attempts to understand the role of Ethics in the field of nursing. An interview was conducted with a Director of Nursing In a skilled nursing facility specializing in long term care to gain their perspective about the topic. The interviewee was selected because of the wealth of her experience in the field and due to the fact that this position has a significant influence on the development and implementation of policies and procedures within the organization. Furthermore, the interviewee is also involved in resolving complex issues involving patients and health care workers within the organization. Consequently, decisions made will shape the culture of the organization and the patterns of thought and actions of its workers.
In the last United States Census, it was estimated that there are some 41.1 million people living in this country who are 65 years or older, and that number is expected to reach 72 million by the year 2050; the fastest-growing segment of our population is among the very old, those 85 or older (United States Environmental Protection Agency, 2013, p. 1). With those numbers alone, it is easy to see why services for the elderly are becoming more and more important, including services which help those who need round-the-clock care to find long-term care facilities. An in an age of budget cuts and belt-tightening, it is also becoming more important to provide these services in as cost-effect a manner as possible.
With the Affordable Healthcare Act prominent in each individuals mind, it is important to understand health insurance coverage. Health insurance options vary on an individual basis. Each person qualifies for a different type of coverage based on age and employment status. The Commonwealth of Virginia has specific guidelines regarding health insurance coverage.