| Papers [1-14] of 100 :: [Page 1 of 8] | | Go to page : 1 2 3 4 5 6 7 8 —> | Search results on "HEALTH CARE DELIVERY": |
| Essay # 52271 |
temporarily unavailable
|
|
|
|
AIDS and the Health Care Delivery System, 2005.
A look at the effects of AIDS and HIV on the health care delivery system.
1,413 words (approx. 5.7 pages), 7 sources, APA, £ 31.95
»
Click here to show/hide summary
Abstract
This paper begins with a description of the AIDS virus and how it effects the human body and an explanation of how the virus is transmitted. The paper then examines the costs of HIV infection to the health care system and how these additional costs affect the health care delivery system in general.
From the Paper
"In 1982, a disease known as Acquired Immune Deficiency Syndrome, or AIDS, was officially recognized in the United States (Shi & Singh, 2004). Since that time, the disease has become a world-wide epidemic, with more than 830,000 cases reported in the U.S. (National Institute of Health (NIH), 2003). The disease, caused by the Human Immunodeficiency Virus (HIV), has infected scores of people as well, with over 38 million people living with the virus worldwide in 2003. Since the first diagnosis of AIDS in 1982, over 20 million people have died worldwide (UNAIDS, 2004)."
| |
|
Home Health Care Delivery, 2004.
This paper discusses the improvement of home health care delivery through the implementation of quality assessment/ performance improvement (QA/PI) programs
1,150 words (approx. 4.6 pages), 5 sources, APA, £ 26.95
»
Click here to show/hide summary
Abstract
This paper explains that the improvement of health care programs in the medical industry has spread to home health care delivery in which the physician makes home visits. The author defines quality assessment as the development of data sources and analysis of information generated from patients, which reviews their perception and expectation of quality. The paper concludes with an interview of a physician working in a home care agency who believes that, ever since the implementation of the QA/PI policies, his organization has started to pay close attention to quality performance issues, such as physicians' abilities to meet patient expectations and demands.
From the Paper
"There are gatekeepers to the implementation of QA/PI programs. These include the Division Home Health QM Program, Directors Committee, Continuing Care Leaders and Quality Service Leaders, Service Area and Local Agency. These controllers are responsible for the planning of the QA/PI activities into the current systems of organizations that are responsible for home health care delivery. They also are responsible for identifying changing indicators from the consumer perspectives and conducting audit of the agency involved in QA/PI to regular and accredit credible organizations who have maintain their standards according to the AHRQ. Similarly, they are involved in setting criteria for divisional directors of home care quality improvement programs."
| |
|
Health Care Delivery, 2008.
This paper discusses health care in the United States and Canada.
844 words (approx. 3.4 pages), 3 sources, APA, £ 20.95
»
Click here to show/hide summary
Abstract
In this article the writer notes that a comparison of health care in the United States and Canada demonstrates one significant fact above all others: Canada has a national health care system, while the United States does not. The writer points out that it is interesting to note that many within Canada believe that the delivery of health care services in the United States is considered superior, while there are those within the United States that believe that Canada's health care system should be the model of national health care that the United States should adopt. In general, however, the writer maintains that it is evident that both nations spend a significant amount on health care each year and that both nations still are plagued with health care concerns that have not been resolved despite their advanced knowledge about health care delivery.
From the Paper
"In relation to infant mortality, it is evident that the primary concern for both nations is poverty. In the United States, as well as in Canada, poverty is widespread and impacts the health of mothers and children through lack of nourishment, lack of housing and lack of ability to receive health care. Although Canada has a national health care system, it may be unavailable to some residents of the nation that live in remote locations and do not have access to transportation. In the United States, however, access to health care for the poor most often occurs by impoverished citizens visiting emergency rooms and taking advantage of the law that states that all people must be served in these facilities, regardless of their ability to pay. The problem is, however, is that most Americans in this situation do not enter an emergency room until the health issue has become severe. In addition, follow up care and prescription medications are generally not sought, creating ongoing health issues for much of the poor population."
| |
|
Health Care Delivery Systems, 2005.
A discussion on care delivery systems in the US.
675 words (approx. 2.7 pages), 3 sources, £ 17.95
»
Click here to show/hide summary
Abstract
This paper discusses the health care delivery systems in the United States. Firstly, it gives an overview of how health care is delivered to the patient. Next, it points out some of the flaws that have been occurring in this system. Additionally, the author explores some of the factors a patient looks for when rating a health care delivery system.
From the Paper
"The U.S. health care delivery system was thought to be the best in the world but lately people have started to question this once unchallenged assumption. Some experts have said that our health care delivery system needs to make major improvements. Throughout this paper I will give an overview of the health care delivery system of the U.S. I will discuss the good qualities of our health care delivery system as well as the flaws that occur in it. Additionally I will discuss how health care delivery systems are evaluated. Lastly I will discuss some factors which are important to a patient when it comes to a health care delivery system. The means by which health care is delivered to U.S. patients is changing. The U.S. health care delivery system is comprised of many components including hospitals, outpatient facilities, transitional ..."
| |
|
The Health Care Delivery System, 2005.
A discussion of the current state of the American health care system.
2,025 words (approx. 8.1 pages), 3 sources, £ 53.95
»
Click here to show/hide summary
Abstract
The paper discusses how the health care delivery system in the United States has undergone significant change since the initial formulation of health care maintenance organizations, employer group insurance programs, and unions that demanded benefits for industrial workers. The paper analyzes how large hospital conglomerates control most of the emergency and in-patient care in the United States. The paper further analyzes how doctors are attached to health care management organizations, or public health care organizations that regulate how and where physicians can practice medicine.
From the Paper
"The health care delivery system in the United States has undergone significant change since the initial formulation of health care maintenance organizations, employer group insurance programs, and unions that demanded benefits for industrial workers. Today large hospital conglomerates control most of the emergency and in-patient care in the United States. Doctors, by and large, are attached to health care management organizations, or public health care organizations that regulate how and where physicians will practice medicine. These organizations claim that by instituting policies for doctors that they ensure a better quality of health care. While technology and science have brought tremendous advancements to the health care industry, (promising that the quality of care will lead to the stabilization of many illnesses, or perhaps even cures) there still remains over half of the American population that is either without insurance, or that cannot afford medical care at all."
| |
|
Health Care Delivery, 2003.
Analyzes issues impacting delivery.
4,500 words (approx. 18.0 pages), 25 sources, £ 91.95
»
Click here to show/hide summary
Abstract
Discusses the importance of health care professionals and caregivers being aware of the cultural backgrounds of their patients and of their own cultural biases. Describes how health is affected by style of care. Examines barriers to health care delivery.
From the Paper
"According to Irvine, McPhee, and Kerridge (1), physicians, nurses, and other health care professionals and caregivers must be aware of and sensitive to the various ..."
| |
|
Impediments to Health Care Access for Low Income Visible Minorities, 2002.
Identifies causal factors for the gap in health care access for lower-income Americans and visible minorities and the more affluent members of America's majority.
29,350 words (approx. 117.4 pages), 135 sources, APA, £ 168.95
»
Click here to show/hide summary
Abstract
As the American population continues to become more diverse racially, members of visible minority groups within the population become more prominent. Simultaneously, with the increase in diversity, income distribution in the American economy has become more distorted. While economic growth in the United States has surged over the past decade, the income gap has widened; not only between the richest and poorest Americans, but also between moderate-income and low-income Americans. Members of visible minorities in the population tend to be represented disproportionately in the low-income and poverty classifications in the United States. While there is an abundance of implications of this state of affairs, one of the more crucial ones is access to health care. Individual and household financial capacity, the scarcity of employer-paid health insurance among small businesses, cultural differences based in social psychology and other factors frequently act as impediments to health care access for low-income individuals and households among visible minority population groups in the contemporary United States. This problem and these issues are investigated in this study. The study identifies causal factors for the gap in health care access between lower-income Americans and members of visible minorities in the United States, on the one hand, and more affluent Americans and members of the majority segment of the population, on the other hand. The initial chapter of this study delineates the problem investigated. Specific research questions are formulated and stated to provide greater focus for the investigation.
Social psychological theory and applied social psychology literature are reviewed in the second chapter. Literature relevant to the functioning of low-income and visible minority population groups in the United States within a social psychological context are reviewed in the third chapter. The fourth chapter is devoted to a review of literature relevant to both the health care system in the United States and the experiences of low-income and visible minority population groups in relation to health care access and health care delivery in the United States. An assessment of the problem investigated, performed within the structure of the research questions, is presented in the final (fifth) chapter. Conclusions drawn from the study findings are stated and recommendations for further research are made. The summary conclusions reached through the conduct of this study relate both to health care access and health care utilization by low-income persons and members of visible minorities. With respect to health care access, the summary conclusion reached is that a universal system of health care entitlement is required in the United States. In relation to health care utilization by low-income persons and members of visible minorities, the summary conclusion reached is that extensive education is required for both low-income persons and members of visible minorities, on the one hand, and health care providers, on the other hand. Low-income persons and members of visible minorities require education on the benefits and function of health care services, while health care providers require education in the social mores of the diverse populations they must serve.
Table of Contents:
Introduction
Problem Delineation
Background on the Problem
Statement of the Problem
Research Questions
Review of Relevant Social Psychology Theory and Literature
Introduction
Sociological Theory and Health Care
The Welfare State
Accessing Contemporary Health Care
Role of Ethics in Accessing Health Care
Alternative Health Care Delivery Systems
Chapter Conclusions
Social Functioning of Low-Income and Visible Minority Population Groups
Introduction
HIV/AIDS Related Behavior
Initiatives to Improve Health Care
Access and Behaviors
The American Health Care System and the Experiences of Low-Income and Visible Minority Groups
Introduction
The American Health Care System
Analysis of Health Care Delivery Systems
Care Quality
Alternative Approaches to Health Care
Bioethical Issues
Problems of Accessibility
Initiatives to Improve Minority Access
Chapter Conclusions
Assessment of the Problem Discussion, Recommendations for Further Research
Appendices
Annotated Bibliography
From the Paper
"Social Cognitive Theory [self-efficacy] emphasizes the role of expectancies, self-efficacy, peer normative influences, and social competency skills as key components affecting adolescents? behaviors (DiClemente, Lodico, Grinstead, Harper, Rickman, Evans, & Coates, 1996). The applicability of models based on social psychological principles for understanding African-Americans? decision-making and sexual behavior has been questioned because most such models tend to be individually-focused and do not take into account the social context in which the behavior is embedded (Cochran & Mays, 1993). Social cognitive theory, however, explicitly integrates behavioral, cognitive, and environmental factors as reciprocally interactive. Thus, given the hypothesized multi-factorial nature of sexual decision making and the potential impact of the high-risk social environment of the study population, approaches based on social cognitive theory are thought to be particularly relevant for understanding the myriad factors that may affect African-Americans? sexual behavior."
| |
|
Health Care Access for Low-Income Minorities, 2002.
This paper is a qualitative thesis, which assesses the impediments to health care access for low-income visible minorities in the United States.
30,578 words (approx. 122.3 pages), 135 sources, APA, £ 168.95
»
Click here to show/hide summary
Abstract
This paper, based in sociological and social psychology concepts, identifies the causal factors for the gap between lower-income Americans and members of visible minorities in the United States and more affluent Americans and members of the majority segment of the population with respect to health care access. The author concludes, after an extensive review of the literature, that a universal system of health care entitlement is required in the United States. The author suggests that an extensive education is required for low-income persons and members of visible minorities to know the benefits and function of health care services, and health care providers require education in the social mores of the diverse populations they must serve.
Table of Contents
Problem Delineation
Background on the Problem
Statement of the Problem
Research Questions
Review of Relevant Social Psychology Theory and Literature
Introduction
Sociological Theory and Health Care
The Welfare State
Accessing Contemporary Health Care
Role of Ethics in Accessing Health Care
Alternative Health Care Delivery Systems
Chapter Conclusions
Social Functioning of Low-Income and Visible Minority Population Groups
Introduction
HIV/AIDS Related Behavior
Initiatives to Improve Health Care Access and Behaviors
The American Health Care System and The Health Care Experiences of Low-Income and Visible Minority Population Groups
Introduction
The American Health Care System
Delivery of Health Care to the Poor
Care Quality
Alternative Approaches to Delivery
Bioethical Issues
Problems of Accessibility
Initiatives to Improve Access
Chapter Conclusions
Assessment of the Problem
Discussion
Recommendations for Further Research
Annotated Bibliography
From the Paper
"One of the major impediments to the attainment of universal access to healthcare in the United States is the functioning of for-profit Health Maintenance Organizations (HMOs) and managed care organizations (MCOs). These organizations are investor-owned organizations that are in business to make a profit on healthcare delivery. Non-for-profit healthcare organizations also must earn a profit on their operations in order to be able to compensate and train staff, acquire new technology, and generally improve the quality of their services. Unlike investor-owned healthcare companies, however, non-for-profit organizations are not driven by share prices and the bottom-line mentality of for-profit companies. Thus, patient-centered care in not-for-profit healthcare organizations may be contrasted with the investor orientation of the for-profit healthcare companies. Recent decisions by for-profit healthcare companies to drop their Medicare healthcare groups because of substandard profit growth illustrates as no amount of rhetoric can the precedent of investor concerns over patient concerns in the for-profit healthcare companies."
| |
|
Minority Groups and the American Health Care System, 2002.
An assessment of minority access to the American Health
Care system, focusing on HIV-AIDS patients.
7,229 words (approx. 28.9 pages), 39 sources, APA, £ 108.95
»
Click here to show/hide summary
Abstract
Approximately 12 percent of America's population is without any formal health care insurance coverage, although some estimates of this proportion are higher. The research problem investigated in this study concerns minority access to health care. The central issue in the study is the determination of the best approach to improve such access, especially in relation to HIV-AIDS patients. The paper begins with a review of health care delivery problems for minority population groups, which is followed by a consideration of the HIV-AIDS issue among minority population groups. The primary focus of this assessment is on health care outcomes.
Paper Outline:
Introduction
Minorities and HIV-AIDS
Interaction with Health Care System
Racial and Ethnic Orientation
Structure and Method of Investigation
Minorities: Health Care Delivery Problems in the Community and Health Care System
Bioethical Issues
Failure to Address Racial Differences
Failure to Address Insurance Status Differences
Health Care Delivery and Accessibility
HMOs and Fee-for-Service Providers
Social Psychological Influences
Distrust of the Health Care System
Health Beliefs of Minorities
Social Identity Influences
Minority Status and HIV-AIDS
HIV-AIDS and Minority Population Groups
Origins
Ethical Issues
HIV-AIDS Health Care for Minorities
Initiatives to Improve Minority Access to Health Care
Proposed Initiative
Conclusions and Recommendations
Restatement of Problem
Summary of Findings
Conclusions
Potential Solutions
Assessment
Recommendations
From the Paper
"In the 1990s, one initiative designed to broaden access to health care services needs for the nation?s indigent involved the development of nurse-managed clinics targeting low-income persons. A nurse practitioner is a specially educated and trained nurse who provides some level of health care directly to patients without supervision by a physician.
Nurse managed clinics for the indigent are prominent in the nation?s inner cities. Nurse managed clinics such as those associated with the Kellogg Homeless Project in Washington, the Pine Street Inn in Boston, and the Los Angeles School of Nursing Health Center are delivering health care services to indigent persons at cost savings (compared to more traditional delivery venues) and in areas that would not otherwise be served by health care professionals (Sharp, 1992; Lutz, 1991)."
| |
|
Health Care Resources, 2004.
Examines reasons for and possible solutions to the current health care crisis in the United States.
2,577 words (approx. 10.3 pages), 12 sources, APA, £ 52.95
»
Click here to show/hide summary
Abstract
Most people agree that changes are needed within the U.S. health care delivery system. Efforts to reform health care have been mediocre at best in recent years, despite the ?efforts? and ?commitment? of politicians to reform health care delivery in America. This paper argues that part of the problem is the health care delivery system has, in fact, become a commodity rather than a necessity to be provided equitably among all populations. The health care delivery system is especially tragic within the U.S., where the highest quality and most modern technological medical interventions are available, but only to those populations that can adequately afford them. Access to health care, utilization of health care, and financing are all important considerations for government officials, as well as nursing professionals and physicians. The paper examines these ideas in greater detail, as well as the reasons behind the current crisis. Interventions are also suggested for improvement to the current system.
From the Paper
"The research firmly supports the notion that individuals coming from differing socioeconomic backgrounds and demographics face different prospects related to living a healthy life (Fogel, 2002). Fogel (2002) also points out that evidence exists suggesting that health care delivery systems within the U.S. and other advanced industrial countries is shifting from the principle of ?universal access? to a market oriented and driven systems, where rising income inequality is among one of many factors that affects an individuals access to quality health care. The U.S. is not alone however, in their troubles and disparities related to health care delivery. In Britain for example a recent study released reveals that evidence of socioeconomic disparities in the prevalence of illness, probability of long term illness, prenatal deaths and stillborn risk exist (Fogel, 2002). In Denmark a study by Finn Tuchsen and Lars A. Endhal shows that morbidity due to cardiovascular diseases is ?promoted by inequalities in income? (Fogel, 2002). The list goes on and on, affecting citizens in Rome, China and Norway."
| |
|
HIV-AIDS Patients and the Health Care System, 2002.
An assessment of minority access to the American health
care system focusing on the HIV-AIDS community.
5,926 words (approx. 23.7 pages), 36 sources, APA, £ 95.95
»
Click here to show/hide summary
Abstract
Approximately 12 percent of the American population is without any formal health care insurance coverage. The research problem investigated in this paper concerns minority access to health care. The central issue is the determination of the best approach to improve such access, especially in relation to HIV-AIDS patients.
Outline:
Introduction
Problem
Minorities and HIV-AIDS
Interaction with Health Care System
Racial and Ethnic Orientation
Structure and Method of Investigation
Structure
Method [Focus on Outcomes]
Minorities: Health Care Delivery Problems in the Community and Health Care System
Bioethical Issues
Failure to Address Racial Differences
Failure to Address Insurance Status Differences
Health Care Delivery and Accessibility
Delivery
Accessibility
HMOs and Fee-for-Service Providers
Social Psychological Influences
Distrust of the Health Care System
Health Beliefs of Minorities
Social Identity Influences
Minority Status and HIV-AIDS
HIV-AIDS and Minority Population Groups
Origins
Ethical Issues
HIV-AIDS Health Care for Minorities
Initiatives to Improve Minority Access to Health Care
Proposed Initiative
Conclusions and Recommendations
Restatement of Problem
Summary of Findings
Conclusions
Potential Solutions
Assessment
Recommendations
References
From the Paper
"Decisions made by health care professionals in the conduct of practice typically are reached within the context of an ethical framework (Marty, 1992). Clinical ethics is defined as the systematic identification, analysis, and resolution of ethical problems associated with the care of particular patients (Zuckerman, 1994). The goals of clinical ethics include protecting the rights and interests of patients, assisting clinicians in ethical decision-making, and encouraging cooperative relationships among patients and those close to patients, clinicians, and health care institutions. Important in the definition of clinical ethics is an emphasis on clinicians, not only physicians, thus underscoring the fact that clinical ethics needs to be a multi-disciplinary endeavor that encompasses the range of clinician expertise involved in patient care."
| |
|
Asian American Health Care, 2008.
This paper discusses nursing and health care as it relates to the Asian-American population.
1,938 words (approx. 7.8 pages), 5 sources, APA, £ 41.95
»
Click here to show/hide summary
Abstract
In this article, the writer notes that historically the Asian-American population has experienced significant conflict with the health care system because of differences in culture, language and ideas on the delivery of health care. The writer points out that this conflict is evident using Leininger's trans-cultural model for nursing. The writer maintains that the research indicates that the Asian-American population has experienced a difficult existence in relation to health care. This existence has been complicated by barriers in language, understanding of the health care delivery system, communication and through the lack of cultural training that exists in the health care community. The writer concludes that in order to change the current dilemma it is evident that education of the health care community, as well as within the Asian community must commence. When this occurs then nurses will be able to provide quality care to this culture and ensure that the health concerns of this population are addressed.
Outline:
Introduction
Asian Cultural Group
Nutrition
Health Beliefs
Specific Health Concerns
Management of Health Care
Chinese Traditional Medicine
Conflict Between Asian Culture and U.S. Health Care
Cultural Assessment Theory: Leininger
Conclusion
From the Paper
"In relation to health, most Asian Americans use Western medical practices. However, many of these individuals also rely on Chinese Traditional Medicine as a corresponding health maintenance regime. For those Asian Americans that do practice Chinese Traditional Medicine as part of their health maintenance, the nutritional guidelines that they follow are based on a medical prescription for good health, allowing the flow of Qi to cease being restricted. Yet, those Asian Americans that do not practice Chinese Medicine have diets that severely affect their health. This is especially true within the lives of poor Asian Americans in large urban areas."
| |
|
Canadian Primary Health Care, 2007.
This paper explores Canadian primary health care and its delivery of services to children with mental disorders.
1,955 words (approx. 7.8 pages), 18 sources, MLA, £ 42.95
»
Click here to show/hide summary
Abstract
The paper discusses Canada's primary health care struggles in meeting the needs of children with mental illness. The paper illustrates the challenges faced by nurses but shows how they are endeavoring to to meet these challenges. The paper discusses how nurses will be participating in new roles that encompass early child development, education, social services, child protection and mental disease prevention.
From the Paper
"Canadians requiring health care typically contact a primary health care provider such as a physician, nurse, dietician or social worker who works collaboratively with other professionals. Services that are rendered at the initial point of contact within the health care system are referred to as primary health care services and outline the basis of our Medicare system (Canadian Nurses Association, 1995). A strong primary health care system is vital to sustaining the future. Nonetheless, there are some worrisome health trends in Canada particularly seen in rising rates of obesity, injury, asthma, risky behaviors, sexually transmitted diseases, poverty and mental illness in our children and adolescents (Canadian Council on Social Development, 2006)."
|
|
|
