...disaster’s effects in vulnerable populations. The collaborative actions of communities, governments, public health, media, and health professionals are also depicted in the paper. Lastly, implications for Advanced Practice Nurses concerning leadership, involvement in public policy and education, and development of advanced disaster planning are illustrated. Keywords: disaster, disaster response and planning, social ramifications, advanced practice nursing. Disaster--the term itself invokes feelings of dread, despair, and devastation. Furthermore, the effects of disasters on human condition are far-reaching and unpredictable. For health care professionals, disaster preparedness and response entails an understanding of the socio-economic issues and the collective responsibilities of multiple agencies when a disaster strikes. Disasters affect individuals, families, societies, and communities, with little time for any warning or preparation.1 The collective obligations of government, communities, hospitals, and medical professionals are underscored during this trying time. Introduction What is a disaster? Calamity, catastrophe, tragedy, are just some of the words uttered when a disaster occurs. Perry and Quarantelli2 explained that disaster has several meanings depending on the discipline of study involved. These disciplines include geography, sociology, anthropology, health sciences, engineering, and social psychology. For the purpose of this paper, disaster entails a “nonrountine...
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...* Health Care Economic Issues Outline * I. Introduction A. More than 50 million uninsured in the United States (Young, 2012) B. Uninsured population is considered vulnerable population C. Uninsured use emergency department to meet their primary health care needs D. Overcrowded emergency departments require reallocation of resources * II. Effectiveness of the Current Procedures in Place * A. Federal Emergency Medical Treatment and Labor Act (EMTALA) requires hospitals * to treat every patient irrespective of the payer source B. Limited community resources forces uninsured population returning to emergency department for minor ailments C. Shrinking federal and state funding for medical assistance programs D. Current procedures do not address medical needs of the undocumented populations * E. Treating uninsured costs taxpayers more than $175 billion per year (KFF, 2008) F. Hospitals absorb more than $65 billion dollars per year in uncompensated care III. Affects of financial decision-making process A. Express/Urgent Care areas added to emergency B. PA added to Triage to treat minor health issues C. Sponsor Care Funds Created 1. Hospitals have created sponsor care programs designed to help alleviate the amount of debt created by an insured patient. The funding for sponsor care programs comes from direct donations from the community and are meant specifically for patients that are receiving...
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...Vision 2020: Outlining One Recent Key Policy Documentation and How it Influences a Practice The need to address public health need emanate from government of the day in respond to public out cry, it formulate polices, to address current health issues. Over the years’ policies such as stop smoking, how to survive cancer, saving lives, and so on have not only created awareness amongst the population but also improve the health of certain sections of different communities. One of such policies is the ‘Vision 2020- focusing on the future of district nurses.’ This essay will focus on one aspect of this policy, (Compassion in relation to End of Life Care) and analyse how it influences current and future practice. It will critically analyse the economic, political and philosophical underpinnings of the policy, and appraise the ethical and moral implication for practice whilst drawing on appropriate principles, theories and frameworks. A conclusion will be drawn which will justify the formation of the policy. Vision 2020 emerged as consequence of health care establishments frugal activities. In certain cases patient were routinely neglected by Trust pre-occupied with cutting cost, that they lost sight of the fundamental responsibility to provide compassionate care. The policy published in January 2013 has 6 main aspects of fundamental care, which are, compassion, care, competence, courage, commitments, and communication. Compassion within the end of life care involves the use of the Liverpool...
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...Bisht et al. Globalization and Health 2012, 8:32 http://www.globalizationandhealth.com/content/8/1/32 REVIEW Open Access Understanding India, globalisation and health care systems: a mapping of research in the social sciences Ramila Bisht1*, Emma Pitchforth2 and Susan F Murray3 Abstract National and transnational health care systems are rapidly evolving with current processes of globalisation. What is the contribution of the social sciences to an understanding of this field? A structured scoping exercise was conducted to identify relevant literature using the lens of India – a ‘rising power’ with a rapidly expanding healthcare economy. A five step search and analysis method was employed in order to capture as wide a range of material as possible. Documents published in English that met criteria for a social science contribution were included for review. Via electronic bibliographic databases, websites and hand searches conducted in India, 113 relevant articles, books and reports were identified. These were classified according to topic area, publication date, disciplinary perspective, genre, and theoretical and methodological approaches. Topic areas were identified initially through an inductive approach, then rationalised into seven broad themes. Transnational consumption of health services; the transnational healthcare workforce; the production, consumption and trade in specific health-related commodities, and transnational diffusion of ideas and knowledge...
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...Implications of Economics and Policy for Health Professionals Katrina Hill Health Policy and Economics Dr. Shana Lavarreda September 7, 2014 Discipline of Health Economics Many years ago healthcare and its delivery system were limited in care for patients or treatment options for physicians. The procedure of care includes diagnosis, treatment, prevention, rehabilitation, and palliative care (Buchbinder, 2012). However, over the years there is much to be learned from the discipline of health economics which vary from studies, practices, and demand by discipline of health promotion. Unfortunately, health promotion has not always gotten the attention by health economists because contributing factors lack demand, scare resources, and unclear utility analysis of health care (Teiltelbaum & Wilensky, 2013). As with any given system, values contribute to decision making route in which delivers thoughtful insight into how health operates from a planned and funded context to address an extensive scope of matters in a clear systematic manner. Benefits of Health Care Financing and Delivery There are many profits to understanding health policy or governmental involvement in health care financing and delivery. Financial or economic assessment consists of a set of methods designed at inspecting other ways of action that aids in making choices in terms of their costs and benefits (Getzen, 2013). In theory, these practices are useful to promote health...
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...“To a large extent, current research and development and government policies have helped to ease the aging process.” Discuss this statement in relation to your particular field of study or interest (e.g. economics, science, medicine, social policy, architecture, psychology, technological inventions). “Population ageing is both a triumph and a challenge” (Lim, 2008). With the advances in economics and medical development as well as better health systems, Singaporeans now are having longer life expectancy than they used to have in the past. Current research has shown that Singapore is one of the fastest ageing populations among Asia. However, the drop in birth rates over the past years has resulted in a smaller ratio of younger Singaporeans. Chan (2000) states that as there are fewer people to take care of the elderly, taking care of the elderly will rest on the government’s shoulder and this will has implications on the economy, financial security, living arrangement as well as health care system within the country (Chan, 2000). With researches done on the ageing population and the social policies, in terms of economy, living arrangement and health care system, implemented, these can help to ease the ageing process. In order to maintain financial security so that the problem of ageing population will not affect the economy, the government has come out with a few policies. As Singaporeans now live longer, they will thus have to work longer. The government promotes lifelong employability...
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...Implications of Health Economics in the Healthcare System Perry Davis Health Policy and Economics– MMHA- 6135-4 Dr. Miriam Ross November 06, 2011 People in the world today view health in many different ways, especially when sometimes it is hard to distinguish what is being healthy and unhealthy. Many do not enjoy the visit to the doctor office, but know it is a mandatory treatment for the well being of a person. Being healthy has many different ways of being defined, but can be a difficult way to be explained. According to the article, healthy is “considered all the things that can be wrong with you even while you say you are healthy” (Zuger, 2008). My definition is when your spiritual, social, physical, or mental being is not constant. Anything that is being altered in your daily routine differently is considered unhealthy. You can be diagnosed with anything and you still can be just fine, it is certainly cane be caused as a mind thing. What determines a person health depends on the person themselves and the world can play a significant part in it. When trying to understand how health economics plays a part in today’s America, first health economics can be classified as a branch of economics as it relates to the healthcare system by efficiency and effectiveness (Teitelbaum & Wilensky, 2007). It is to understand how economists can view problems in health care by being a good health policy analyst and by making all the right decisions. The value of health can...
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...Brain Drain: Why People Leave their Motherland? (Implications for the Developed and Developing Economies) ‘Ask not what your country can do for you – ask what you can do for your country?’ – John F. Kennedy, Former US President. The need to migrate to another place from where you are is a old habit of the human race. The migration of people from one country to another has both good and bad effects. Good effects on the country that they are migrating to and a bad effect of on the country that they are leaving when it comes to highly educated people and skilled man power. In economic terms, it is known as brain drain. It is now widely known that migration of highly skilled or educated people of one country to another to settle down and work is to improve their economic condition. At about the same time that the United states of America launched its space programme and reduced its immigration laws from other countries to the US, the newly liberated countries of Asia (which includes Sri Lanka) , Africa and Latin America started to develop their economy which required skilled professionals in engineering, educationists, technicians and others. But the migration of these type of professionals to developed countries bottlenecks the development of the poor countries. We can see that the majority of the young or educated people from around the globe are preferring to settle down in the developed countries like USA, UK, Canada, Australia or other European and East Asian...
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...of health on accessibility to health care for Aboriginal and Torres Strait Islander peoples. INTRODUCTION 150 words Nurses have an extensive role in caring for the health and wellbeing of people and ensuring they have accessibility to health care. This paper will explore and provide evidence into how the social determinants of health, especially racism or racial discrimination impacts on Aboriginal and Torres Strait Islanders or Indigenous Australian people’s access to health care. Exploring the impact of social determinants of health on Indigenous Australians and the numerous poorer health outcomes experienced by this population group will...
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...Demographic Complementarities and Outsourcing: Implications for India By: Mukul G. Asher Professor, LKY School of Public Policy National University of Singapore e-mail: sppasher@nus.edu.sg and Research Scholar Department of Economics National University of Singapore e-mail: amarendu@nus.edu.sg Amarendu Nandy May 2006 Draft – Not to be cited without permission The authors would like to thank anonymous referees, Sanjeev Sanyal, Amlan Roy, Anantha Nageswaran and R. Swaminathan for their useful comments. The usual caveat applies. _______________ This is a longer version of the paper prepared for IMRC 2006 conference on Global Competitiveness through Outsourcing: Implications for Services & Manufacturing, Indian Institute of Management (IIM), Bangalore, July 13-15, 2006. Abstract This paper analyses the implications of differing global demographic trends for India’s competitiveness in outsourcing and offshoring. It also briefly notes the implications of differing demographic trends among the Indian states. The paper argues that demographic complementarities with high-income countries provide India with one-time opportunity to sustain its growth rate and occupy all segments of global outsourcing and offshoring activities. India has used the labor cost advantage to gain reasonable market share in these activities. It however faces serious internal and external challenges in sustaining its international competitiveness, particularly with respect to labor cost....
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...Introduction In most cases, being a good corporate citizen goes hand in hand with high levels of political competence. This statement rings true when it comes to the formulation of health policies. Health executives must always consider a multitude of factors before jotting down any sort of health policies. This is because the implications resulting from implementing a health policy are quite numerous since that policy affects a lot of individuals. Seasoned executives who have mastered the skills of political competence are able to analyze factors that might crop up as a result of pushing for the implementation of a particular health policy, thus enabling them to identify potential pit falls that might pose challenges in the future. There have always been a lot of misconceptions on the topic of political competency, with most people associating this concept with actual politics. Although the issue of political competency applies largely to the field of politics, it can still be incorporated in other different dimensions. Political skill or competence is the “ability to read, understand, and exert influence and control in social situations in a way that is not seen as overt or controlling” (Ahearn, Ferris, Horchwarter, Douglas and Ammeter 2004 p.309). On the other hand, a good corporate citizen can be defined by incorporating Matten and Crane (2005) limited view of corporate citizenship which basically denotes corporate philanthropy in the local community. Although other views...
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...Electronic Health Records: An Ethical Dilemma Danielle Cooper The University of Texas at Arlington College of Nursing Electronic Health Records The root of current Electronic Health Record (EHR) systems go back to the 1960s and 1970s, when academic medical centers developed systems with the idea of compiling patient health information so that it could be centrally managed and shared (Balestra, 2017). Then, in 1999, the Institute of Medicine published its landmark study of medical errors, to Err is Human: Building a Safer Health System, which stated that health information technology would help reduce medical errors by facilitating transfer of important patient information (Corrigan, Donaldson, & Kohn, 2000). The most...
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...reasonable prices. This research examines issues as to whether the benefits outweigh the costs of trade liberalization, its impacts on national economic growth, and the Philippines’ preparedness to overcome the impediments posed by the integration. Overall, the outcomes of the interviews show that the Philippines is not yet fully adapted to aligning domestic benchmarks with international standards although it has accomplished vital progress in certain sectors. The study also reveals that member affiliates and the Philippine economy can reap the benefits of the liberalization so long as they prevail upon their commitments to forge ahead with achieving the goals of the ASEAN Economic Community. Elimination of cross-border taxes, compliance with harmonized regulatory policies, and leaders’ steadfastness to attain the goals of the integration are the key factors for the success of the liberalization. Since the research deals more on the qualitative aspects, the authors recommend more statistical data gathering and in-depth quantitative analysis to obtain a more accurate gauge of the overall impacts of the regional integration. I. Introduction The advent of regional trade alliances during the past several decades has received considerable attention because of the necessity for mutual cooperation among countries to attain economic progress(Austria,2004). There is also much evidence documented on the importance of trade pacts, most notable of which is...
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...______ Institutional Racism and Racial Discrimination in the U.S. Health Care System Institutional racism and racial discrimination in the U.S. health care system has been part of a long continuum dating back over 400 years. After hundreds of years of active discrimination, efforts were made to admit minorities into the "mainstream" health system but these efforts were flawed. Colin Gordon in his book Dead on Arrival portrays a very strong stance towards this issue when he states, “The American welfare state has always been, at root, a Jim Crow welfare state – disdainful of citizenship claims of racial minorities, deferential to a southern-controlled Congress, and leery of the racial implications of universal social programs” (172). It is evident that throughout the history of U.S. health care that race has shaped health provisions in a number of ways, most noticeably in private and public health care institutions. Gordon throughout his books discusses the ways in which institutional racism, specifically in the field of healthcare, has manifested itself throughout history. One of the most prominent manifestations of institutional racism in the healthcare field comes to light when examining past (and sometimes present) policies regarding admission (to healthcare facilities) and discrimination of minorities. It is evident when observing the adoption, administration, and implementation of these policies in the past that they were purposefully constructed to be exclusive...
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...National competency standards for the registered nurse Introduction • • returning to work after breaks in service, or • National competency standards for registered nurses were first adopted by the Australian Nursing and Midwifery Council (ANMC) in the early 1990s. The ANMC was a peak national and midwifery organisation established in 1992 to develop a national approach to nursing and midwifery regulation. The ANMC worked in conjunction with the state and territory nursing and midwifery authorities (NMRAs) to produce national standards – an integral component of the regulatory framework – to help nurses and midwives deliver safe and competent care. educated overseas seeking to work in Australia involved in professional conduct matters. The National Board may also apply the competency standards in order to communicate to consumers the standards that they can expect from nurses. Universities also use the standards when developing nursing curricula, and to assess student and new graduate performance. The ANMC officially became the Australian Nursing and Midwifery Accreditation Council (ANMAC) on 24 November 2010. The name change reflected ANMC’s appointment as the independent accrediting authority for the nursing and midwifery professions under the new National Registration and Accreditation Scheme (the National Scheme) that came into effect on 1 July 2010 (18 October 2010 in Western Australia). These are YOUR standards — developed...
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