...Germany Vs United States Health Care Systems Tarrah Schefke Mary Dunbar HSC 111 Paula Dixson Germany Vs United States Health Care Systems Mention European health care to an American, and it probably conjures up a negative stereotype — high taxes, long waiting lines, rationed care. It's not that way in Germany. Very little tax money goes into the system. The lion's share comes, as in America, from premiums paid by workers and employers to insurance companies. German health benefits are very generous. And there's usually little or no wait to get elective surgery or diagnostic tests, such as MRIs. It's one of the world's best health care systems, visible in little ways that most Germans take for granted. Dental Care in Germany vs. United States Dental care in Germany is very similar to the dental care that we have in the United States. In Germany, costs for dental care is ranked amongst the highest in Europe, while public healthcare costs consume a large portion of their national budget (Going to the Dentist in Germany, 2012). The downside to this is that an increasing number of dental treatments are excluded from reimbursement by public health care plans. Also, in Germany there is a two-tier insurance program, which offers different levels of dental insurance coverage. The costs of your yearly dental health routine are covered by all standard dental health plans. This includes two annual check-ups, teeth cleanings, and basic fillings (Going to the Dentist in Germany...
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...------------------------------------------------- HIM 4083 Health Organization Trends ------------------------------------------------- Exam 2 ------------------------------------------------- Essay Questions – Turn in by midnight Tuesday, February 25, 2014 via www.turnitin.com Each question should be answered with 2-4 paragraphs for maximum credit. Answer the question (which may be your opinion) and then substantiate your answer. 1. Discuss the major problems facing hospitals today. Offer some possible solutions to each of these problems. Some of the major problems that face hospitals today include; cost increases, bed surpluses, and the overemphasis of specialized care vs. primary care. Cost increases for hospitals are caused by several different factors. According to a report by the American Hospital Association, labor cost accounts for more than half of hospitals’ total expenses. This number grew by between 5 to 8% a year from 2002 to 2009. Another issue effecting hospitals is the growth in patients covered by Medicare and Medicaid. These patients represent 60% of all admissions. These programs do not pay the full cost of care. The AHA claims the amount each program pays has decreased significantly year after year. Patients unable to pay for care amount to about 6% of hospitals’ cost. To me a universal health care system would definitely assist in this problem. If everyone paid a portion for the same health care, then costs would not rise so high. Bed surpluses...
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...practices for promoting and maximizing the rights of users of health and social care services. Legislation is law which has been produce by a governing body in order to regulate, to authorize, to sanction, to grant, to declare or to restrict. In terms of events, legislation defines the governing legal principles outlining the responsibilities of event organizers, and other stakeholders such as the local authority, to protect the safety of the public. (ref:http//www.londoneventstoolkik.co.uk). Legislation aims to get rid of direct and indirect discrimination, promote positive outcomes, to guide others in their practice of care and to allow them to learn from their past mistakes. Both legislation and policy are always evolving and changing, this is in order for them to serve and protect clients from discrimination. Within my placement I ensure that I attend all mandatory training so that I am aware of all new policies which will enable me to provide a better quality of care to my service users. However, the law will always override policy, meaning it is essential to keep policy and procedure. 1.2 Analyze factors that may affect the achievement of promoting and maximizing the rights of users of health and social care services. According to Gauthier (2000), there are many factors that can affect the achievement of promoting and maximizing the rights of users of health, as they usually need long term and short term care. Some of the factors are given below: * Problems in communication ...
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...Hospitals and Long-Term Care Facilities Hamza Abobaker DR / Jo-Rene Queensberry Health Service Organization February 7, .2012 Describe the differences between nonprofit and for-profit hospitals. The difference between nonprofit and for-profit hospitals is the bottom line. Nonprofit hospitals main goal is to produce the best quality of care for the patients while turning profits into more advanced equipment used within the hospital. The nonprofit hospitals have a higher standard in performance in treating common conditions where the for-profit hospitals are not as high. Nonprofit hospitals are hospitals that are controlled by the quality of care and is at a less out of pocket for their patients where the for-profit hospitals are more costly for their services and tend to cost more for the patients after insurance has paid their portion of the bill. For profit hospitals while they do care for the patients the hospitals usually generate higher cost of care to the patients and any profit is returned to investors instead of back into the hospital where more advances and services can be performed (Williams & Torrens, 2010). In today’s efforts to improve the quality of care for patients it has become necessary to sell off to for profit hospitals for some locations. Hospitals today that ran on nonprofit efforts are seeing a hardship on keeping up with new technology equipment and is left with the decision to sell off to a for profit investor to keep the hospital running...
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...Changing Landscape of Health Care: Week One Changing Landscape of Health Care: Week One Health care is making major changes. One of these major changes is pushes for preventative care versus acute care. Many facilities are faced with debilitating diseases becoming a normal occurrence amongst their patients. By promoting preventative care, diseases like obesity and diabetes could potentially be avoided, delayed, or better managed. This shift towards preventative care could also reduce the amount of long term spending a patient might be subjected to. Challenges for Health Care Systems The current and continuing problems would be chronic diseases. “Chronic diseases, such as heart disease, cancer, and diabetes, are responsible for 7 of every 10 deaths among Americans each year and account for 75% of the nation’s health spending. These chronic diseases can be largely preventable through close partnership with your healthcare team, or can be detected through appropriate screenings, when treatment works best.”(CDCP, 2013). Diseases such as cancer can be detected early to reduce the likelihood of complications with the disease. The main challenges is getting patients to participate in preventative programs. These programs can sometimes come off as expensive to some individuals, or they may feel that they don’t have the time. Whatever the case may be. Not enough Americans are using the preventative programs that are readily available to them. Many individuals often don’t know...
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...improve the training and education for health care providers through integration of the latest innovations in technology and research into the academic training programs for certification, education and training of staff.3 It is not only a helpful tool for health care providers but for patients as well. Several studies had been conducted to measure the effectiveness and acceptability of incorporating technology in health care delivery specifically delivering preventive and counseling services that would otherwise be overlooked by patients and require a lengthy referral system using traditional medicine system. A randomized clinical trial conducted to compare the effectiveness of smoking counseling and cessation services...
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...of health insurance for powerless populations. The Medicaid program was introduced into law in nineteen sixty five, which is known as the Social Security Amendments Act. Before this law was passed, health care services for the under privileged were provided through several programs sponsored by the state and local governments, charities and community hospitals (Briggs, 2013). In the first program medical providers received payments, for medical services from the state on behalf of individuals who were receiving public assistance. The medical assistance program for the aged was created in nineteen sixty. This program was designed to help elderly individuals who didn’t qualify for public assistance, but was in need of assistance with medical expenses. The Medicaid program provides three types of medical protection coverage which include health insurance for low income families with children, and individuals with disabilities. Also offers long-term care for older American’s along with individuals who are considered disabled. The last coverage that was offered was a supplemental coverage for low-income Medicare beneficiaries whose services were not covered under their current plan like outpatient treatments, and prescription drugs (Briggs, 2013). Medicaid is a joint federal and state program. Every state establishes its own eligibility requirements, payments, benefits packages, and program administration under board federal guidelines. Hopefully with the Affordable Care Act...
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...ASSOCIATE VS. BACCALAUREATE NURSES 1 Title: The Difference Between Competencies between an Associate's Level and a Baccalaureate Level Nurse- A Patient care Scenario Name: Susan M. Kreienbrink Grand Canyon University: NRS-430V July 26th, 2014 ASSOCIATE VS. BACCALAUREATE NURSES 2 It’s interesting how the educational requirements for nurses have changed over the years. Just over a 150 years ago you didn’t even need a formal education to be a nurse, in fact, there was none to be had. Now professional nursing organizations are pushing for 80% of nurses to have a bachelor's degree by 2020 (Chard, 2013). This paper will discuss the difference in competencies between nurses prepared at the associate’s degree level versus the baccalaureate degree level. Using a clinical case scenario, it will also describe how nursing care and the approach to decision making may differ based on the educational preparedness of the nurse. Associate Degree Nursing An associates degree in nursing can be acquired in two years with about a years worth of prerequisites. As associate’s degree in nursing (ASN) prepares nurses to deliver direct patient care within the scope of their practise. It is a relatively quick way to become a nurse and was founded by Mildred Montage in 1956, due to the severity of nursing shortage in the post war years. This program was offered to reduce the nursing shortage and the success of the program was measured in terms of the satisfactory level of clinical nursing...
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...The Canadian Health Care system has been regarded as one of the best publicly funded health care programs in the world, to conduct a fair and unbiased comparison of the Canadian and American health care systems one should use similar measuring techniques. Comparing our Health Care system to the United States’ is only going to give us a false sense of satisfaction. This will hinder our progress towards reaching a system that would facilitate the needs of every citizen while taking their opinions and complaints into consideration. A Canadian Health Care system created by the people and for the people. The major differences between the Canadian and the American health care systems are that the Canadian health is a publicly-funded single-pay system which covers costs deemed medically necessary for every citizen/resident regardless of their ability to pay. While the American health care is a multi-payer system based on the patient’s finances. I argue That Canadian Health Care system is better than the American Health Care system. In the Canadian system the citizens will pay far less than they would ever pay if they were being treated for any sickness or receiving any medical services in the United States. It is clear that the Canadian health system is better than the American counterpart as the reported Life expectancy is higher in Canada by more than 2 years, 82.4 years for women and 77.4 years for men when compared to the American life expectancy, 80.1 years for women and 74.8 years...
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...ADN vs. BSN Elizabeth M. Fechtler Grand Canyon University: NRS-430V July 12, 2015 ADN VS BSN When taking your initial NCLEX examination, there is no differentiation between an associate-degree nurse and a nurse with a baccalaureate-degree. The questions are the same and are intended to demonstrate the basic knowledge and minimum technical competencies required to practice as a registered nurse. The differences between the degrees are noticed when the nurse puts her educational training into practice. An Associate Degree Nurse will tend to function in a technical nature with a foundation of fundamental and basic everyday nursing skills. A Baccalaureate Nurse will be able to function with a higher degree of critical thinking, confidence, vision, and problem solving expertise. The Associate Degree in Nursing (ADN) was developed to temporarily fix a nursing shortage. It is a 2-year program that teaches and fulfills the basic requirements to perform as a registered nurse. The program cost is less and is taught at technical colleges and local community colleges. The Baccalaureate Degree in Nursing (BSN) is a 4-year degree taught at universities that provide the registered nurse a more diverse and in-depth knowledge of both the physical and social sciences. The degree provides a better understanding of the present day diversity of nursing practice in social, cultural, economic and political arenas. The higher level of nursing education has been associated with increased...
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...Demographics – Impact of the Aging Population Your Name Here University of Phoenix HCS/490 Health Care Consumer – Trends and Marketing Demographics Demographics is the study of the population as it pertains to particular geographic areas concerning age, sex, race, income, disability, and a host of other determining factors. Demographics of a population can be obtained through various means, the of the most reliable is that obtained through the government census. As instructed in Article 1, section 2 of the Constitution of the United States, the Constitution requires a census of the population every 10 years. The purpose of this is to obtain a correct count of the population for determining the number of representatives for each state to seat in Congress. The government also uses the collected information and breaks the demographics down according to state, counties, cities and towns for a true picture of the population of these areas. With this being known, the government uses this information for the distribution of monies for the various demographic needs of the population. Each individual of every age, sex, race, income, and disability has different needs, and as a result affects each geographic location differently. The Demographics of Monroe County, Michigan Monroe County, Michigan has a population of 152,949 as of the 2008 population estimate (U.S. Census). This reflects an estimated population increase of 4.8% from the 2000...
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...Nonprofit Vs. For-Profit Health Care: Is There a Difference? Hudson Valley NY HFMA Chapter Newsletter, Bruce McPherson, June 30, 2013 My experience is that many nonprofit (or "not-for-profit," if you prefer that term) health care organizations--whether they be hospitals, nursing homes, home care providers, health insurers, and so forth--do a poor job of informing the key stakeholders in their communities, as well as the general public, about: • Their nonprofit ownership status; • The unique role that nonprofits play in health care; and • How their organizations are fulfilling that role. Yet, they probably all think they are communicating well. Nor do most people understand the sheer size of the nonprofit health care sector. Should we be surprised, then, when people conclude that there is no difference between nonprofit and for-profit health care organizations and that the former should no longer receive any special tax-exemption benefits? As Pogo said, "We have met the enemy, and he is us!" So allow me to present here some basic information about the size and unique value of nonprofit health care, and then present a few critical questions that leaders in the sector must ask themselves, especially those in nonprofit hospitals/health systems, which are currently undergoing the most public scrutiny. Size of the U.S. Nonprofit Health Care Sector The nonprofit health care sector accounts for virtually all of the community health centers in the U.S., 58%...
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...of office-based physicians and assisted living facilities by providing unique and innovative services. The elder-care division, Gulf South Medical Supply, provides supplies, equipment and billing services for long-term facilities, home health care and hospice providers. Physician Sales & Service, Inc. focuses on the physician market distributing medical supplies, diagnostic equipment, pharmaceutical related products and healthcare information technology. Based in Jacksonville, Fla., PSS has evolved into the country's largest provider of medical supplies through its commitment to fast service and the belief that "The customer is everything." The company’s founder, Patrick Kelly, grew up in a Richmond, Virginia, boys’ home. Growing up with both forgiving and strict guardians helped develop his penchant for risk-taking, which he brought to PSS. “People here will never get in trouble for making a mistake,” he told Inc. in 1995. As a result of his philosophy, PSS has received numerous recognitions which include Fortune Magazine’s “Most Admired Companies in America and Forbes.com “Most Trustworthy Companies 2009.” CUSTOMER Today, Physician Sales & Service distributes products to approximately 598,000 physicians practicing at an approximate 234,000 offices in the United States. These physicians are defined as internal medicine, family practice, primary care, pediatrics, OB/GYN, general practice and other specialties. A team of more than 750 sales consultants are trained...
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...Community Health Nursing - NUR 311 November 01, 2015 Abstract This paper examines the role of a home care nurse in the case of a patient who is non-compliant with care and lacks knowledge about his medical condition. Nurses have numerous legal, professional and ethical duties. The three main duties are to respect all patients’ confidentiality and autonomy and to recognize duty of care owed to all patients. This paper will explore the ethical dilemma involved with a patient unwillingness to comply and the nurse’s duty to respect the patient’s wishes. Further discussion will give insight into the nurse’s legal responsibilities and elaborate on the principle of beneficence, health concepts, autonomy vs. paternalism, patient teaching, family as caregiver, Eco mapping, and therapeutic nursing interventions. Analysis of a Case Study Situation Overview The article, “The Patient Who Fell Through The Cracks,” described Mr. H as a 65 years old, morbidly obese man diagnosed with CHF, PVD, bilateral venous stasis ulcers, and HTN. He lived at home with his diabetic wife and mentally-challenged adult son. The environment in which they resided was unhealthy, possibly due to self-care deficit and lack of knowledge about health and wellness. Mr. H. lacked the support system that he needed to care for himself. Due to Mr. H’s inability to comprehend and self-care deficit immediate intervention had to be initiated by the nurse which involved providing wound care and health promotion...
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...Competencies and Patient Care; ADN vs. BSN Kristina Aguilar Grand Canyon University Professional Dynamics in Nursing NRS-430V-O101 Chris Bartholomew April 22, 2016 Competencies and Patient Care; ADN vs. BSN Introduction It could be hard for some people to understand the differences between the competencies of a Registered Nurse. They may ask, “Isn’t a Nurse, just a Nurse?” The answer is actually, “well, yes…. but not really.” There are 3 different avenues one can take to obtain a nursing degree. Students can choose between a 3 year hospital based diploma program, a 2 year Associates Degree, or a 4 year Baccalaureate Degree. According to the National League of Nursing, “nearly 60% of all graduates come from community colleges” with an ADN degree. In the 2007-2008 school year alone there was 106,095 ADN graduates, compared to only 38,724 BSN graduates. ("Nursing Education Research," 2010) Despite this extreme growth, with an increase in chronic health conditions and emerging technology, the Institute of Medicine now recommends “that 80% of all RN’s obtain a Bachelors degree by 2020. ("Institute of Medicine," 2011). These nurses are educated at a level to provide better quality patient care, with better outcomes. ADN vs. BSN Although graduates from both programs are required to take the same NCLEX exam to obtain their license, there are quite a few differences in the competencies that each program provides. In 1951, Mildred Montag developed the 2 years...
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