...There has been a slow change in the patient’s habit of relying on the family physician for all the healthcare needs. Health systems are slowly recognizing one of the most important elements of PHC or Primary Healthcare and it is the team approach. In this approach all the healthcare professionals from different disciplines work in sync with one another to enhance the care, bring down the service duplication and at the same time ensure that patients have access to healthcare professionals at the time of their needs. The Hudson Bay team has been working for the past 6 ½ years and comprises of many healthcare professionals. The team has physicians, nurse practitioners and even addiction and mental health specialists (Hudson Bay Team, 2007). The official website of the Hudson Bay Team (Heartland Health Region) is http://www.hrha.sk.ca/phc/default.html. The PHC is based on the 5 principles of the Canada Health Act and the Hudson Nay has adopted the following ways in compliance to the act: 1. Accessibility: HealthLine and Smoker’s Helpline, that work outside of regular office hours HealthLine OnLine with website access on 24/7 bases Whether residents need with their medication, rehabilitation exercises, cleaning, or meal preparation, team works tirelessly to provide home care clients with the specialized care they need. 2. Intersectoral Collaboration In addition to medical professionals, the team also enlists the help of other community members...
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...time * * * NOTES: Wednesday, January 18, 2012 * * What is Health? Mental/physical well-being WHO (1948): “..a state of completely well-being, physical, social, and mental and not merely the absence of disease or infirmity” Most commonly used definition, but still can have criticisms… Exs: “not just a STATE/fixed nature…it can also be dynamic and change within a person” Well-being is very broad and can vary in def. among cultures and ppl “completely healthy”: In many ways, we’ve set ourself up to failure..but we’re never going to reach this broad term..hard to measure/quantify a fundamental human right regardless of age/class/gender a resource for everyday life, not just the object of living health is not the mean of itself, it’s a mean for a greater ends it takes time/energy/resources when youre sick that can otherwise be spent in education/artistic creation/ ec. And social endeavors so we want healthy ppl so we can have ppl pursue these avenues and be productive ppl that can contribute to society * A formal Definition of Public health …what we, as a society, do collectively to assure the conditions in which people can be healthy (IOM 1999) collective nature, and what we can do to improve as a whole not a lot of ppl in the public know what public health is..(thus she added stickers to ppt slide) A Lay Definition of Public Health Concerned with the health of populations Works to prevent injury, illness and death at the population level ...
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...different internal and external stakeholders are the Hospital administrators, Medical staff, and Patients. The most visible parties are first-party patients, who seek access to an imponderable variety of health care products and services; second-party are Providers of these products and services, including hospitals, physicians., nurses, physical therapists, dentists, and pharmaceutical companies, the other party are payers, including private insurance companies, government programs such as Medicaid and Medicare. And their employer and employee, who purchase health insurance for their employees and thereby obtain a deductible expense due calculating their federal income tax liability. Other stakeholder groups are less visible, but nonetheless silent. There are scientists engaged in research and development of medical products and services. Some are employed by research laboratories affiliated with private corporations, and others are employed by government tabs. Most are funded by government research grants. Many scientists teach at tuition-driven public and private educational institutions that train future researchers, providers, and institutional administrators. There are also financial institutions that lend tuition money to .ambitious college students in the health care professions and provide capital to hospitals, Laboratories, and other facilities. And we must not forget the last number of lawyers and law firms that specialize in medical malpractice litigation and the insurance...
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...represent more than 3 million health care members nursing profession is one of the major divisions of work force in United States. Nurses played an important role in setting the 2010 Affordable Act, legislation and creating Medicare and Medicaid programs. There are lot of hurdles inhibits nurses to respond successfully with reforming healthcare system. In order to overcome these obstacles nurses are well educated and well positioned in healthcare system to lead these changes. In 2008, Institute of Medicine and Robert Johnson Foundation appointed a committee to evaluate the need for healthcare transformation. Committee made some recommendations regarding improve education and training of nurses, nurses need to achieve highest level of education, nurses should collaborate with other healthcare professional to redesign healthcare system and accurate planning of work force for data collection. According to the report the committee suggested that many problems facing nursing education system nursing education system need to be advanced. Impact of IOM report on education. In 21st century statistics shows that there are many health issues affecting American population and it will be increased to 20 percent of the population by 2030.In addition to that nation’s health care needs also increasing. Primary goal of nursing education is to prepare safe and quality care of patients. Chronic disease conditions like cardiovascular diseases, mental health illness arthritis and obesity...
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...and community participation in health care. I will also discuss these concepts and explain their origins in relation to the Ottawa Charter and the Declaration of Alma Ata. Furthermore I will provide examples of how these concepts are being addressed in New Zealand health policy. Inequality in Health Discussion and Definition of the Concept Within New Zealand significant inequalities in health exist. The reasons for these inequalities are linked with socioeconomic status, ethnicity, gender and the geographical area in which people live. There is also statistical evidence which highlights the fact that Maori, Pacific Islanders and people from lower socioeconomic backgrounds are dying at a younger age and generally have poorer health than other New Zealanders (Ministry of Health [MOH], 2002). The Reducing Inequalities in Health report (MOH, 2002) states that the primary causes of health inequality in New Zealand are directly related to the distribution of and access to resources such as income, education, employment and housing. The report also states that another major influence on this inequality in health is the difference in how and when people access health care services and how that care may differ between those receiving the services. This is also said to have a significant impact both on peoples’ health status and mortality rates. Primary health care services will focus on better health for a population, and actively work to reduce health inequalities between different...
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...2) Environmental Issues 3) Primary Prevention/Health Promotion 4) Secondary Prevention/Screenings for a Vulnerable Population Planning Before Teaching: Name and Credentials of Teacher: Christine Gallagher, RN, Charity Poku, RN, DustyBarnett, RN , and Lynn Myers, RN | Estimated Time Teaching Will Last:1.5 hours | Location of Teaching:Community Fitness Center | Supplies, Material, Equipment Needed:PowerPoint equipment, handouts, pamphlets, fitness facility.All participants must bring proof of medical clearance to participate in physical activity. | Estimated Cost:$500.00. Monies raised by donations and volunteers. | Community and Target Aggregate:The underserved and low-income aggregate of Houston, Texas. | Topic:The Importance of Aerobic Physical Activity and Good Nutrition for a Healthy Lifestyle. | Epidemiological Rationale for Topic (statistics related to topic): Houston, Texas is a community characterized by unhealthy options of its residents when it comes to physical activity and nutrition. Houston ranks high nationally in both obesity and inactivity. Persons in low income and targeted areas are key contributors to poor exercise habits, poor diet and lack of accessible fruit and vegetables. Nursing Diagnosis: High risk for more than the body requirements related to lack of nutritional knowledge and sedentary lifestyles as evidenced by high rates of obesity and little access to physical activities and health related lifestyles. Readiness for...
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...Analyse debates about foreign aid to improve health outcomes in a particular country or region. In your opinion, what is needed to improve health outcomes in poor (aid recipient) countries and/or communities? South Sudan South Sudan separated from Sudan and gained its independence in 2011. This world's newest country has the third-largest oil reserves in Sub-Saharan Africa and yet it has one of the world's poorest population --- 50.6% of a population of, approximately 11 million people, is living below the national poverty line. From 2006 to 2010, South Sudan received approximately one billion US dollars from foreign aid and a total of $1.4 billion US dollars one year after its independence. Sharing an oil-rich border with North Sudan, 98% of the government's budget relies on its oil revenue, What is the role of foreign aid in South Sudan? Foreign aid agencies have contributed billions of dollars during the period when South Sudan is signing the Comprehensive Peace Agreement (CPA) and after its independence in 2011 (Ajak, Larson, & Pritchett, 2013). This money didn’t go directly to South Sudan's government. But it funded almost everything including water, food, security training, drugs, textbooks and a range of other services. Also, 4/5 of health care in South Sudan is provided by outside groups. Services and funding are provided by a number of national and international NGOs and the United Nations (UN) agencies that operate in the region...
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...Alma-Ata International Conference on Primary Health Care, Alma-Ata, USSR, 6-12 September 1978 The International Conference on Primary Health Care, meeting in Alma-Ata this twelfth day of September in the year Nineteen hundred and seventy-eight, expressing the need for urgent action by all governments, all health and development workers, and the world community to protect and promote the health of all the people of the world, hereby makes the following Declaration: I The Conference strongly reaffirms that health, which is a state of complete physical, mental and social wellbeing, and not merely the absence of disease or infirmity, is a fundamental human right and that the attainment of the highest possible level of health is a most important world-wide social goal whose realization requires the action of many other social and economic sectors in addition to the health sector. II The existing gross inequality in the health status of the people particularly between developed and developing countries as well as within countries is politically, socially and economically unacceptable and is, therefore, of common concern to all countries. III Economic and social development, based on a New International Economic Order, is of basic importance to the fullest attainment of health for all and to the reduction of the gap between the health status of the developing and developed countries. The promotion and protection of the health of the people is essential to sustained...
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...lecture on the, history of primary health care. The learning goals for this course are to discuss the principles of primary health care established at the 1978 International Conference on Primary Health Care as described in the Declaration of Alma-Ata, and then to recognize the potential of primary health care to help achieve Health for All. These are the overall aims for our course, and it's more specific learning objectives. I'd like to for you to try to be able to critically assess how to contribute to strengthening priority health care and achieving Health for All and I'd like for you to Keep this on a personal level. How can you as an individual contribute to this, and of course, many of you will be working organizations, and you can be thinking at the same time, how your organization, or how you and your role within that organization you can make a contribution in ways that you aren't already. And one of the other fundamental parts of the learning objective for this course will be to help you think a little bit more deeply about participatory methods in building community capacity to solve priority problems in varied healthcare settings. So this whole notion of community participation, community partnership, community empowerment, is a fundamental idea in primary health care, as expressed in Alma-Ata that's frequently missing from other versions of primary health care. And in particular the more...
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...a 3 month period. Reinforcing Objective 35% of target population will leave abusive relationships with 3 months of very first encounter. Enabling Objective (for behavior) The target population incidence of STIs will decrease by 42% within 2 months. Environmental Objective 60% of participants will have an increase in their knowledge of HIV transmission with 3 months. Enabling Objective (for environment) 75 % of the target population will be able to identify three community resources within a 1 month period. 2. Describe the specific Intervention Strategies you will use to reach EACH of the objectives listed below. These strategies should utilize methods of health promotion, such as education, health communication, health engineering, community engagement, advocacy, etc.. Be specific. This is the very heart of your actual program activities, so this part should contain a fair amount of detail about what services your program will offer directly to participants or to others on their behalf. All strategies should be designed/selected based on research evidence and relevant theory. Predisposing...
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...Is Medicare Sustainable? Brian Arguello Grand Canyon University: HCA 530 Introduction to Health Care Finance June 8, 2016 Is Medicare Sustainable? Medicare has been the primary health care provider for people over the age of 65 or disabled Americans for over 40 years. The program is in constant change because of new medical technology, advanced delivery systems, and rising costs. Despite the program being in continual transformation, many believe that Medicare is in need of major reform. The obvious question to be asked is, what is the future of Medicare and is the program sustainable? Assessing Medicare’s financial status is straight forward. Looking at Medicare parts A, B, and D individually, one can actuate whether the claims for each part can be paid, making the financial status an actuarial issue. Keep in mind that sustainability and financing are different. A program may be sufficiently funded but not sustainable, making the question of sustainability difficult to assess. According to Foster and Clemens (2009), “Sustainability for Medicare is a judgement about whether the program, as currently constructed, will meet the demands of all affected parties today and in the future” (p. 85). It is important to assess the program on its abilities to meet the needs of the patients and healthcare organizations but cost and future costs are the biggest concerns for all involved parties. The sustainability is of interest to both for-profit and not-for-profit healthcare...
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...The Policy Process: Part I HCS/455 In the United States, Veteran’s health care at an economical rate is a continuous debate. It is warranted that the health care should improve at a constant rate to uphold the health needs of veterans, new and old. Government has the veterans association (VA) and with all the help it has available for veterans there are still times when that care is not enough. There are so many individuals that are without health care because of one reason for another and it leaves many injured and hurt veterans without the care they need and deserve. Better access to health for veterans, men and women is important since many new problems such as PTSD have become better understood and need more focus and to be better addressed. (Kaiser Family Foundation, 2007). Policies are evaluated to enhance the health care system. Steps are closely followed to ensure successful policy implementation. Three major phases, namely formulation stage, legislative stage, and the implementation stage, are positioned to enhance the policy on care and assistance for health care policies with the VA. (va.gov, 2014). Formulation phase encompasses evaluating ideas, concepts, proposals, solutions, and researching data prior to policy process. Legislative phase aims to help health care organizations in policy process. Policy is presented before legislators and health care agency then must negotiate execution and any possible modifications may occur at this point (Williams-Crowe &...
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...Change and Culture Case Study I Mergers occur almost every day in the business world for one reason or another. In health care two or more facilities may merge because of lack of staff, budget cuts, or poor administration that causes pending closures of one or more facilities. When mergers of two healthcare facilities occur, top line management and administration are normally always the first to get the axe from the healthcare facility that needed the bailout. This leaves middle management with the task of effectively aligning the staff of the healthcare facilities without causing conflict that would undermine the good nature of the newly formed health care facility. The scenario calls for acting as a middle manager in a healthcare facility that has just merged with a previous competitor. Each facility will come with their own set of flaws and flourishes. This paper will address how middle management can form a bond with employees of both facilities. It will also give best practices on how to jointly implement inpatient and outpatient services and correct flaws and continue to flourish as one health care facility that provides the best service to their patients. The usual reason for two health care facilities merging is because one facility is not doing well and is in danger of being shut down. The not doing so well can be attributed to budget, quality of service, employee retention, training, space, or a takeover in board members. There are other reasons for mergers...
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...Primary Health Care in Developing Countries: Origins, Principles, and Evolution Henry Perry, MD, PhD, MPH Johns Hopkins University Copyright © 2012 Johns Hopkins University and Henry Perry. Section A Historical Perspectives My Narrative Henry Perry - MPH and graduate student at Hopkins, 1970s - - - - - - - Training in general surgery, 1970s Visit to Hospital Albert Schweitzer, 1979 Field experience in Bolivia, 1980s Surgical practice, NGO leadership and HQ field support, 1980s Work in Bangladesh, 1990s Work in Haiti, 2000s Work with Future Generations and Taylor family, 2000s 3 John B. Grant Father of primary health care (PHC) and of Jim Grant J.B. Grant with the 2nd District, Department of Public Health of Peking, China, in 1933 4 The “Bible” of Primary Health Care Links the community to health systems, development more broadly, and training and research 1963 5 John Grant, 1934 “Socioeconomic progress depends chiefly upon the actual demonstration of feasibility and worth. Second, demonstrations, to be successful, must make use of technical methods which are scientifically efficient and economically practical. Third, and most important, successful demonstration of methods in any social field is dependent upon horizontal integration with other fields rather than separate, single purpose developments” —Quoted in Seipp, (1963). p. 10. 6 Ding Xian, 1930s 100 miles from Beijing First example...
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...Health Promotion Health Promotion is the skill and knowledge of helping people find out how to enhance their enthusiasm to make every effort for optimal health, and supporting them in changing their way of life to move toward a state of optimal health. Optimal health is a forceful balance of physical, emotional, social, spiritual, and intellectual health. Lifestyle change can be made possible through an amalgamation of learning experiences that enhance understanding, increase inspiration, and build expertise and, most importantly, to create environment through the formation of prospects that open ways to environments that make constructive health activities the easiest option.( www.publichealthy.com) In the medicinal field there are various forms of medical practices. They may be thought of generally as forming a hierarchal structure, with three levels representing growing degrees of specialty and technical superiority but serving diminishing numbers of patients as they are moved through the system towards a lower level. Only those patients who need special care either for opinion or treatment are able to reach the secondary (recommended) or tertiary (expert treatment) levels where the care cost of service becomes more and more high. The first level embodies primary health care, or first contact care, at which patients have their first contact with the health-care system (www.britanica.com). Primary health care is an essential part of a nation’s health preservation system...
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