Health care planners could be more effective and efficient if they used the concept of the natural history of disease and the levels of prevention to design services that intervene at the weakest link in the chain

Complete ALL of the bullet points below:

• Health care planners could be more effective and efficient if they used the concept of the natural history of disease and the levels of prevention to design services that intervene at the weakest link in the chain of progression of specific diseases. Instead, most focus on high-technology solutions to preventable problems. Assess the characteristics of the medical care culture that encourage the latter approach.

• Hospitals and other health care institutions, whether voluntary or for-profit, need to be financially solvent to survive growing market pressures. Describe how this “bottom line” focus has changed the nature of the US health care system.

• The insurance industry plays a huge role in the American health care system and absorbs a significant portion of the health care dollar. A single payer system, whether it is a private company or the US government, would eliminate the complex insurance paperwork burden and free substantial funds that could be diverted to support care for the under-served. Why do you believe that so much resistance to a concept used in every other developed country has continued in the U.S.?

Please submit one APA formatted paper between 1000 – 1500 words, not including the title and reference page. The assignment should have a minimum of two scholarly sources, in addition to the textbook.

Sultz, H. A., & Young, K. A. (2017). Health care USA: Understanding its organization and delivery (9th ed.). Boston: Jones & Bartlett. ISBN: 978-1284114676

Expert Answer and Explanation

The Issues in Healthcare Delivery

Question 1

The United States continues to experience a shift from the conventional disease prevention models which focus on the disease’s history to develop an intervention, to the adoption of the high-technology alternative methods to prevent medical complications. Providers as well as policy formulators are increasingly developing the preference for technologies such as HealthMap to survey disease outbreak, and detect new threats.

Usually, the surveillance data guide the formulation of the policy as well the intervention strategies focused on the prevention of the spread of diseases such as an airborne disease (Sultz & Young, 2017). However, for the technology to yield results, user should understand how they can apply it in field.

Certain features are common to a medical care culture which encourages the use of advanced technological methods to prevent infections and diseases. These features become evident when one examines the patient, the person providing medical services and the hospital in relation to the use of the technology. In a scenario where an interventionist utilizes technology, for instance, the patient is likely to show immediate gratification.

A healthy or an ailing individual would prefer an intervention model which is efficient with respect to the management and prevention of illnesses, and pain (Sultz & Young, 2017). The fact that the high-end technology facilitates the prevention of the disease through the delivery of the focused care demonstrate that such an intervention often result to the instant gratification.

Work satisfaction is a typical characteristics linked to the use of the high-end technology to promote the disease prevention objectives. Healthcare professionals’ objective narrow down to helping individuals and saving lives through the delivery of the standardized interventions. Whenever caregivers utilize technology for the purpose of attaining healthcare goals such as the reduction of the number of infections, they face less difficulties as compared to when they use the conventional methods which rely on the history of the disease to establish a treatment protocol.

Considering technological approach to the prevention of the disease improves health outcomes, the caregiver satisfaction becomes a common feature associated with this model to the primary intervention (Sultz & Young, 2017).

Improved coordination of tasks as well as communication characterize the use of the informatics to advance the prevention of the diseases. Recently, providers across the U.S. have shown increased interest in using the Electronic Health Records (EHRs) to advance the medical efforts focused on the mitigation of the spread of the disease events.

Through the utilization of this informatics technology, the caregivers coordinate efforts not only to update patients’ medical date but also to access the same to prevent adverse events which could result because of the drug-drug interactions. By having access to a single platform of communication, the medical professionals’ care delivery become informed by the patients’ past medical history.

Question 2

Medical organizations across the U.S. makes efforts to maintain certain limit of the financial solvency status, and this focus has had an impact on the country’s health system. Americans are paying more today than the last decade to access medical services, and because of this development, the public grapples with the issue of the rising costs.

Core to this issue is the surge in the amount of money insurers require beneficiaries to pay as premiums. Given that majority of the Americans are the beneficiaries of the Medicare program, the hospitals’ financial solvency becomes an issue within the context of the American health system (Ande, Pinto, & Arnett, 2015).

The comprehension of the implication of the bottom line on the American healthcare hinge on the analysis of the costs-shift phenomenon. Although the U.S.’s government funds medical programs, it faces the challenge of the inadequate availability of the financial. This, often, causes hospitals to receive insufficient funds, culminating to the inefficient delivery of the services.

Considering that insurers reimburse health organizations approximately 87% of the total medical costs, the latter tends to address this problem by negotiating for the increment of the payments. Based on this phenomenon, a private payers have to pay extra to access the medical services. Thus, the idea that the health organizations have to sustain a certain level of the financial solvency may cause an increase in the costs hospitals charge private payers.

Question 3

The Universal Health System (UHS) is a concept that is in the public discourse in America, and while majority of the Americans accommodate it, it faces resistance from a section of the American public. An economic and historic link exists when one compares the relationship between the exorbitant costs of medical services, and the missing universal coverage.

Under the UHS, the government reimburses costs, and through this reimbursement, it regulates and negotiates the amount charged on medications and medical services. Besides, it abolishes the need for coverage firms which often set strict standards for people to access insurance services (Galea, 2018). However, the opponent of this healthcare program cite various reasons focused on discrediting it.

Ideally, politics is at the center of the counter efforts which make it difficult to implement a universal health program. A sizable number of Americans maintain liberal views, and this group has minimum support for the idea of the involvement of the government in matters concerning the control of the healthcare payments. Indeed, the opinion of this group mirror the results of the previous survey which showed that only less than 50% of adult Americans think that the government is responsible for covering the public’s healthcare costs.

This view demonstrates that the support for the universal healthcare may not receive total support not only because of the political reasons but because of differing individual opinions on the issue of healthcare delivery as well (Galea, 2018).

Still on the political aspects and their impact on the adoption of the universal coverage, the political class creates barriers which often negates the shift towards a UHS. The previous efforts to pass the progressive reforms on the UHS flopped, partly due to the political resistance at the time, and despite the U.S. making significant gain in passing the Affordable Care Act (ACA), political interventions seems to negate the attainment of the objectives which the law seek to realize.

With recent efforts by the Trump administration to undermine the ACA, the political interference is a key factor that makes it difficult to achieve a universal health care delivery model in the U.S (Galea, 2018).

However, interest groups continue to emerge as a force, vocal against the efforts of the U.S.’s government to pass UHS. Often, the interest groups’ impact is noticeable when considering their influence on the congressional decisions. Immediately prior to the enactment of the ACA, this group, consisting of the insurance firms, lobbied to have congress vote against the law. With persistent efforts to find an alternative solution to the health care problem, Americans grapple with uncertainty on whether the current administration will roll back the ACA.

References

Ande, J. P., Pinto, F. J., & Arnett, D. K. (2015). Prevention of cardiovascular diseases: From current evidence to clinical practice. Cham : Springer.

Galea, S. (2018). Healthier: Fifty thoughts on the foundations of population health. New York : Oxford University Press.

Sultz, H. A., & Young, K. A. (2017). Health care USA: Understanding its organization and delivery (9th ed.). Boston: Jones & Bartlett. ISBN: 978-1284114676.

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