Thursday, October 10, 2019
Transitions in lifespan Development
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Wednesday, October 9, 2019
Competition in Health Care Essay
Competition in health care is becoming a major issue, because health care organizations are fighting for the best doctors, patients are fighting for the best treatments, and insurance companies are raising their premiums. Competition is a serious problem due to bad choices being made by hospitals, health plans, and businesses. This paper will explore in more detail the reason why there is so much competition in health care and why health care is steadily rising. Describe the different forms of competition that take place among various types of health care organizations. The different forms of competition for health care organizations would be price, quality, service and convenience. Doctors are willing to take on patients who can pay for their treatments instead of patients that have way of paying. ââ¬Å"Physicians may compete for patients who are able to pay for services and do not health insurance, or for patients who have their expenditures paid for by third party insurers so phy sicians compete on a non-price basis, based on location, colleaguesââ¬â¢ referrals, and reputation.â⬠(Rivers & Glover, 2010). Hospitals compete for the best doctors offering better equipment or highly trained employees. Hospitals compete also for patients where they offer better services and cheaper prices. Insurance companies compete to have the best premiums, benefits and access to great health care insurance. There is a lot of competition in health care, but what this really boils down to is how well patients are being taken care of and if they are satisfied with their choices of doctors, hospitals and health insurance. Evaluate the benefits and pitfalls of competition in health care and suggest alternatives if competition was not the primary driver of operations in the U. S. health care system. Some of the benefits of competition would be Patientââ¬â¢s bill of rights, insurance companies taking pre-existing conditions, wealthier people paying taxes on health insurance, medical devices, and Medicare. Otherà benefits would be for those individuals who cannot afford health insurance to not be penalize d for not having insurance, and children being able to stay on their parentââ¬â¢s health insurance until age 26. The pitfalls of competition would be hospitals will have to be punished if a patient is readmitted after being discharged from their facility within a certain number of days. Some physicians will have to sell their practices to hospitals because of overhead. The quality of health care has decreased while the cost has increased. Another pitfall would be employers cutting their employees hours from full-time to part-time so they do not have to pay for their employeeââ¬â¢s health insurance. ââ¬Å"Health care reform takes small steps toward addressing this problem but trends toward pay performance and bundled payment could worsen this mismatch if they fail to account for the needs of underserved patients and practices serving them.â⬠(Fiscella, 2011). An alternative if competition was not the primary driver would be hospitals and doctors seeing patients free of charge. Patients would not have to worry about paying co-pays or medical bills, because there would be more free clinic s offering medications for cancer treatments, diabetes and other conditions. Explain the elements of successful competition and the use of competitive intelligence. A successful competition would be hospitals and doctors coming together to perform care for patients. Competitive intelligence in health care is observing other health care organizations to see if they are alike and to figure out what their next move is. ââ¬Å"Competitive intelligence or business intelligence is a tool of business leader, a competent central vision resulting from an extensive report about a competitor company that continually seeks to exploit its weak points, everything to avoid surprises competitive.â⬠(Bucur & Pribac, 2010). In order for competition to be successful between hospitals, drug companies, and physicians they all need to provide cheaper prices, quality care, and discounts. Describe the influence competition has on the services offered by health care organizations and the choices patients have. The influence competition has on services from health care organizations is that every organization is different some offer certain services like MRIââ¬â¢s, CT scans, and lab work. While other organizations offer other types of services like rehabilitation, prenatal care, and HIV classes. Patients should always be a part of their treatment plans and they should know all the information aboutà the procedures that are being done on them. Patients should be allowed to choice what doctor or hospital they want to go with. Patients would like to have accessibility to doctors or specialists without having to go far away from their homes. Conclusion Health care competition is becoming the most talked about issue with hospitals and doctors. If hospitals and doctors worked together there would be fewer problems, because patients would not have to go too far to see their doctors, and they could go to the hospital of their choice. Every day there is something new being invented or used in the medical field which can be competition for all health care systems. There has to be better way to deal with all the competition that is going on in this field. References Bucur, O. N., & Pribac, L. I. (2010). Intelligence key Weapon Competitiveness. Annals of DAAAM & Proceedings, 1473-1474. Web.b.ebschost.com.proxy-library.ashford.edu. Fiscella, K. (2011). Health Care Reform and Equity: Promise, Pitfalls, and Prescriptions. Annals of Family Medicine, 9 (1), 78-84. Doi: 10.1370/afm.1213 Rivers, A. P., & Glover, H. S. (2010). Health Care Competition, Strategic mission, and patient satisfaction: research model and propositions. NCBI. www.ncbi.nih.gov/pmc/articles/PMC28656781
Tuesday, October 8, 2019
Themes in Forensic Science Essay Example | Topics and Well Written Essays - 1500 words
Themes in Forensic Science - Essay Example It also refers to the fact that potential criminals are finding ways to avoid detection or to get away with their crimes by watching the show. With these considerations, it is apt to say that CSI has had a major impact on forensic science. This paper shall discuss such impacts based on input from criminologists and forensic scientists. This discussion is being undertaken in the hope of coming up with a clear and comprehensive discussion on the current subject matter and its long-term implications in the forensic practice. In understanding the impact of CSI on forensic science, the discussion goes deeper into the so-called CSI-effect. In the immediate years following the launch of the television show, forensic science courses and careers gained much popularity in the academe (Lee, 2007, p. 22). Judging from the increase in the number of university applicants to forensic courses, the show was able to draw in university applicants to try out for careers in these fields of practice. However, these applicants may have been misinformed by the television show ââ¬â implying that the roles of CSIs to be much more than they actually are in the real world (Lee, 2007, p. 22). For one, the fact that most of the CSIs seem to play various roles on set ââ¬â as forensic processor, suspect interrogator, or as police detectives ââ¬â are already inaccurate depictions of crime scene investigators. In actuality, CSIs do not process forensics, nor do they interrogate suspects or run after suspects with guns dra wn (Lee, 2007, p. 22). In effect, CSI has drawn in forensic science enthusiasts based on an inaccurate picture of the actual workings of CSI work. People have been drawn to it based on their romantic and even gallant or heroic ideals about the type of work involved in being a CSI. But this picture of the CSI in the actual practice is not all true. CSI also has had an impact on juries. Many of these juries seem to expect and even demand that the
Monday, October 7, 2019
Culture and globalisation Essay Example | Topics and Well Written Essays - 500 words
Culture and globalisation - Essay Example Benjamin Barber is one of the proponents of the idea that the notion of globalization is destructive for it threatens morals and religious values of people, the distinctiveness of cultures and can turn the world into one big market. There are four main points in Barbers argumentation. First of all, he presents the notion of ââ¬Å"theme parkingâ⬠which is ââ¬Å"a kind of diversity but it is the diversity of a theme parkâ⬠(ââ¬Å"Globalization and Cultureâ⬠9). By this, he means that even though there is a diversity, it is simulated, artificial, and, in fact, is far from authenticity. Secondly, Barber argues that globalization is homogenization and standardization of culture that affects peoples cultural and aesthetic values, such as eating fast food instead of spending time with family at a dinner table. Also, the opponent of globalization states that more powerful markets, such as the American one, tend to master and destroy the weaker markets and, consequently, inf luence other cultures. Finally, Barber says that globalization is a threat not only to aesthetic but to religious and moral values of people, especially of the representatives of cultures that differ a lot from ââ¬Å"McWorldâ⬠, such as Islamic, Hindu, and Judaic cultures, and that to some extent this threat gives rise to terrorism. Tyler Cowan, in his turn, believes that globalization is the positive trend in the development of the modern society and the entire world. He agues that ââ¬Å"markets support diversity and freedom of choice, and trade gives a greater opportunity for artists to express their creative inspiration (ââ¬Å"Glibalization and Cultureâ⬠8). In addition to this, Cowan claims that globalization does tend to increase difference between cultures, and at the same time it frees difference from geographical location. Tyler Cowan also refutes four arguments presented by Benjamin
Sunday, October 6, 2019
The Anthropology of Latin America and the Caribbean weekly reflection Assignment
The Anthropology of Latin America and the Caribbean weekly reflection - Assignment Example n, Jewish, Buddhist, Hindu, Bahaââ¬â¢i, Islamic, Protestant, Evangelical and indigenous religions and denominations exist in Latin America and the Caribbean (Harry, 184). The way of life of Latin Americans and the Caribbean varies greatly from one part of the region to another given the many ethnic groupings and different ancestries. Additionally, the author writes that various Afro-Latin American practices such as Macumba and Santeria are prevalent among Latin Americans and the Caribbean. Particularly, evangelism is an incessantly increasing practice in the Latin American and Caribbean religion. The region of Latin America and the Caribbean experiences several health challenges. In the view of Harry, he notes that the main health challenge in the region is the persistent high maternal and infant mortality rates (Harry, 211). There are diarrheal and respiratory diseases. In addition, the author points out vaccine-preventable infections as one of the leading causes of deaths in the region. Further, there are drug resistant infectious agents. Food and drugs are inadequate supply is another health issue. Harry further notes that health personnel have increasingly emigrated from the region, impeding the efforts to make healthcare services satiable. These health problems are under surveillance and responsible governments are working on making the health condition of the citizens of the countries in the region better. Harry notes that Latin America and the Caribbean region are so diverse that it holds various cuisines which vary from nation to another. One of the most cherished dishes in the region is maize-based cuisine. Tamales, pupusas and tortillas are the most popular of the maize dishes. In addition, Harry notes that salsas and other condiments such as pico de gallo, mole and guacamole are also popular. Although the spices give the Latin American cuisine the characteristic, unique taste they have, different countries use different spices. Even those nations that
Saturday, October 5, 2019
Psychosis and Schizophrenia Case Study Example | Topics and Well Written Essays - 1500 words
Psychosis and Schizophrenia - Case Study Example For the past two days he has not slept at all, only eats food out of cans that he himself has opened, and refuses to leave the house. PPH: He was hospitalized for five days in July of 2007 for a ââ¬Å"nervous breakdownâ⬠after being fired from a summer job. His parents indicate that at that time, he was talking to himself all the time and not thinking clearly. He was treated with Haloperidol but they cannot remember the dose. They said he was much better after leaving the hospital but only took the medicine for a few weeks because it made him feel stiff and slowed down. PMH: Not significant, only the usual childhood illnesses SH: Graduated high school in upper third of his class and participated in extra-curricular and social activities. Began having academic difficulties this year and is now down to part-time status after failing two classes last semester. He has returned to live at home with his parents because he could not get along with his roommate. Non-smoker; social drin ker Meds: Was on Haloperidol on July 2007, but stopped abruptly due to side effects Current Meds: None PE: WNL Vitals - BP 120/70, P 88, RR 17, T 98.6, Ht 5ââ¬â¢7â⬠Wt 100 kg Heart- NRRR HEENT - PERRLA, EOMI, fundi benign Neck - no bruits, no JVD, no thyromegaly Lungs ââ¬â CTA Abd- +BS, No masses or bruits MS/Ext - nl ROM, muscle strength 5/5 in UE and LE, no peripheral edema Neuro - all cranial nerves intact Labs: Chem 7 - WNL HEME 18 - WNL UA - WNL Urine Drug Screen (+) for cannabinoids MSE: Appearance = poorly groomed white male who appears his stated age Behavior = hypervigilant and suspicious but cooperative Speech = slightly pressured and rambling Thought Process = tangential with occasional interruptions suggesting thought blocking Thought Content = positive for auditory hallucinations and ideas of reference Affect = anxious Cognition = A&O x 3, recent and remote memory intact I. AP Note A. Present Problem Gerald is brought to the hospital by his parents due to hi s odd behavior which includes false beliefs, sleeplessness and irrational suspicions which increase in frequency over the past two weeks. B. Risk Factors Puberty History of psychiatric problem Previous intake of antipsychotic drug Substance abuse C. Assessment 1. Evaluation Gerald is brought by his parents to the hospital due to his peculiar behavior. Two weeks ago, he started exhibiting persecutory delusions and insisted on keeping their house lights on all the time. He was reportedly seen awake on most nights. Gerald also had delusions of reference wherein he accuses his ex-girlfriend of bugging his room and his former roommate to be sending threat messages over the radio. Gerald is awake for more than 48 hours now and manifests paranoia by eating only self-opened canned foods. His persecutory delusion has led me to refuse leaving their house. The presence of delusions, hallucinations and disorganized speech, according to DSM-IV-TR, places Gerald in the classification of Paranoid type of Schizophrenia. However, by considering that his urine drug screen tested positive for cannabinoids, thorough diagnosis of his symptoms is needed to rule out the physiologic etiology of substance abuse. He needs pharmacological intervention appropriate for Schizophrenia with co-morbidity of substance abu
Friday, October 4, 2019
Personal statement for graduate school Example | Topics and Well Written Essays - 500 words
For graduate school - Personal Statement Example By serving at the air force, I have developed a very scheduled and organized lifestyle. Spending my time at the air force has allowed me to gain the skills that help in responding, reacting, interacting and dealing with different types of people. Working with the air force has really helped me to recognize my limits, abilities, skills and true potential. My experience with the air force has taught me to be calm, tolerant, and cool. It has trained me to work under all sorts of pressure and stress, and still gain the best possible outcomes. I am currently working at the airport and in order to advance professionally, I need to be equipped with management skills. Hence I firmly believe that having a masterââ¬â¢s degree in Business Management and Leadership will not only enhance the leadership and management skills but will also open the doors of opportunities for me. Choosing what is best for me and looking at the best available options I have applied at CUNY School of Professional Studies to gain the extra skills to become a successful and highly qualified airport manager. Looking at the extensive business education that is being provided by CUNY and the analytical leadership skills that I will gain from the school, I can anticipate that it is really going to be helpful for me in managing and handling the affairs that I will encoun ter at the air port. I, being a single parent, have learned how to organize my time, my priorities and how to get things done in the best possible way even during emergencies. Living the life of a militant and a single parent, I have learned not take everything for granted. Being the air force and serving for the troops at Afghanistan, I have discovered what volunteering means and how it pays off when you see the smiles on peopleââ¬â¢s faces who had given up on everything, who had given up on hope. Learning is an ongoing process and I
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