Primary Care Essays (Examples)
Study Document
Care Plan
Case Study and care Plan: High-risk Obstetrics for Women in Rural America.
Introduction
High-risk pregnancies are a risk to the health of both the mother and her … to high-risk pregnant women living in rural America. This paper, therefore, explores the case of high-risk pregnancies in rural America and proposes a care plan that is driven by telehealth solutions.
The case for high-risk pregnancies in rural America
According to the National Institutes of Health, high-risk … driven by telehealth solutions.
The case for high-risk pregnancies in rural America
According to the National Institutes of Health, high-risk pregnancies should receive care from a special team of health care providers so as to ensure that the best possible health outcome is ensured for both the mother and the infant (National Institutes of … shortage of about 22,000 by 2050 (American College of Obstetricians and Gynecologists, 2015).
Despite the decline in the professional……
References
References
American College of Obstetricians and Gynecologists. (2015). ACOG Practice Bulletin No. 156: Obesity in pregnancy. Obstetrics and Gynecology, 126(6), e112–126.
Gallardo, A. & Martin, N. (2017, Sept. 5). Another Thing Disappearing From Rural America: Maternal Care. ProPublica. Retrieved from https://www.propublica.org/article/another-thing-disappearing-from-rural-america-maternal-care
Healy, J. (2018, July 17). It’s 4 A.M. The Baby’s Coming. But the Hospital Is 100 Miles Away. The New York Times. Retrieved from https://www.nytimes.com/2018/07/17/us/hospital-closing-missouri-pregnant.html
Hung, P., Henning-Smith, C. E., Casey, M. M., & Kozhimannil, K. B. (2017). Access to obstetric services in rural counties still declining, with 9 percent losing services, 2004–14. Health Affairs, 36(9), 1663-1671.
Lowery, C. (2018). “Chapter 6: High-Risk Obstetrics and Telehealth,” in Rheuban, K.S. & Krupinski, E.A., Understanding Telehealth. McGraw-Hill Education.
National Institutes of Health, (2017). What is a high-risk pregnancy? Retrieved from https://www.nichd.nih.gov/health/topics/pregnancy/conditioninfo/high-risk
Study Document
Design And Implementation Of Collaborative Care Model
… a low-income area and individuals who live here struggle to make ends meet. This makes it hard for them to access premium health care that is offered at private hospitals. Therefore, most of them have to rely on the community health center. Poor people have been associated … area is not conducive for physical activity. This makes people have sedentary lifestyles that contribute towards them developing chronic diseases. Access to health care is reduced and the few who are able to access the community health center have to contend with receiving substandard service. While the … the services being offered to seem lackluster. With increasing numbers of obese community members, it is vital that the community get appropriate health care and health care professionals should be able to address the increasing obesity rates within the community. A majority of the community members do not have medical … People living……
References
References
LaBelle, C. T., Han, S. C., Bergeron, A., & Samet, J. H. (2016). Office-based opioid treatment with buprenorphine (OBOT-B): statewide implementation of the Massachusetts collaborative care model in community health centers. Journal of substance abuse treatment, 60, 6-13.
Overbeck, G., Kousgaard, M. B., & Davidsen, A. S. (2018). The work and challenges of care managers in the implementation of collaborative care: A qualitative study. Journal of psychiatric and mental health nursing, 25(3), 167-175.
Sanchez, K. (2017). Collaborative care in real-world settings: barriers and opportunities for sustainability. Patient preference and adherence, 11, 71.
Smith, S. N., Almirall, D., Prenovost, K., Liebrecht, C., Kyle, J., Eisenberg, D., . . . Kilbourne, A. M. (2019). Change in Patient Outcomes After Augmenting a Low-level Implementation Strategy in Community Practices That are Slow to Adopt a Collaborative Chronic Care Model: A Cluster Randomized Implementation Trial. Medical Care.
Unützer, J., Harbin, H., Schoenbaum, M., & Druss, B. (2013). The collaborative care model: An approach for integrating physical and mental health care in Medicaid health homes. HEALTH HOME, Information Resource Center, 1-13.
Study Document
Health Care Reform And Equity
Health care Reform and Equity
The author of the “Health care Reform and Equity: Promise, Pitfalls, and Prescriptions” article delves into the subject of the US’s failure to make desired progress within the past … and Prescriptions” article delves into the subject of the US’s failure to make desired progress within the past ten years. The ACA (Affordable care Act) attempts at expanding insurance coverage for the yet-to-be-insured 23 million individuals in the nation, though it requires additional laws for doing so. … nation, though it requires additional laws for doing so. Two key challenges hampering progress are addressed in the article: alignment of the nation’s care resources with the requirements of patients and primary care revitalization, mainly for the underserved population (Fiscella, 2011). Gaps in care service provision have been impeding progress towards more equitable care. This article puts forward the following six interconnected domains: insurance cost and coverage……
References
References
Fiscella, K. (2011). Health care reform and equity: Promise, pitfalls, and prescriptions. Ann Fam Med, 9(1), 78-84.
Starfield, B., Shi, L., & Macinko, J. (2005). Contribution of primary care to health systems and health. Milbank Q, 83(3), 457-502. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2690145/
Study Document
Healthcare Scientific Merit
Scientific Merit Paper
This paper will analyze Doekhie and coworkers’ 2018 research work titled “The different perspectives of patients, informal care, and professionals on patient involvement in primary care teams. A qualitative study”. This analysis will entail an evaluation of how the research work contributes to scientific knowledge and research theory, its … adds to the literature on the subject through examining the issue of patient participation in the health-related decision?making process in the course of primary care team interactions with patients and their informal care within the primary patient care setting. Here, patient participation is no explicitly established idea; instead, the concept is coproduced using interactions and discussions of primary patient care practitioners, reciprocally, with patients and their informal (or family) care. This renders it essential to concentrate on patient participation as members of primary care units (Swan et al., 2012). Generation of theories which can explain, with certainty, phenomena……
References
References
Brook, R. H., & Vaiana, M. E. (2015). Using the knowledge base of health services research to redefine health care systems. Journal of general internal medicine, 30(10), 1547-1556.
Cutcliffe, J. R., & McKenna, H. P. (1999). Establishing the credibility of qualitative research findings: the plot thickens. Journal of advanced nursing, 30(2), 374-380.
Doekhie, K. D., Strating, M. M., Buljac?Samardzic, M., van de Bovenkamp, H. M., & Paauwe, J. (2018). The different perspectives of patients, informal caregivers, and professionals on patient involvement in primary care teams. A qualitative study. Health Expectations, 21(6), 1171-1182.
Eccles, M., Grimshaw, J., Walker, A., Johnston, M., & Pitts, N. (2005). Changing the behavior of healthcare professionals: the use of theory in promoting the uptake of research findings. Journal of clinical epidemiology, 58(2), 107-112.
Leedy, P.D. & Ormrod, J. E. (2019). Practical research: Planning and design, 12th edition. Pearson Education, Hudson Street, NY.
Sanjari, M., Bahramnezhad, F., Fomani, F. K., Shoghi, M., & Cheraghi, M. A. (2014). Ethical challenges of researchers in qualitative studies: The necessity to develop a specific guideline. Journal of medical ethics and history of medicine, 7.
Swan, J., Clarke, A., Nicolini, D., Powell, J., Scarbrough, H., Roginski, C., ... & Taylor-Phillips, S. (2012). Evidence in Management Decisions (EMD): advancing knowledge utilization in healthcare management.
Thomas, D. R. (2017). Feedback from research participants: are member checks useful in qualitative research?. Qualitative Research in Psychology, 14(1), 23-41.
Study Document
Healthcare Provider Shortage
Executive Summary
The care sector in the United States is facing shortage of care providers, particularly in rural settings. One of the most affected areas in the country is rural Maryland, especially Allegany County, which has been … especially Allegany County, which has been selected as the location for this project. The proposed plan seeks to help lessen the shortage of care providers in the county using MedChi, an organization that provides public health resources in Maryland. MedChi could help address the problem through promoting … including policymakers. These partnerships should focus on identifying necessary resources for implementation of the proposed solution.
Provider Shortage Proposal
Shortage of providers in care is a major issue facing this industry at a time when patient populations have continued to increase globally. The shortage of providers in … is a major issue facing this industry at a time when patient populations have continued to……
References
References
Antonelli, A.F. (2019, May 14). Does America Have a Physician Shortage – or Are Our Doctors ‘Just Bad at Managing Time’? Retrieved August 5, 2019, https://www.advisory.com/daily-briefing/2019/05/14/physician-shortage
Daly, R. (2018, May 22). Healthcare Workforce Shortage Worsening: Senators. Retrieved August 5, 2019, from https://www.hfma.org/topics/news/2018/05/60811.html
Desmon, S. (2019, March 1). Doctors in Short Supply in Rural Maryland. Baltimore Sun. Retrieved August 5, 2019, from https://www.baltimoresun.com/bal-id.rural01mar01-story.html
Heath, S. (2019, July 11). What Clinician Recruitment Tactics Say About the Physician Shortage. Retrieved August 5, 2019, from https://patientengagementhit.com/news/what-clinician-recruitment-tactics-say-about-the-physician-shortage
Merritt Hawkins. (2019). 2019 Review of Physician and Advanced Practitioner Recruiting Incentives. Retrieved August 5, 2019, from https://www.merritthawkins.com/uploadedFiles/merritthawkins_2019_incentivereview.pdf
Western Maryland Health System and Allegany County Health Department. (2011, November). Allegany County Community Health Needs Assessment. Retrieved August 5, 2019, from http://www.alleganyhealthplanningcoalition.com/pdf/ACHD%20Community%20Health%20Needs%20Assessment.pdf
Wolford, H.B. (2018, May 28). Allegany County Sees Shortage of Health Care Workers. Time News. Retrieved August 5, 2019, from https://www.times-news.com/news/local_news/allegany-county-sees-shortage-of-health-care-workers/article_28b1030d-4403-5d84-aa26-fe17d61b8561.html
Study Document
Telemedicine And Its Impact On Patient Care
Telemedicine: How does it impact patient care?
Introduction
The modern health care system is better and considerably more complex than what the situation previously was a decade and several decades ago. According to various researchers, … and considerably more complex than what the situation previously was a decade and several decades ago. According to various researchers, the modern health care system is a managed one, and it widely uses technology in contrast to previous health care systems (Conklin, 2002). The many uses of technology in the modern health care system include the use of technology for diagnosis, for minimally invasive treatments, and better monitoring of vital signs and other signs. Moreover, technology … Moreover, technology is now also being used to consult with medical experts from all over the world remotely. This has led to improved care and has enhanced patent experience.
Furthermore, many mobile applications have been invented to……
References
References
Meyers, A. J., Pontarelli, E., Dutta, S. K., Grinberg, G., & Yenumula, P. R. (2018). Telemedicine Follow-up After Bariatric Surgery. Surgery for Obesity and Related Diseases, 14(11), S168.
Tiago, M. T. B., Tiago, F., Amaral, F. E. B., & Silva, S. (2016). Healthy 3.0: Healthcare digital dimensions. In Reshaping medical practice and care with health information systems (pp. 287-322). IGI Global.
Conklin, T. P. (2002). Health care in the United States: An evolving system. Michigan Family Review, 7(1).
Board on Health Care Services; Institute of Medicine. (2012). \\\\\\\\\\\\"3The Evolution of Telehealth: Where Have We Been and Where Are We Going?\\\\\\\\\\\\" in The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary. National Academies Press, Washington (DC).
Sada, A., Asaad, M., Reidt, W. S., Kellogg, T. A., Kendrick, M. L., McKenzie, T. J., & Habermann, E. B. (2019). Are In-Person Post-operative Clinic Visits Necessary to Detect Complications Among Bariatric Surgery Patients?. Obesity Surgery, 1-4.
Krupka, D. C., Sandberg, W. S., & Weeks, W. B. (2012). The impact on hospitals of reducing surgical complications suggests many will need shared savings programs with payers. Health Affairs, 31(11), 2571-2578.
Fasano, P. (2013). Transforming health care: The financial impact of technology, electronic tools, and data mining. John Wiley & Sons.
Burch, S., Gray, D., & Sharp, J. (2017). The power and potential of telehealth what health systems should know: proposed legislation in Congress offers the promise that the nation\\\\\\\\\\\\'s healthcare policy will support the expansion of telehealth, allowing hospitals and health systems to fully realize the benefits of this important emerging approach to care. Healthcare Financial Management, 71(2), 46-50.
Study Document
How Healthcare Policy Impacts Advanced Practice Nursing
How care Policy Impacts APN
Explanation of how care policy can impact the advanced practice nurse profession
The role of APN is to provide primary, specialty, and acute care through assessment, diagnosis, and treatment of those who seek care services. care policies are meant to improve care services, and thus, they affect the APN profession. However, the specific effect of any policy depends on the specific policy (Taft & Nanna, … depends on the specific policy (Taft & Nanna, 2008). For example, one of the policies that affected the APN profession was the Affordable care Act (ACA). This act, at its core, was to provide care to the marginalized, to those with chronic sicknesses, and at the same time, more care from the hospital in favor of outpatient.
Because of the nature of the ACA, the APN profession was impacted through the increment of … hospital in favor of outpatient.……
References
References
Choi, P. P. (2015). Patient advocacy: the role of the nurse. Nursing Standard (2014+), 29(41), 52.
Flemming, P. L. (2017). Building a Climate of Change with a link through Transformational Leadership and Corporate Culture: A Management key to a Global Environment. International Journal of Business and Social Research, 7(1), 44-55.
Gerber, L. (2018). Understanding the nurse\\\\\\\\\\\\'s role as a patient advocate. Nursing2019, 48(4), 55-58.
Lathrop, B., & Hodnicki, D. R. (2014). The Affordable Care Act: Primary care and the doctor of nursing practice nurse. Online Journal of Issues in Nursing, 19(2).
Metz, S., Piro, J. S., Nitowski, H., & Cosentino, P. (2019). Transformational Leadership: Perceptions of Building-Level Leaders. Journal of School Leadership, 29(5), 389-408.
Taft, S. H., & Nanna, K. M. (2008). What are the sources of health policy that influence nursing practice?. Policy, Politics, & Nursing Practice, 9(4), 274-287.
Study Document
US Healthcare Reimbursement And Insurance Issues
care Insurance and Reimbursement
Medical Insurance Products and Services
Health and medical insurance represent an insurance coverage form that disburses operation and clinical treatment … insured. Such insurance may either reimburse insured individuals for the money they put into treatment for injuries or disease or may directly pay care practitioners. It is commonly a part of the compensation packages offered by organizations to their employees for attracting quality recruits (IMedPub, 2020). It … organizations to their employees for attracting quality recruits (IMedPub, 2020). It constitutes one means by which individuals in different nations pay for their care needs. When individuals hailing from poor backgrounds without any financial risk protection get sick or injured, they encounter the following difficulty: they may … from poor backgrounds without any financial risk protection get sick or injured, they encounter the following difficulty: they may either make use of care services, further impoverishing themselves by……
References
References
Araujo, M. (2020). Health and medical insurance differences: HMO, PPO, POS, EPO. Retrieved from https://www.thebalance.com/health-and-medical-insurance-2645378
Bertram, M. Y., Lauer, J. A., De Joncheere, K. D., Edejer, T., Hutubessy, R., Kieny, M. P., & Hill, S. R. (2016). Cost-effectiveness thresholds: pros and cons. Bull World Health Organ, 94, 925–930. http://dx.doi.org/10.2471/BLT.15.164418926
Dey, P., & Bach, P. B. (2019). The 6 functions of health insurance. The JAMA Forum, 321(13), 1242-1243. DOI:10.1001/jama.2019.2320
Ho, A. (2015). Health insurance. Encyclopedia of Global Bioethics. Retrieved from https://www.researchgate.net/publication/298022702_Health_Insurance
IMedPub. (2020). Health insurance. Retrieved from https://www.imedpub.com/scholarly/health-insurance-journals-articles-ppts-list.php
Maruthappu, M., Hasan, A., & Zeltner, T. (2016). Enablers and barriers in implementing integrated care. Health System & Reform, 1(4), 250-256. https://doi.org/10.1080/23288604.2015.1077301
Sekhri, N. (2000). Managed care: The US experience. Bulletin of the World Health Organization, 78(6), 830-844. Retrieved from https://www.who.int/bulletin/archives/78(6)830.pdf
Strata Decision Technology. (2020). Healthcare and hospital capital budget. Retrieved from https://www.stratadecision.com/healthcare-and-hospital-capital-budget/
Study Document
Evolving Practice Of Nursing And Patient Care Delivery Models
… full extent and scope of their education and training (IOM, 2010). In doing so, the belief was that this would increase access to care and provide nurses with the opportunity to practice as they were trained. O’Brien (2003) notes, after all, that the whole reason APRNs began … whole reason APRNs began being trained in the latter half of the 20th century was to fill the gap being left behind by primary care physicians as they left their primary care practice to go work for specialized medicine. Today, however, nurses are still bound by regulations that require them in many states to work … this indeed comes about in Oklahoma and in other states across the country, the practice of nursing will grow and change. Continuity of care, accountable care organizations (ACOs), medical homes and nurse-managed health clinics—all of these will be impacted.
By growing the field of nursing,……
References
References
American Nurses Association. (2010). New care delivery models in health system reform: Opportunities for nurses and their patients. Kansas City, MO: Author.
IOM. (2010). The future of nursing. Retrieved from http://nacns.org/wp-content/uploads/2016/11/5-IOM-Report.pdf " target="_blank" REL="NOFOLLOW">
Study Document
Patient Protection And Affordable Care Act
PPACA
Two provisions in the PPACA (Patient Protection and Affordable care Act) that impact my current nursing practice are 1) the call for increased access to care and 2) the call for more preventive care. The Institute of Medicine (IOM) in its Future of Nursing report stated that nurse practitioners should be allowed to practice to the full … as O’Brien (2003) pointed out, Advanced Practice Nurse Practitioners (APRNs) were trained to take the place of the physicians who were leaving the primary care field for specialized medicine. Nurses were trained and educated to be able to provide primary care—the same kind of care that physicians provide. And yet in many states they are not permitted to practice independently of physicians. As a result there is a … in many states they are not permitted to practice independently of physicians. As a result there is a serious limitation on access……
References
References
IOM. (2010). The future of nursing. Retrieved from http://nacns.org/wp-content/uploads/2016/11/5-IOM-Report.pdf " target="_blank" REL="NOFOLLOW">
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