Managed Care Essay Example | Topics and Well Written Essays - 3000 words

Managed Care - Essay Example emerged in this modern world and the employers in the present day context get involved in making as well as executing an effective plan with utmost focus on paying premiums. These premiums are paid by the workers in the form of deductibles, copayments as well as through contribution. It has been apparently recognized that this changed system of healthcare has transformed the investment pattern of the employees. In the year 2013, highest number of employees was recorded to be enrolling in the Preferred Provider Organization (PPO) plans. The same has been illustrated in the form of the following chart: Managed care has proved its dominance in providing â€Å"qualified health plans† with the aid of different health insurance organizations. Specially mentioning, there is a need to follow the rules that are provided under the Affordable Care Act. The ACA prescribed system of medical loss is noted to be limiting the percentage of premium revenue for enhancing its use for administration, marketing as well as attaining maximum profit. However, to increase the transparency within the system, more regulations are required to be incorporated by the respective government. To increase the competition within the domain of healthcare aid, there are various additional developments being initiated to incorporate within the domain of healthcare based operations. This competitive edge is being developed with the notion to enhance the control over the premium rate fluctuations (Shi & Singh, 2011). ACA visualizes that Consumer Operated and Oriented Plans (CO-OPs) will be developed based on finances received from the federal government. This type of plans is available in small numbers within the US Medicaid services. CO-OPs started operating as nonprofit making organizations following the developments such as the Health Maintenance Organization (HMO) and PPO. CO-OPs are even structured based on standard models of such organizations that have been already active within Medicaid

Ethics Essay Example | Topics and Well Written Essays - 3000 words

Ethics - Essay Example The paper will then evaluate the relation of the first situation and then the second situation in terms of the aforementioned points of view. Later on the essay will discuss the interplay of ethical principles in both cases and how they interact with each other, and the paper will end with a conclusion that sums up the whole essay. Therefore, the paper aims to discuss the specific situations of the scientists, defines the concepts of deontology and consequentialism, as well as analyzes the situations in both points of view and from that it will ascertain which scientist is right. Ethics refers to the â€Å"code of moral standards by which people judge the actions and behaviors of themselves and others†.1 Ethics is a set of rules and regulations that define as well as govern the morality of a person’s conduct in various professional fields. Different professions demand following of different ethical theories and it is the same in case of different regions as well. Thus d eriving a universal ethics that can be applied uniformly in all fields and regions is impossible. Therefore, keeping this is mind, various ethicists have come up with ethics suitable for the respective professions and regions, which has led to the origin of several ethical theories that include relativism, absolutism, deontology or duty ethics, Kantian theory, utilitarianism, consequentialism, virtue ethics etc. The paper at hand thus deals with deontology and consequentialism in terms of the two cases given. The first case describes the situation of scientist A, where she deliberately modifies the data related to her experiment so as to achieve success in the experiment. Her act of distorting the data is against the moral code of conduct, or rather the ethics. Ethics is built upon certain values and the act of distortion here overrides these values, some of which are honesty, integrity and responsibility. She becomes dishonest by changing the data and modifying it in order to make the experiment successful, thus she does not follow the principle of â€Å"honesty†.2 By not keeping the data in its original form, she also neglects the value of â€Å"integrity,† by being untruthful to herself as well as others around her, which would later on lead to the development of a guilty conscience.3 ‘A’ further breaches the ethics of responsibility, as she does not fulfill her obligation of submitting clean and unbiased data. Therefore, it is observed that scientist A deliberately distorts data in order to create a successful scientific experiment, thus intentionally violating ethical values such as honesty, integrity and responsibility. The second case describes the situation of scientist B, where she has omitted some data due to her carelessness. But it is said that the consequences were same in both the cases, which means despite her omissions, she succeeds in the experiment. In this case, the scientist has not deliberately tampered with data , rather the data has been changed due to a state of being unaware. However, this unawareness stems from negligence or ignorance from the part of B, as she has not gone through the data again and made sure if it was completely accurate. Therefore, it can be discerned that she breaches the ethics of responsibility, as she does not cross check her data at any time of the experiment, thus unintentionally leading to distortion of data. It is natural for human beings to make

Gastrointestinal Diseases Research Paper Example | Topics and Well Written Essays - 1250 words

Gastrointestinal Diseases - Research Paper Example Further, the paper will explain the different ways of treating the gastrointestinal diseases, and end with a summative conclusion. The gastrointestinal diseases to be discussed include Constipation, Inflammatory Bowel disease, and Colon Cancer. Constipation. Contraction Constipation is an ailment of the digestive tract where the patient excretes hard feces. Constipation is a common disease that affects almost everyone in at least one time of their life. Several factors contribute to the problem including lack of fibers in an individual diet. The other factors are severe dehydration, excessive stress and sickness (www.wisegeek.com). It is imperative to note that other grave gastrointestinal diseases can cause constipation; thus, constipation can be a symptom to a wide range of gastrointestinal diseases. Effects to the body Constipation causes the movement of large intestines to stop or slow down. The movement of the large intestines is beneficial because it pushes food down the digest ive tract into the rectum. This results to retention of feces in the body because the hardened fecal matter becomes extremely painful to remove from the digestive tract (www.prokerala.com). This condition makes an individual spend long minutes in the rest room trying to get rid of fecal matter. Constipation can cause bruises to the colon and damage to the anal sphincter because the indigested matter comes out as hard as a stone. A painful aftermath may follow defecation because of bruising in the colon lining (Johnston 121). Treatment Treatment of constipation is less involving and less expensive. A patient should take some measures that reduce susceptibility to constipation (McMillan 12). Individuals can relieve constipation by taking plenty of water and other helpful fluids like soup. Secondly, the individual should consume food with plenty of fibers to ease the problem. Patients should exercise regularly to strengthen the stomach muscles and the general welfare of the body (McMil lan 13). If the condition does not ease within a few days, a patient can visit a doctor who will prescribe the most appropriate treatment. A doctor can recommend a laxative to a patient who is suffering from constipation for more than four days. However, laxatives have negative effects to the patient, and they may end up doing more harm than good. Inflammatory Bowel Disease Contraction There are various, dissimilar inflammatory bowel diseases that cause considerable inflammation of the digestive truck, tummy lining and colon (Johnston 123). However, the most widespread kinds of inflammatory bowel disease are Crohn’s disease and ulcerative Colitis. Patients contract these diseases after experiencing a considerable corrosion of the stomach lining and the lining of the digestive tract (Johnston 123). These corrosions result from excessive excretion of gastric juice that cleans up the protective mucus, and thus, exposing the delicate tissue of the stomach to the digestive juices. Research shows that, the problem can also result from bacterial infection of the digestive tract lining. Effects to the body Ulcerative Colitis patients develop inflammations and ulcers in their stomach, which leads to rectal bleeding, sore bowel movements, fatigue, dehydration and diarrhea (Podollsky 7). Severe pain may result after eating acidic foods or food items that are difficult to digest like kales.

Serology Research Paper Example | Topics and Well Written Essays - 250 words

Serology - Research Paper Example The DNA can be a very powerful source of evidence. However, there are debates about the uses serology has been put to and in recent years these debates have become more rancorous. One of the most radical transformations in evidence collection in recent years in the criminal justice system is the use of DNA. Considered by some to be a silver bullet, conclusively proving guilt, DNA’s significance can be hard to defend against and may create an insurmountable burden for an innocent defendant. It is documented that there is a high level of error in laboratories, and it is possible for DNA samples to be switched. This is an important consideration when evaluating the uses of serology. An accident like this combined with circumstantial evidence would almost certainly result in a guilty verdict. Likewise, sophisticated criminals have been known to plant false DNA evidence at the crime scene in order to shift attention away from themselves. This are important things to keep in mind when considering

Addressing Passive Smoking in Children Essay Example | Topics and Well Written Essays - 1000 words

Addressing Passive Smoking in Children - Essay Example According to the article, PS exposure in children is one of the contributing factors for morbidity and mortality. The article is also associated majority of the disabilities in children with lower respiratory infections that are caused by PS exposure. The health effects of PS in children included a high risk of respiratory infections, asthma as well as wheezing. According to the article, PS exposure in children is very high in Dutch, and it mainly takes place at homes. The statistics provided by the authors of the article showed that children below the age of 4 are the main victims of PS exposure (Hutchinson, Kuijilaars, Mesters, Muris, Schayk, Dompeling, & Feron, 2014). The aim of Hutchinson and his colleagues writing this article was to assess the practices of three Dutch health professions concerning parental counseling for PS in children. They used electronic questionnaires in conducting their cross-sectional study. The samples for the study that constituted of 720 physicians were selected from three Dutch health professions located in Limburg, the Netherlands. This was achieved by inviting the physicians’ representatives to complete self-administered electronic questionnaires that had questions on their gender, work experience, and personal smoking habits (Hutchinson et al., 2014). Other issues that were addressed in the questionnaires included their counseling practices as well as education about PS in children.

Addressing Nursing Shortage Research Paper Example | Topics and Well Written Essays - 3750 words

Addressing Nursing Shortage - Research Paper Example This essay discusses that prior to 1980s healthcare was solely a physician’s concern and certain problems like cardiac malfunctions were not considered problems until after symptoms were developed. This caused a lot of financial stress on the patients when they were treated at late stages of the disease. As a result of research it was suggested that care provided before the advent of symptoms can cost far less than the care provided after symptom development. Since then the trend of â€Å"Preventive Care† that is avoidance of disease or accident before it occurs, evolved. Managed care is the current concept for running a successful healthcare system which is a pre-planned treatment of the patient. In this system patient is considered as a client whose health is continually monitored and evaluated and treated accordingly. Health Maintenance Organizations (HMOs) are examples of managed care system. This concept has entirely changed the healthcare scenario. The role of phy sicians and nurses has been redefined. According to World Health Organization, a commendable health care system is one which provides quality services to people in need. The components of a good health system vary from country to country, however the basic mechanisms like, adequate financing, well-trained physicians and medical staff, reliable information on which policies are made, fully-equipped facilities and delivery of quality medicine and modern technology to the patients should remain the same everywhere. The health care system of United States is one of the best systems in the world in terms of funding and modern technology usage but it is also characterized by a lack of central planning, direction and control. The system is a blend of public sector and private health providers. This system is highly decentralized and complex and on top of that costly services make it quite unaffordable for a certain population. Two major health insurance programs Medicaid and Medicare are f unded by the federal government. Medicaid is funded jointly by federal government and the states and it serves the low income and poor people. While Medicare is a federal government funded two-part program that cover hospital costs and few nursing home services and physician services respectively (Nagelkerk, 2006). Despite these efforts the rising health care costs have proved to be a significant hurdle in the betterment of the system. Many problems are faced by the U.S healthcare system, a major problem being the uninsured public. According to U.S Census Bureau the number of uninsured rose to 49.9 million in 2010 from 49.0 million in 2009. Another problem which we will study is the nursing shortage. The term refers to a situation where the professional nurses’ demand exceeds the supply. The phenomenon is observed both nationally and globally and in the developed and developing countries. The shortage can be measured in terms of nurse-patient population ratio. Nursing: A Brie f overview Caring for the sick and injured has been a centuries old tradition. It has evolved throughout the years from a domestic work to professional arena. Care is practiced in different ways in the world but United States has set an example for the rest of the world. Before we discuss modern care we take a look at the nursing history in the States. Nursing is an integral part of any health care system and it plays a significant part in attaining patient care outcomes. The nurses care for the patients, work in collaboration with the medical team and assess and treat the problems. The nursing work force mainly includes director of nursing (DON), registered nurses (RNs), Licensed practical nurses (LPNs), certified nurse assistant (CNA) and other staff such as aides, orderlies and personal care attendants (Buerhaus, Auerbach, & Steiger, 2009). Following chart shows the percentage breakdown of nursing facility employees in various categories (American Health Care

Discuss three examples how HIPAA is taught, practiced, and enforced in Research Paper

Discuss three examples how HIPAA is taught, practiced, and enforced in a health care organization. What is HIPAA and why it shou - Research Paper Example It was also designed to prevent employers from hiring persons due to medical conditions that may affect the cost of their job-related group insurance. Under its rules, there is a six month limit for denying coverage for preexisting conditions under employee provided health plans. Specifically, unless an employee has received diagnosis or treatment for a pre-existent condition within six months prior to being hired then they cannot be denied coverage for the issue (http://www.dol.gov/ebsa/faqs/faq_consumer_hipaa.html). A secondary purpose of HIPAA is to protect patient confidentiality. It regulates who can access medical records, the reasons they may do so, and the proper they follow. In most cases, it forbids individuals or organizations from looking at a person’s records without their permission. HIPAA must be followed for ethical as well as legal reasons. Because of its importance, a wide variety of health care and insurance professionals must be trained in HIPAA compliance. Training is offered in several formats, including online. The website http://www.ehipaatraining.com/ offers Internet-based classes on the subject. The Department of Health and Human Services offers similar resources on the web page, www.hhs.gov.