Post your thoughts on the following:
- How has research affected Health Care Policy?
- Please provide specific examples.
- What research would be helpful in moving a policy initiative forward?
- Is there research you have encountered in practice or your readings, in this course or in other courses, from which a policy initiative should be developed?
Much of the research into health care costs has focused on
the financing of health care, and as a result most of its importance is better
understood. There is little disagreement today with the propositions that
providers respond to financial incentives, that open-ended payment of hospitals
and physicians is inflationary, or that payment by third parties helps to
increase health care costs. One of the
most dramatic outcomes of health policy research has been the development of DRG's
and their adoption as the basis for Medicare hospital fees in the 1983 social
security legislation. "The health reform legislation recently discussed by
Congress would develop an infrastructure for the ongoing generation and
dissemination of information on the comparative effectiveness of different
health care treatments." (Docteur, 2010). The Rand Corporation does innovative studies
of health insurance, health care reform, women's health, as well as, other related
topics. They are a nonprofit company who
does research and studies for the public as well as private entities. They help to determine if things like
payback, or incentives are appropriate. Research that would be helpful in moving
policy forward are things like understanding dangerous consumptions of things
like alcohol, food addictions and other eating disorders. It would seem that
eating disorders of all kinds are on the rise. The mental aspect of why people
are obese is an area I would like to see more research on. We hear about what
obesity does. We are now seeing a change by the FDA on lap band surgery to
include those who are overweight, and have a problem, like sleep apnea instead
of those who are morbidly obese. Has enough research been done to warrant the
necessity of invasive surgery, albeit less invasive than gastric bypass?
References:
Docteur, E.,Berenson, R.,
(2010, Feb.). How will Comparative Effectiveness Research Affect the
Quality of Health Care?
Retrieved from http://www.rwjf.org/files/research/20100218qscomparativeeffectiveness.pdfhttp://www.rwjf.org/files/research/20100218qscomparativeeffectiveness.pdf
Rand Corporation, (2011, Apr.). Health and Health Care.
Retrieved from http://www.rand.org/topics/health-and-health-care.htmlhttp://www.rand.org/topics/health-and-health-care.html
Discussion 2:
As your final posting, identify at least two challenges facing the U.S.
health care system that cause you the greatest concern. Discuss how you will
impact these concerns through your professional activities. 1. The biggest challenge really is health wellness promotion. This would fall under the improvement in health care quality and safety.
2. Patients should be listened to and their feelings about their care should be valued. A patient is the only one who has been with themselves all the time and should be considered an expert on themselves. To many times health care providers dismiss the patient.
3. A shortage of nurses has always been a challenge for many places, however now we have the potential with the new healthcare reform law to also have shortages of primary care doctors, as well as, other providers in health.
There are so many challenges facing our health care, you could potentially list and discuss a great deal more.
References:
Nursing Online Education database, (NOEdb), (2011). 5 Little-Known Giant Health Care Issues Facing the United States. Retrieved from http://noedb.org/library/features/5-little- known-giant-health-care-issues-facing-the-united-states
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