Wednesday, January 29, 2020

Health and Health Care Essay Example for Free

Health and Health Care Essay The book â€Å"Health and Health Care 2010: The Forecast, The Challenge† by Roy Amara et al. provides detailed analysis of trends that will affect health care policies and practices by 2010. In particular, the authors have made an excellent effort to forecast stability and volatility of health care in the USA. The authors cover the following topics: health care forecast, demographic trends, health care demands, health insurance, children’s health, medical and information technologies, diversity and the workforce. Managers and staff members will find the chapters about information and medical technologies of particular interest. Nevertheless, the issue of ablation is paid too little attention. The authors argue that the primary purpose of the book is to make readers aware of critical factors that affect health care system in the beginning of the 21st century. When speaking about demographic trends and burden of disease, they claim that American population will be more ethnically diverse and older. Thus, such situation will be very likely to result in increased number of chronic diseases. One more important problem is that health care costs have increased meaning that less people can afford highly-qualified medical support. The authors predict growth of Medicare and Medicaid by 2010 due to changes in health care insurance systems. They say that â€Å"during the 1990’s, the managed care became the dominant health care insurance and delivery system, covering more than 60 percent of publicly and privately insured lives†. (p. XX) Managed care plays is argued to play important role in controlling national expenditures on health care, and people are provided with coordinated health care. Nevertheless, managed care is highly criticized by physicians, the media and consumers, but the government decided to make managed care an effective mechanism of controlling costs and delivering health care. The way the health care system is organized is swiftly changing, and surplus of hospital beds will contribute to consumer’s market. However, intermediaries will be entailed with a new role. The authors mention that the negative moment is that little changes were provided in the way the physicians practice medicine. Even the invention of the telephone, the computer and Internet didn’t significantly change medical practices. Of course, exceptions are present. It is physicians who are the central figures in health care, but surplus of doctors and new roles of health care providers are very likely to shift that paradigm over the next decades. New medical and information technologies are of particular interest for managers and staff members, and they are claimed to be the key driving force in organization of the health care system in the beginning of the 21st century. The problem is that health care industry is the last in implementing information technologies that would increase quality and effectiveness of health care delivery. The authors write that â€Å"beginning in the19th century, medicine has made great strides in verifying the germ theory, creating aseptic surgical techniques, discovering antibiotics, developing anesthesia, and imaging the inside of the body†. (p. 111) Of course, the impact of such innovations is undeniable and huge as physicians gained an excellent opportunity to improve public health, to extend the life span, and to improve the quality of life. Moreover, the quality of health care delivering was heightened as well. Nine medical technologies are argued to significantly affect the outcomes of patient care and health care delivering: rational drug design, advances in imaging, minimally invasive surgery, genetic mapping, genetic testing, gene therapy, artificial blood, effective vaccines, implementation of stem cells and xenotransplantation. Stem cells â€Å"can generate all other types of cells in the body and therefore hold great promise for replacing or repairing tissues and organs damaged by disease†. (p. 131) Researches of stem cells are nowadays one of the most interesting, the most promising and contradictive area of discussions and medical researches. Many researchers agree that development of the new method would open new doors before medicine. Some scientists say that creating of new human embryo must be prohibited, because it s morally unacceptable and religiously unethical. The authors continue that medical management is implemented sporadically nowadays. In particular, medical management is defined as an active management of the care of the population. Today, medical management fully depends on information systems that are used for monitoring and tracking medical processes and outcomes. Disease management programs positively impact medical practices and patient management. When speaking about public health, the authors admit that â€Å"over the past 30 years the public health system has operated under pressures of resource scarcity, limits in leadership, and organizational fragmentation†. (p. 9) Public health system is safety-net medical provider, and economic problems make its performance hardly bearable. Over the next decades global forces will the context in which public health systems will be very likely to operate. The authors conclude that global economies increase health risks and, therefore, public health system should be embedded in the context of global threats and opportunities. Cost-effective technologies should be developed for enhancing surveillance, screening and environmental health. Finally, public health strategies should aim at employing ecological strategies as ecology is human and structural determinant of health behavior. Managed care will remain dominant in health care insurance. References Amara, R. et al. (2003). Health and Health Care 2010: The Forecast, The Challenge (2nd ed. ). Princeton, NJ: Jossey-Bass.

Monday, January 20, 2020

Little Fugue and Morning Song by Sylvia Plath Essay -- Sylvia Plath Po

A relationship is an emotional connection to someone involving an interaction between two or more people. There are many types of relationships, some functional and others far from being workable. I will demonstrate this through my texts of; Little Fugue, and Morning Song both poems written by Sylvia Plath; the movie, Love Actually; and the book, Trickster’s Choice by Tamora Pierce. Little Fugue by Sylvia Plath is my first example of how we all perceive our different relationships. This poem is about Plath talking of her father and herself and the lack of communication between the two. Throughout the poem, Plath contradicts herself, saying, ‘I was seven, I knew nothing’ yet she constantly talks of the past, remembering. Her tone is very dark and imposing, she uses many images of blindness, deafness and a severe lack of communication, ‘So the deaf and dumb/signal the blind, and are ignored’. Her use of enjambment shows her feelings and pain in some places, in other places it covers up her emotional state. She talks of her father being a German, a Nazi. Whilst her father may have originated from Germany, he was in no way a Nazi, or a fascist. He was a simple man who made sausages. ‘Lopping the sausages!’ However she used this against her father, who died when she was but eight, saying that she still had night mares, ‘They color1 my sleep,’ she also brings her father’s supposed Nazism up again, ‘Red, mottled, like cut necks./There was a silence!’. Plath also talks of her father being somewhat of a general in the militia, ‘A yew hedge of orders,’ also with this image she brings back her supposed vulnerability as a child, talking as if her father was going to send her away, ‘I am guilty of nothing.’ For all her claims of being vul... ...r child being an alien, she still stumbles from bed ‘cow heavy’ at a single cry from the child. Morning Song is literally the cry of a baby, as it calls for it’s mother. The relationship between mother and child is strong although Plath seems to view her child as something totally unchildlike. She doesn’t seem to be able to connect with her child in any way. I have learned that relationships are diverse and can change from one moment to the next. I have learned that not all people share the same views as I do when it comes to the people I hold dear. The world around me is a very different place to my perceived ideals. Relationships are like diamonds, with many sides and facets. It can be perfect and clear, or cloudy and distorted. It is life. 1American spelling used as it is a direct quote 2Corus is the capital city of Aly’s home country, Tortall

Sunday, January 12, 2020

A computer a course or a blessing

Examination Malpractice is the process of student cheating during exams. Like in impersonation. That is copying from other students that maybe sitting next to him/ her, coming into the exam hall with textbooks/notebooks in order to copy answers from them or students bringing in phones in order to check Google or they may have camera some words either from notebook or textbook. Laziness, many students nowadays find it very difficult to sit down and read for about 30 minutes or at least 1 hour but they choose to waste their time on nothing.Government has tried all the could in order to stop those students from cheating but many many students has prove that they are expert in this act thereby making the government look like fools in their very eyes. Examination bodies are invigilators that are been sent to schools to go and examine students during exams. It dose not necessarily mean WAGE, NECK, JAMB But it could be a normal school exam like 1st term, 2nd term or promotional exams which is 3rd term.What this examiners do are searching students before they enter the exam hall, check their seats one after the other. When I say searching seats, it means checking their seats, bodies like pockets, undermine in the case of girls, socks and sandal. School authorities/Administrators also try their best because they join there head together In order to find a lasting solution but It seems It's not working at all, All the same these three bodies are doing well. Sometimes, It may seem as if these three bodies are not doing anything But are doing their best.The truth of the matter Is that there some bad eggs that are also In this bodies, during exams Instead of Invigilating, they will be busy telling answers to some students to some, particular questions thereby making this set of students lazy and believing that whether they read or not they will still get answers which Is not good. Only solution to this evil act Is that students should cultivate the habit of reading. If I am asked to give my final opinion to curb this evil acts, I will say that those caught In this act should be put In Jail at lest 7 (seven years.Either the coacher or student caught so that It will serve as lessons to others who are also planning to engage In this evil acts. Students read your books to avoid being tempted and landing yourself Into trouble.

Saturday, January 4, 2020

Risk Assessment Methodologies And Risk Management Strategies

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