Contribution of primary care to health systems and health...

Contribution of primary care to health systems and health: Is it essential? Evidence of the health promoting power of primary care has increased ever since investigators have been able to differentiate primary care from other characteristics of the health services delivery system. Studies constantly show that primary care has a positive effect on health results. It reduces mortality and morbidity, and it is considerably more lucrative than specialty based care. Therefore primary care is essential. Some of the beneficial impacts of primary care on health are: - It increases contact to needed services, - There is better quality of care, - There is a greater focus on prevention, - There is early managing of health problems, - The†¦show more content†¦Primary care physicians do as well as specialists in caring for common diseases and do better overall when the measures of quality are general. For less common conditions, care provided by primary care physicians with proper backup from specialists may be optimumÍ ¾ While sub-specialist care is certainly important to achieving a healthy public, such fragmented care cannot take the place of a primary care physician who can diagnose and treat the majority of patients in their office. (Editors and Staff, 2009). Primary care professionals are in the best place to notice the incidence of possible adverse effects of medical interventions, mainly those from drug reactions and interactions. This additionally makes primary care very essential. In systems of care that are leaning to primary care, the primary care practitioner is, the most commonly seen physician, for patients with all degrees of common conditions Only when conditions are uncommon are spec ialists the most frequent type of physician seen, and only for that condition From the primary care point of view: Why do we need a health care reform in the United States? From a primary care point of view we need health care reform in the United States for various reasons. First, In the United States, more than 40 million people are lacking health insurance. Some ofShow MoreRelatedAmerica s Health Insurance Plan1018 Words   |  5 PagesThe Health Insurance Association of America describes Medicaid as a government insurance program for people of all ages whose income and resources are insufficient to pay for health care. America’s Health Insurance Plans (HIPAA, pg. 232). Michigan Medicaid State Plan is an agreement between the state and federal government that identifies the general health care services, reimbursement, and eligibility policies in effect under Michigan Medicaid (Marilyn, T., (2013). The state of Michigan on DecemberRead MoreFiscal Reforms Of The United States890 Words   |  4 Pageswell as, halving the gap in reading, writing, numeracy achievements, year 12 attainment, and the differential unemployment outcome between Indige nous and non-Indigenous Australians. The building blocks to achieve this were early childhood, schooling, health, economic participation, healthy homes, safe communities, and governance and leadership (Donato, Segal, 2013). Why do Policy Reforms Fail? Fotaku, (2010) found that it was extensively recognised that public policies often fail. There have beenRead MoreEssay Care Coordination in the Health Care System582 Words   |  3 PagesCare coordination within health care systems ensures the client of an effective and short stay. Care coordination refers to the coordination between and among professional teams that serve valuable roles involved in providing care to clients. Different disciplines of health care professionals include nursing, medicine, case management, pharmacy, nutrition, social work, and allied health professionals, such as speech therapists and physical therapists. They are found in all health care delivery systemsRead MoreThe Goal Of Universal Health Coverage Essay962 Words   |  4 Pagesthe best possible outcomes, in the least resource intensive manner †¢ The focus should be on keeping the population healthy, not just treating sick individuals †¢ This ideal is global, universal health coverage (UHC): o â€Å"The goal of universal health coverage (UHC) is to ensure that all people obtain the health services they need without suffering financial hardship when paying for them.† [WHO –website?] †¢ UHC is primarily presented as a financial policy challenge; however, UHC first requires strongRead MoreReflection on Carl Taylor Lecture Essay782 Words   |  4 PagesDr. Carl Taylor’s contribution to the promoting the concept of Primary Health Care is insurmountable. This essay reviews Dr. Taylor’s lecture on â€Å"An Introduction to the roots of Primary Health Care; Path to Alma Ata†. It looks at his insights on Primary Health Care (PHC) and compares and contrasts them with other literature and videos on the same subject shared by Professor Henry Perry. This reflection will look at issues relating to the understanding of Primary Health Care (PHC). It will alsoRead MoreThe Bamako Initiative916 Words   |  4 PagesBamako Initiative Shortly following its independence from British colonial rule, Nigeria was experiencing tremendous civil unrest and extremely poor health outcomes, namely in delivery of primary care and maternal health. Most existing health facilities were unable to function effectively due to lack of resources and essential supplies. The dire need to provide accessible and affordable healthcare to the Nigerian people, prompted the introduction of the Bamako Initiative (BI) in 1987. InRead MoreThe Current Practice Of Health Insurance921 Words   |  4 PagesThe Current Practice of Health Insurance in Ethiopia The practice of health insurance coverage in Ethiopia is limited. Private sector insurance in health is underdeveloped and covers only a small proportion of the population through the Ethiopian Insurance Corporation (EIC) and recently through a few private insurance companies. Beneficiaries of health insurance schemes are a few private organizations and public enterprises. According to NHA III, private health insurance accounts for only 1.1 % ofRead MoreThe Affordable Care Act, Medicaid Expansion, And The Effect On Advanced Practice Nursing1448 Words   |  6 PagesThe Affordable Care Act, Medicaid Expansion, and the Effect on Advanced Practice Nursing In 2010, the President of the United States signed the Patient Protection and Affordable Care Act (PPACA) into law (Luther Hart, 2014). As written, the PPACA will be the most extensive change in the financing and provision of healthcare in 50 years (Luther Hart, 2014). The stated purposes of the legislation are to decrease the number of medically uninsured people as well as decrease the cost of insuranceRead MoreThe Problem Of Emergency Department Overcrowding1300 Words   |  6 PagesUS has a very larger number of uninsured patients in our health care system. Uninsured patients are those individuals without private or public insurance coverage. Compared to medically insured patients, the uninsured tend to delay seeking care until their medical conditions are more advanced, complicated, and costly to treat. Uninsured patients without a primary care home tend to use the Emergency Department (ED) for their primary care. Emergency Department overcrowding is a national problemRead MoreUniversal Health Care : Universal Healthcare1740 Words   |  7 PagesIntroduction Universal health care, sometimes referred to as universal health coverage, universal coverage, or universal care, usually refers to a health care system which provides health care and financial protection to all citizens of a particular country. It is organized around providing a specified package of benefits to all members of a society with the end goal of providing financial risk protection, improved access to health services, and improved health outcomes. Universal health care is not a one-size-fits-all

Working On A Group Is Not An Easy Thing Working - 946 Words

When working on a group you have to be a listener and a leader at the same time, you have to make sure you help your group. Being in a group is not an easy thing working with people can be challenging specially when they work at a different rhythm or even a different way, I’ve had different experiences working in groups but personally I can agree that this group was a perfect fit for me, at the beginning it was very difficult due to the fact that several of our classmates withdraw the class and did not inform us before they did, this made us change our approach but at the end we ended up working it out and making it work. The work we did as a group was easy we decided to meet at the speech lab and brainstorm the best way of presenting our subject; we decided on assign each of the group members their task and what was going to be the role they would be playing in the group, the order they would present and with was the subject they were going to elaborate in. I was in charge of explaining what is a nonverbal message and how important it is, so I made sure of researching everything I could not only by reading the chapter, but also by doing some outside research witch gave me a lot of information and understanding of this subject. After we all had the area we would concentrate in we decided to meet up again and practice what we had so far and star with the power point and decide on another visual aid, we decided on doing a clip on the series lie to me but at the end we couldShow MoreRelatedBenefits of Working Alone736 Words   |  3 PagesEnglish 10H Benefits of Working Alone Most people say â€Å"Two is better than one† but is it really? Is two people working together better than one single person working alone? Working in a group has been a big thing but now a days more people are finding it way easier to do everything by themselves. The potential benefits of working by yourself include the fact that you have no pressure of other people in your way, you can use your own ideas and make your own decisions, and most of all you have aRead More`` Privilege, Power, And Difference, By Johnson And Robbins926 Words   |  4 Pagesthe complexity of privilege. He also addresses why some privileged people do not feel privileged through the matrix of capitalist domination. Robbins gives us a background on how privilege became what it is today. He addresses the anatomy of the working class by drawing attention to how they were mobile, divided, powerless, and anxious for a revolution. Through Johnson and Robbins’ eyes we can begin to see how the world i s not the one we were taught it was. In Johnson’s book, Privilege, Power, andRead MoreDifference Between Teenagers Work And Balancing Academics1338 Words   |  6 PagesTeens Working Jobs and Balancing Academic How many students work part time jobs and still manage to balance their academics? People may say a lot of students are able to do that, but really when it all not that easy. Teens working jobs is a good thing, but it could lead to bad things as well. When a student has a job while in high school that is cutting into school work, that is not a good way to continue in high school. It may seem easy and simple to work a job and balance academics at the sameRead MoreBeing A Good Role Model For Employee s Means Serving As An Example1327 Words   |  6 Pageswill manage by example and lead by it. 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Mexican and Japanese immigrants were both treated unfairly through labor experiences, racial discrimination, and problemsRead MoreEssay on The Secrets to Be Innovative690 Words   |  3 Pagesgood working brain, innovation can take place anywhere and at any time. IDEO was founded by David Kelley in Palo Alto, California, in 1991. He and his team works tirelessly everyday innovating and creating new ideas. IDEO designs about 90 new products every year. Apart from creating new products, IDEO can take any existing random product from the market and redesign it to make it better. â€Å"We are not experts are a specific area however we are experts on the process of how you design things,† quotedRead MoreProject Features That Can Help Students Academic And Social Growth Close The Achievement Gap While Working1469 Words   |  6 PagesRachel Lotan talks about five specific design features that can help students’ academic and social growth close the achievement gap while working in group settings. There can be so many problems while working in groups, so in order for them to work and be effective, teachers must fully understand how to create learning tasks that are â€Å"group-worthy.† The first design feature she talks about it having the learning tasks be open-ended and require complex problem solving. There are two kinds of tasksRead MorePersonal Swot Analysis Essay1022 Words   |  5 Pagesdifferent aspects. Im confident when presenting to a large crowd, confident in my academic ability, aswell as confident in putting my ideas across to another.  · Sociable - I am a very sociable person, and like to be around friends alot of the time. I am easy to get along with, and believe that people enjoy my company. 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Night Creature Blue Moon Chapter 27 Free Essays

No matter what I said, Mandenauer refused to tell me any more until we reached my apartment. Which left me plenty of time for thought. But thinking only got me more confused. We will write a custom essay sample on Night Creature: Blue Moon Chapter 27 or any similar topic only for you Order Now Theories ranged from rabid wolves to werewolves, from an Ojibwe legend to a Nazi nightmare. None of them made any sense. We reached my place at midnight. At least no one was out and about. Zee believed we were still in the forest. I should have told her otherwise and planned to as soon as we reached my apartment. I’d shut off my radio in the woods and as of yet, I hadn’t turned it back on. However, as soon as we entered my place, the dam broke on Mandenauer’s silence. I didn’t think about anything but his words for a long time. â€Å"I am not who you think I am.† He strode through my apartment and yanked the drapes shut before he turned on a light. Then he sat with his back to the wall, where he could see both the window and the door. I didn’t like to sit near windows, either, but now that I thought about it, I’d never seen Mandenauer without a gun, never known him to relax to a level lower than red alert or put his back to any entrance. It was the behavior of a man with enemies, a man who was as much the hunted as he was the hunter. â€Å"Who are you then?† â€Å"I am a Jdger-Sucher.† â€Å"Hunter-searcher. I know. So does everyone else around here.† â€Å"No, they think they know what a Jdger-Sucher is, but they do not, because what it is, is secret and special.† A puzzle piece snapped into place in my head with a near audible click. â€Å"As in Special Forces?† His lips twitched. â€Å"Yes.† â€Å"Who do you work for?† â€Å"Not the DNR, to be sure. Though they think so.† â€Å"Does Clyde know?† â€Å"No one knows but those of us who belong.† â€Å"Then why are you telling me?† â€Å"Because I may need you as more than a hired gun. I believed I could handle this case myself, but it is far more complicated than I at first understood. And my compatriots are all occupied elsewhere.† â€Å"Compatriots? How many Jdger-Suchers are there?† â€Å"Enough.† â€Å"Obviously not, if you need me.† â€Å"Touche.† He flipped his forefinger toward his temple, then away, in a jaunty salute. â€Å"Will you help me?† â€Å"Aren’t I already?† â€Å"Yes. But it is not fair or safe for you to continue without knowing the truth.† â€Å"Then let’s hear it.† â€Å"I will start at the beginning.† â€Å"An excellent choice.† His eyebrows lifted. I shut up. â€Å"You’ve heard of Mengele and his horrible experiments at Auschwitz?† â€Å"Who hasn’t?† â€Å"You’d be surprised how many people know nothing of it. Or if they have heard, they have pushed it out of their minds, even refused to believe in the truth of such inhumanity to man.† â€Å"Are these people familiar with the term Nazisl Which I believe is the German word for inhumanity to man?† Mandenauer’s lips twitched. I’d nearly gotten him that time. â€Å"There was more going on with Mengele than the documented terrors he performed at Auschwitz.† â€Å"Why am I not surprised?† â€Å"He had a secret laboratory off-site where he worked on his pet project.† Mandenauer choked, a sound that resembled a laugh. â€Å"Pet. That should be funny under the circumstances. But it isn’t.† â€Å"What are you trying to tell me?† He cleared his throat and took a deep breath. â€Å"Monsters, Jessie. They not only wore the uniform of the Reich; they were made by them.† â€Å"I don’t understand.† â€Å"Mengele made monsters.† â€Å"What kind of monsters?† â€Å"The ones we have here.† â€Å"Which would be?† He tapped his head, then his chest, as he’d done in the cave. â€Å"You know.† I did. â€Å"Werewolves.† â€Å"Yes.† I might have begun to wonder about shared delusions, psychotic paranoia, something in the water. Except I’d been there a few hours ago when that shadow of a man had become something else. I wasn’t saying I believed in werewolves. But I wasn’t such a skeptic anymore. â€Å"How?† I asked. â€Å"One of Mengele’s famous experiments was the effect of contagious diseases on different races. He used Jews of course, as well as Gypsies. Hitler didn’t like them, either.† â€Å"Who did he like?† â€Å"Blue-eyed, blond-haired white men.† â€Å"Like you?† â€Å"Exactly.† â€Å"You knew Hitler?† â€Å"Only in passing.† I blinked. â€Å"How old are you?† â€Å"Old enough.† â€Å"Wait just one damned minute.† Without my even thinking about it, my hand had crept to my rifle, which lay near enough to touch. â€Å"Whose side were you on then? What side are you on now?† â€Å"The side of right.† â€Å"Haven’t you ever heard that a villain is the hero of his own story?† â€Å"I do not understand.† â€Å"Hitler thought he was right, too.† â€Å"But there’s one difference between him and me.† â€Å"What’s that?† â€Å"He was wrong.† I didn’t know if I was supposed to laugh at his skewed logic or not. â€Å"Relax, Jessie. Take your hand off the gun. I am not a Nazi or a werewolf.† â€Å"Well, that sets my mind at ease. Like you’d tell me if you were. Bad guys don’t usually have a swastika tattooed on their foreheads.† I frowned. â€Å"Except for Manson.† I was starting to confuse myself. Thankfully Manden-auer knew when to ignore me. â€Å"I was a spy then. A very good one. I spoke the language and looked the part. I was born in Germany and lived there until I was ten years old. Some would say I was a traitor.† â€Å"Some wouldn’t.† He smiled. â€Å"Thank you. I was given a mission and to accomplish it I did many things of which I am not proud.† His eyes went distant; sadness haunted his face. I remembered him saying he’d lost his soul long ago. I wondered what else he had lost while trying to save the world. â€Å"What was your mission?† I asked. â€Å"To discover what Mengele was up to in his secret laboratory and destroy both it and him.† â€Å"I take it that went well.† â€Å"Nein.† â€Å"What happened?† â€Å"By the time I located the laboratory†¦ † He glanced at me. â€Å"Have you ever been to Germany?† â€Å"No.† â€Å"There are beautiful cities, acres of rolling countryside. There is also what is known as the Black Forest. In the old days wolves by the thousands roamed. Mengele kept his secret lab in the depths of that forest.† I nodded. I had a feeling I knew where this was going. â€Å"I saw hundreds of wolves as I crept toward the secret place. I thought nothing of them. I saw shadows of other things, too. But I ignored them, since what I saw with my eyes would not agree with what I knew as the truth in my brain.† â€Å"I hear you,† I muttered. â€Å"However, when I reached the laboratory it was empty. Everything Mengele had made was gone.† â€Å"Where?† He made a fluttering motion with his fingers. â€Å"Released.† â€Å"Why?† â€Å"Hitler wanted a werewolf army.† â€Å"Uh-oh,† I muttered as another puzzle piece went click. I had heard that term before. I opened my mouth to mention it, but Mandenauer cut me off. â€Å"When the Allies hit the beaches at Normandy and the Russians started marching in from their side, Mengele panicked. He released the monsters and hustled back to Auschwitz, leaving the lab abandoned.† â€Å"You’re saying we’ve got Mengele’s wolves running around loose in Miniwa sixty years after the war? Sorry, Ed, I find that hard to swallow. I find all of this hard to swallow. I’ve done some reading on Mengele.† Nazi information was like a train wreck. No matter how awful it was, you just couldn’t keep yourself from looking, then looking some more. â€Å"I’ve never heard a whisper of Mengele’s secret monster-making lab.† â€Å"You think because you haven’t read about it, this makes it untrue?† â€Å"Something this large-scale and horrific would have been documented.† Mandenauer laughed. â€Å"The amount of things undocumented would amaze you, Jessie McQuade.† â€Å"Does the federal government know about this?† â€Å"My dear, the federal government knows about everything.† I snorted my opinion of that. Mandenauer and Cadotte each had their own conspiracy theory, and I, who had never believed in conspiracies, was now beginning to believe both of them. â€Å"How long do these things live?† I demanded. â€Å"They are quite hard to kill, as you may have noticed. I have devoted my life to this endeavor.† â€Å"You’ve been hunting werewolves since World War Two?† â€Å"Among other things.† I frowned. â€Å"What things?† He shook his head. â€Å"One monster at a time.† Part of me wanted to argue; part of me agreed. If I had to worry about other monsters, I just might need that padded room today. â€Å"How many werewolves were released?† â€Å"We have no way of knowing. Mengele destroyed all his records from the secret lab.† â€Å"Then how do you know – â€Å" I broke off. I could be buying into one huge delusion, except†¦ â€Å"I saw them, Jessie. So did you.† Except for that. â€Å"It does not matter how many there were.† â€Å"No? I would think that would matter quite a bit.† â€Å"What matters is how many there are. How many there will be if they continue to be made at the rate they seem to be being made here in Miniwa.† Made. I’d heard that before. From Cadotte. Though I wasn’t going to say I was buying this, there were a few too many coincidences for my liking. I sighed. â€Å"There isn’t any super-rabies, is there?† â€Å"No. Although the werewolfism,† he shrugged, â€Å"or perhaps I should say lycanthropy for want of a better term, is a virus of sorts. Remember Mengele’s tests on contagious diseases?† â€Å"How could I forget?† â€Å"He blended viruses. Mutated them. This one passes through the saliva.† â€Å"But if the rabies vaccine works, why don’t you just use it?† He shook his head. â€Å"You saw how well the rabies vaccine worked on one who was bitten.† My eyes felt like they’d bugged out. â€Å"You mean that was supposed to happen?† â€Å"Werewolves can’t shift until dusk. Except the first time. Once bitten they change within a few hours – day, night, rain, shine, it does not matter. The only way to delay the change is an immediate and thorough cleansing of the wound. Delay, but never stop.† I recalled the ER doctor’s praise of Brad’s first-aid skills. It had taken Karen Larson several hours to lose her mind, and she hadn’t changed – at least not while I was watching. â€Å"I could not let Mel become a wolf. Would you rather I put a silver bullet through his brain in front of half the town and a television camera?† â€Å"You recommend the rabies vaccine knowing it will kill the victims?† His pointed stare was answer enough. â€Å"Why not just inject all the monsters?† â€Å"The rabies vaccine only kills the bitten before they have shifted for the first time. After that, only silver will do. The more they change, the stronger they become. The older ones are able to control the change, move around as human under the moon. But even they must shift at some point when the moon is full.† So much information, so little time. â€Å"How do you know all this if Mengele’s records were lost? Did he tell you?† â€Å"No. But others were persuaded to do so.† From the chill in his eyes, I could imagine how the others had been persuaded to tell him. I gave a mental shrug – all’s fair in love and war. And it had been war. Looked like it might be war again, since there seemed to be a werewolf army on the move. I shook my head. I still couldn’t quite buy all this. Seeing might be believing, but to truly believe, I was going to have to see a whole lot more than a shadow on the wall. How to cite Night Creature: Blue Moon Chapter 27, Essay examples