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Health Care Comparisons: America and Sweden, 2002.
A comparative analysis of the health care systems in the United States and Sweden.
1,150 words (approx. 4.6 pages), 4 sources, $ 44.95
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Abstract
This paper compares and contrasts the health care systems in the United States and Sweden, discusses why is there so much dissatisfaction with American health care, and questions whether health care problems in America can be solved in the same manner that Social Security problems were solved.
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Health Care and Managed Health Care: The Need for Sweeping Reforms, 2002.
A look at role of primary care nurse practitioners in relation to health care reforms.
2,400 words (approx. 9.6 pages), 6 sources, $ 89.95
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Abstract
This paper investigates the role of primary care nurse practitioners in respect to health care and health care reform. The failure of primary healthcare is critically assessed, in the respect that health care is currently "managed" by independent "for- profit" organizations, where there is an emphasis on financial success rather than patient welfare. This paper also places a strong emphasis on the role of nurse care practitioners in the state of Florida and in community health care clinics.
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Impediments to Health Care Access for Low Income Visible Minorities, 2002.
Identifies causal factors for the gap in health care access for lower-income Americans and visible minorities and the more affluent members of America's majority.
29,350 words (approx. 117.4 pages), 135 sources, APA, $ 249.95
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Abstract
As the American population continues to become more diverse racially, members of visible minority groups within the population become more prominent. Simultaneously, with the increase in diversity, income distribution in the American economy has become more distorted. While economic growth in the United States has surged over the past decade, the income gap has widened; not only between the richest and poorest Americans, but also between moderate-income and low-income Americans. Members of visible minorities in the population tend to be represented disproportionately in the low-income and poverty classifications in the United States. While there is an abundance of implications of this state of affairs, one of the more crucial ones is access to health care. Individual and household financial capacity, the scarcity of employer-paid health insurance among small businesses, cultural differences based in social psychology and other factors frequently act as impediments to health care access for low-income individuals and households among visible minority population groups in the contemporary United States. This problem and these issues are investigated in this study. The study identifies causal factors for the gap in health care access between lower-income Americans and members of visible minorities in the United States, on the one hand, and more affluent Americans and members of the majority segment of the population, on the other hand. The initial chapter of this study delineates the problem investigated. Specific research questions are formulated and stated to provide greater focus for the investigation.
Social psychological theory and applied social psychology literature are reviewed in the second chapter. Literature relevant to the functioning of low-income and visible minority population groups in the United States within a social psychological context are reviewed in the third chapter. The fourth chapter is devoted to a review of literature relevant to both the health care system in the United States and the experiences of low-income and visible minority population groups in relation to health care access and health care delivery in the United States. An assessment of the problem investigated, performed within the structure of the research questions, is presented in the final (fifth) chapter. Conclusions drawn from the study findings are stated and recommendations for further research are made. The summary conclusions reached through the conduct of this study relate both to health care access and health care utilization by low-income persons and members of visible minorities. With respect to health care access, the summary conclusion reached is that a universal system of health care entitlement is required in the United States. In relation to health care utilization by low-income persons and members of visible minorities, the summary conclusion reached is that extensive education is required for both low-income persons and members of visible minorities, on the one hand, and health care providers, on the other hand. Low-income persons and members of visible minorities require education on the benefits and function of health care services, while health care providers require education in the social mores of the diverse populations they must serve.
Table of Contents:
Introduction
Problem Delineation
Background on the Problem
Statement of the Problem
Research Questions
Review of Relevant Social Psychology Theory and Literature
Introduction
Sociological Theory and Health Care
The Welfare State
Accessing Contemporary Health Care
Role of Ethics in Accessing Health Care
Alternative Health Care Delivery Systems
Chapter Conclusions
Social Functioning of Low-Income and Visible Minority Population Groups
Introduction
HIV/AIDS Related Behavior
Initiatives to Improve Health Care
Access and Behaviors
The American Health Care System and the Experiences of Low-Income and Visible Minority Groups
Introduction
The American Health Care System
Analysis of Health Care Delivery Systems
Care Quality
Alternative Approaches to Health Care
Bioethical Issues
Problems of Accessibility
Initiatives to Improve Minority Access
Chapter Conclusions
Assessment of the Problem Discussion, Recommendations for Further Research
Appendices
Annotated Bibliography
From the Paper
"Social Cognitive Theory [self-efficacy] emphasizes the role of expectancies, self-efficacy, peer normative influences, and social competency skills as key components affecting adolescents? behaviors (DiClemente, Lodico, Grinstead, Harper, Rickman, Evans, & Coates, 1996). The applicability of models based on social psychological principles for understanding African-Americans? decision-making and sexual behavior has been questioned because most such models tend to be individually-focused and do not take into account the social context in which the behavior is embedded (Cochran & Mays, 1993). Social cognitive theory, however, explicitly integrates behavioral, cognitive, and environmental factors as reciprocally interactive. Thus, given the hypothesized multi-factorial nature of sexual decision making and the potential impact of the high-risk social environment of the study population, approaches based on social cognitive theory are thought to be particularly relevant for understanding the myriad factors that may affect African-Americans? sexual behavior."
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The Health Care System of Germany and Sweden, 2002.
An overview of the costs and benefits of the German and Swedish health care systems.
2,025 words (approx. 8.1 pages), 3 sources, $ 75.95
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Abstract
This paper will examine the health care systems of Sweden and Germany in order - through comparative analysis - to highlight the strengths and weaknesses of each. Given the complicated nature of the systems to be compared and contrasted, in order to simplify the task of reading the data the analysis will be structured into two parts: (I) the costs of the health care systems in both states; and (II) the benefits each system provides its citizens/subscribers.
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Health Care Access for Low-Income Minorities, 2002.
This paper is a qualitative thesis, which assesses the impediments to health care access for low-income visible minorities in the United States.
30,578 words (approx. 122.3 pages), 135 sources, APA, $ 249.95
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Abstract
This paper, based in sociological and social psychology concepts, identifies the causal factors for the gap between lower-income Americans and members of visible minorities in the United States and more affluent Americans and members of the majority segment of the population with respect to health care access. The author concludes, after an extensive review of the literature, that a universal system of health care entitlement is required in the United States. The author suggests that an extensive education is required for low-income persons and members of visible minorities to know the benefits and function of health care services, and health care providers require education in the social mores of the diverse populations they must serve.
Table of Contents
Problem Delineation
Background on the Problem
Statement of the Problem
Research Questions
Review of Relevant Social Psychology Theory and Literature
Introduction
Sociological Theory and Health Care
The Welfare State
Accessing Contemporary Health Care
Role of Ethics in Accessing Health Care
Alternative Health Care Delivery Systems
Chapter Conclusions
Social Functioning of Low-Income and Visible Minority Population Groups
Introduction
HIV/AIDS Related Behavior
Initiatives to Improve Health Care Access and Behaviors
The American Health Care System and The Health Care Experiences of Low-Income and Visible Minority Population Groups
Introduction
The American Health Care System
Delivery of Health Care to the Poor
Care Quality
Alternative Approaches to Delivery
Bioethical Issues
Problems of Accessibility
Initiatives to Improve Access
Chapter Conclusions
Assessment of the Problem
Discussion
Recommendations for Further Research
Annotated Bibliography
From the Paper
"One of the major impediments to the attainment of universal access to healthcare in the United States is the functioning of for-profit Health Maintenance Organizations (HMOs) and managed care organizations (MCOs). These organizations are investor-owned organizations that are in business to make a profit on healthcare delivery. Non-for-profit healthcare organizations also must earn a profit on their operations in order to be able to compensate and train staff, acquire new technology, and generally improve the quality of their services. Unlike investor-owned healthcare companies, however, non-for-profit organizations are not driven by share prices and the bottom-line mentality of for-profit companies. Thus, patient-centered care in not-for-profit healthcare organizations may be contrasted with the investor orientation of the for-profit healthcare companies. Recent decisions by for-profit healthcare companies to drop their Medicare healthcare groups because of substandard profit growth illustrates as no amount of rhetoric can the precedent of investor concerns over patient concerns in the for-profit healthcare companies."
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Global Health Care, 2004.
This paper reviews six global health care journal articles, each one specific to an individual topic about variations and trends in health care around the world.
6,500 words (approx. 26.0 pages), 6 sources, APA, $ 149.95
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Abstract
This paper explains that after a country attains a certain economic level, the degree to which an individual receives good health care is determined by other factors, including poverty, which is present even in the wealthiest societies. The author points out that Canada?s health care is superior to that in the United States, offers more flexibility, and should be used as a model for the United States. The paper relates that the U.S. and other countries are facing challenges to funding national health care; however, in other countries, these challenges are often met through incentives and additional taxation, which is largely opposed in the United States.
Table of Contents
Broad Topic - Variations and Trends in Health and Disease around the World
Topic - Canada?s Health Care and How it Differs from the U.S.
Topic - Dynamics of Different Health Care Systems
Topic - Functioning of Different Health Care Systems
Topic - Global Impact of Various Health Care Systems
Topic - China Health Care and Its Global Impact
From the Paper
"More specifically Martens attempts to define global and regional dynamics that might influence health and disease trends. He concludes that managing health variations and transition effectively in the future will require ?a micro and macro approach? that takes into consideration the social, cultural and behavioural determinants of health. In his work Martens claims that socio-economic change and public health initiatives as well as technology have contributed to a shift in health and disease toward the positive. To support this premise he points out that the average life expectancy is doubled across the globe and infant and mortality rates have sharply declined."
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Managed Health Care Systems, 2004.
Presents a new model of model of managed health care in the U.S. using a systems approach.
7,200 words (approx. 28.8 pages), 14 sources, APA, $ 160.95
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Abstract
Health care in the United States has a long history; from the traveling physician who provided services in private homes and charity organizations, to government programs such as Medicare and Medicaid that proceeded hospital construction, and the relatively recent trend of managed health care. Along the way, innovation and competition facilitated new health care technologies and services that offered numerous approaches to prevention, treatment, and management of diseases. In a bold new health care policy, integration and collaboration between the public and private sectors of health care is not only an option, but a necessity in providing the most efficient and sound health care services and options. This paper examines health care in the U.S. from a historical and current perspective and concludes by introducing a new model of managed health care utilizing a systems approach.
Table of Contents
Introduction
Historical Examination of Health Care
Public Sector Health Care in the USA
Private Sector Health Care in the USA
Types of Managed Care Organizations
HMO Models
The Merging of Public and Private Health Care Models
A New Universal Managed Health Care Model
Conclusions
References
Appendices
From the Paper
"The managed health care industry did slow the growth in health care spending. Moreover, by extending coverage to services provided in an outpatient setting, it reversed the artificial preference for in-patient care that was created by indemnity insurance benefit designs. By focusing on clinical variability in physician practices, the shift to managed care forced the elimination of some unnecessary care. It also provided a stabilizing force to professional fees and institutional charges."
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Health Care Privatization.
This paper argues in favor of health care privatization as opposed to health care nationalization.
755 words (approx. 3.0 pages), 4 sources, APA, $ 26.95
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Abstract
This paper explains that, unlike national health care, a government-operated, tax-funded system, the type of system, which is currently operated in Canada, Europe, Australia, New Zealand and other countries,the majority of health care funding in the U.S. comes from the private sector. The author points out that advocates of national health care ague it would reduce costs by eliminating unnecessary, duplicative paperwork, adopting mechanisms to stretch health care dollars, such as bulk purchasing of medications, and implementing measures to control future health care costs, such as negotiating fair fees with doctors and budgets with hospitals. But some economists put the cost of national health care reform at $339 billion per year in additional taxes. The paper concludes that the only people who are really better off are the uninsured, with everyone else footing their bill and sacrificing their own health care, which isn't a good option for most working Americans because national health care expands coverage to all by raising taxes, rationing services, and limiting modern medicine.
From the Paper
"Those in favor of national health care also believe that our health care is inadequate compared to other countries with national health care. The U.S. spends more per person on health care than any other country in the world, but the World Health Organization ranked the U.S. 37th in the overall quality of health care that it provides. We are the only industrialized country that lacks universal health care. More than forty-two million Americans have no health insurance, with access distributed unequally among rich and poor and among the races."
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Minority Groups and the American Health Care System, 2002.
An assessment of minority access to the American Health
Care system, focusing on HIV-AIDS patients.
7,229 words (approx. 28.9 pages), 39 sources, APA, $ 160.95
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Abstract
Approximately 12 percent of America's population is without any formal health care insurance coverage, although some estimates of this proportion are higher. The research problem investigated in this study concerns minority access to health care. The central issue in the study is the determination of the best approach to improve such access, especially in relation to HIV-AIDS patients. The paper begins with a review of health care delivery problems for minority population groups, which is followed by a consideration of the HIV-AIDS issue among minority population groups. The primary focus of this assessment is on health care outcomes.
Paper Outline:
Introduction
Minorities and HIV-AIDS
Interaction with Health Care System
Racial and Ethnic Orientation
Structure and Method of Investigation
Minorities: Health Care Delivery Problems in the Community and Health Care System
Bioethical Issues
Failure to Address Racial Differences
Failure to Address Insurance Status Differences
Health Care Delivery and Accessibility
HMOs and Fee-for-Service Providers
Social Psychological Influences
Distrust of the Health Care System
Health Beliefs of Minorities
Social Identity Influences
Minority Status and HIV-AIDS
HIV-AIDS and Minority Population Groups
Origins
Ethical Issues
HIV-AIDS Health Care for Minorities
Initiatives to Improve Minority Access to Health Care
Proposed Initiative
Conclusions and Recommendations
Restatement of Problem
Summary of Findings
Conclusions
Potential Solutions
Assessment
Recommendations
From the Paper
"In the 1990s, one initiative designed to broaden access to health care services needs for the nation?s indigent involved the development of nurse-managed clinics targeting low-income persons. A nurse practitioner is a specially educated and trained nurse who provides some level of health care directly to patients without supervision by a physician.
Nurse managed clinics for the indigent are prominent in the nation?s inner cities. Nurse managed clinics such as those associated with the Kellogg Homeless Project in Washington, the Pine Street Inn in Boston, and the Los Angeles School of Nursing Health Center are delivering health care services to indigent persons at cost savings (compared to more traditional delivery venues) and in areas that would not otherwise be served by health care professionals (Sharp, 1992; Lutz, 1991)."
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The American Health Care System, 2006.
A comparative analysis of health care systems across cultures, compared to the American health care system.
5,125 words (approx. 20.5 pages), 26 sources, APA, $ 128.95
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Abstract
This paper begins with a historical perspective on the American health care system. It compares health care systems across various cultures and analyzes the current state of health care in America. The paper then describes three distinct measures to reform health care without resorting to socialized medicine. It looks at regulatory reform, quality improvements and mandatory immunization programs.
Table of Contents:
History Of American Health Care
Health Care Abroad
The Current Situation
The Cost Of Poor Quality
Good Medicine
Payin' And Suffering
Conclusion And Proposal
Appendices
From the Paper
"Health care in the United States didn't begin as the complex system we grapple with today. The first health care market worked very well- patients with very low expectations paid "doctors" for cures that didn't work. While this system was often less than ideal for patients, it was ideal from an economic point of view. This practice continued as doctors began to offer effective services to patients who developed an appetite for care that often exceeded their ability to pay. As the Great Depression fell upon America, hospitals began to suffer from patients' inability to pay for care. Desperate for relief, hospitals lobbied states for a way to ensure bills were paid. The creation of the first modern insurance company, Blue Cross, resulted . Originally, Blue Cross was a non-profit organization that simply paid the bills, without getting involved in what type of care was provided. Once doctors realized the benefits of this system- primarily, fast and complete payment of bills- the insurance industry began to grow. Soon, the practice was so popular that employees began demanding that their employers provide insurance benefits- a practice encouraged by the government in the form of tax benefits. This change in how care was paid for meant that the burden of health care costs shifted from the general population to the government. In the years after World War II, the United States experienced dramatic leaps in medicine. In the 1960's, the US saw a major change in how health care dollars are spent when Medicare and Medicaid began . Since that time, the US has seen a rise in the percentage of health care dollars spent by the government from 24% in the 1960s to 60% in the 1990s. Including tax subsidies for health insurance, 51% of health care spending in the US is done by government- and paid for by taxpayers."
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Disparities in American Health Care, 2008.
An examination of the American health care system.
2,332 words (approx. 9.3 pages), 14 sources, MLA, $ 71.95
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Abstract
This paper examines the American health care system and suggests methods of creating universal access to health care. The paper explains that health care should be considered a right for all citizens; a constitutional amendment would make this proposition mandatory. The paper points out that, at its root, the lack of health care for all in America is fundamentally a moral issue. The paper suggests that the United States follow its industrialized, wealthy counterparts and demand universal health care. It explains that the desire for universal health care is apparent and cites examples of states which are implementing a near-universal health care system. The writer proposes that the U.S. pass the United States National Health Insurance Act, or the Expanded and Improved Medicare for All Act. The writer further explains that this act establishes the United States National Health Insurance (USNHI) Program to provide all individuals residing in the United States and in U.S. territories with free health care, including all medically necessary care, such as primary care and prevention, prescription drugs, emergency care, and mental health services.
Outline:
Universal Healthcare in Other Countries
United States National Health Insurance Act
The Uninsured: College Students
Children's Health Care
Preventative Health Care
Eliminating Disparities
Conclusion
From the Paper
"More health care clinics geared toward minority populations could also be beneficial; citizens would feel more comfortable in settings that recognize their specific needs. Cultural and linguistic competence is mandatory. More classes in medical school concerning minority health care issues should be implemented. More minority members should be in the health care system. This would increase patient participation in care processes, ensuring grater satisfaction and adherence to treatment. The regulations in the system should be transparent and open to the public. A department in the government should be primarily focused on minority health care. The heath care system should be as diverse as our country."
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Health Care and Managed Care, 2002.
Shortcomings of health care with the implementation of managed care.
4,150 words (approx. 16.6 pages), 17 sources, $ 151.95
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Abstract
This paper discusses the shortcomings of the American health care system with the implementation of managed care. The risks and future trends in the system are looked at as well as examples of what the system has faced.
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Lack of Universal Health Care in U.S., 2001.
Rising cost of health care. Employer provided health insurance. Employee-based health plans. Growth of HMOs. Move toward health care reform. Government vs. private industry run universal health care.
3,600 words (approx. 14.4 pages), 15 sources, $ 127.95
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From the Paper
"Few issues are as critical to individuals as their physical health. Yet the cost of health care in the United States is recognized as one of the most serious public issues facing Americans today. For many years, employers have provided, or subsidized, health care in one form or another to employees. In some cases, the employer provided health insurance and the employee could select the provider without limitation. In other cases, the employer joined a health maintenance organization which required employees to go to specific physicians and providers. Americans who did not work full-time, who did not work at all, or who worked for small companies often did not (and do not) have access to health insurance or health care on a regular basis. This research considers the state of the health care industry today, the ..."
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HIV-AIDS Patients and the Health Care System, 2002.
An assessment of minority access to the American health
care system focusing on the HIV-AIDS community.
5,926 words (approx. 23.7 pages), 36 sources, APA, $ 141.95
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Abstract
Approximately 12 percent of the American population is without any formal health care insurance coverage. The research problem investigated in this paper concerns minority access to health care. The central issue is the determination of the best approach to improve such access, especially in relation to HIV-AIDS patients.
Outline:
Introduction
Problem
Minorities and HIV-AIDS
Interaction with Health Care System
Racial and Ethnic Orientation
Structure and Method of Investigation
Structure
Method [Focus on Outcomes]
Minorities: Health Care Delivery Problems in the Community and Health Care System
Bioethical Issues
Failure to Address Racial Differences
Failure to Address Insurance Status Differences
Health Care Delivery and Accessibility
Delivery
Accessibility
HMOs and Fee-for-Service Providers
Social Psychological Influences
Distrust of the Health Care System
Health Beliefs of Minorities
Social Identity Influences
Minority Status and HIV-AIDS
HIV-AIDS and Minority Population Groups
Origins
Ethical Issues
HIV-AIDS Health Care for Minorities
Initiatives to Improve Minority Access to Health Care
Proposed Initiative
Conclusions and Recommendations
Restatement of Problem
Summary of Findings
Conclusions
Potential Solutions
Assessment
Recommendations
References
From the Paper
"Decisions made by health care professionals in the conduct of practice typically are reached within the context of an ethical framework (Marty, 1992). Clinical ethics is defined as the systematic identification, analysis, and resolution of ethical problems associated with the care of particular patients (Zuckerman, 1994). The goals of clinical ethics include protecting the rights and interests of patients, assisting clinicians in ethical decision-making, and encouraging cooperative relationships among patients and those close to patients, clinicians, and health care institutions. Important in the definition of clinical ethics is an emphasis on clinicians, not only physicians, thus underscoring the fact that clinical ethics needs to be a multi-disciplinary endeavor that encompasses the range of clinician expertise involved in patient care."
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