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parity (problem dating back to the 1950's) |
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refers to the requirements that insurers cover mental health care at the same level of medical care. |
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Mental Health Parity and Addiction Equity Act of 2008 |
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intending to end health insurance benefit inequity between mental health/substance abuse disorders and medical/surgical benefits for group health plans. |
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one person is responsible for assessments, plan of care, and treatment."like Mayo" / nurse has a caseload of patients / does initial assessment. Cost-effective ? |
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The is a team of RN possibly LPN CNAs that all work together for a patient outcome. / Develop care plan. Team leader does not spend too much time with client. |
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nurse delegates work to other HCPs. not cost effective; Florence Knightingale |
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usually advanced practice nurses |
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stigmatization, aging population, health care providers attitudes |
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barriers of mental health |
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only do as much as they have to. |
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It's basically a doctor that specializes and works at the hospital. |
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Top priority is to provide research findings to consumers; Improve outcomes and quality for health care; patient safety |
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autonomy, respsonsibility, accountability, and authority |
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elements of decision making? |
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cost, quality, and access |
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1. What are the three major types of problems in the US health care system? |
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- Improving access to health care to lower income individuals through Medicare or Medicaid has created more cost. Increasing the quality of care can easily increase the cost with more staffing, training of HCP;s, technology ect. (money spent on improving the quality of healthcare) |
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Definition
2. How have improvements in one of the above cause problems in others? Give examples. |
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- Runaway costs, inequitable access, variable quality. (Physicians are forced to specialize, more money spent on institutions and medical schools ect) |
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3. How have policies contributed to long standing problems |
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- Sluggish economy, raising healthcare costs, receding governmental budgets. (impact of medicare and Medicaid; inflation causing employers not to give health insurance or parts of health insurance to their employees) |
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4. List three of the major forces that beset the US Health care system. |
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- Aging population, costs in drugs, technology. |
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6. Identify three issues related to health care costs. |
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- It's basically a doctor that specializes and works at the hospital. More effective and more capable of continually monitoring and managing inpatient care than office based physicians. More and more being hired to decrease hospital stay and improve patient satisfaction. |
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- Staffing, increased patient to nurse ratio, excessive paperwork, inefficient communication system, supervision of lesser trained aides required (need to spend more time with the patient) |
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10. What are the work issues for nurses and what will need to change? |
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- Individual to population, continuous comprehensive care and chronic disease management, focus on maintaining wellness and prevention; individual to population; incentives for appropriate care at an appropriate level instead of incentives to fill beds. Assume universal access to healthcare. |
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11. What are the most frequently voiced suggestions for the improvement of our health care system? PAGE 412 |
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