US Health Care Delivery System Samples for Students †MyAssignmenthelp

Question: Discuss about the US Health Care Delivery System. Answer: Nursingas a profession has not been spared either in the transformational wind that is blowing across the various professions in both the United States of America and the world as a whole. These transformations have significant effects on both the nurses and nursing as a practice and determine how future nurses are likely to be(Bryan, 2014). In a bid to see patients get access to better health care services across the country in the United States of America, nurses are required to adjust their sails. As a result of these transformations, the United States of America has managed to hit the top notch as far as concerned. The transformations have involved various stakeholders in the nursing profession among them states and insurance companies. The insurance companies are made to abide by categorical provisions and policies that promote patient centered decision making. The reforms include the elimination of financial barriers and policies thereby promoting freedom of choice among the patients. With the deviation in health care sector, there is a projected high demand for nurses thereby creating variations in their growth and practice(Fischhoff, 2014).service delivery in nursing The concept of continuity forms a very fundamental aspect of nursing practice as it is significantly responsible for the modification and growth of professional nurses. This concept focuses on care aimed at availing improved ways of attendance and treatment to patients. It is important for nurses to be informed about such services so as to be able to implement them. With the concept of Continuum or Continuity, integrated health care services which are qualitative in nature will be provided to the patients(Dixon, 2011). Still, the concept would ensure cost effective services in the whole treatment process. There is a few type of continuum among them: Informational continuity: This majorly deals with information. Informational continuity provides for the efficient transaction in relation to accumulated knowledge besides important information required in narrowing the gap between various health care services events(Ginter, 2013). Information on service users are usually very important and form a fundamental part of the treatment process. Services are usually offered on the basis of the information provided. Management continuity: Deals with a cohesive and self-generated approach that offers improved services to the patients. It includes shared management planning and protocols. The cohesive and self-generated approach helps in the delivery of high-quality services in the health care sector(Ellis, 2013). Effective management of health sector would ensure service users are not subjected to economic physicians but instead professional committed to ensuring a disease free society. Relational or Interpersonal continuity: this defines the therapeutic relationship that occurs within the simultaneous(Mayer, 2010) health care system setting. Interpersonal continuity helps in bridging the gap between patients and those in charge of the provision of health care services. Bridging the gap is important in getting access to information that may be useful for the improvement of the health care systems of the future. Nurses Management Health Clinics (NMHC) is likely to have positive impacts on nursing. This is a result of the increased funding from both the state and federal governments(Kouzes, 2014). This would, in turn, improve the health of numerous patients as it would involve treatment of patients in the context of the whole environment as opposed to focusing only on the disease. Through NMHC, nursing services would be more of patient-centered and care most of the uninsured patients. The service would suffer a blow due to insufficient funding(Green, 2010). Reports indicate the NMHC has a greater impact in primary care as opposed to secondary care. Of greatest interest to the American nurses as at now is the Accountable Care Organization (ACO) which is a service group comprised of nurses, physician and other medical professionals. This organization does not include the certified midwives(Ginter, 2013). Nurses need to be informed and educated on how these professionals can harmoniously collaborate in a bid to deliver high-quality medical care services. When patient and Affordable Care Act of 2010 will be enacted it is expected that health care providers would change to value based and accountable health care. In addition to this, there has been remarkable growth in medical homes which enhance patient-centered approaches in offering health care services. There will be a general increase in the access to health care service across the country(Knebel, 2013). My nurse colleagues, from their responses, seemed supportive of my presentation. They were also of the idea that there was the need to enact and maintain the established legislations to ensure improved quality health care in the united states of America. They agreed that the health care sector in the country needs to be improved so as to increase the safety and health of the citizens. Discussions are underway on Action Coalitions that are aimed at making the future of nursing at a better position that it is at the moment(Martin, 2015). Action Coalitions comprises of the clearly outlined and set objectives in improving the efficiency of the health care sector through the potential of professional nurses. It outlines the need to engage all the stakeholders so as to come up with an all-inclusive blue print. It is important to note to realize a sustainable development in the sector of health care; all the stakeholders need to be brought on board. The task to see a prosperous health care sector cannot survive in the hands of an individual or a single group of professionals. As at now the launching of about 36 Action Coalitions in two phases across the various states of the United States of America is underway. Among the states that the project has been rolled include Ohio, Hawaii, Georgia, Texas, Virginia among other states across the country. Each of these Action Coalitions aims at goals that would enhance the overall results related to nursing practice(Medicine, 2011). From the nurses views, they have the strategies and the potential to curb the most challenging health issues and in general improve the existing health care system. Unfortunately, they face a few problems among aging workforce, demographic challenges as well as healthcare-setting fragmentation. The nurse colleagues expressed hopes in the improvement of the nurse to patient ratio which they said was very low at the moment. Important to note is that ACO is an organization that gives priority to the issues that are facing nurses. The foremost challenge that nurses face at the moment is the decision on life and death in the health profession. This decision has both a sensitive practical and ethical points of view. The nurses were of the opinion that this sensitive issue can be overcome through enlarging the important opportunities offered to professional nurses. This will see the nurses increase their skills and knowledge as far as providing health care services is concerned(Organization, 2010). The Action Coalition lacks professional nurses as the main barrier to its advancement. Nursing just like most of other professionals do not have enough members to offer improved services. Lack of better partnership is yet another challenge affecting the health care sector in the United States of America(Sabat, 2013). But the nurses felt that from the concept of Continuity or Continuum the challenge would be addressed to a greater extent. This concept would enhance nurses approach to challenges related to the complexity of the settings of the health care, patients and the demand for high-quality health care services. From my discussion with the nurses, they highlighted a few integrated mechanisms that enhance change of professional nursing practice and growth. Among them were: Health information systems: This assisted the nurses in accessing any information they needed about the patients they were serving(Green, 2010). Through health information systems the required information would easily be accessed at cost effective levels. The data stored in this system would about the environmental barriers as well as the aspects of the lifestyle including cultural, behavioral and financial lifestyles. Professional nursing is highly enhanced when the nurses have patients information at their disposal as the information is vital in decision making. Community-based services: As of the concept of Continuum or Continuity, the nurses can assist patients who are related to them by increasing the continuum(Page, 2014). This is done through paying visits to the residences of the patients and evaluating their health conditions so as to offer relevant, effective and high-quality services. This, in turn, increases the coverage of nursing services to an almost all-inclusive level. Community-based services ensure the nurses are easily accessible and that patients do not have to travel very long distances in search for health care services(Knebel, 2013). Program Events for Disease Management: Following the views of the nurse colleagues, they proposed that programs for disease management are important in ascertaining the extent of disastrous health issues. Such health issues could be diabetes, cardiovascular diseases or any other tragic health issues that could be detrimental to the service users. Through these programs, it will be quite easier for nursing personnel to curb such health problems or any related(Dixon, 2011). These programs can also help in educating the society on various disease management mechanisms so that service users do not have to wait to be attacked by diseases. The education offered could be on various lifestyles that are a recipe to certain diseases and health complications. References Bryan, K. (2014). Communication in Healthcare. Toronto: Peter Lang. Dixon, A. (2011). Patient Choice: How Patients Choose and How Providers Respond. Dickson: King's Fund. Ellis, J. R. (2013). Nursing in Today's World: Trends, Issues Management. London: Lippincott Williams Wilkins. Fischhoff, B. (2014). Communicating Risks and Benefits: An Evidence Based User's Guide. New York: Government Printing Office. Ginter, P. M. (2013). The Strategic Management of Health Care Organizations. Texas: John Wiley Sons. Green, D. (2010). From Poverty to Power: How Active Citizens and Effective States Can Change the World. London: Oxfam. Knebel, E. (2013). Health Professions Education: A Bridge to Quality. Manchester: National Academies Press. Kouzes, J. M. (2014). The Leadership Challenge. Chicago: Wiley. Martin. (2015). Caring For People With Chronic Conditions: A Health System Perspective: A Health System Perspective. London: McGraw-Hill Education (UK). Mayer, G. G. (2010). Patient Care Delivery Models. New York: Aspen Publishers. Medicine, I. o. (2011). The Future of Nursing: Leading Change, Advancing Health. New York: National Academies Press. Organization, W. H. (2010). The World Health Report 2008: Primary Health Care : Now More Than Ever. Washington: World Health Organization. Page, A. (2014). Keeping Patients Safe: Transforming the Work Environment of Nurses. Micchigan: National Academies Press. Sabat, E. (2013). Adherence to Long-term Therapies: Evidence for Action. London: World Health Organization.