HSN 476. Wk 2 Discussion – Healthcare: Right Or Privilege
“Our nation is built on the idea that society should ensure opportunity for “life, liberty and the pursuit of happiness.”” (Knickman, & Kover, 2015 p. 4). According to Health Care Delivery in the United States (2015) “good health is essential to participate in the political and social system, to work and support ourselves and our families and to pursue happiness and good life.” With that being said, my belief is that healthcare is a human right to everyone.
Over the years, the U.S. government has contributed various programs to healthcare. Due to our healthcare system constantly changing, our government should be readily prepared and open to the needs of its citizens. My belief is that other than just simply addressing policies, cost, and budgets for healthcare, the U.S. government needs to consider the input of those that are affected within the healthcare system. According to the journal article, Wellness and the Governing Dynamics of Healthcare Reform (2009) “Government mandate is not a good way for managing health. In contrast, wellness-based healthcare provides a rational organizing principle for medicine, business and government to collaborate in a structure that preserves a system informed by innovation, sound medical and business practices and good sense on the part of populace.”
Vulnerable populations is defined as “an umbrella term for all of the individuals who, due to wide variety of factors, are at greater risk for poor health status and health care access.” (Knickman, & Kover, 2015 p. 151). One specific population that has become extremely vulnerable within our healthcare system are our mental health patients. “Many people living with mental illness or chemical dependence are not receiving the proper comprehensive care they need. Many ultimately end up homeless or in prison.” (Knickman, & Kover, 2015 p. 161). In my personal experience of working in both long-term care and acute care, I have witnessed physicians not truly addressing patients mental health needs, discharging them and patients being admitted back to facility within a 30-day period. “Not only are mentally ill individuals more likely to be incarcerated or homeless, they also contribute significantly to the cost of ED care in hospitals across the country.” (Knickman, & Kover, 2015 p. 161).
There are not enough community resources nor in-patient facilities with properly trained professionals who know how to handle mental health patients. The article I chose was Starving in the Midst of Plenty: The Mental Health Care Crisis in America. I chose this article because it talks about how mental health has been left behind and while other issues are placed at the forefront. “Over the past decade, our mental health systems have been progressively starved of the resources they need to do their job. This systematic defunding of psychiatric services has occurred in both the private and the public sector.” (Appelbaum, 2014 para. 1). Our healthcare delivery system has turned its focused to treating only acute medical conditions and has forgotten about addressing mental health diagnoses.
The mental health crisis that we are facing in the United States is leaving our mental health patients without of the quality care that they deserve. This deserves to be addressed by the government so that funding, community resources and better access to care can occur for the mental health population.
Knickman, J. R., & Kover, A. R. (Eds.). (2015). Health care delivery in the United States
(11th ed.). New York, NY: Springer Publishing.
Appelbaum, P. S. (2014). Starving in the midst of plenty: the mental health care crisis in America. Psychiatric Services, 53. Retrieved from https://ps-psychiatryonline org.ezp.waldenulibrary.org/doi/full/10.1176/appi.ps.53.10.1247#?
Henry. R. E. (2009). Wellness and governing dynamics of healthcare reform. American Health and Drug Benefits, 2. Retrieved from https://eds-b-ebscohost- com.ezp.waldenulibrary.org/eds/pdfviewer/pdfviewer?vid=4&sid=3ff2f0d1-7077-45c5-9ec0- ee4388963f75%40sessionmgr102
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Post a total of 3 substantive responses over 2 separate days for full participation. This includes your initial post and 2 replies to classmates or your faculty member. All responses must be at least 175 words to be considered substantive.
Respond to the following in at least 175 words:
- Think of a situation in which the Triple Aim framework could help you adapt to changes in the delivery of patient care. How could you use the framework to reduce the per capita cost of healthcare in your own work environment to better align the needs of your organization with 21st century healthcare practice? Provide an example, either within your work environment or in society at large, of when an ethical or legal dilemma impacted your organization. Support your position by citing at least 2 references.
Post 2 replies of at least 175 words to classmates or your faculty member. Be constructive and professional. Support your position by citing at least 1 reference.
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