DQ4-1.docx

DQ 4-1 responses

1.

The only way there have been medical advancements is because of the funding for research projects through the federal, state, and local government. Medical research depends on grants by the government to be able to afford the research. The National Institute of Health (NIH) invests nearly $32.3 billion annually in medical research and more than 80% of that amount is awarded through almost 50,000 competitive grants (National Institutes of Health, 2017). But medicinal research is not the only type of research that is funded through the government. Research on healthcare policies and policy changes is another type of research funded for the government and the Robert Wood Johnson Foundation started a new research project this year called the Research in Transforming Health and Health Care Systems (RTHS) that researches healthcare policies (Robert Wood Johnson Foundation, 2017). The only negative I see in the government funding the research is how doing so is elevating the national debt. I understand that the money is going towards a good cause but I would like to know where the money is coming from.

 References

National Institutes of Health. (2017, March 06). Budget. Retrieved from NIH: https://www.nih.gov/about-nih/what-we-do/budget

Robert Wood Johnson Foundation. (2017, May 08). Research in Transforming Health & Health Care Systems. Retrieved from RWJF: https://www.rwjf.org/en/library/funding-opportunities/2017/research-in-transforming-health---health-care.html

2.

The success or failure of any government in the final analysis must be measured by the well-being of its citizens. Nothing can be more important to a state than its public health; the state’s paramountconcern should be the health of its people (The National Academics of Science,2017).

 

Federal, state and local government contribute to the well-being of the community, with funding and grants, the government helps the community with research and public services. “For governments to play their role within the public health system, policy makers must provide the political and financial support needed for strong and effective governmental public health agencies” (The National Academics of Science, 2017). A good example of funding for research is theNational Institute of Health (NIH). According to NIH there has been a total of 282 research in different area pertaining disease. Research in acquiredcognitive impairment, Alzheimer’s disease, and diabetes are a few of the disease research. According to NIH, “At the request of Congress, the NIH embarked on a process to provide better consistency and transparency in the reportingof its funded research” (NIH, 2017). Congress expects for research to clear to provide fund. It only makes sense, when it comes with health research needs to be clear. Funding and grants are important contributions to the public health and the community.

 Reference 

National Institute of Health, 2017, July 3. Estimates of Funding for Various Research, Condition, and Disease Categories (RCDC). Retrieved from NIH: https://report.nih.gov/categorical_spending.aspx

 The National Academics of Science, 2017. The Governmental Public Health Infrastructure. Retried from: https://www.nap.edu/read/10548/chapter/5

3.

The government federal, state, and local put in quite a bit of money in order to fund the ongoing efforts for health care research. There are numerous agencies that invest in this effort, such as, The Agency for Healthcare Research (AHRQ), whose main focus is the research to improve quality care (U.S. Department of Health and Human Services, 2017). AHRQ works with the U.S. Department of Health and Human Services to provide evidence about how to continue to provide safe, effective, and quality care to patients. There are many different program’s that rely heavily on research in order to keep their facilities safe, however, it is also very hard to obtain the funding and many times the application process is extensive (U.S. Department of Veterans Affairs, 2013, para. 2). Because of the difficulty of receiving funding for research many programs get shut down before they even start.

 Research in health care is very important in the fact that it helps save lives. It also allows for the quality, affordable health care that patients receive. It does raise the national debt, and tax payer money, however, it is also saving lives and that is what matters.

 References:

U.S. Department of Health and Human Services. (2017, November). About AHRQ. In Agency for Healthcare Research and Quality. Retrieved November 20, 2017, from https://www.ahrq.gov/cpi/about/index.html

 

U.S. Department of Veterans Affairs. (2013, November). Spotlight: preventing healthcare associated infections. In Health Services Research & Development. Retrieved November 20, 2017, from https://www.hsrd.research.va.gov/news/feature/preventing_infections.cfm

3.

I envision the efforts of each of these to continue because as time progresses we will need other funding for advocating because the amount of research will increase. Different scenarios and situations happen all of the time in healthcare so we need the proper tools to be able to assess and find solutions. Today’s healthcare environment presents federal, state, and local leaders with an opportunity to affect any real change. Restructuring services, aligning policies and goals, examining cost and quality to improve value and make a tangible difference in the lives of constituents. As the pace of change increases, the resources available to manage that change are being stretched to their absolute limit. The health mandagement associates have the knowledge to help governmental organizations maximize those opportunities. There team brings decades of experience that can help meet short and long term goals. By assessing opportunities and gaps in the management of public healthcare systems, seeking funding from a variety of ACA-initiated programs, convene stakeholders to pursue public and private collaboration and much more. They can help leaders make more confident decisions to get better results. 

 Health Management Associates (2017). Providing government agencies with the tools to make a difference. Retrieved from

https://www.healthmanagement.com/who-we-help/federal-state-local-government/

Nuzum, Rachel (2017). Federal and state health policy. Retrieved from 

http://www.commonwealthfund.org/grants-and-fellowships/programs/engaging-federal-and-state-health-policymakers

4

Federal, state, and local government funding and grants play a pivotal role in scientific research.  Without government contributions, the future of medical, technological, and scientific development would be severely affected.  “At universities across the United States, cuts in federal research funding are threatening to slow the pace of scientific progress” (Jahnke, 2017).  Health research is a value to society because it provides information about disease trends and risk factors, outcomes of treatment interventions, patterns of care, and health care cost and use.  Health research provides researchers with the knowledge that they need to find better ways of preventing and treating diseases. “Biomedical research include epidemiology, the determination of the purity and efficacy of drugs, and basic knowledge of how the body works in health and disease that can lead to interventions to prevent disease or treat individuals” (Harden, 2013). 

There are some people that are against government funding but I feel that it is more beneficial than good.  In the past many researchers would use private benefactors that would finance their research projects.  Private funding may lead to bias in the results of the research because the benefactors have a stake in the outcome of the research.  The funds from private lenders may also be limited, which may not cover the full cost of the research. Government funding require researcher to submit proposals and have other guidelines in place that need to be followed.  This ensures that the results of the research is valid and reliable and that the rights of participants are protected.   

~Tasha

 

References:

Harden, Victoria (2013). History Supports Governing Funding for Public Health. Cato Unbound: Journal of Debate. Retrieved from: https://www.cato-unbound.org/2013/08/07/victoria-harden/history-supports-government-funding-public-health

Jahnke, Art (2017). Who Picks Up the Tab for Science? Boston University Research. Retrieved from: http://www.bu.edu/research/articles/funding-for-scientific-research/

5.

The National Institutes of Health invests approximately $32 billion dollars each year to medical research in America. “More than 80% of the NIH’s funding is awarded through almost 50,000 competitive grants to more than 300,000 researchers at more than 2,500 universities, medical schools, and other research institutions in every state and around the world” (National Institutes of Health, 2017).

The Agency for Healthcare Research and Quality’s (AHRQ) mission is to produce evidence to make health care safer, higher quality, more accessible, equitable, and affordable, and to work within the U.S. Department of Health and Human Services and with other partners to make sure that the evidence is understood and used” (Agency for Healthcare Research and Quality, 2017). AHRQ works to provide evidence based research in order to better assist physicians and nurses in providing the best quality care for their patients.

Medical research is imperative to the healthcare field and to our daily lives. Research saves lives every day and will continue to do so with our governments help in funding their efforts. Things we do today as nurses and providers are because of the extensive role these researchers play. I believe that health care research will continue to grow and expand and could potentially one day find cures for such debilitating diseases that we see all too often.

 

Agency for Healthcare Research and Quality. (2017). About AHRQ. Retrieved November 22, 2017, from https://www.ahrq.gov/cpi/about/index.html

National Institutes of Health. (2017, March 6). Budget. Retrieved November 22, 2017, from https://www.nih.gov/about-nih/what-we-do/budget