week 5
tameko86
HEALTHCAREREVOLUTION.pptxHEALTHCARE REVOLUTION
Name
Institution
Date
In beginning this presentation I am… and my degree plan is…. Which will enable me to positively impact healthcare and hopefully be able to contribute towards significant changes in the healthcare system which will be remembered down the line. Personally my healthcare experience involves meeting patients who lack medical cover. Currently biggest concern in healthcare is regarding the ever rising healthcare cost as I believe the government can do more towards ensuring there is coverage all individuals and ensure gaps in coverage are minimized.
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Overview
Revolutionary factors from 17th to 21st century
How the revolutionary factors transformed healthcare
Stake holders affecting healthcare
An overview of what will be covered in todays presentation includes;
Revolutionary factors from 17th 18th, 19th, 20th and 21st century and how the revolutionary factors transformed healthcare
Stake holders affecting healthcare with special focus on the government, patients and American medical association as the selected stakeholders
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Revolutionary factor 17th century
First marine hospital
This was the first sign of medical organization
This revolution was the origin of public health service
It paved way for prepaid health insurance programs and public funded healthcare in the US
The major revolutionary factor I the 17th century was The Marine hospital which was a sign for medical organization within the country. Its existence proved to be the origin of public healthcare service, National Institute of Health, the Indian Health Service and the Center for Disease Control and Prevention. At the time captains, pilots, engineers, cooks, stevedoers, deckhands and pursers were eligible for treatment and care at the institution by contributing 20 cents a month. This paved way for prepaid health insurance programs and public funded healthcare in the US.
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Revolutionary factor 18th century
Founding of the American Medical association
It changed healthcare system by;
attempting to define educational standards for physician
Bring order to healthcare
The formation of the American Medical Association is a major revolution during the 18th centaury as it changed he healthcare system greatly by bringing order and attempting to define the educational standards for physician.
In addition the goals of the organization at the time included;
Promoting at and science of medicine
Advancing the interests of patients and physicians
Promoting public heath
Lobbying for favorable healthcare legislation
Raising money for healthcare
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Revolutionary factor 19th century
Beginnings of health insurance
The concepts of health insurance dated back as early as 1847
The Massachusetts Health Insurance of Boston provided cover for accidents related to steamboat and railroad (Berchick et al., 2019)
Sickness insurance covered for lost wages upon missing work due to sickness
Health insurance is key revolution in healthcare as it enables covering of healthcare cost. The concepts of health insurance dated back as early as 1847 where The Massachusetts Health Insurance of Boston provided cover for accidents related to steamboat and railroad. However not many people adopted health insurance due to lack of proper treatment. Later Sickness insurance was introduced and covered for lost wages upon missing work due to sickness as at the time lost wages was significantly greater than the cost of healthcare
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Revolutionary factor 20th century
Medicare and Medicaid
This significantly changed healthcare system with the government assuming a greater role in managing healthcare
The programs ensured coverage for children, elderly and low income uninsured individuals (Miller & Wherry, 2017)
The program ensured increased access to care
Medicare and Medicaid are revolutionary programs in the healthcare system and brought about significant changes in terms of healthcare access. The programs provided coverage for children, the elderly and low income uninsured individuals which generally enabled increased access to healthcare
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Revolutionary factor 21th century
The patient protection and Affordable Care Act
This legislation mandated coverage of 35- 45 million uninsured individuals (Miller & Wherry, 2017)
It also aimed to correct some of the ethical questionable practices by insurance companies
The ACA ensured no individual would be denied coverage
The affordable Care ACT remains one of the revolutionary legislation of the 21st century that significantly changed the healthcare system. This Act was responsible for increased number of Americans obtaining coverage by seeing to it that the number of uninsured Americans dropped from 16% to 8.8%. Additionally the act also aimed to correct some of the ethical questionable practices by insurance companies such as screening for preexisting conditions, policy rescinds regarding imminent illnesses. As illnesses result The ACA ensured no individual could be denied coverage on the basis of discriminatory factors.
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Healthcare stakeholders
| stakeholder | purpose | impact |
| American Medical association | Promoting science and medicine in making public health better | Positive impact include improved public health, standardizing medical education setting ethical standards for medical practice Negative impacts include protecting corporate interests |
| Government | Funding and regulation of public health | Positive impacts include; public health infrastructure, funding , regulating healthcare markets Negative impacts include; failure to provide coverage for all and increased healthcare costs |
| patients | Financing, providing information, asking questions | Positive impacts include; improving healthcare experience, financing healthcare, subjects for furthering research Negative impacts include not following instructions |
American Medical association
Promoting science and medicine in making public health better
Positive impact include improved public health, standardizing medical education setting ethical standards for medical practice
Negative impacts include protecting corporate interests
Government
Funding and regulation of public health
Positive impacts include; public health infrastructure, funding , regulating healthcare markets
Negative impacts include; failure to provide coverage for all and increased healthcare costs
patients
Financing, providing information, asking questions
Positive impacts include; improving healthcare experience, financing healthcare, subjects for furthering research
Negative impacts include not following instructions
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References
Berchick, E., Barnett, J., & Upton, R. (2019). Health Insurance Coverage in the United States: 2018 Current Population Reports. https://census.gov/content/dam/Census/library/publications/2019/demo/p60-267.pdf
Miller, S., & Wherry, L. R. (2017). Health and Access to Care during the First 2 Years of the ACA Medicaid Expansions. New England Journal of Medicine, 376(10), 947–956. https://doi.org/10.1056/nejmsa1612890
Quackenbush, J. (2020, February 1). Data will Drive the Healthcare Revolution. IEEE Xplore. https://doi.org/10.23919/PanPacific48324.2020.9059311
