Reflective Essay on the US Healthcare System

brooding Essay on the US wellnessc ar SystemWhat is right with the U.S. health shell out SystemMarina BukhrashviliThe republical strategy presented in The Affordable business organisation Act (ACA) seeks to fund prevention and public wellness. This is an important goal in our nations health care system. Prevention services, which include wellness, research, health screening, educational campaigns for intervention benefits and immunisation programs, may have a appointed effect on decreasing health care costs.To me, this head start needed fund, also known as the Prevention and Public health entrepot (PPHF), is very important since as I am planning a career path that involves public health and the health of the community. Seventy-six portion of the U.S. health care expenditure are spent on treating preventable chronic diseases (The Hasting Center, 2010). By law, the Prevention Public Health pedigree moldiness be used to provide for expanded and sustained national invest ing in prevention and public health programs to improve health and befriend restrain the rate of growth in private and public health care costs. (the Statesn Public Health Association, 2010).I work in a skilled nursing facility which provides smashing rehabilitation services to an senior population fol small(a)ing hospitalization. During an intake interview last winter, I asked an 82 year old female approximately her immunization history and she report that she never took a grippe shot in her life. And she doesnt mark ever taking any type of vaccinations. She said that she was afraid that a vaccination would infect her and make her sick and that her sister got sick from the flu vaccine. It has been my experience that a great majority of our patients receive important immunizations for the first time during their stay at our facility. This finding is in line with research that shows that less than 50 percent of adults age 65 age or older were up-to-date with immunizations reg ardless of continual instructups (Department of Human Health serve, 2010). This is the font even though these services are paid for by close to all insurance plans, including Medicare and Medicaid, according to the U.S. condom Services Task rend (USPSTF) (2011). Based on this experience, I feel that the PPHF maybe providing the necessary resources to instigate the health of communities and contain health care costs that would arise from treating acute infections.Even though grippe and pneumonia are the fifth major causes of deaths in the country (Center for Disease Control and Prevention, 2013), the immunization rates are nonoperational moderate. Despite all efforts to control health care across, racial, gender and age, the differences in influenza coverage persist. As the focus of health care shifts from post-diagnostic treatment to preventive medicine, making immunizations a part of every persons health care plan is an essential first step in achieving this goal.Doctors offices that treat adult population seem to be a thoroughly choice for promoting vaccination but this strategy is not effective in increasing immunization rates for adults since most physicians have busy practices which mainly focus on treating acute illness versus seeing healthy patients for preventive medicine. In addition, according to Agency for health care Research and Quality (2009), the tip causes for low immunization rates in the last few years were the high cost of screening, insufficient funds to cover the co-payment or deductibles lack of knowledge of what health insurance would cover and lack of health insurance. In addition, many older adults may not have a regular doctor or do not go for a check up on a regular basis. The prohibitive cost was intercommunicate for Medicare beneficiaries by the ACA (2010) to some extent, which broadens the Medicare coverage for preventive services suggested by the USPSTF and eliminates due costs. There is no payment for influenza, pneumococcal and hepatitis B vaccines (Cassidy 2010).Although compliance with influenza vaccination has increased dramatically after Medicare began paying for influenza vaccines for the nations older and disabled population and after health unsnarl in 2010, the proportion of older persons receiving this vaccine is still considerably low in elderly populations (CDC, 2013). According to the research (Eurich et al., 2008) some patients benefited from receiving influenza vaccination before they were hospitalized for pneumonia.As a result of passage of Affordable disquiet Act, most health insurance now covers co-payments for recommended clinical preventive services, which reduces fiscal cost to beneficiaries, however, the challenge remains to make older adults aware of the apprise of preventive services and encourage them to get the services they need. All efforts should be made to expand awareness in the community about clinical preventive services and benefits. . Nurses could send r eminders to the health care providers to notify patients when the vaccinations are due. Such reminders could be issued on seasonal basis to educate patients about importance about vaccinations during patient encounters such as the registration interview. educational Seminars can be conducted across various community centers before immunization season begins. Interactions focusing on different ethnic groups may dish up to find and address their misconceptions about immunizations, if there are any. Nurses will institute a key part in the fulfillment of the mandate of ACA and their expending scope of practice is already shaping the future of healthcare.ReferencesAgency for Healthcare Research and Quality. National Healthcare DisparitiesReport 2008. Rockville, MD U.S. Department of Health and Human Services, Agencyfor Healthcare Research and Quality 2009.Available at www.ahrq.gov/qual/nhdr08/nhdr08.pdfAmerican Public Health Association (2010). Prevention of Public Health Fund.Availabl e at www.apha.org/advocacy/Health+Reform/PH+Fund/Cassidy 2010 Cassidy A., Health Affairs and the Robert Wood Johnson Foundation. HealthPolicy Brief Preventive Services Without Cost Sharing, Health Affairs, December 28,2010. Available atwww.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=37Centers for Disease Control and Prevention. The State of Aging and Health in America 2013.Atlanta, GA Centers for Disease Control and Prevention, US Dept of Health and HumanServices 2013.Department of Health and Human Services. Healthy People 2020, Older pornographicSection, December 2010. Available atwww.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=31Eurich, D. C., Marrie, T. J., J, J., M, S. R. (2008). Mortality reduction with grippe vaccinein patients with Pneumonia outside flu season. American Journal of respiratory Critical Care Medicine, 178, 527-533The Hasting Center. Health Care Cost Monitor. Projected cost of ChronicDiseases, January 22, 2010. Available atht tp//healthcarecostmonitor.thehastingscenter.org/kimberlyswartz/projected-costs-of-chronic-diseases/The Patient Protection and Affordable Care Act. Section 4002 Prevention andPublic Health Fund. 111th Congress. Enacted March 23, 2010. Available athttp//housedocs.house.gov/energycommerce/ppacacon.pdfU.S. Preventive Services Task Force. USPSTF A and B Recommendations.Available at www.uspreventiveservicestaskforce.org/uspstf/uspsabrecs.htm