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	<title>PRIMARY HEALTH CARE &#187; elderly</title>
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	<description>Providing Varied Information on Health Care for a Better Life</description>
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		<title>Health Care Crisis In America</title>
		<link>http://www.domzdravljabudva.com/137/health-care-crisis-in-america</link>
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		<pubDate>Sat, 07 Aug 2010 07:19:24 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Health Care]]></category>
		<category><![CDATA[ealth insurance]]></category>
		<category><![CDATA[elderly]]></category>
		<category><![CDATA[family health insurance]]></category>
		<category><![CDATA[health]]></category>
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		<description><![CDATA[As a citizen concerned about health care in this country, do you feel that no one is listening to your views on health care?
To confront these problems, presidential hopefuls John McCain, Hillary Clinton and Barack Obama have all proposed extensive health care reform plans.
But some health care professionals believe that these proposals do not address [...]]]></description>
			<content:encoded><![CDATA[<p style="text-align: justify;">As a citizen concerned about health care in this country, do you feel that no one is listening to your views on health care?</p>
<p style="text-align: justify;">To confront these problems, presidential hopefuls John McCain, Hillary Clinton and Barack Obama have all proposed extensive health care reform plans.</p>
<p style="text-align: justify;">But some health care professionals believe that these proposals do not address the whole problem.</p>
<p><span id="more-137"></span></p>
<p style="text-align: justify;">The United States is a nation living under medical apartheid. The South Florida Times summarized the studies&#8217; findings as follows:</p>
<p style="text-align: justify;">&#8220;&#8230; elderly black and Hispanic patients often received substandard care for common but serious conditions like heart attacks, congestive heart failure and pneumonia. Researchers say their data suggests</p>
<p style="text-align: justify;">that the nation&#8217;s healthcare system is racially and ethnically segregated, not just for the elderly, but across the board.&#8221;</p>
<p style="text-align: justify;">Lead researcher, Dr. Ashish K. Jha, said:</p>
<p style="text-align: justify;">&#8220;When we see ongoing segregation in housing and education [in America,] it may not be surprising that we&#8217;re seeing very different administration of care in hospitals that serve blacks and Hispanics versus hospitals that mostly serve whites. But we&#8217;re not talking about [failures of] high tech medicine. This is basic stuff, like failing to administer aspirin or beta blockers to patients suffering a heart attack; treatments that we&#8217;ve known about for 20 years.&#8221;</p>
<p style="text-align: justify;">These studies are consistent with earlier findings that, at all levels of incomes, black Americans die years earlier than whites. The infant mortality rate for African American babies is 2.5 times greater than it is for non-Hispanic whites, according to data from the National Center for Health Statistics, giving us the worst infant mortality rate of any industrialized nation on Earth except Latvia. It should be noted that these recent studies demonstrate that Hispanics in this country also experience extreme disparities in medical care.</p>
<p style="text-align: justify;">Are you OK with that? Then how about this? Lack of health insurance results in the deaths of 18,000 Americans each year, according to studies compiled by the National Academies&#8217; Institute of Medicine. That equates to 49 or 50 deaths every day. f you are plagued by concerns, anxieties, guilt, shame and despair over the health problems that people are facing&#8230;.</p>
<p style="text-align: justify;">It is estimated that nearly 90 million people &#8211; about one third of the population below 65 &#8211; spent a portion of either 2006 or 2007 without health coverage.</p>
<p style="text-align: justify;">The percentage of people with employment-based health insurance has dropped from 70 percent in 1987 to 59 percent in 2006.</p>
<p style="text-align: justify;">The number of uninsured children in 2006 was 8.6 million &#8211; or 11.7 percent of all children.</p>
<p style="text-align: justify;">Nearly 3.5 million fewer children had health insurance in 2006 than in 2000.</p>
<p style="text-align: justify;">Uninsured Americans get about half the medical care of those with health insurance. Compared to people with health insurance, the uninsured receive less preventive care, are diagnosed at more advanced disease states and once diagnosed, tend to receive less therapeutic care and have higher mortality rates.</p>
<p style="text-align: justify;">About 18,000 unnecessary deaths occur each year due to lack of health insurance.</p>
<p style="text-align: justify;">It is estimated that we have spent as a nation nearly 13.5 trillion dollars on health care since 2000, but this expenditure has not resulted in demonstrably better quality of care or better patient satisfaction compared to other nations.</p>
<p style="text-align: justify;">It is estimated that we will have spent $2.2 trillion on health care services in 2007 &#8211; about 4.3 times the amount spent on national defense.</p>
<p style="text-align: justify;">Health care spending is estimated to reach $4.2 trillion a year by 2016 &#8211; just eight years from now.</p>
<p style="text-align: justify;">On average, health insurance premiums for employers have doubled since 2000.</p>
<p style="text-align: justify;">Average out-of-pocket costs for co-payments, such as for prescriptions, deductibles and coinsurance for doctor visits, rose 115 percent between 2000 and 2006.</p>
<p style="text-align: justify;">National surveys consistently show that the primary reason people are uninsured is because health coverage is too expensive.</p>
<p style="text-align: justify;">In 2007, employer health insurance premiums increased by 6.1 percent -two times the rate of inflation and wage increases.</p>
<p style="text-align: justify;">The annual premium for an employer health plan covering a family of four averaged nearly $12,100 in 2007.</p>
<p style="text-align: justify;">The average employee contribution to company-provided health insurance increased more than 143 percent between 2000 and 2006.</p>
<p style="text-align: justify;">It is estimated that nearly 700,000 patients have died in hospitals due to medical errors since 2000.</p>
<p style="text-align: justify;">Unnecessary medical accidents, errors and poor quality are the nation&#8217;s third leading cause of death, just behind cancer and heart disease.</p>
<p style="text-align: justify;">The Institute of Medicine estimates that nearly 100,000 patients die in hospitals each year due to medical errors. This is three times the number who die on the highways.</p>
<p style="text-align: justify;">Recent studies show that only a little more than one-half of adult patients receive recommended care for their medical conditions.</p>
<p style="text-align: justify;">It is estimated that 77 million Americans over the age of 19 have difficulty paying medical bills, have accrued medical debt, or both.</p>
<p style="text-align: justify;">We have a current health care system that some 47 million Americans lack basic health coverage, while many who can afford coverage elect to do without because the deductibles are too high or the policies do not cover the treatments and procedures that they actually need. Medicaid offers health coverage for many low-income Americans, but not everyone qualifies for this system of government health care.</p>
<p style="text-align: justify;">Average wages for working class Americans have not risen in parity with the ever-increasing health care premiums over the past six years, with some 11 million policyholders spending more than a quarter of their annual salary on health care expenses. Challenges readers to think past conventional wisdom and historical corrections for the future of Health care challenges.</p>
<p style="text-align: justify;">Over the past six years, family health insurance premiums have risen on average about 69 percent, more than six times the increase in the median earnings of workers (about 11 percent), finds Families USA, a Washington group championing healthcare consumers.</p>
<p style="text-align: justify;">This is not affordable for most families and individuals, forcing more and more to discontinue there coverages. Healthcare crisis is building momentum as more people elect not to maintain coverage for themselves and families. affordable coverage for healthcare is of growing concern for many americans.</p>
<p style="text-align: justify;">Your gut started telling you something is not right, didn&#8217;t it?</p>
<p style="text-align: justify;">Why do we have a crisis in health care costs today? Because government &#8220;solved&#8221; the last one.</p>
<p style="text-align: justify;">Medical Insurance that Worked &#8211; Until Government &#8220;Fixed&#8221; It, I discussed the continuing health problems.</p>
<p style="text-align: justify;">The best way to combat feeling bad about a terrible situation is to take positive action to do something good to correct it.</p>
<p style="text-align: justify;">Visit my blog site http://2brio-wolfen.blogpot.com call Now 877-818-5337 code1680 Email dealer24@freeautobox.com</p>
<p style="text-align: justify;">Article Source: http://EzineArticles.com/?expert=Dan_S_Carter</p>
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		<title>The Information That You Need To Know &#8211; Genesis Health Care</title>
		<link>http://www.domzdravljabudva.com/74/the-information-that-you-need-to-know-genesis-health-care</link>
		<comments>http://www.domzdravljabudva.com/74/the-information-that-you-need-to-know-genesis-health-care#comments</comments>
		<pubDate>Sat, 17 Apr 2010 22:09:42 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Health Care]]></category>
		<category><![CDATA[clinic]]></category>
		<category><![CDATA[elderly]]></category>
		<category><![CDATA[health]]></category>
		<category><![CDATA[healthcare]]></category>
		<category><![CDATA[hospital]]></category>
		<category><![CDATA[insurance]]></category>
		<category><![CDATA[medical]]></category>

		<guid isPermaLink="false">http://www.domzdravljabudva.com/?p=74</guid>
		<description><![CDATA[Genesis health care is one of the longest running health care plans in the United States at the moment. It has an excellent reputation and tradition that persists from 1869 to this very day and is still going strong. Health care has of course evolved since then and Genesis health care is still one of [...]]]></description>
			<content:encoded><![CDATA[<p style="text-align: justify;">Genesis health care is one of the longest running health care plans in the United States at the moment. It has an excellent reputation and tradition that persists from 1869 to this very day and is still going strong. Health care has of course evolved since then and Genesis health care is still one of the biggest providers in the industry at the moment. Whether or not health care has evolved to be effective now is debatable. In fact, most individuals struggle to afford health care these days because it is so expensive. There is no equality, but Genesis health care does try to overcome that on a very real and personal level. Its medical workers are at the front of technology and are able to administer the best in health care to all of its patients. You cannot say that about many health care centres these days.</p>
<p style="text-align: justify;">Genesis health care is located in the quad city area and is accessible to everybody there. There are three specific locations that an individual can find it. Genesis Medical Centre is in Davenport and is actually a hospital with full facilities to treat individuals with any condition or disease, no matter how serious. The more persistent illnesses are obviously treated there, including both children and the elderly. There are a number of individual clinics located on this site too that offer specialist care for individuals with illnesses like diabetes, cancer and obesity. These are all valid conditions requiring long-term treatment rather than a few days in hospital on a one-off basis. There is also a centre that individuals suffering from chronic pain can go for treatment to relieve it when necessary.</p>
<p><span id="more-74"></span></p>
<p style="text-align: justify;">The second Genesis health care centre is located in DeWitt. This is more of a community centre than a hospital, although it still has the same highly trained staff that the Genesis health care site at Davenport has. This one actually caters for more persistent problems that are not necessarily regarded as illnesses. For example, if an individual is suffering from sleep deprivation, then it is likely that he or she will stay at this centre for a few nights to try and resolve the problem.</p>
<p style="text-align: justify;">The final Genesis health care is actually at the Illini campus and is a teaching hospital so that the future health care practitioners can be well trained and ready to help the world. There is a trauma centre at this Genesis health care centre too.</p>
<p style="text-align: justify;">In fact, it is fair to say that Genesis health care provides every aspect of care for the local community. It does provide the best medical care going and everyone living there can benefit. That, at the end of the day, is all anyone asks of a health care system.</p>
<p style="text-align: justify;">You can also find more info on Health Care Insurance and Health Care Plans. Tophealthcarehelp.com is a comprehensive resource to know about Health Care.</p>
<p style="text-align: justify;">Article Source: http://EzineArticles.com/?expert=Wade_Robins</p>
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		<title>Long Term Health Care Options</title>
		<link>http://www.domzdravljabudva.com/56/long-term-health-care-options</link>
		<comments>http://www.domzdravljabudva.com/56/long-term-health-care-options#comments</comments>
		<pubDate>Sat, 13 Feb 2010 16:04:55 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Health Care]]></category>
		<category><![CDATA[ealth insurance]]></category>
		<category><![CDATA[elderly]]></category>
		<category><![CDATA[health]]></category>
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		<category><![CDATA[home health]]></category>
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		<category><![CDATA[nursing]]></category>
		<category><![CDATA[nursing home]]></category>
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		<description><![CDATA[As you grow older, housing may pose more and more of a concern, especially if your health is failing. If you are worried that you may not be able to take care of your basic needs as you age, such as cleaning, cooking, bathing and maintenance, then looking at your long term health care options [...]]]></description>
			<content:encoded><![CDATA[<p style="text-align: justify;">As you grow older, housing may pose more and more of a concern, especially if your health is failing. If you are worried that you may not be able to take care of your basic needs as you age, such as cleaning, cooking, bathing and maintenance, then looking at your long term health care options is an important choice. Let&#8217;s start right away with your options.</p>
<p style="text-align: justify;">In-Home Care</p>
<p><span id="more-56"></span></p>
<p style="text-align: justify;">In-home health care is the best option for people who have a higher level of fitness, and want to remain as independent as possible throughout their later years. In this situation, home health care nurses may come and visit you daily, or every couple of days, to take care of your everyday medical needs. Also, a housekeeper may be utilized, as well as a personal health care attendant, who would be responsible for more of the day-to-day living help &#8211; such as a companion, driver, cook or the like. In-home health care is quite easy to locate; just contact a nurses&#8217; association or look in the Yellow Pages.</p>
<p style="text-align: justify;">Continuing Care</p>
<p style="text-align: justify;">An intermediary between nursing homes and independent living, continuing care, or retirement communities, offer a wide variety of health benefits and services to their inhabitants. These communities are usually all-inclusive, where dwellers receive lodging, meals, social events, varying levels of health care, and sometimes other perks as well.</p>
<p style="text-align: justify;">Entrance fees for these establishments can be quite high (ranging from $10,000 to over 300,000); added to their monthly fees (ranging from $800-4000), and this option can prove to be expensive health care. However, services are guaranteed for the remainder of your life if you choose this option, and if your health falters, you can always be moved to the nursing home portion of their health care facility.</p>
<p style="text-align: justify;">Because of the all-inclusive nature of this kind of health care, you&#8217;ll want to read the fine print carefully in your contract. What are all of the recurring and one-time fees? What exactly is covered with those fees? What health care options are, and are not offered? Do you need to purchase extra health insurance to cover your specific care costs? Also don&#8217;t forget to check up with the Better Business Bureau about the status of the facility you are interested in; if you plan on living there the rest of your life, you may want to double check it&#8217;s reputation, too.</p>
<p style="text-align: justify;">Nursing Homes</p>
<p style="text-align: justify;">In a very simple sense, nursing homes will take care of your health care needs when you are no longer able to. This may be for a short period of time while you are recovering, or for a longer period of time as you age. Nursing homes are the whole meal deal of health care for the elderly or otherwise incapacitated. If this is an option that you think you may require, there are many things to discuss and consider when looking at your options. Does the home provide the type of care that you will require? Research the history of the nursing home; are there any black spots on their record? Talk to people who have lived there, have used their services, or who are still living there now, if at all possible. Get their viewpoint.</p>
<p style="text-align: justify;">For more more information about health care please visit http://www.1health-center.com/articles/How-To-Jump-Rope-For-Health-and-Fitness.php</p>
<p style="text-align: justify;">Article Source: http://EzineArticles.com/?expert=Peter_Lenkefi</p>
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		<title>Importation of Non-US Health Care Concept</title>
		<link>http://www.domzdravljabudva.com/48/importation-of-non-us-health-care-concept</link>
		<comments>http://www.domzdravljabudva.com/48/importation-of-non-us-health-care-concept#comments</comments>
		<pubDate>Sat, 13 Feb 2010 16:01:46 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Health Care]]></category>
		<category><![CDATA[ealth insurance]]></category>
		<category><![CDATA[elderly]]></category>
		<category><![CDATA[health]]></category>
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		<category><![CDATA[public health]]></category>

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		<description><![CDATA[Unique health care needs of special populations
Poor access to health care is a problem for many special populations, and the reasons spans across the global community. According to Anderson, Rice and Kominski (2001) access to care is often assessed by existence of regular medical care and coverage of services, as well as by an absence [...]]]></description>
			<content:encoded><![CDATA[<p style="text-align: justify;">Unique health care needs of special populations</p>
<p style="text-align: justify;">Poor access to health care is a problem for many special populations, and the reasons spans across the global community. According to Anderson, Rice and Kominski (2001) access to care is often assessed by existence of regular medical care and coverage of services, as well as by an absence of delays and barriers to care. Having a regular source of medical care is recognize as important for the general population, as well as for those with various chronic diseases (Anderson, Rice &amp; Kominski, 2001 p.236). The poor, elderly, women, children and HIV/AIDS group are the most vulnerable groups in the world. The World Health Organization (WHO) indicate the next two decades will see dramatic changes in the health needs of the world&#8217;s populations with non-communicable diseases, mental illness, infectious diseases and chronic illness as leading causes of disability. Increases in the older population by up to 300% are expected in many developing countries; in addition, HIV/AIDS will continue to be a major cause of disability and death. These changes require a very different approach to health sector policy and health care services among the special populations of the world (WHO, 2006)</p>
<p style="text-align: justify;">Special population needs</p>
<p><span id="more-48"></span></p>
<p style="text-align: justify;">According to WHO, there were 390 million people aged over 65 years recorded in 1998, and this figure is estimated to double in 2025. With advances in medicine and prolonged life expectancy, the proportion of older people will continue to rise worldwide (WHO, 2006). Unfortunately fragile health and mobility, neglect and abuse are factors that increase the vulnerability of elder women and men. Al-Nasir and Al-Haddad (1999) suggest as the overall number of elderly people increase there is a corresponding rise in the number of older persons with disabilities. Such disabilities may be social, physical, mental or psychological. Data from the U.S. have estimated that 9.5 million, non-institutionalized individuals, experience difficulty in performing basic activities, such as walking, self-care and home management activities (Al-Nasir &amp; AL-Haddad, 1999).</p>
<p style="text-align: justify;">The elderly population and there needs has an enormous implications for health care system across the global. The financial infrastructure of nations must be prepared to accommodate the coming influx of elderly patient. According to Fried and Gaydos (2002) the aging population, has put enormous pressure on the Japanese health care system. The Japan&#8217;s has a unique fund for the elderly know as the Roken system. The Roken system is a pooling fund which attempts to distribute the burden of paying for geriatric care for all Japanese. Established in 1983, the pooling fund covers those who are more than 70 years old and bedridden people over 65 years old. The fund pools contributions from all insurance schemes. Seventy percent of medical costs for the elderly are covered by contributions from health insurance societies for company employees and national health insurance schemes and the government shoulders the remaining 30 percent (Fried and Gaydos, 2002 p. 251). One draw back to the Roken system is when the number of workers paying into the pooling fund is lower than the proportion of elderly people seeking assistance the system may not be sustainable.</p>
<p style="text-align: justify;">In the U.S. the rapid growth of the elderly will put new stains on the financial resources of Medicare. Many older people who on fix incomes or limited financial resources may need a system as the Japanese Roken system, where health care is covered by contributions from health insurance companies or a universal social insurance scheme. The Medicare program has broad public support because it offers health security to many older and disabled people. Longest, Rakich and Darr (2000) suggest the need for a long-term approach to program financing, improved benefits and protections for people with low incomes remains an important issue to address. Medicare is facing the challenge of financing and managing health care for the growing number of Americans who will rely on this program for health insurance protection (Longest, Rakich and Darr, 2000). In the future the increasing growth of the elderly may pressure the government to set policies that resemble a cost sharing between private insurance and Medicare.</p>
<p style="text-align: justify;">HIV/AIDS Group</p>
<p style="text-align: justify;">According to Kates, Jennifer, Dorian, Richard, Crowely, Jeffers, Summers and Todd (2002) more than 60 million people have been infected with HIV worldwide, 20 million have died. HIV is now the leading cause of death in Africa and the fourth leading cause of death worldwide. Most of the impact has been felt in the developing world. Children and women are increasingly at risk. In addition, it is estimated that more than 40 million children will have lost one or both parents to HIV/AIDS by 2010 and these children will also be at increased risk for HIV (Kates, et. al, 2002). Access to treatment and available drugs are some of the unique health care needs facing the world HIV/AIDS population.</p>
<p style="text-align: justify;">Fried and Gaydos (2002) indicate Cuba incidence of HIV/AIDS cases remains very low, although it is increasing as Cuba opens more to tourism and external contracts. Cuba once had a policy of quarantining for all HIV-positive cases. Pressures from international bodies such as the United Nations and many large nongovernmental agencies, Cuba now has a voluntary quarantine after medically recommended stay in a residency for eighth weeks. All newly identified people with HIV are also expected to spend at least eight weeks in a sanatorium (Fried &amp; Gaydos, 2002). Cuba&#8217;s health system is funded primarily by the national budget through indirect taxation and duties. Cubans are expected to pay for all drugs for outpatient treatment. Access to health care treatment and services for HIV/AIDS patient therefore is very limited.</p>
<p style="text-align: justify;">In the U.S. even a voluntary quarantine of newly HIV diagnosed patient would be a social injustice. As HIV progress in the U.S. individuals experience disability and unemployment due to the illness. Many HIV/AIDS patients rely on public entitlements and private disability programs for income maintenance and health care benefits. Medicaid and Medicare are the primary payers for individuals who are disabled. Anderson, Rice and Kominski (2001) suggest the lack of insurance and underinsure can represent formidable financial barriers to treatment for HIV/AIDS. Persons with HIV/AIDS are more likely than the general population to be uninsured or to have Medicaid insurance. Unlike Cuba in the U.S. AIDS medication is available to HIV/AIDS patient however not all medications are covered by insurance (Anderson, Rice &amp; Kominski, 2001).</p>
<p style="text-align: justify;">The financial burden of HIV infection increasing in communities is a financial burden on health care providers and public payers. The reliance on an infinite source of public funds for people with HIV/AIDS is in dout. Cuba is a communist country which developed a process of governmental quarantine for the HIV/AIDS population. The U.S. method of moving the HIV/AIDS patients into managed Medicaid health plans is a better process in which patient care is managed for the purpose of reducing the cost of treatment.</p>
<p style="text-align: justify;">While gender affects the health of both men and women, WHO places special emphasis on the health consequences of discrimination against women that exist in nearly every culture. Powerful barriers including poverty, unequal power relationships between men and women, and lack of education prevent millions of women around the world from having access to health care and from attaining and maintaining the best possible health (WHO, 2006).</p>
<p style="text-align: justify;">Anderson, Rice and Kominski (2001) indicate in Israel the waves of immigration in the early twentieth century sparked the establishment of networks of community welfare and health organizations. The sick fund model of health provision has persisted in Israel to this day. Although the 1994 National Health Insurance (NHI) Law made all sick funds regulated subcontractors of the state, thereby providing health care services to the country&#8217;s residents under government regulation (Anderson, Rice &amp; Kominski, 2001). The system has been developed through voluntary sick funds, not for profit institutions, and the state. Israeli health system stem from organized social arrangements in which the government is responsible for the health of its citizens. The state has an active role in the development and financing of health care services that extend into the private sectors.</p>
<p style="text-align: justify;">In the U.S the entrepreneurial system is more concern with the cost and the profit involve in providing health care for individuals. The Israel NHI is a system of collaborative efforts on subcontractors of the government. The process of subcontracting allows the government to oversea the implementation of health care activities through out the country. In the U.S. entrepreneurial system subcontracting by the government would give too much control over the health care system. The Israel system can not be applied readily to the U.S. health care system because there are no true national mandates that can be applied to an entrepreneurial system. Anderson, Rice and Kominski (2001) indicate in the U.S. individuals or employers may purchase private health insurance. Approximately 63 percent of Americans had private health insurance between 1977 and 1999. Of those with private insurance, 58 percent obtained health insurance through their employer, and 5 percent purchased insurance individually. Private health insurance companies may operate as for profit or not for profit organizations (Anderson, Rice &amp; Kominski, 2001). Private health insurance organization with in the U.S. would fight against a system such as Israel NIH. The NIH is a allows Israel to regulate the health care system by subcontracting this type of system would cut the profit margin of private health insurance companies in the U.S.</p>
<p style="text-align: justify;">Conclusion</p>
<p style="text-align: justify;">Rising health insurance costs and high numbers of uninsured citizens has generated a public interest in national laws that would provide access to care for special populations. When evaluating Non-US health care concepts there is no one systems that guarantee universal access to health care for all. The national health care policy in the U.S. has evolved incrementally over the decade. Access to care has generally depended on insurance coverage that is implemented privately or publicly. With the increase needs of special populations the U.S. will have to establish policies that allow the collaboration between private as well as public entities to secure access for those in need.</p>
<p style="text-align: justify;">References</p>
<p style="text-align: justify;">Al-Nasir, F. &amp; Al-Haddad, M. K. (1999). Levels of disability among the elderly in<br />
Institutionalized and home-based care in Bahrain: Eastern Mediterranean Health Journal (5) p. 247-254 Retrieved March 3, 2006 from [http://www.emro.who.int/publications/emhi/0502/05.htm]</p>
<p style="text-align: justify;">Anderson, R. M., Rice, T. H., &amp; Kominski, G. F. (Eds.). (2001). Changing the U.S. health care<br />
system: Key issues in health services Policy and management (2nd ed.). San Francisco:<br />
Jossey-Bass.</p>
<p style="text-align: justify;">Fried, B. J., &amp; Gaydos, L. M. (Eds.). (2002). World health systems: challenges and perspectives.<br />
Chicago: Health Administration Press.</p>
<p style="text-align: justify;">Kates, Jennifer, Sorian, Richard, Crowely, Jeffrey S., Summers &amp; Todd, A. (2002). Critical<br />
policy challenges in the third decade of the HIV/AIDS epidemic. American Journal of Public Health (92) Issue 7 Retrieved March 3, 2006 from [http://web14.epnet.com/citation.asp?tb=]</p>
<p style="text-align: justify;">Longest, B. B., Rakich, J. S. and Darr, K. (2000) Managing health services organizations and<br />
systems (4th ed.). Baltimore, MD: Health Professions Press, Inc.</p>
<p style="text-align: justify;">World Health Organization (2006). Important target groups Retrieved March 2, 2006 from<br />
http://www.who.int/oral_health/action/groups/en/print.html</p>
<p style="text-align: justify;">Bio- Dr. Gilton C. Grange</p>
<p style="text-align: justify;">Dr. Gilton Grange&#8217;s formal education includes a Doctorate of Philosophy in Health Administration from the University of Phoenix, A Master of Public Administration from Long Island University and A Bachelor of Arts degree fro State University of New York at Buffalo. Dr. Grange has 12 years extensive experience in the Health Care arena and currently has concentrated his efforts in grant writing and grant development for organizations that seek to grow their businesses. Dr. Grange&#8217;s company BridgeBuilder Consortium provides services in proposal writing, management and costing for firms and organizations bidding on government contracts and grants. Dr. Grange is currently working on his first comprehensive book that focuses on multi-disciplinary teams in an organizational construct.</p>
<p style="text-align: justify;">Article Source: http://EzineArticles.com/?expert=Dr._Gilton_Grange</p>
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		<title>How to Become a Home Health Care Nurse</title>
		<link>http://www.domzdravljabudva.com/40/how-to-become-a-home-health-care-nurse</link>
		<comments>http://www.domzdravljabudva.com/40/how-to-become-a-home-health-care-nurse#comments</comments>
		<pubDate>Mon, 25 Jan 2010 08:29:57 +0000</pubDate>
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		<description><![CDATA[Home Health Care Nursing Information and Overview
Home health care is allowing the patient and their family to maintain dignity and independence. According to the National Association for Home Care, there are more than 7 million individuals in the United States in need of home health care nurse services because of acute illness, long term health [...]]]></description>
			<content:encoded><![CDATA[<p style="text-align: justify;">Home Health Care Nursing Information and Overview</p>
<p style="text-align: justify;">Home health care is allowing the patient and their family to maintain dignity and independence. According to the National Association for Home Care, there are more than 7 million individuals in the United States in need of home health care nurse services because of acute illness, long term health problems, permanent disability or terminal illness.</p>
<p style="text-align: justify;">Home Health Care Basics</p>
<p><span id="more-40"></span></p>
<p style="text-align: justify;">Nurses practice in a number of venues: Hospital settings, nursing homes, assisted living centers, and home health care. Home health care nursing is a growing phenomenon as more patients and their families desire to receive care in their homes. The history of home health care stems from Public Health Nursing where public health nurses made home visits to promote health education and provide treatment as part of community outreach programs. Today academic programs train nurses in home care and agencies place home health care nurses with ailing individuals and their families depending on the nurse&#8217;s experience and qualifications. In many cases there is a shared relationship between the agency and the academic institution.</p>
<p style="text-align: justify;">Many changes have taken place in the area of home health care. These include Medicare and Medicaid, and Long Term Care insurance reimbursement and documentation. It is important for the nurse and nursing agency to be aware of the many factors involved for these rules and regulations resulting from these organizations. Population and demographic changes are taking place as well. Baby boomers approaching retirement and will present new challenges for the home health care industry. Technology and medical care in hospitals has lead to shorter inpatient stay and more at-home rehabilitation. Increases in medical outpatient procedures are also taking place with follow-up home care. This has resulted in the decrease of mortality rate from these technologies and medical care has lead to increases in morbidity and chronic illness that makes the need for home health care nursing a greater priority.</p>
<p style="text-align: justify;">Home Health Care Nurse Job Description</p>
<p style="text-align: justify;">Through an array of skills and experience, home health care nurses specialize in a wide range of treatments; emotional support, education of patients who are recovering from illnesses and injury for young children and adults, to women who have experienced recent childbirth, to the elderly who need palliative care for chronic illness.</p>
<p style="text-align: justify;">A practicing nurse must have the skills to provide care in a unique setting such as someone&#8217;s home. The nurse is working with the patient and the family and must understand the communication skills for such dynamics. Rapport is evident in all nursing positions, but working in a patient&#8217;s own living space needs a different level of skill and understanding. There is autonomous decision making as the nurse is no longer working as a team with other nurses in a structured environment, but is now as a member of the &#8220;family&#8221; team. The host family has cultural values that are important and are different for every patient and must be treated with extreme sensitivity. Other skills include critical thinking, coordination, assessment, communication, and documentation.</p>
<p style="text-align: justify;">Home health care nurses also specialize in the care of children with disabilities that requires additional skills such as patience and understanding of the needs of the family. Children are living with disabilities today that would have resulted in mortality just twenty years ago. Genetic disorders, congenital physical impairments, and injury are just a few. Many families are familiar with managing the needs of the child, but still need expert care that only a home health care nurse can provide. It is important that a home health care nurse is aware of the expertise of the family about the child&#8217;s condition for proper care of the child. There are many complexities involved, but most important, a positive attitude and positive reinforcement is of utmost importance for the development of the child.</p>
<p style="text-align: justify;">Medication coordination between the home health care nurse, doctor, and pharmacist, ensures proper management of the exact science behind giving the patient the correct dose, time of administration, and combinations. Home health care nurses should be familiar with pharmacology and taught in training about different medications used by patients in the clinical setting.</p>
<p style="text-align: justify;">Many advanced practicing nurses are familiar with medication regiments. They have completed graduate level programs. Home health care agencies believe that a nurse should have at least one year of clinical experience before entering home health care. Advanced practicing nurses can expedite that training by helping new nurses understand the home health care market and teaching.</p>
<p style="text-align: justify;">Employment and Salary</p>
<p style="text-align: justify;">According to the United States Department of Labor, there were 2.4 million nurses in America, the largest healthcare occupation, yet many academic and hospital organizations believe there is a gross shortage in nursing staff. The shortage of nurses was 6% in 2000 and is expected to be 10% in 2010. The average salary for hospital nursing is $53,450 with 3 out of 5 nursing jobs are in the hospital. For home health care, the salary is $49,000. For nursing care facilities, they were the lowest at $48,200.</p>
<p style="text-align: justify;">Training and continuing education</p>
<p style="text-align: justify;">Most home health care nurses gain their education through accredited nursing schools throughout the country with an associate degree in nursing (ADN), a Bachelor of Science degree in nursing (BSN), or a master&#8217;s degree in nursing (MSN). According to the United States Department of Labor, in 2004 there were 674 BSN nursing programs, 846 ADN programs. Also, in 2004, there were 417 master&#8217;s degree programs, 93 doctoral programs, and 46 joint BSN-doctoral programs. The associate degree program takes 2 to 3 years to complete, while bachelors degrees take 4 years to complete. Nurses can also earn specialized professional certificates online in Geriatric Care or Life Care Planning.</p>
<p style="text-align: justify;">In addition, for those nurses who choose to pursue advancement into administrative positions or research, consulting, and teaching, a bachelor&#8217;s degree is often essential. A bachelor&#8217;s degree is also important for becoming a clinical nurse specialist, nurse anesthetists, nurse midwives, and nurse practitioners (U.S. Department of Labor, 2004).</p>
<p style="text-align: justify;">All home health care nurses have supervised clinical experience during their training, but as stated earlier advanced practicing nurses hold master&#8217;s degrees and unlike bachelor and associate degrees, they have a minimum of two years of post clinical experience. Course work includes anatomy, physiology, chemistry, microbiology, nutrition, psychology, and behavioral sciences and liberal arts. Many of these programs have training in nursing homes, public health departments, home health agencies, and ambulatory clinics. (U.S. Dep. of Labor, 2004).</p>
<p style="text-align: justify;">Whether a nurse is training in a hospital, nursing facility, or home care, continuing education is necessary. Health care is changing rapidly and staying abreast with the latest developments enhances patient care and health procedures. Universities, continuing education programs, and internet sites, all offer continuing education. One such organization that provides continuing education is the American Nurses Association (ANA) or through the American Nurses Credentialing Center (ANCC).</p>
<p style="text-align: justify;">Conclusion</p>
<p style="text-align: justify;">There are many rewards to becoming a home health care nurse. Some rewards include the relationship with a patient and their family, autonomy, independence, and engaging in critical thinking. The 21st Century brings with it many opportunities and challenges. We must meet these challenges head on &#8211; there is an aging baby boomer population, a growing morbidity factor due to increased medical technology and patient care, and the growing shortage in nursing care.</p>
<p style="text-align: justify;">Becoming a home health care nurse today is exciting and an opportunity to make a difference one life at a time. With clinical experience and proper education, a home health care nurse will lead the future of medical care.</p>
<p style="text-align: justify;">By Michael V. Gruber, MPH is a contributing author to My Nursing Degree Online, providing articles and resources for nurses looking for continuing education online. With a Masters of Public Health and two years of medical school, Michael provides a unique perspective on the current nursing shortage crisis on the Nursing Career Blog as well as comprehensive articles about nurse education and advancement.</p>
<p style="text-align: justify;">Find more information about becoming a Home Health Care Nurse including certification and job openings at My Nursing Degree Online.</p>
<p style="text-align: justify;">Article Source: http://EzineArticles.com/?expert=Michael_V._Gruber</p>
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		<title>Different Types of Health Care Services at Home</title>
		<link>http://www.domzdravljabudva.com/9/different-types-of-health-care-services-at-home</link>
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		<pubDate>Tue, 01 Dec 2009 16:53:22 +0000</pubDate>
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		<description><![CDATA[Home health care encompasses many different types of health care services which are provided in the patient&#8217;s home. This can include visits from nurses, physical therapists, speech therapists, occupational therapists, social workers, and nursing assistants. Home health care can mean a one time visit or 24 hour a day care.
The patients who receive health care [...]]]></description>
			<content:encoded><![CDATA[<p style="text-align: justify;">Home health care encompasses many different types of health care services which are provided in the patient&#8217;s home. This can include visits from nurses, physical therapists, speech therapists, occupational therapists, social workers, and nursing assistants. Home health care can mean a one time visit or 24 hour a day care.</p>
<p style="text-align: justify;">The patients who receive health care from home are just as diverse. They can be the elderly who live alone or an infant who is on life support. The goal of home health care is to keep the patient in their own home while ensuring good medical care. This kind of health care reduces overall health care costs since these patients do not have to pay for hospital rooms and services.</p>
<p><span id="more-9"></span></p>
<p style="text-align: justify;">Health care services at home may be administered by a local hospital or an independent agency. End of life health care from home is often provided by Hospice. It is important to make sure you hire credentialed home healthcare workers when you are looking for home health care. Healthcare practitioners who provide this service must be fully licensed just like their counterparts who work in hospitals or nursing homes.</p>
<p style="text-align: justify;">This particular service is usually covered by insurance, at least in part, if it is ordered by a physician. Insurance companies are generally supportive of home health care because it costs them less money to cover a patient at home as opposed to covering the cost of a hospital stay.</p>
<p style="text-align: justify;">This services may include the following:</p>
<p style="text-align: justify;">1) A visit from a registered nurse for evaluations or to administer IV medications.<br />
2) A visit from a respiratory therapist to maintain medical equipment.<br />
3) A visit from a physical therapist for a session of rehabilitation exercises.<br />
4) Around the clock care by certified nursing assistants.<br />
5) Overnight coverage by a sitter.</p>
<p style="text-align: justify;">Health care services at home will usually be arranged by the hospital, nursing home, or physician after a hospitalization and before the patient is sent home. Insurance arrangements will be made before hand and the approved number of visits and type of care will be determined. If the patient does not need much hands-on care, but requires supervision, a sitter may be indicated. If the patient needs to be fed, bathed, or given medications, a nursing assistant may be sent for part of the day. Home health care workers have specific tasks which they are and are not allowed to do according to their license.</p>
<p style="text-align: justify;">Home health care has grown rapidly over the last two decades and is likely to continue its growth thanks to the aging baby boomer population. Home health care is a benefit to everyone. It is cost effective for insurance companies. It provides employment opportunities for health care workers. Most of all it allows patients to be at home where they feel most comfortable and enjoy the peace of mind that comes from knowing they are being cared for. Learn more tips at http://HomeHealthCare.RelatedTips.com</p>
<p style="text-align: justify;">Article Source: http://EzineArticles.com/?expert=Arman_Hansen</p>
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		<title>Home Health Care &#8211; The Basic Guide</title>
		<link>http://www.domzdravljabudva.com/5/home-health-care-the-basic-guide</link>
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		<pubDate>Tue, 01 Dec 2009 16:48:00 +0000</pubDate>
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		<description><![CDATA[Home health care is now an important and very real part of life in the United States. The population is aging year by year, thus pointing to the fact that a good percentage of people will need home health care in the years to come. As people get older, their bodies degenerate and they find [...]]]></description>
			<content:encoded><![CDATA[<p style="text-align: justify;">Home health care is now an important and very real part of life in the United States. The population is aging year by year, thus pointing to the fact that a good percentage of people will need home health care in the years to come. As people get older, their bodies degenerate and they find themselves increasingly unable to get around without help. They may even find themselves housebound after a while, or prefer to stay at home rather then be admitted to hospital. Either way, home health care can provide them with exactly what they are looking for! Personal care is just as important as medical care for the elderly and disabled, and not as expensive as hospital care.</p>
<p style="text-align: justify;">Hospital workers, whether doctors or nurses or health care assistants, are all highly skilled and well worth the money charged to you in most cases, but the majority of people only need limited care for a specific period of time. If the required care is ongoing then the bills for the bed, food and services will soon mount up. However, home health care eliminates the need for two of the charges, only leaving the care service aspect to worry about. Home health care will most definitely benefit these types of people far more and will also provide the post-hospital care that is desperately needed.</p>
<p><span id="more-5"></span></p>
<p style="text-align: justify;">The Advantages Of Home Health Care</p>
<p style="text-align: justify;">Home health care can ensure that individuals with ongoing care needs vet the treatment they need in the comfort of their own home. This environment actually encourages recovery because it is a comfortable environment to recuperate, with all of an individuals friends, family and possessions around them. The familiar definitely holds some sort of healing properties. This is one of the reasons why new mothers often choose to give birth at home or return home within hours of it. Home health care assistants and mobile midwives provide the treatment needed. Their absence from hospital also frees up more beds for those that are next in line to have a baby or for treatment so it provides a good deal for all concerned.</p>
<p style="text-align: justify;">Those with long-term illnesses are more often than not cared for at home these days because they can only be made comfortable and do not need surgery. A wide range of home health care professionals may visit them on a daily basis to make sure that there is no change in their condition and to administer ongoing care. Such home health care professionals have often reported that being at home does more for a patient’s mental state than a hospital could ever do. With these types of reports showing definite benefits to home health care, everyone should consider it as an option for recovery.</p>
<p style="text-align: justify;">You can also find more info on Health Care Providers and United Health Care Insurance. Tophealthcarehelp.com is a comprehensive resource to know about Health Care.</p>
<p style="text-align: justify;">Article Source: http://EzineArticles.com/?expert=Wade_Robins</p>
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