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Summary and Reaction to Future Trends in chronic care Summary of Future Trends The topic we are examining is nowadays of great importance in a contemporary world. Although the number of patients with chronic conditions is constantly increasing, the health care system has yet to reach to the changes resulting in providing necessary services. The given chapter starts with background of the problem. Then it leads to its contemporary setting.
It includes predicted development and forecasts. At the end of our research we shall try to show how new trends will impact our future. Improvement of chronic care is built on long history of investments. They include the development of new ways of organizing and delivering care, which is necessary to meet the needs of people with chronic diseases. With the purpose to improve chronic illness care a special program was made. It helps health care organizations redesign care to improve the clinical and functional outcome of patients.
For last several years the central mission of improving health and health care was assuring that all Americans receive high quality care, especially those with chronic conditions. But in spite of great amount of money spent, the quality of our health care system is far from where it should be. The treatment of such chronic conditions as asthma and diabetics is consuming a growing portion of money. And a special focus should be put on the quality of care patients needed. Most care for chronic conditions occurs in outpatient settings. But unfortunately, often patients receive treatment that is not patient centered and does not meet recommended guidelines.
Having examined all material, we can come to conclusion that, if we want to improve the quality of care in this field, health care practice must be reorganized. But it is not an easy way. The starting point of it is in providers. They should know when the care they provide is good and when it can be improved. But there are no standardized measures of performance and often providers do not know, whether they are providing high quality care. Frequently they find that current financial situation works against making necessary changes.
The volume of the chapter focuses on trends, related to the chronically ill. Its purpose is to develop a set indicator to measure interrelationships between community system and the well being of people with chronic illnesses. We can emphasize some chronic care sub populations: adults with physical disabilities, persons with HIV illness, children with chronic conditions, the chronically mentally ill, mentally retarded adults and chronic drug abusers. Each case needs special studying of services needed and rendered for those living with chronic conditions. The attention is concentrated on some interrelated phases that should be taken into considerations. First of all we should consider the development of a conceptual framework within which chronic care needs.
It includes the performance of service system and the necessity of measuring outcomes. It gives the review and analyses of the delivery; financing and regulatory structures which affect service systems. Then it should be pointed on the development of specific indicators of the well being of people with chronic conditions and the performance of community service systems. Having analyzed all needs and desires of patients with chronic illnesses the authors made up some new trends that will be helpful in future. In the work it is mentioned some measures that help patients to play a longer role in the management of their own conditions. The next step will be in efforts to measure provider performance.
The work with purchasers and providers will lead to high performing providers will appear. The main idea of the chapter is that if we put all these factors together in one market we shall be able to achieve lasting improvements in the quality of care people chronically ill. It is evident that the cause of the problem is system failures. The way most outpatient practices are organized do not permit well trained providers to offer optimal care. Reaction to Future Trends For many years American health care system consists of costs that indicate the degree of access to care for people and its maintain quality of services.
But some steps were made by Government. According to them patients have security of benefits. It impacted greatly our lives. In future it is proposed that Medicare recipients will be involved in health maintenance organizations. It is supposed to provide access to care. Some legislative acts of Government is expected to have impact on the health care system.
It is proposed to give legislative outcomes as a work against managed care and to change the way providers deals with Medicare patients. It helps reimbursement for home health, skilled nursing facilities and outpatient. It is a great advantage for patients with chronic illnesses. The lack of such kind of services frequently results in unnecessary hospitalization and expense. Such actions primarily direct at providers and with a little effect on beneficiaries. Further it is planed to involve almost about fifty percents of the population in health plan.
It is followed by making of more working places, so the members of nurse practitioners and other non medical clinicians will increase rapidly. It is known that public health system plays the role of safety net medical provider. But its economic situation became worse. New health challenges required strong leadership (such as HIV). They are closely connected with public health.
The work shows the future of public health service shared among the local public health agencies. And chronic diseases will be considered to be at the first ranks of the public health attention list. In the work it is pointed on three scenarios that have been created. From the first one it is evident that large employers will offer insurance as a benefit of employment. But they will be unable to demand price breaks from health plans. The majority of Americans will be worry about losing their health benefits.
The attention in scenario two pays on employers who keep substantial price pressure on health plans. The main forces for scenario three include competitions at all levels, especially among providers. It will help to drive costs down. It provides market with young physicians with lower income expectations, but more of employer mentality. Due to the organizational fragmentation health care plans will assume increasing authority in managing physicians behavior and patients compliance. New trends that will be taken by Government possibly will greatly impact on consumers.
It will also influence their ability to receive needed and desire health care. They can be divided into three groups: empowered, worried and excluded. The first ones have rather high incomes. They are well educated and use new technologies.
The second groups of consumers have some health insurance, but have little choice of health plans. The last one consists of uninsured people who do not have health insurance. According to the forecast these three groups will be affected in different ways, by aspects of the health care system. It is known that health care directly depends on the economy of the country. The trends were put in place to diminish large cost increases.
They include reducing insurance coverage. It means that it passes on the costs of health care to beneficiaries. Though there is a saying that the worst time is time of changes, but I think that ideas arisen in the work influence as health care professionals as consumers greatly. It seems to be more useful and successful for both.
Bibliography: Health and Health Care 2010: The Forecast, The Challenge, 2 nd Edition
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