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Embed code for: Healthcare Delivery System
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Classify the different types of hospitals:
Public hospitals are owned by the federal or state/local government. Some of these are state run hospitals, such as psychiatric hospitals. The Veteran’s Administration hospitals are federally owned. Cities and counties operate general hospitals for you or I who have an emergency that cannot wait for a regular office visit with our primary care physician. The emergency departments of the general hospitals also provide primary care for the needy and uninsured.
Privately owned hospitals are run on not-for-profit, which benefit them with monies coming from state and federal tax regulations, aiding them in non-payment of income or property taxes. Formerly known as “voluntary” hospital, is owned by a non-governmental individual. Pro-prietary, “for-profit” hospitals, have share-holders that own that hospital. Income and property taxes must be paid, so paying customers and cost-containment of supplies and staff use are critical.
(Austin and Wetle,2012)
Describe how LTC is financed:
Government Programs such as Medicare, are used for the older and retired patients, but this type of health care only pays for the first twenty days long term care. A co-payment is required after twenty days until patient has stayed for one hundred days, then the patients must seek out a rehabilitation facility that will take them and help them to get on Medicaid, if they qualify according to their income, so their needs will be paid for.
Private Funding is offered to the elderly such as, reverse mortgages and living trusts, that protect assets so the patient can pay for the long term care that they need, without putting these assets at risk of being taken from them. It is a good idea to talk this over with a financial advisor or lawyer, so you don’t make the wrong decision for yourself, and lose your money or property. Long term disability insurance from a job you have worked at for a long period of time, will replace your income if you are unable to no longer work because of disability.
(Austin and Wetle,2012)
Ethical and Political Issues in LTC:
Resource Allocation- There is lack of proportion concerning who is to receive help from societies benefits. At times the elderly need help receiving long term care, and others times there are more children living in poverty than there is elderly needing help, because older citizens have powerful lobbying interests and are very politically active. Only a small percentage of federal spending goes to the children. There needs to be a re-evaluation done pertaining to the needs of people over 65 and children.
Health care Power of Attorney/Guardianship are usually put into the hands of the elderly person’s children, to help in health care decisions and paying the bills. There are hard decisions to make when trying to utilize the money and assets of the patient, in choosing long term care that might be costly. We want to do what is best for our family and make a choice that they themselves might have chosen. In the low to middle-income families, the amount of money that the family might inherit has decreased over the last decades, because there is more spending going to long term care facilities. Personally, I feel that this money belongs to the person that is going to be in the long term care facility, not the person inheriting it. So don’t put your mother or father in a low standard facility, so you will have more money for yourself when they pass away. I have seen this happen.
End-of-Life-Decisions are used by the caregivers of the elderly person being taken care of in the long term care facilities, or in their home. There is a larger amount of care used in the last six months of a person’s life. The financial cost and the use of specialized hospital care, nurses, physicians, ventilators, oxygen, and other assistive medical devices, depending on the needs of the patient is relatively high as well. The use of physician directives, living wills, and power of attorneys is common.
Austin, A., & Wetle, V. L. (2012). The United States health care system: Combining business, health, and delivery. Boston, MA: Pearson.me of these are state run hospitals, such as psychiatric hospitals. The Veteran’s Administration hospitals are federally owned. Cities and counties operate general hospitals for you or I who have an emergency that cannot wait for a regular office visit with our primary care physician. The emergency departments of the general hospitals also provide primary care for the needy and uninsured.
Austin, A., & Wetle, V.