Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. Name four potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 8  months to a year from now, and your strategies for overcoming these barriers.

 

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Assessment #1: (15%)

As you learned in Week 1, health care spending is growing faster than overall growth in the economy (as measured by GDP) and by 2026 is expected to consume 20 percent of GDP.  In Week 2, the article by Hartman (et. al.) states that “the trade-offs required to finance health care spending have become increasingly challenging for both private and public payers.”

Given what you have learned from the course material in Week 1 and 2, discuss these trade-offs and how to evaluate them from an economic perspective.

Specifically, write a briefing report  (not just a standard essay) that does the following:

1. From an economic perspective, explain why health care spending cannot grow greater than the overall growth in the economy for an extended period of time without adverse consequences. Identify what economic constraints overall and in the healthcare industry will occur if this happens.
2. Identify TWO Economic concepts that can be used to evaluate the trade-off between health care and other economic goods and services. In doing this:

• Define the economic concept completely
• Apply the economic concept to the current issue of rising health care spending and trade-offs

1. Evaluate the unique characteristics of health care that complicate this analysis.

Your briefing report should be at least four double-spaced pages, including a reference page, but excluding the required cover page.  In writing, your report you should rely largely on reference material in the readings in this course, and the summary slides from Week 1 and Week 2. 

 

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Discuss how each of these factors (inflation, changing population demographics, intensity, and technology of services) influence health care costs.

 

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– be sure to provide a meaningful response to at least two of your peers’ posts by the end of the week. In your responses to your peers, you might offer ways that individuals can mitigate a negative effect of these factors.

– you need to provide evidence to  support your statements.

– APA format.

first peer:  There are many factors that influence todays health care costs inflation effect the healthcare cost because as society grows the amount of people needing healthcare grow as well.  Inflation effects the cost of everything we buy and need, so naturally the cost of healthcare will go up as well.  The changes in population size, age and ethnicity effects the increase cost of care with the amount of people needing healthcare.  Technology of services effects the health care costs, because the cost of the equipment use for diagnosing health issues. We are using less people and more computers to assist with health care, for example at my job we used what we call Caravi, and instead of calling the on call doctor we use a computer.  We have access to a doctor 24 hours a day.  We actually take the computer in a patient room and they are able to talk with a live doctor and see the doctor face to face.  I’m sure the cost for equipment like this effects the cost of health care cost. 

Stanhope, M., Lancaster, J., & Stanhope, M. (2018). Foundations for population health in community/public health nursing. St. Louis, MO: Elsevier.

second peer: Health care costs are greatly influenced by many factors. In my opinion the greatest of these factors is the trickle effect of poverty. Impoverished persons seek less preventative care and typically have more health risks than those who are financially stable. Poverty leads to poor health and poor health leads to a less educated population. The community suffers when its residents lack education and quality affordable health care access. Often persons who cannot afford health insurances are forced to seek emergent care at hospitals that cannot turn them away based on their income. Hospitals and physicians write off their expenses and unpaid services. I recently read in an NPR.ORG the article entitled “The Gap Between Rich and Poor Americans’ Health is Widening”. It explains that the gap between the rich and the poor is spreading. This also includes the gap between the rising cost of living and minimum wage. It was likewise noted that in the most recent census quoted in this same article that most American’s felt as though their health was poor. This census compared to race, economic status, and gender differences. It found that those who reported the highest quality of health were rich Caucasian men whereas women and minorities struggled and deteriorated. Recent information also lent to greater studies of segregated neighborhoods and communities. Entire communities swiveled in declining health outcomes.

Neilson, Susie. 2018 June 28. Retrieved from https://www.npr.org/sections/health-shots/2019/06/28/736938334/the-gap-between-rich-and-poor-americans-health-is-widening

 

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