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Papers On Health Care
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Economic Considerations in Healthcare Decision Making
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A 9 page paper discussing the economic effects of policy makers� decisions, both on healthcare and on the larger economy. The presence of the third-party payer masks the effect of elasticity of demand for health care, as it does its microeconomic effects. It does not mask the results, however. As politicians continue to haggle over the future of Medicare and it continues to set the standard for private health insurers, increasing numbers of households can expect to have decreased access to health care. Bibliography lists 7 sources.
Filename: KShlthCareEcon.rtf

Economics Principles in the Health Care Environment
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A 6 page outline of a presentation of the effect that health care costs have on the larger economy. The issue is whether basic economic principles such as supply and demand and price elasticity apply to health care. The superficial view is that health care is above the law of economic principles, but the fact is that it is not. The paper discusses increase in per capita spending from 1960 to 1998 and stresses that as more is spent on health care, there is less for families, individuals and the government to spend on other things including education and medical research. Bibliography lists 4 sources.
Filename: KSeconHlthCare.rtf

Elasticity of Demand: Health Care
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A 9 page paper discussing the microeconomic effects of spiraling health care costs. The presence of the third-party payer masks the effect of elasticity of demand for health care, as it does its microeconomic effects. It does not mask the results, however. As politicians continue to haggle over the future of Medicare and it continues to set the standard for private health insurers, increasing numbers of households can expect to have decreased access to health care. Includes 1 chart. Bibliography lists 4 sources.
Filename: KSeconHlthElas.rtf

Emergency Medical Services Communication Barriers to Access for Prostitutes, Transsexuals and the Homeless Population
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This is a 6 page paper with added tutorial language discussing the emergency medical services communication barriers which exist in the special populations of prostitutes, transsexuals and homeless populations. Although various emergency and health care services are offered in Toronto and the province of Ontario, the populations of homeless people, prostitutes and transsexuals are reluctant to use these services. All three of these populations have reported harassment, and �treat �em and street �em� minimal services from emergency health care services. This adds to the reluctance to contact these services in addition to the fear of contacting official agencies because of the legal implications. Incidence of drug and alcohol abuse and underage prostitution in addition to the high degree of violence associated with prostitution lead to an obvious initial degree of reluctance to contact authorities in regards to emergency assistance. Unfortunately, these populations have a higher need of emergency services than most due to the increase risk of substance abuse, exposure to disease and in the case of transsexuals, complications due to the administration of hormones. Despite the findings from most studies, initial examination of services offered in homeless shelters in the Toronto area show that these first contact agencies do not include access to emergency and health care services. In order to improve communication to these populations first contact should perhaps be instigated through these initial services. Bibliography lists 7 sources.
Filename: TJEMSba1.rtf

Emergency Medical Services: A Critical Link in the "Chain of Survival"
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An 8 page discussion of the importance of emergency medical services in saving lives. Contends that emergency medical services are the first line of defense against death. Emphasizes the importance of these services in all types of medical emergencies but stresses cardiac arrest as a particularly critical need for emergency services. Concludes that the key to decreasing mortality, however, is not just the presence of an emergency medical team or medical facility but a combination of a medically aware and conscientious public, adequate emergency equipment and facilities, and adequately trained emergency medical staff. Bibliography lists 4 sources.
Filename: PPmedEmr.wps

Emergency Room Organization and Administration
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A 5 page paper assessing 5 Internet sources discussing aspects of improving patient care while striving to make ER operation more efficient. The paper discusses a Texas effort to transfer Medicare patients from rural to urban hospitals; the use of software to track patients� progress through the ER; and the use of �product� process flow to achieve Total Quality Management (TQM) principles of increased quality with simultaneous increased efficiency. MLA-style bibliography lists 5 sources.
Filename: KShospERorg.rtf

Emotional Suppression in the Development of Illness
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This 7 page report discusses the fact that research over the past several decades has validated what ancient and traditional healers have known for centuries -- the connection between the mind or the individual consciousness of a person and his or her body cannot be dismissed. What modern researchers have found is that there is no single way in which emotions affect health but, instead follow many pathways. Bibliography lists 5 sources.
Filename: BWemosup.rtf

Enhancing Quality in Home Health Care
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A 6 page paper discussing quality assessment and performance improvement in the home health care setting. The paper discusses the need for enhanced quality in home health care and the usefulness of a corporate compliance plan in ensuring that all members of the organization are uniform in their approaches to care and recordkeeping. It summarizes an interview with a practitioner and a visit to a home health care provider, and summarizes all findings in the conclusion: The greater direct communication of telemedicine streamlines the recordkeeping process while improving its quality, and it allows the caregiver to spend more time in direct contact with the patient, rather than in completing forms. The caregiver is able to give the patient more direct attention, thereby enhancing the customer's satisfaction with the care he receives. Bibliography lists 8 sources.
Filename: KShomeHlthQual.wps

Environmental Health Care
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An 11 page paper. It has long been known there is a link between environmental conditions and health. In fact, environmental conditions were first linked to disease in the late 1700s. Although this correlation is known, health care professionals receive very little training about it. The writer reports a survey of pediatricians, for example, 80 percent of whom do not feel comfortable even taking an environmental health history. Other research is also reported. The structure of the American health system is discussed as is the sociopolitical relationship between and among government, politics and health care. Bibliography lists 8 sources.
Filename: PGenvhlt.rtf

Ethical Issues in Managed Care Research
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This 7 page paper provides an overview of the reasons behind the rise of the HMO and the dilemmas surrounding alternatives. The problem that the paper addresses is that most research is centered on those of white European heritage, a problem perpetuated by researchers� use of large databases that in themselves exclude many from other population groups. Researchers pursue knowledge with admirable intentions, and they devote much effort to ensuring that they arrive at a research design free of bias of several types. Many fail to understand that they begin with bias, however, and that their entire effort is undertaken under the banner of researcher bias that translates to biased results. Bibliography lists 5 sources.
Filename: KSHMOethics.rtf


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