Amarendra Oct 19, While most Americans agree that the healthcare system needs to be fixed, they remain woefully unaware of the problems facing the health care industry at large. There are five main factors that must be addressed in order to come to grips with not only the problems facing health care, but how to fix them. Hospital funding is often yanked in favor of increasing profits and making shareholders happy. This has dire consequences for everyone, including staff, patients and the general public.
Other Hazards Because social workers are employed in such a variety of settings, they are exposed to many of the hazards of the workplace discussed elsewhere in this Encyclopaedia. When funding is scarce, maintenance of physical plants suffers and risk of exposure increases.
The high percentage of social workers in hospital and out-patient medical settings suggests vulnerability to infection exposure. Social workers see patients with conditions like hepatitis, tuberculosis and other highly contagious diseases as well as human immunodeficiency virus HIV infection.
In response to this risk for all health workers, training and measures for infection control are necessary and have been mandated in many countries. The risk, however, persists. It is evident that some of the problems faced by social workers are inherent in a profession which is so centred on lessening human suffering as well as one which is so affected by changing social and political climates.
At the end of the twentieth century, the profession of social work finds itself in a state of flux. The values, ideals and rewards of the profession are also at the heart of the hazards it presents to its practitioners.
Additionally, it allowed for more personal assistance at a time when nursing homes were perceived as impersonal and uncaring. It also provided entry-level employment to unskilled individuals, mostly women, many of whom were recipients of welfare.
The workers are categorized as home makers, personal care workers, health aides, home care attendants and housekeepers, depending on their levels of skills and the kinds of services they provide.
Such low earnings represent significant economic hardship to the survey respondents: As a group, their financial status will inevitably worsen as cuts in government funding force curtailment of the amount and intensity of home care services being provided.
Home Care Services The services provided by home care workers depend on the needs of the clients being served. A most appreciated service is companionship and assisting the client to participate in recreational activities.
Many clients and the workers as well live in poor neighbourhoods where crime rates are high, public transportation often marginal and public services substandard.
Many live in deteriorated housing with no or non-functioning elevators, dark and dirty stairwells and hallways, lack of heat and hot water, dilapidated plumbing and poorly functioning household appliances. Many of the clients may have very low levels of functional capacity and require assistance at every turn.
Mental difficulties such as senile dementia, anxiety and depression and difficulties in communication because of memory loss and language barriers may also magnify the difficulty. Finally, abusive and demanding behaviour on the part of both clients and their family members may sometimes escalate into acts of violence.
Home Care Work Hazards Work hazards commonly encountered by home care workers include: Stress is probably the most ubiquitous hazard.
It is compounded by the fact the worker is usually alone in the home with the client with no simple way to report trouble or summon assistance. Stress is being exacerbated as cost-containment efforts are reducing the hours of service allowed for individual clients.
Prevention Strategies A number of strategies have been suggested to promote occupational health and safety for home care workers and to improve their lot. Videotapes may be developed and used for skills demonstrations.
The meetings may be supplemented by telephone networks through which workers may communicate with each other to exchange information and alleviate any feelings of isolation. Educational and training sessions should be conducted during working hours at a place and time convenient for the workers.
They should be supplemented by the distribution of instructional materials designed for the low educational levels of most of the workers and, when necessary, they should be multilingual.
He was not regarded as having violent tendencies. After a few days he escaped from his secure ward. The hospital authorities were informed by his relatives that he had returned to his own house. As was routine an escort of three male psychiatric nurses set out with an ambulance to bring the patient back.
En route they stopped to pick up a police escort as was routine in such cases. When they arrived at the house, the police escort waited outside, in case a violent incident developed.5 Economic Issues Affecting the Healthcare Industry Now by Dr.
Amarendra | Oct 19, While most Americans agree that the healthcare system needs to be fixed, they remain woefully unaware of the problems facing the health care industry at large. Risk is the potential of gaining or losing something of value. Values (such as physical health, social status, emotional well-being, or financial wealth) can be gained or lost when taking risk resulting from a given action or inaction, foreseen or unforeseen (planned or not planned).Risk can also be defined as the intentional interaction with uncertainty.
In analyzing the major trends affecting health care in this country — trends that impact the cost, access and quality of health care — it is important to understand that the forces which led to the recent national debate over health care reform have not gone away.
Economics in Health Care.
Evolution of Health Care Economics History and Evolution of Health Care Economics Over the course of history in the United States, the economics of health care has changed. Economics is the science that deals with the production, distribution, and consumption of goods and services, or the material welfare of mankind (Getzen & Moore, ).
To provide some insight into current trends in federal and state legal policy, we will look at three key federal trends: health care reform, CMS regulatory initiatives, and deficit-reduction strategies.
Health care costs have been out of control for a long time, and as a result many organizations are reluctant to work with finite financial resources to achieve stated goals. That said, the time.