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Health Care for the Homeless, 2006.
This paper offers an analysis of Health Care for the Homeless, the health care organization of Milwaukee, Wisconsin.
2,456 words (approx. 9.8 pages), 12 sources, APA, AU$ 108.95
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Abstract
The paper discusses how one of the most significant problems facing underserved populations is the inability to obtain health care services and illustrates how homeless people typically experience higher rates of physical illnesses than the general public. The paper then looks at Health Care for the Homeless, a national community health care organization that actively seeks to address the needs of the homeless and indigent. The paper offers a background and history of the organization and analyzes its mission, marketing, management and money. The author concludes by offering constructive criticism and recommendations for the future.
Contents:
Introduction
Review and Analysis
Constructive Criticism and/or Recommendations for Future
Strategies and Directions.
From the Paper
"Health Care for the Homeless (HCH) is a national organization with a number of branches across the country, including Denver, Albuquerque, St. Louis, Chicago, Phoenix, Boston, Venice (CA), Seattle, New York City, Baltimore, San Diego, Cleveland, Philadelphia, Los Angeles, Miami, Kansas City, Nashville, Washington, D.C., and Milwaukee, Wisconsin (Projects, 2005), where the author is a case manager. Today, Milwaukee is the center of a five-county metropolitan area with a population of approximately 628,088; however, the Milwaukee-Waukesha Primary Metropolitan Statistical Area (PMSA) has more than 1,432,149 by 2000 estimates (Milwaukee, 2005). On average, each of the Health Care for the Homeless (HCH) member projects across the country provides health care to 7,000 homeless individuals each year; collectively, these projects are the "doctor's offices" for 175,000 homeless people annually. On average, a homeless person's visit to an HCH clinic costs the project $99 (these visit do not costs the homeless person anything) (Projects, 2005). The services available at the Milwaukee branch of HCH include emergency and transitional housing, as well as a wide range of intensive support services to promote self-sufficiency; in addition, substance abuse, job preparation and employment assistance is also available."
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The Homeless and Health Care, 1991.
This paper discusses the special medical problems of tne homeless and treatment issues affecting the health care system.
1,350 words (approx. 5.4 pages), 13 sources, AU$ 69.95
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From the Paper
"The plight of the homeless in the United States has risen dramatically to the forefront of American consciousness during the last decade. This is partly due to the fact that the problem is difficult to ignore when the parks and public areas of most cities are filled with people attempting to find a place to rest and temporary shelter from the elements. In reviewing the plight of the homeless, most books, journal articles, newspapers and magazines tend to focus on the basic needs for food, clothing and shelter. Less well-publicized and considered are the medical problems which are attendant to life on the streets, and the impact that the homeless population has upon the health care system attempting to address these problems. The following ... "
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Health Care For Indigents, 1999.
A Research proposal to determine the satisfaction of indigent clients with provision of health care services. Includes methodology, questionnaire and instrumentation.
3,375 words (approx. 13.5 pages), 11 sources, AU$ 174.95
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Abstract
Statement of the Problem
In the United States, health care is often unavailable for the homeless. This heterogeneous group of men and women, includes longterm street dwellers, residents of shelters, the chronically mentally ill, the economically debased, and alienated youth---all of whom are subject to a broad range of acute and chronic diseases, intensified by unsuitable living conditions, stress and sociopathic behavior
From the Paper
"SATISFACTION WITH HEALTH CARE IN A SAMPLE OF INDIGENTS:
WOULD THEY RATHER BE TREATED BY PHYSICIANS OR NURSE PRACTIONERS?
Statement of the Problem
In the United States, health care is often unavailable for the homeless. This heterogeneous group of men and women, includes longterm street dwellers, residents of shelters, the chronically mentally ill, the economically debased, and alienated youth---all of whom are subject to a broad range of acute and chronic diseases, intensified by unsuitable living conditions, stress and sociopathic behavior.
Trauma, pulmonary tuberculosis, infestations, and peripheral vascular disease are common problems among the homeless, and often incomplete and/or fragmentary medical care permits exacerbation of chronic disorders (Sebastian, 1994). Outreach ..."
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Child Center Care Vs. Care by Family, 2007.
This paper discusses child care options and looks at the development of children who attended child care centers compared with those in family care.
3,054 words (approx. 12.2 pages), 12 sources, MLA, AU$ 130.95
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Abstract
In this article, the writer notes that the question over who should care for children is once again being debated throughout North America, with many advocating that very young children be raised with either their mothers or a close member of the family instead of attending child care centers. The writer discusses research indicating that the poor quality of care given in existing centers throughout the United States is the reason for problems within the classroom, as children who attend these care centers are believed to have both development and social problems. The writer concludes that the important point of the debate over child care should be how to ensure quality care for children whose parents have to work, or have chosen to work, through understanding and enabling effective and positive child development and growth within center-based childcare.
Outline:
Abstract
Introduction
An Overview of Child Care in the United States
Contemporary Childcare in the United States
Towards an Effective Child Care System
Conclusion
From the Paper
"The changes in society over the past few decades have completely transformed the contemporary world, mainly through the consequences of warfare and the recent advancements in technology, which has also changed the lives of women. Accounting for almost half of the nation's workforce, a vast majority of them either are already mothers or will be, which means that something needs to be done about the childcare situation in America. Although center-based childcare is not, perhaps, the ideal situation for mothers and their children, most parents have little choice."
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Health Care and Managed Care, 2002.
Shortcomings of health care with the implementation of managed care.
4,150 words (approx. 16.6 pages), 17 sources, AU$ 221.95
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Abstract
This paper discusses the shortcomings of the American health care system with the implementation of managed care. The risks and future trends in the system are looked at as well as examples of what the system has faced.
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Health Care Managed Care and Fee-For-Service Plans, 2000.
2,790 words (approx. 11.2 pages), 11 sources, AU$ 122.95
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Abstract
This paper focuses on the quality of care delivered by various forms of managed care organizations and fee-for-service organizations as reported by numerous recent studies.
From the Paper
"There is a current climate of distrust and frustration with managed care which has led many people to question whether health maintenance organizations (HMOs) and other forms of managed care really are looking out for the best interests of their patients. Managed care plans have incentives in place which reward physicians and other health service providers for providing fewer services or less costly solutions. With American society?s negative feelings toward managed care medical practices, questions about the quality of care provided by various managed care institutions have been raised. The fact that managed care enrollment has been increasing while at the same time growth in total healthcare expenditures has been declining only serves to increase the frequency of questions about the quality of healthcare provided by managed care organizations. This paper will focus on the quality of care delivered by various forms of managed care organizations and fee-for-service organizations as reported by numerous recent studies."
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Homeless in America, 2005.
A discussion of how modern nursing practice procedures can assist the homeless.
1,527 words (approx. 6.1 pages), 6 sources, APA, AU$ 73.95
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Abstract
This paper discusses the growing homeless population of the United States and it's special needs. It explains that within the population there are health care concerns that include substance abuse. The paper suggests that in order to meet the health care needs of the homeless population in regard to this health issue, a health care team must be established that will focus on the wide variety of needs specific to the family.
From the Paper
"In the United States there are over 3.5 million homeless in a one-year period, with an estimated one million of these individuals being under the age of 18 ("How Many", 2006, sec. 3). The members of this population, however, are not all homeless at the same time and many will experience only periods of homelessness. Yet, it is estimated by the federal government that approximately 3% of the U.S. population will be homeless for at least one night each year ("How Many", 2006, sec. 3)."
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Health Care and Managed Health Care: The Need for Sweeping Reforms, 2002.
A look at role of primary care nurse practitioners in relation to health care reforms.
2,400 words (approx. 9.6 pages), 6 sources, AU$ 130.95
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Abstract
This paper investigates the role of primary care nurse practitioners in respect to health care and health care reform. The failure of primary healthcare is critically assessed, in the respect that health care is currently "managed" by independent "for- profit" organizations, where there is an emphasis on financial success rather than patient welfare. This paper also places a strong emphasis on the role of nurse care practitioners in the state of Florida and in community health care clinics.
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Health Care Managers and Health Care Delivery, 2004.
Examines the relationship that exists between health care players, how they perform their duties, and how they join their forces in health care delivery.
2,367 words (approx. 9.5 pages), 9 sources, APA, AU$ 105.95
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Abstract
This paper examines and provides information on the roles and responsibilities that health care managers are tasked to accomplish in today?s health care systems. Moreover, this paper examines how a health care manager's job as a leader who ensures a smooth and organized management and operation of health organizations, influences his/her perspective on health care professions. The paper emphasizes the importance of understanding how health care managers perceive their duties in health care service.
From the Paper
"The basic role every manager must be able to render is the task of providing good human relations to everyone at work. Through this role, the objective of accomplishing jobs in an environment where good work relationship is maintained can be made possible. In the field of health care, healthcare managers must have the ability to perform this basic responsibility. A healthcare manager should be a specialist in managing the condition of the healthcare staffs. Though this duty may be perceived as a simple task, it is critical that a good human resource management be delivered to a health organization to ease the stress and pressure that health care providers, such as the doctors and nurses, experience from their duties."
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Primary Health Care, Primary Nursing, and Primary Care, 2005.
A comparison of primary health care physicians and primary nurses.
2,154 words (approx. 8.6 pages), 15 sources, MLA, AU$ 98.95
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Abstract
Nursing care was developed, in part, to provide services to patients with multiple needs and evolved with the initial goals of providing efficient and effective care. Among the delivery systems used to provide this care include primary nursing, primary care, and primary health care. Primary nursing originated in the United States and emerged because of concern about the fragmented care patients were receiving particularly in hospital settings. Primary health care follows many of the same principles and is concerned with providing comprehensive, individualized, patient care from point of contact to completion. Primary care may be defined as a service provided by primary nurses and primary health care physicians. The similarities and differences between these concepts are explored in detail.
From the Paper
"According to Sergei Vinogradov (2002) primary health care or PHC is "based on family health teams, working in family health centers" whose goals include prioritizing prevention and addressing 90% of health problems and patient concerns (p.39). In primary health care systems, doctors bear the brunt of the responsibility, sometimes at the expense of efficiency according to some critics (Vinogradov, 2002). PHC teams are comprised of many individuals including medicine doctors, nurses and other relevant health professionals, but it is the doctor (usually a family doctor) that bears the brunt of accountability and responsibility in terms of patient care (Vinogradov, 2002).
Primary health care is often provided in a managed care setting which requires that a centralized medical decision be made by a primary care physician, thus enhancing according to some the 'attractiveness' of care, suggesting it is quality oriented and scientifically based (Brekke, et. al, 2002). Primary health care usually is offered in hospitals and primary medical offices, less so in community based settings."
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Nursing & Homeless, 1993.
Advantages & disadvantages of nurse-managed clinics providing health care for homeless. Growth, accessibility, cost and trust.
1,800 words (approx. 7.2 pages), 13 sources, AU$ 92.95
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From the Paper
"NURSE MANAGED CLINICS AND HEALTH CARE SERVICES FOR THE HOMELESS
Introduction
The evolution of nurse managed clinics and the development of a major homelessness problem are coincidental phenomena in the contemporary United States. Factors as diverse as public finding constraints, shortages of physicians in the nation?s inner cities and rural areas, and the increasing trend toward physician specialization are creating an interaction between these phenomena.
The Homelessness Issue
Homelessness in the United States developed into a major social problem during the 1980s. Both the number and the demographic composition of the homeless in the United States, however, are matters of dispute. Such disagreements occur for.."
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Homeless Children in the United Kingdom, 2005.
This paper discusses the problems of homeless children and families and the organizations that assist them in the United Kingdom.
3,390 words (approx. 13.6 pages), 5 sources, MLA, AU$ 140.95
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Abstract
This paper explains that there is a large prevalence of emotional, behavioral and health problems among homeless children. Homeless adolescents and street youth have a high incidence of depression, attempted suicide, drug abuse and HIV/AIDs. The author points out that the philosophy of the Children Act did not suit the practice and procedures for inclusion under the F.G.C. (family group conferences) because FGCs tended more to conflict decision-making processes than to complement or enhance them. The paper relates that, in the U.K., inability to access health and social care services for homeless children and their families is a problem because of their frequent change of address between different health and local sectors and their failure to register with a general practitioner unlike families staying at permanent addresses.
From the Paper
"Child care services in the UK evolved from the concept on the rights of children and the responsibility of their families and the state in the rearing of children. The Children Act of 1989 aimed at "constructing a new consensus" on children's rights and their families' and the state's responsibilities and at balancing these rights through greater inclusiveness and collaboration with families. The Act was an attempt at influencing not only the appropriate line and kind of thinking about families and also child care practices as a consequence. But, in time, partnership approaches appeared lacking under the Act, so that in 1990, family rights groups in the UK invited a group of New Zealand practitioners from whom UK patterned its own family group conferences or FGCs to fill in the gap left by the Act in the area of implementation of its principles. A national pilot group was established two years later to connect pilot projects and enable them to share advice and support from one another through policy materials and practice ideas at a high level of cooperation."
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Homeless Families, 2007.
This paper explores the variables that increase the risk of homelessness.
1,589 words (approx. 6.4 pages), 6 sources, MLA, AU$ 75.95
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Abstract
This paper discusses political, cultural and health care concerns that impact families who either are currently homeless or are at risk for becoming homeless. It reviews literature that identifies how these factors affect the status of families and can contribute to or reduce the risk of families becoming homeless.
Outline:
Predictors of Homelessness
Health Issues Affecting the Homeless
Intervention Strategies
From the Paper
"Data indicates that the overall risk of homelessness can be predicted through the degree to which families experience specific conditions. The higher or more severe these variables are expressed in respect to the family, the greater the risk that the family will experience destabilizing effects in regards to their housing situation. Shinn et al. (1998) produced a comprehensive study into these variables. In a qualitative, longitudinal, interview-based assessment, Shinn et al. (1998) surveyed the data from 266 families seeking shelter from low-cost or free public shelter facilities within New York City. The authors then contrasted the data from this survey against responses from 298 families who had some form of permanent housing, and the majority of which owned or were able to rent shelter that was exclusively under their control."
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Determinants of Health, 2008.
An analysis of the importance of the determinants of health in action to promote population health.
1,704 words (approx. 6.8 pages), 6 sources, APA, AU$ 81.95
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Abstract
This paper discusses the community health care process in Canada. It describes examples of Native people and their health issues, such as substance abuse and the homeless and extremely poor people and their poor health, to describe and illustrate the determinants of health. The paper discusses how an approach based on the determinants of health can be used to promote population health.
Table of Contents:
Introduction
Determinants of Health
Determinants of Health in Action
Assessment
Planning
Implementation
Evaluation
Conclusion
From the Paper
"The determinants of health are all interrelated. They reveal that the most disadvantaged and marginalized populations are the most vulnerable to disease and to chronic health conditions. The groups that are most susceptible to health problems are those who live in conditions of poverty with other associated conditions such as overcrowding, malnutrition and inadequate hygiene. All the determinants of health must be taken into account, but they are not uniform in their application. They provide a guide for the nursing process."
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Homelessness, 2008.
This paper explores trends affecting the homeless population.
1,620 words (approx. 6.5 pages), 4 sources, APA, AU$ 76.95
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Abstract
The paper discusses the homeless population's increase in medical and other health-related risks and their significantly limited access to public medical and health care services and clinics. The paper also looks at the non-profit and other charitable organizations that have been set up to help them. The paper then discusses the scarce employment options for the homeless that often cause these individuals to turn to a life of crime. In addition, the paper explores the roots and causes of this phenomenon and the changing demographics of the homeless population.
From the Paper
"Typically homeless individuals and families seek refuge in certain areas. These areas include, in general, the outdoors where they can sleep in a bag, tent, cardboard box or other makeshift sleeping quarters. Derelict structures, such as abandoned and condemned buildings, are often places of choice for the homeless. Other areas include vehicles, public places, shelters, boarding houses or with family and friends. The use of public places by the homeless is often the place where the general public is exposed to the homeless epidemic."
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AIDS/HIV Patients and Health Care, 2002.
A thorough examination of health care for HIV and AIDS patients and a review of the literature relevant to access to care, quality of care and funding.
9,785 words (approx. 39.1 pages), 46 sources, MLA, AU$ 291.95
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Abstract
A research study is proposed that investigates the experiences of HIV/AIDS patients with health insurance. The specific problem that is investigated concerns variations between HIV/AIDS patients and non HIV/AIDS patients in relation to denial of coverage, premium levels and experimental drug approval. Literature is reviewed is support of the proposed research study. The major bodies of literature reviewed are those related to access to care for HIV/AIDS patients, the quality of care received by HIV/AIDS patients and health care funding, especially as such funding applies to HIV/AIDS care and research and with a further emphasis on future funding prospects.
Introduction
Access to Care for HIV/AIDS Patients
Bioethical Issues
Social Psychological Influences
Effects of Managed Care on Health Care Access for HIV/AIDS Patients
Quality of Care Received by HIV/AIDS Patients
HIV/AIDS Funding
The Welfare State
Summary of the Literature Review
References
From the Paper
"A critical factor affecting access to necessary health care for HIV/AIDS patients is health care insurance coverage. Approximately 60-percent of the American population is covered by private health care insurance programs (Congressional Budget Office, 1999). Most of these programs?the very great majority?are either fully or partly funded by employers, while the remainder of such programs is funded fully by the covered individuals and families. For the remaining 40 percent of the population, the delivery of health care services is dealt with in a variety of ways, as follows: (1) for approximately 25 percent of the population, health care services are funded by the federal government, primarily through the Medicaid and Medicare programs; (2) approximately five-percent of the population, both individuals and families, who for whatever reason do not choose to contract for health care insurance, are in the financial position to pay for health care services at the time of delivery; and (3) approximately 10 percent of the population defer health care services to the point where they can non longer be deferred, at which time they typically enter the health care system as emergency patients (Congressional Budget Office, 1999). As emergency patients, their care is more expensive than it would have been if treated earlier, and the care is either (1) paid by government or charity or (2) results in charges to the patients and their families that they seldom have any hope of ever paying. In the latter case, caregivers, typically public hospitals, must absorb the losses.
When all is said and done, approximately 12 percent of the country?s population is without any formal health care insurance coverage (Minahan, 1999; Rosen, Fanshel, & Lutz, 1999), although some estimates of this proportion are higher. Further, in most cases, such individuals are not in a financial position to fund such services as required. With the size of the American population established at approximately 273 million by the 1999 census estimate (Population Reference Bureau, 2000), the 12 percent without formal health care insurance translates into approximately 33 million people."
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