Policy, Politics and Global Trends in Health Sector
Why the Public Policy Issue Was Chosen?
According to the report released by National Priorities and Goals -- aligning efforts meant to transform America's Health care (NQF, 2009; Partnership, 2008). NPP (National Priorities Partnership) came up with 6 priorities. If the priorities are addressed, it could improve the quality of health care delivered to the U.S. citizens. NPP consists of 48 major U.S. health care organizations, which work with NQF (National Quality Forum). It identifies and advances priorities geared at improving health care in the future (NQF, 2009). NPP has identified palliative care as one of the six priorities that can help improve patient-based utilization outcome. This article provides the background to help identify steps to assist match the medical treatment of the patient and family objectives. It concerns itself with access to quality hospice services and palliative care (Meier, 2011). This policy looks at the part of palliative care that can be incorporated into the United States of America's health care system.
1. It enhances the value of health care
The value in health care refers to the ratio of quality to cost. The value can be improved by reducing the cost and also improving the quality. People who have multiple functional impairment and chronic conditions constitute10% of the patients in the U.S. It accounts for more than half of the cost of health care (Office of the Assistant Secretaryfor Planning and Evaluation, U.S. Department of Health and Human Services, and The Lewin Group, 2010). Palliative care that targets the patients in hospitals are evolving (Goldsmith, Dietrich, Du & Morrison, 2008). As a result, they have increased both their value by reducing the cost of care for those who are sick and those suffering from complex problems. Hospices that are certified as Medicare serve over 1.5 million dying Americans every year. From this discussion, it is evident that hospice programs and Palliative care are crucial to improving the health care value through the ability to improve the quality of care and reduce the cost the health care system faces.
2. Improving the Quality of Care
Palliative care and hospice programs are meant to improve the psychological and physical symptoms of patients and, family caregivers. It is also meant to improve the bereavement outcome and ensure physical satisfaction.
These goals can be achieved through the care provided by the nurses, social workers, spiritual counselors' psychologists, aids, pharmacists and physicians. In such cases, palliative care and hospice teams are charged with the responsibility of establishing goals and plans for safe transitions out of health units and support families in crisis.
Proper communication on the patient's prognosis and the goals by all the teams ensure better decision making and guarantees consistent follow up. Discussions at a family level lower the cost and reduce the burden on the family (Wright, et al., 2010). It also reduces dissatisfaction and improves bereavement outcome. According to the recent studies, it has been demonstrated that both palliative and hospice care are associated with a significant prolongation of the patient's life (Bakitas, et al., 2009) (Connor, Pyenson, Fitch, Spence, & Iwasaki, 2007).
Relevance of the Public Policy Issue to the Nursing or Health Profession
An audit at the national hospital deaths revealed that 25% of patients could not have lost their lives at home, if community resources were in place. However, without hospice beds or support, many families have little choices, even when the patient's condition deteriorates (Hospice Friendly Hospital programs 2010). Ultimately, these impacts heavily on emergency departments, bed utilization, trolley waits usage as well as discharge rates.
For instance, Milford Care Center has been able to reduce death rates by 6%. In the same breadth, nationally, palliative care has been able to reduce the proportions of death in hospitals from 43% to 21%. According to studies conducted in the U.S., Canada and Spain, it demonstrated that Palliative care had a positive impact on the cost of acute care (Irish Hospice Foundation, 2014). In effect, it has been able to increase the deaths occurring at home from 26% to 42%. This shows that there is a positive impact of development of palliative care programs. This means that the policy will benefit health care and nurses by reducing the costs associated with staying in hospitals.
The Financial Impact of the Policy to the Community or Organization
According to recent statistics (Morrison et al., 2008), palliative care has helped save $2,659. In the U.S., 2% of the 30 million people who are hospitalized die (AHRQ, 2002). This number includes the 4% of patients...
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