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Health, Medicine, Nursing
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Research Paper
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English (U.S.)
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Topic:

Barrier Analysis. Institutional Affiliation. Proposed Improvements

Research Paper Instructions:

Purpose and Background



The purpose of the Barriers Analysis is to apply concepts of a complex adaptive system to an analysis of challenges and barriers to safe, efficient and cost-effective provision of health services in a specific delivery setting and then across the continuum of care. The student will demonstrate mastery of the course content by researching perceived challenges or barriers in the current continuum of care, analyzing them using basic systems concepts, and then developing a set of potential improvements to address it.



As you’ve learned, the continuum of care, or continuum of health services, is made up of the entire range of preventive, curative and restorative services available in the US health care system. You’ve also learned that there are at least two levels from which you can view the continuum. The macro-level considers performance at the level of the full system, all of its relevant services across the entire population.



Some of the greatest challenges in the current health care system, as well as the best opportunities, occur at the points in which a patient moves from one part of the continuum of care to another – emergency care to inpatient care, inpatient care to skilled nursing or long term care, primary care to specialist care, etc. Those challenges can be financial, social, or cultural. They may also result from a lack of resources, conflicting incentives, or inefficient/ineffective processes and communications in the delivery system itself. Taken together they reduce timely access, increase cost, and prevent patients from achieving the best outcomes.



Instructions



Select a health service setting that is of interest to you. Hopefully, you’ve used the Health Services in the Headlines and the team presentations to have already done some research into the challenges and opportunities in that setting. Consider how this setting interfaces with other health care settings to meet the needs of an individual patient. Brainstorm a set of potential barriers that prevent patients from moving in and out of this setting in ways that ensure optimal access, cost, and quality.



Choose 2 to 3 of those barriers as the focus of your analysis. Using the concepts from systems theory (diverse agents, non-linear interdependencies, self-organization, emergence, and co-evolution), explain the nature of the barrier and propose one or more steps that one or both settings could take to improve the performance of the system for individual patients.



The paper is written in three sections and will be scored according to the following rubric.



Section 1: Summary description of the health care setting and how it fits into the continuum of care (1-2 pages).



Section 2: Description of the barriers selected using systems concepts (2-3 pages).



Section 3: Proposed improvements to improve access, cost and quality using systems concepts to justify (1-2 pages).



Scoring Rubric – Barriers Analysis



Summary description of the health care setting and how it fits into the continuum of care:

Demonstrates understanding of the health care setting and its relationship to other settings



Identification and description of potential barriers:

Demonstrates the ability to identify factors that interfere with access, cost or quality in the selected setting. Propose 2-3 possible barriers with clear and concise descriptions of each.



Proposed improvements:

Demonstrates critical thinking and problem-solving skills.

Proposes at least one intervention for each barrier identified with an explanation of how the intervention will improve access, cost or quality.



Application of systems concepts:

Demonstrates the ability to apply systems concepts and systems thinking to basic operations of a health care setting and the patient experience.

Concepts are applied accurately at the novice level of mastery.



Writing:

Well organized, clearly and concisely written

Technical errors are minimal (spelling, punctuation, complete sentences)

Paper is properly referenced using a standard reference style (AMA, APA)

Research Paper Sample Content Preview:

Barrier Analysis
Student’s Name
Institutional Affiliation
Course
Date
Barrier Analysis
Continuum of care means maintaining continuity of the medical care conveyed to the patient, particularly when exchanging between caregivers or care foundations. Numerous caregivers and care foundations characterize medical care, and there is a crucial need to document important information and to convey it among the various caregivers to guarantee the conveyance of suitable, high-quality medical care. The continuum of consideration is fundamental to both caregivers and patients as it ensures an improvement of the fulfillment level, lessens costs, and improves health. Keeping up the continuum of consideration is particularly fundamental for those patients who are continuously dependent upon health organizations, elderly patients, patients experiencing complex diseases, sanely impacted patients and patients with interminable diseases.
The family specialist, who is the fundamental, organizing caregiver, the individual who mediates and jumps on additional treatment, assumes the job in ensuring the continuum of care after some time. Studies demonstrate that to achieve a vast continuum of care, various caregivers must be kept to a base. They are suggesting that comparable specialists should go with the patient all through their treatment. The system has the choice to give flexibility and have the option to conform to changes in the living states of the patient after some time. This will ensure that there are transparency and essential accessibility of data to the caregivers all through the health systems concerning the patient and that there be incredible correspondence among all of the caregivers at all of the caregiving facilities (Utami, 2018).
In this barrier analysis, the health facility I will consider is clinics and medical offices that serve HIV patients. A clinic is a facility that diagnosis and offers treatment to outpatients. Across a wide variety of treatments, many health facilities fit that definition. Most of the people visit clinics for checkups and routine appointments with the doctor. These healthcare offices can be owned privately by a doctor, a group of doctors on the setting, or a corporately claimed center that might be in association with a more extensive healthcare system or medical clinic. Centers spread a great deal of ground in healthcare. The objective of these centers is to give individuals preventative care and significant diagnosis with however much accommodation as could be expected. The fit continuum of care as they have to ensure that patients follow instructions given to them regarding their medication. They provide quality care outcomes and also reduce the cost that the patient would have incurred in purchasing medication and attending guidance and counseling.
Background
The HIV care continuum (HCC) structure evaluates patients at different stages of human immunodeficiency infection (HIV) conclusion and care—from distinguishing proof of cases to linkage to attention and antiretroviral treatment to maintenance in consideration, and at last to viral suppression. Each step expands upon the past, and the extent of PLWH inside each progression has significant implications for accomplishing a definitive objective of viral suppression and decreased HIV transmission. Checking the result at each HCC step empowers us to all the more likely distinguish where and how to intercede—be it a particular HCC step, geographic region, or in danger population. The HCC is likewise an apparatus by which to screen the UNAIDS 90-90-90 objective of distinguishing 90% of those contaminated, connecting 90% of those recognized to treatment, and accomplishing 90% viral concealment among those in treatment; it is accepted that arriving at this objective by 2020 would end the HIV plague by 2030 (Parekh & Fang, 2014)
Barriers to an effective continuum of care
Cost Sharing. The significant expense of HIV prescriptions and complex treatment regimens that require numerous medicines represents a test to keeping up customers in HIV care. An individual is qualified for "additional assistance" with doctor prescribed medication costs inside the Part D program if their advantages (excluding main living place). In the event that people are definitely not qualified under these terms, they are still ready to join a Medicare medication plan, yet they will be liable for paying a month to month premium, co-installments, and a deductible, which will shift contingent upon the arrangement they choose.
Infrastructure: A few infrastructure-related barriers prevent PLWH/As as they continue looking for lifesaving antiretroviral treatment and essential care that can improve their quality of life. For a considerable level of the PLWH/As in, co-morbid conditions of substance misuse and emotional well-being are natural barriers to treatment that must be attended to pair with a person’s HIV. However, an absence of foundation for the co-location of administrations frequently requires customers to make totally separate treatment courses of action;...
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