Long Term Health Care

The eagle-eyed enclosure wellness charge riddle has been acknowledged by m each health business organization institution and health parcel outfulness organization as difficult to phvirtuoso. Dennis Robbins admitted that the difficulty lies in obtaining perfect and up-to-date guidance (p. 1), towards addressing conflict, developing policies, and also the many ethical problems that unremarkably come up in health help context. Robbins noned that patronage of those vast arrays of health cover institutional settings.Many legal cases came up when the patient was no capaciouser confined in these institutions. Robbins pointed go forth that on that point be about 21,000 abundant term superintend facilities, 14,000 hospitals, and 38,000 nursing and own(prenominal)ised care facilities that caters to these problem of massive term health care. He accent that commodious term care are service provided in institutional settings, yet, he also disclosed that estimates showe d that al near three quarters of the 70 disabled who receive home care services received that care from family members or volunteer care givers (p.1).However, dogged term health care institutions are non exclusively the sole provider of a long term health care. Home care is an resource those who learn long term treatment may opt to choose considering cost of hospital bills. However, the problems that need to be solve both by the long term health care and home care is the lack of sufficient health care professionals to round many of these commission in home care and long term care (Robbins, p. 16).Robbins pointed out that these problems are resulting to a faded or lacking in post accurate care settings that involve quality assurance and risk solicitude committees, attending physicians and related groups. Thus, long term care facilities are viewed by some as infallible evil (p. 17).Beyond the many legal and ethical issues that surround long term health care, are the problem s that deserve to be addressed. These are under-funding of the long term health care, high staff turn everyplace, and quality of typography card. harmonise to an advisory issued by the committee on agencys and meat sub-committee on health of the United States House of Representatives about nine one million million million adults are receiving home term care assistance, either in fraternity settings or in nursing homes (p.2). This report cited that nearly sixty pct of these of age(p) persons receiving long term care assistance and rely all told on un stipendiary care givers mainly their immediate families either their spouses or the children only seven per centum of these aged can afford of paid services.The report further cited of around one hundred thirty v billion sawbuck on long term care for the elderly by means of the different agencies that caters to the needs of these groups such as Medicard and Medicare and other nonpublic insurance (p. 2). However, this budge t did not include any amount consecrate to long term care provided by the informal care givers.In this report, United States law makers are alarmed of the growing numbers of elderly people and booming problems of long term care in the hardiness of diminishing numbers of professional health care givers. The hearing of the committee was to address the current financing for long term care services and the range of services available in the continuum of care from home as well as community-based services to nursing home care (p. 2).According to some studies presented in this hearing, there was actually substantial funding for the long term health care. The Director of congressional Budget office pointed out a total of over twain hundred billion dollar was spent in 2004 equivalent to twenty four thousand dollars per senior with impairment (p. 9). The problem that they see was not on funding entirely rather on government rules that hinder public from preparing for their own future. T he narration says, Those rules create incentives that discourage people from making their own financial homework and encourage them to rely on government assistance (p. 9).The anticipated ontogenesis of number of elderly people by two and a half(a) times poses another problem as the number of adult eighty- cinque and older who uses long term care are likely to emergence by five percent in 2050, triple more than the 1.5 percent in 2000. Thus, the committee on health is encouraging to promote alternative delivery dodgings such as an early intervention and care management in nursing homes and the community as well as great use of home and community based care (p. 36). They saw institutional long term care as costly and in economical and leads only to poor outcome.Dr. Meghan Gerety of the University of Texas, College of health and Sciences, testified that the current system is lacking of essential incentives for promoting alternative delivery systems (p. 36). Dr. Gerety said, M any people have signified their swear for care in the home and community yet, the current financing system has a strong institutional bias (p. 36).Dr. Gerety revealed that of the 83 percent who need long term care, seventy-eight percent of their help come from undischarged sources such as family and friends (p. 37). The problem therefore of under funding does not necessarily pose problem in such a way that there is sufficient funding being allocated for elderly and those adults with impairments. What is lacking is a more creative, more practical approach into this part of the society.The next wonder that needs to look into is the high turn over of staff.Various orientations on nursing home administrations provide training for long term care workers. Learning facultys are easily available and it seems that there are slightly much demands of long term health care workers all over as the number of elderly people are looming and those who are desire long term care are doubling.As we have seen in the committee report of the Subcommittee on health by the United States Congress, there is an anticipated addition of numbers of elderly people of about five percent by 2050, as the so-called baby boomer times is coming to end. Not only this pose financial burden barely it also needs additional long term care personnel. moreover according to Douglas A. Singh, despite of efforts to identify the cause of turn over, and despite efforts to observe the erosion of manpower, staff turn over remains one of the most daunting problems of nursing home industry (Singh, p 468). Singh state that the efforts to address the issue have produced only a little success up to this time. He disclosed that despite of the turnover, there was no attempt to increase staff retention given the fact that turnover is expensive. Singh identified two major costs related to turnover problem namely the lieu cost and the training cost for the new worker (p. 468).Singh identified one of the sta ff turnover causes is easily burnout among new employees. He noted that ordered shortages of staff and often picking up of employee to fill the slack is change and leaves feelings of disillusion powerless and incompetent for the position (p. 471).Another source of turnover of staff is sexual harassment on the part of women health workers. Jeff Hearn said, there was a very high turn over of female care staff in this area. Hearn noted that management knew about the high staff turnover in this area and which the reason was just to choose not to act on it. Hearn observed that grievances were simply ignored and never got any action and that management is likely to prefer to replace female care worker than dismisses the officer (p. 116).The high turnover of staff therefore is not simply related to compensation but rather more personal reasons which the management often chooses to ignore or not act on it. Solution to this problem according to Douglas A. Singh is to impose an effective Hu man choice and Staff Development orientation which would offer learning modules to all personnel, concerning their duties, obligation, rights and accountabilities. This module also serves as encouragement as they will be point of their benefits and other incentives that would keep them stay in their work without fear of harassment or exploitation.The Report CardFlorence Kavaler and Allen Spiegel said that Health care providers helps consumers make informed about a provider refutation through the report card. But they noted that the report made by a United States Health Plan Employer Data and Information in family 2001 indicates declining member satisfaction with the New York Health Plan (p. 105). They also noted the decline in satisfaction of members with diabetes from 53.7 percent in 1994 to only 49 percent in 2000 (p. 105).This report card is one of the three clusters-smarter markets through report cards. It seemed that this card offered only limited benefit for the holder as i t only provides option for a better choice of a service. This is in all likelihood the reason for the decline of report card use. As one beholder commented, report cards have not the desired effects because consumers are not aware of the quality problems that have been observed in health care. Therefore, it is not surprising then the decline of the use of this report card.What to do with this card? I would suggest they dissolved it and think of a more relevant initiative that would cater to better health care option. manoeuver CitedDilulio, John and Nathan, Richard (1994) Making Health Reform Work The View from the States. Brookings groundwork PressHearn, Jeff (1989). The Sexuality of Organizations. Sage Publications.Kavaler, Florence and Spiegel, Allen D. (2003) Risk Management in Health Care Institutions A Strategic Approach. USA Jones and Bartlett Publisher, Inc. tenacious status Care Hearing before the Subcommittee on Health of the Committee on Ways and Means. US House of Re presentatives One Hundred Ninth Congress (April 19, 2005, Serial 109-46). Diane PublishingRobbins, Dennis A. (1996) Ethical and Legal Issues in Home Health and Long Term Care Challenges and Solutions. Jones and Bartlett Publishing, Inc.Singh, Douglas A. (2005) Effective Management of Long Term Care Facilities. MA, USA Jones and Bartlett Publisher, Inc.