NRS 460 Topic 3 DQ 1

Discussion: Recognize some ways racism appears is evident in health care and identify factors inside and outside the system that create disparities in health care access and quality for diverse patients.

NRS 460 Topic 3 DQ 1 Assessment Description

Recognize some ways racism appears is evident in health care and identify factors inside and outside the system that create disparities in health care access and quality for diverse patients. In complex disease management, how can health care providers identify and reduce biases and discrimination that could impact patient care? Consider the system’s internal and external processes and structures that contribute to racism and other forms of discrimination.

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NRS 460 Topic 3 DQ 1 Sample

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Complex diseases have been associated with higher healthcare costs. As a result, several healthcare models, such as capitation and value-based care, have been established to facilitate the cost of care is catered for. Capitation is a way of paying healthcare providers or organizations where they receive a fixed set amount of money to cover the cost of all or some of the healthcare services for a specific patient over a certain period. As a result, patients covered by the policy have increased access to various forms of healthcare services, including preventive, diagnostic, and treatment services, medications, and health education, resulting in improved health for the patients (Yan et al., 2023).NRS 460 Topic 3 DQ 1 In addition, capitation improves the quality and service delivery to the patients as different specialists can work together to ensure patient care is well coordinated to meet the continuous needs of the patients.

However, capitation has its challenges, the most common being under-financing, as patients with complex diseases require costly interventions and procedures. This results in healthcare providers and facilities declining to take up this model as it is associated with extra losses in cases where additional costs are required, limiting patient access (Matchar et al., 2023). Lastly, healthcare providers may overcharge, over-treat, or under-treat patients, where they may order unnecessary tests or limit the number of tests done to maximize profits. NRS 460 Topic 3 DQ 1

Value-based care is an example of a healthcare delivery model where healthcare providers are paid based on patient health outcomes such as improved patient health and reduction of complications and readmissions. Value-based care aims at reducing the number of preventable healthcare conditions such as diabetes and hypertension by encouraging physicians to identify certain conditions early, initiate treatment, and provide health education to the patients (Leao et al., 2023). NRS 460 Topic 3 DQ 1 As a result, there is a reduction in overall healthcare spending through less hospitalization and medical emergencies. In addition, patients receive patient-centered care as physicians spend more time with them. The patients also receive quality healthcare services, which may include specialist coordination and remote monitoring that improve their health outcomes. However, inadequate finances may limit the efficacy of value-based care.

NRS 460 Topic 3 DQ 1 References

Leao, D. L. L., Cremers, H.-P., van Veghel, D., Pavlova, M., & Groot, W. (2023). The Impact of Value-Based Payment Models for Networks of Care and Transmural Care: A Systematic Literature Review. Applied Health Economics and Health Policy, 21(3). https://doi.org/10.1007/s40258-023-00790-z

Matchar, D. B., Lai, W. X., Kumar, A., Ansah, J. P., & Ng, Y. F. (2023). A Causal View of the Role and Potential Limitations of Capitation in Promoting Whole Health System Performance. International Journal of Environmental Research and Public Health, 20(5), 4581. https://doi.org/10.3390/ijerph20054581 

NRS 460 Topic 3 DQ 1 Yan, J., Shi, Y., Zhang, J., Chen, S., Huo, X., Shen, Y., & Zhang, N. (2023). Impact of capitation prepayment on the medical expenses and health service utilization of patients with coronary heart disease: a community policy intervention program in a county in China. BMC Public Health, 23(1). https://doi.org/10.1186/s12889-023-17161-x

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