Tuesday, January 28, 2020

The Differences Between Health Care

The Differences Between Health Care A persons first level of contact, with regards to the health system is known as Primary Health Care (French, S., Old, A., Healy, J. (2001)). It is necessary, usually community based, health care aimed to be reachable to all everywhere and delivering health care nearer to peoples homes and workplaces (Gillies A. (2003). The primary providers of this type of health care are general practitioners (GPs); however the number of nurses and midwives that are providing primary health care is rising (French et.al (2001)). Types of primary health care include the treatment of everyday problems such as sore throats, diabetes, etc. but also preventive care such as vaccinations and screening (Bodenheimer, T. S., and Brumbach, K. (2009)). Primary health care also requires continuity which allows a GP to track and ensure the health of a patient over time (Schoen, C., Osborn, R., Doty, M. M., Bishop, M., Peugh, J., Murukutla, N. (2007)). The next level up from primary health care is Secondary and Tertiary Health Care. Secondary requires the use of more specialised skill and equipment to fix the problems (Bodenheimer, T. S., and Brumbach, K. (2009)). Such services will usually be found in hospitals, inpatient services and outpatient clinics, as well as the occasional private clinics (French et al (2001)). This type of care is reserved for specialist doctors in such fields as neurology, gynaecology, general surgery amongst others and can only act as consultants through referrals from the persons GP (Bodenheimer, T. S., and Brumbach, K. (2009)). Tertiary health care is for the more complex and expensive procedures with only a select few hospitals fully equipped to handle them, such as open heart surgery or organ transplants (Bodenheimer, T. S., and Brumbach, K. (2009)). Nowadays the distinction between secondary and tertiary is blurred as technological advances have made previously complex procedures relatively uncomplicated, such as non-invasive surgery (French et.al (2001)). Which primary health care services enhance individual health? Which ones enhance population health? Due to the signing of the 1978 Alma Ata Declaration, a strong focus was put on primary health services, both to enhance individual health. Services that are designed to enhance the overall health of an individual include immunisation against many harmful infectious diseases such as measles and polio. These vaccines are usually administered by your general practitioner or nurse practitioner in your community. Another individual enhancer includes screening programs that allow us to identify any dangerous and/or deadly diseases or conditions present in a person, for such things as tumours (Gillies A. (2003)). Services that enhance population health are in most cases very large preventive, educational and recuperative services aimed at tackling the main health concerns of communities. Examples include the education of proper nutrition so people can eat more healthily, improved and satisfactory quality of water supplied to the population, better elementary public hygiene. When a threat of an endemic in the region/area occurs, the management of it to prevent further contamination of others is a large scale, and preventive, type of population health services. An important population health enhancer is the provision of services for soon to be or planning to be mothers and for those already with children, known as family planning. In some cases, for the health of people to be fully achieved, having access to very necessary drugs and medication is a service that enhances population health (Gillies A. (2003)). What is gatekeeping? Describe the consequences of gatekeeping for patients and for the overall health system. Gatekeeping is a concept wherein the availability of receiving a consultation from a secondary health care provider, such as brain or orthopaedic specialist, is limited to the patient without acquiring a written referral from their primary care provider (PCP), their general practitioner. This leads to the PCP acting as a gatekeeper (or a general health co-ordinator) and is done to limit the number of referrals to specialist, diagnostic tests amongst other services with the promise of incentives for doing so due to certain financial agreements with these specialists (Bodenheimer, T. S., and Brumbach, K. (2009)). An exception to this is in the case of accident and emergency services (French, S., Old, A., Healy, J. (2001)). The consequences of this system for patients are that some will become annoyed with any limiting of availability to specialists. This is due to many patients insisting that they must have access to both adequate primary and specialty care, when they feel the need for more specialized care they have a problem with the constricting of access to them (Bodenheimer, T. S., and Brumbach, K. (2009)). Another consequence is that patients are ensured of receiving the correct treatment at the proper time in the right place (Bodenheimer, T. S., and Brumbach, K. (2009)). Also due to the PCPs being able to deliver continuing and thorough care for patients, there are higher chances of improved health outcomes (reference required WHO health network?) PCPs having more access to their patients and the gatekeeping role they perform have led to lower hospitalisation, usage of specialist and emergency centers and the odds of unnecessary health interventions and is considered to be more cost effective than going directly to a specialist (reference required WHO health network?). The presence of such a system also appears to have a beneficial effect of lowering the need for costly and specialist-led hospital care (reference required WHO health network?). In New Zealand we have a health care system in which most primary care requires payment from recipients of care, yet almost all higher level care is free. What problems are likely to arise from this dual system? Unnecessary use of hospitals and ambulances, less access for poorer people, Robin Hood effect, inverse care law, funding, cost, define, What, if any, are some positive features of this system? Security felt by people who otherwise couldnt afford, Identify some (4-5) indicators that provide evidence of the extent of problems. GPs per capita in certain areas, unnecessary hospitalisation, wrongful budget spending (over and under), quality of care by GPs who believe patients are fine,

Sunday, January 19, 2020

The Competitors :: Creative Writing Essays

Creative Writing: The Competitors As thousands of people poured into the rectangular shaped stadium for what was being called, "the event of the century" , the participants readied themselves for the hardships they would surely suffer from the games. After a long grueling season of intense bodily torture this would by the final chapter of confrontations. Out of the 275 original members of the DFS leagues infant year, only 20 remained. These men and women were not only hardened on the outside, but on the inside as well for they had long since learned the weaknesses that emotions bring. Everyone one present in the cubical that was called a dressing room knew that as soon as the capacity crowd of 300,000 had settled, they would no longer be comrades brought together by the common bond that friendship makes but enemies of the battle field each one jockeying for the upper hand. As the referee announced there was half an hour left before game time, a few players huddled together to say a quick prayer while others gathered around the head coach for a final word of advice. One of the competitors listening to this advice was Matt Williams or "The Destroyer", as he was known by the crowd. He was a powerfully built young man who was in the possession of deep opaline eyes, nightmarish black hair, and a ruddy complexion. Feared by all for his ruthless behavior, Matt had joined the DFS league after being courtmarshaled by the army for striking the commanding officer of his platoon. Why he was even near the coach was a mystery to him because most of the coaches words fell on unhearing ears. Matt guessed he was just nervous. Who wouldn't be. Looking up, Matt saw that the coach had left and it was time to enter the field. Strapping on his helmet and the rest of his gear, he took a deep breath, focused his thoughts, and ran out onto the field joining the rest of the players. The roar of the crowd sounded as if a tsunami was breaking on the beach and the ground felt as if it were pulsating with a life of its own. He never remembered these feelings before but he simply shrugged off the thought as he faintly heard the sound of the referee's whistle. Suddenly, the sound of the crowd was replaced by e reverberating silence that was deafening in Matt's ears.

Saturday, January 11, 2020

Shedding Light in the Shadow of Misconceptions

With a sad heart, I answer the aforementioned question with yes.   Islam is viewed unfavorably by many people in this globalized world.   Sometimes, it is often dubbed as the religion espoused by the terrorists o extremists. But not all Muslims are terrorists and not all terrorists are Muslims. The media magnified and somewhat vilified the image of Islam more after the September 11 event. But are these accusations and perceptions all true? Misconceptions about the religion continue to generate fear, resentment and judgment among uninformed minds. This paper aims to shed a little light on the three common misconceptions about Islam involving women, Jesus Christ, and the alleged use of sword in spreading the religion. It aims to convey the message to the country’s non-Muslim population. Firstly, non-Muslims thought that Islam degrades women by classifying them as properties or as second-class citizens. The notion is wrong. The Qur’an upholds and esteems women; they are not regarded as evil temptress. Women’s rights were guaranteed by the Islamic Law over 1,400 years ago. Islam allows women to own properties, operate a business and receive equal pay for work.   History tells us that about 50 years ago, women in both England and America were not allowed to acquire any property without the consent and signature of their husbands or father. Likewise, Islam women can’t be forced to marry against their will. Islam women are not confined under the veil, as many see it. The clothes serve as protection against any malicious intention stemming from a man’s sight. Flaunting a body invites rape and harassment; it is therefore logical for a Muslim woman to wrap herself with cover.   Many Muslim women around the world are in top positions.   Consider the late Benazir Bhutto of Pakistan. Isn’t she the embodiment of Muslim woman empowerment? Women are highly-valued, cared for and esteemed in Islamic society.   In addition, Islam stopped the ancient Arab practice of killing newborn daughters.   Such is the premium given by Islam on women or young girls. Under Islam, both sexes are treated fairly. Secondly, other people view Islam as against Jesus Christ. But to a Muslim, Jesus Christ is a great prophet. Muslims respect and love Jesus. Muslims call him as Nabi Isa – the Arabic term for Prophet Jesus. The Qur’an speaks about him and admonishes Muslim to believe in his virgin birth and miracles. It must be remembered that Muslims are not attacking Jesus Christ when they speak against the Bible or Christianity. Muslims are just criticizing some claims of Christians.   However, Muslims reject the idea of Trinity and the theology of Incarnation.   In a Muslim’s heart, Jesus Christ remains the great prophet who performed good deeds and miracles to many people. Lastly, non-Muslims were taught that Islam spread through the use of sword. It must be noted that Muslims are educated by the Qur’an on non-compulsion in religion.   If Islam was spread by the sword, then most of India, China and even more than half of the world should be under Islam by now.   India remains a predominantly Hindu country and China, a communist republic. Islamic traders went through different places to bring business but did not kill or force people to be converted to Islam. The people were impressed by the traders’ life that they adopted the religion which they have.   In contrast, history attests to the violence and brutal killings by other religions, such as the Crusades, in vain attempt to convert people. Furthermore, according to the Reader’s Digest, for a period of 50 years, from 1944 to 1984, more people converted to Islam than in any other faith. Now, were they threatened to be killed or forced to be converted?   Islam means submission and those who chose to be a Muslim, did so volitionally, out of their free will. The above-mentioned are just a few among the many misconceptions about Islam. Still, much of the world’s humanity has animosity towards the religion or its followers. For someone to understand Islam, one has to open his or eyes. Judgment must be suspended first to see that Islam is more than a religion, but a way of life. It is a life of submission to the will of God. Muslims are not enemies. Like us, they are also humans in need of acceptance and belonging. Like any other religions, Islam must be respected, too.   If one would take the time to study and understand its teachings, only then will he o she would be able to correct the misconceptions on the religion.            

Friday, January 3, 2020

Analysis Of The Book Project Of 1776 Essay - 1591 Words

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It was at some stage in these black days very close of 1776 that writer Tomes Paine’s some words has published recently in American Crisis â€Å"These are the period that struggle men’s souls†¦the summer fighter and the sunlight loyalist will, in this disaster, get smaller from the service of their nation; but he that places it now earns the be in love with and credit of gentleman and female.† The historical novel named 1776 had written by the man, who won the Pulitzer Prize named David McCullough, the American colonists of thirteen were trying to get the independent from a nother greatShow MoreRelatedThe Explorers, By William Stuart, George Vancouver, And Sir Horatio Thomas Austin1632 Words   |  7 Pagesdeath. Within the discussion, biographies of the explorers will be five sources that are found in the Dictionary of Canadian Biography Online, and the final will be J.M Bumsted’s book, A History of the Canadian People, as the sixth source. 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