TheFuture of Healthcare Reforms
Assumptionsindicates that the Affordable Care Act (ACA) would ultimately lead to(single-payer schemes) which is a state health care system in whichthe funding and insurance cover roles are taken by the nationalgovernment. The reforms will be achieved depending on how theAmericans play out the prevailing forces. On the other hand, it isestimated that millions of Americans are likely to get health coverby the ACA and substantial labor force will be required to encounterthe increased demand. The ACA has also promised quality andaccessible care for all by reducing the shortages and minimizingproblems associated with the existing delicate system (Shi &Singh, 2015).
Theframework for healthcare reforms presents the forces that enable usrecognize why certain variations have happened previously and alsoupdate the path of change that might occur in the future. Therefore,the following are the three key forces that will define the futurechange in healthcare.
Socialand demographicsince the United States is becoming larger and more culturallyvaried, there is a shift in the demographic structure. This hasobstructed the necessities of medical care and the ways through whichhealthcare needs will be achieved. Moreover, social and demographicdesign of the Americans influence the state’s capacity to affordmedical care services. It also has a major effect on susceptibilityto diseases, risk-taking behavior, medical care promotion, diseasecontrol and shape perception or reaction to health care reforms (Shi& Singh, 2015).
Economicaltheeconomic development, employment and national debt will control theaccessibility to medical service, cost and affordability. Similarly,it is clear that domestic income is a crucial component ofaffordability to healthcare in the United States. The Treasury wouldneed not to bother publishing the extent of national indebtedness andno public resources will be wasted on publishing trustee reports forMedicare and Social Security this will minimize national debt thusincreasing tax and economic growth.
Technologicalit is believed that technological development in medical care willremain to transform healthcare. As the Americans favor the existingavailability, innovation and usage of new technology will have agreat impact on healthcare reforms. Equally, higher expenditures inresearch and innovation are rising concerns regarding how long thiscan last given that development in the healthcare spending willcontinue to exceed the GDP growth. On the other hand, technologiesthat promote efficiency in medical care will get much attention inthe future though the general impact of technology is to increasecosts if it is accompanied by utilization control approaches (Shi &Singh, 2015).
Patientactivation is a broadly known idea that defines the skills andknowledge an individual has in handling their well-being andhealthcare. Given that the ACA is geared more towards healthmaintenance, patient activation is necessary to positive-relatedoutcomes. Engaging clients in their care and providing them with theknowledge and skills to manage their health is also important. It isclear that persons with little levels of activation are less expectedto play an active role they are less good at looking for assistancewhen they need it. Their lack of confidence often means that theyprefer not to think about dealing with their health. Likewise,patients with low activation levels are less likely to attend toemergencies, leading to higher health care costs.
Advancedpractice nurses are experienced clinician, whose capability can helphugely in expansion and affordability of health care. It is suggestedby the Affordable Care Act (ACA) that if advanced practice nurses areallowed to perform to the complete range of their skills andeducation, they could help shape the labor force needed to encounterthe state’s main care requirements and add value to their skills.Secondly, they will be able to provide a variety of services and thiscould include coverage programs for advanced patients that are withinthe scope of practice. They will be able to execute admissionevaluations and accreditation of patients for home-based carefacilities.
Asillustrated by Skinner (2016), it is vital that medical professionalsshould perform to the full extent in order to optimize efficiency andquality of services for patients authorization to use one’seducation and training will enhance a collaborative service delivery.Restrictions will be removed to increase primary care delivery.Promoting advance nurse’s workforce will meet the growing demandfor patient care in a time when there is insurance expansion andshortage of primary care physicians. Michael & Malani (2015)states that, changing advanced nursing practice role will reduce themedical cost and enhance higher quality healthcare services withgreater efficiency.
Accordingto the Edward’s NP Week Article, changing care delivery systemswill solve concerns about shortages of the primary. Healthprofessionals in the United States specifically advanced nurses willbe allowed to provide care since the obstacles that include statelaws, federal policies, archaic insurance repayments models will beeradicated. It is pointed out that the policymakers are guided by theNational Council Committees of nursing to change state practice lawsand understand the provisions Act. Equally, the Medicare schemes willbe amended to authorize advanced nurses to perform fully to theextent of their skills.
Shi,L., & Singh, D. A. (2015). Essentials of the US health caresystem. Jones & Bartlett Publishers.
MichaelH. Schill, & Anup Malani, (2015). The Future of HealthcareReforms in the United States. University of Chicago Press. Retrievedfrom: https://books.google.com/books?isbn=022625495X
EdwardE. Yackel NP Week Article:https://www.aanp.org/press-room/nps-in-the-news
Skinner,J., & Chandra, A. (2016). The past and future of the AffordableCare Act. Jama, 316(5), 497-499. Retrieved from:jamanetwork.com/journals/jama/fullarticle/2533698