scholarly journals The Impact of the Affordable Care Act on Dental Care: An Integrative Literature Review

2021 ◽  
Vol 18 (15) ◽  
pp. 7865
Author(s):  
Jihee Song ◽  
Jeong Nam Kim ◽  
Scott Tomar ◽  
Lauren N. Wong
Keyword(s):  
Health Care ◽  
Affordable Care Act ◽  
Low Income ◽  
Dental Care ◽  
Health Care Quality ◽  
National Level ◽  
Spillover Effects ◽  
Care Quality ◽  
The Impact ◽  
Dental Coverage

The goal of the Patient Protection and Affordable Care Act (ACA) is to increase access to health insurance and decrease health care cost while improving health care quality. With more articles examining the relationship between one of the ACA provisions and dental health outcomes, we systematically reviewed the effect of the ACA on dental care coverage and access to dental services. We searched literature using the National Library of Medicine’s Medline (PubMed) and Thomson Reuters’ Web of Science between January 2010 and November 2020. We identified 33 articles related to dental coverage, and access/utilization of dental care services. This systematic review of studies showed that the ACA resulted in gains in dental coverage for adults and children, whereas results were mixed with dental care access. Overall, we found that the policy led to a decrease in cost barriers, an increase in private dental coverage for young adults, and increased dental care use among low-income childless adults. The implementation of the ACA was not directly associated with dental insurance coverage among people in the U.S. However, results suggest positive spillover effects of the ACA on dental care coverage and utilization by people in the national level dataset.

scholarly journals Komunitas Masyarakat Dan Perawatan Kesehatan Dalam Peningkatan Kualitas Hidup

2020 ◽  
Vol 10 (1) ◽  
pp. 11-24
Author(s):  
Agustinus Hermino
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Health Care Quality ◽  
Health Sector ◽  
Well Being ◽  
Individual Variability ◽  
Care Quality ◽  
Global Era ◽  
The Impact

Latar belakang: Seiring dengan perkembangan jaman, dalam beberapa tahun terakhir ini banyak perhatian yang difokuskan pada eksplorasi dampak penyakit fisik dan mental pada kualitas hidup seseorang baik secara individu maupun masyarakat secara keseluruhan. Sifat subyektif dari 'kualitas hidup' individu, merupakan konsep yang dinamis untuk diukur dan didefinisikan, tetapi bahwa secara umum dapat dipandang sebagai konsep multidimensi yang menekankan pada persepsi diri dari keadaan pikiran seseorang saat iniTujuan: penulisan ini bertujuan untuk memberikan pemahaman tentang peran masyarakat dalam memahani pentingnya kesehatan di era global ditinjau dari perspektif akademis. Pada sektor kesehatan pemahaman kesehatan menjadi sangat pentingnya karena akan menunjukkan pada kualitas hidup seseorang, tetapi hal ini tidak cukup secara individu karena diperlukan pemahaman secara menyeluruh terhadap masyarakat tentang makna kesehatan dan perawatan kesehatan.Metode: penulisan ilmiah ini adalah dengan melakukan analisa akademis dari dari berbagai sumber rujukan relevan sehingga menemukan makna teoritis baru dalam rangka menjawab tantangan yang terjadi di masyarakat.Hasil: Berdasarkan berbagai sumber rujukan yang ada, dapat disimpulkan bahwa kesehatan merupakan gaya hidup yang bertujuan untuk mencapai kesejahteraan fisik, emosional, intelektual, spiritual, dan lingkungan. Penggunaan langkah-langkah kesehatan dapat meningkatkan stamina, energi, dan harga diri, kemudian meningkatkan kualitas hidup. Dengan demikian maka konsep kesehatan memungkinkan adanya variabilitas individu. Kesehatan dapat dianggap sebagai keseimbangan aspek fisik, emosional, psikologis, sosial dan spiritual dari kehidupan seseorang. Kata kunci: masyarakat, perawatan kesehatan, kualitas hidup Society Community and Health Care in Improving Quality of LifeAbstract Background: Along with the development of the era, in recent years there has been a lot of attention focused on exploring the impact of physical and mental illness on the quality of life of a person both individually and as a whole. The subjective nature of an individual's 'quality of life' is a dynamic concept to measure and define, but that in general can be seen as a multidimensional concept that emphasizes self-perception of one's current state of mindAim: purpose of this study is to provide an understanding the role of community in understanding the importance of health in the global era from an academic perspective. In the health sector understanding of health is very important because it will show the quality of life of a person, but this is not enough individually because a comprehensive understanding of the meaning of health and health care is needed. Method: The method of scientific writing is to carry out academic analysis from various relevant reference sources, and find new theoretical meanings in order to answer the challenges that occur in society. Keyword: Community, Society,Health Care, Quality oflife Resullt : Based on various academic reference, it can be concluded that health is a lifestyle that aims to achieve physical, emotional, intellectual, spiritual, and environmental well-being. The use of health measures can increase stamina, energy, and self-esteem, then improve the quality of life. Thus the concept of health allows for individual variability. Health can be considered as a balance of physical, emotional, psychological, social and spiritual aspects of one's life. Keywords: community, health care, quality of life 

Medical Errors

2017 ◽  
pp. 33-60
Author(s):  
Jayita Poduval
Keyword(s):  
Health Care ◽  
Medical Errors ◽  
Health Care Professionals ◽  
Health Care Quality ◽  
Service Providers ◽  
Care Quality ◽  
System Failures ◽  
Root Cause ◽  
The Impact ◽  
Improving Health Care

The impact of medical errors on the delivery of health care is massive, and it significantly reduces health care quality. They could be largely attributed to system failures and not human weakness. Therefore improving health care quality and ensuring quality control in health care would mean making systems function in a better manner. In order to achieve this all sections of society as well as industry must be involved. Reporting of medical error needs to be encouraged and this may be ensured if health care professionals as well as administrators and health consumers come forward without fear of being blamed. To get to the root of the problem- literally and metaphorically- a root cause analysis and audit must be carried out whenever feasible. Persons outside the medical care establishment also need to work with medical service providers to set standards of performance, competence and excellence.

scholarly journals The Impact of Discharge Decisions on Health Care Quality

1998 ◽  
Vol 44 (3) ◽  
pp. 400-415 ◽  
Author(s):  
Emre Berk ◽  
Kamran Moinzadeh
Keyword(s):  
Health Care ◽  
Health Care Quality ◽  
Care Quality ◽  
The Impact

Nurse/patient ratio increase and the impact on health care quality and cost in a center of a public hospital intensive care and teaching

2017 ◽  
Vol 42 ◽  
pp. 401
Author(s):  
Andreza Werli-Alvarenga ◽  
Fernando Antônio Botoni ◽  
Daniela Mascarenhas de Paula ◽  
Edna Marileia Meireles Leite
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
Health Care Quality ◽  
Public Hospital ◽  
Care Quality ◽  
Ratio Increase ◽  
The Impact

Capitation, Advances in Medical Technology, and the Advent of a New Era in Medical Ethics

1996 ◽  
Vol 22 (2-3) ◽  
pp. 331-360 ◽  
Author(s):  
Michael J. Malinowski
Keyword(s):  
Health Care ◽  
Health Care Quality ◽  
The United States ◽  
Care Quality ◽  
Care Needs ◽  
New Era ◽  
For Profit ◽  
Zero Sum ◽  
The Impact ◽  
Care Costs

Health care is being capitated throughout the United States, and much of the spread of capitation is attributable to the efforts of insurers to contain costs. The present lack of comprehensive studies evaluating the impact of capitation on overall health care quality leaves vast room for speculation.Capitation does, however, carry a very fundamental certainty with broad implications. Whether the arrangement calls for a fixed sum for treating a particular ailment, a set fee for meeting all of an individual patient’s health care needs, or a standard charge for supplying all the medication for a specific condition, capitation sets limits. Because the health care costs for any given patient or condition are in reality zero-sum rather than fixed, capitation is about pooling patients and rationing. It involves denying services to some patients despite a general contractual commitment to coverage, presumably so that more patients can be covered or receive better care. The implications of capitation are even more significant when set fully in the context of the overall health care reform now underway. Simultaneously and comprehensively, health care is being managed, made for-profit, and consolidated.

The Affordable Care Act, Substance Use Disorders, and Low-Income Clients: Implications for Social Work

Social Work ◽  
2016 ◽  
Vol 61 (3) ◽  
pp. 227-233 ◽  
Author(s):  
Heather A. McCabe ◽  
Elizabeth A. Wahler
Keyword(s):  
Health Care ◽  
Substance Abuse ◽  
Substance Use ◽  
Social Work ◽  
Social Workers ◽  
Affordable Care Act ◽  
Low Income ◽  
Structural Changes ◽  
Social Work Practice ◽  
The Impact

Abstract Social workers are leaders in the substance abuse services field and may often work in substance use disorder (SUD) education, prevention, assessment, treatment, or resource coordination and case management roles. As the Patient Protection and Affordable Care Act (ACA) (2010) drives changes in the fields of health and behavioral health, social workers have an opportunity to lead structural changes at the micro and macro levels that will have a positive impact on low-income clients with SUDs. In this article, authors examine the current state of SUDs and health care access, the impact of the ACA on the field, and implications for social work practice and education. Social workers should seek specialized education and credentialing in SUD services, know how to help clients apply for health care coverage, and advocate for integrated substance abuse treatment and health care programs and an expansion of Medicaid in their local communities. Social workers are well positioned to be a voice for clients to ensure that the current structural changes result in a better, integrated system of care that is able to respond to the needs of low-income clients with SUDs.

The Impact Of Pay-For-Performance On Health Care Quality In Massachusetts, 2001–2003

2008 ◽  
Vol 27 (4) ◽  
pp. 1167-1176 ◽  
Author(s):  
Steven D. Pearson ◽  
Eric C. Schneider ◽  
Ken P. Kleinman ◽  
Kathryn L. Coltin ◽  
Janice A. Singer
Keyword(s):  
Health Care ◽  
Health Care Quality ◽  
Pay For Performance ◽  
Care Quality ◽  
The Impact

Attitudes and perceptions of registered nurses during and shortly after acute care restructuring in Newfoundland and Labrador

2005 ◽  
Vol 10 (2_suppl) ◽  
pp. 22-30 ◽  
Author(s):  
Christine Way ◽  
Deborah Gregory ◽  
Norma Baker ◽  
Sandra Lefort ◽  
Brendan Barrett ◽  
...  
Keyword(s):  
Health Care ◽  
Registered Nurses ◽  
Acute Care ◽  
Newfoundland And Labrador ◽  
Health Care Quality ◽  
Personal Characteristics ◽  
Care Quality ◽  
Adverse Impact ◽  
Workplace Conditions ◽  
The Impact

Objectives To monitor changes in registered nurses' perceptions of the impact of seven years of health care restructuring in Newfoundland and Labrador (NL) and to measure the attitudinal and behavioural reactions over four years comparing the St John's region, where hospital aggregation occurred, to other regions of the province. Methods Data were collected on acute care nurses' personal characteristics and perceptions of the importance of reform and its impact on workplace conditions and health care quality in 1995, 1999, 2000 and 2002. Nurses' attitudes and intentions were monitored across three time periods (i.e.1999, 2000 and 2002). Results Perceived workplace conditions and health care quality, as well as attitudes and behaviours were generally negative. However, there was some improvement over time. The temporal sequence of scores suggests that restructuring had an adverse impact on nurses' attitudes. Few significant regional differences were observed. Conclusions Although health services restructuring had an adverse impact on nurses'attitudes, aggregation of hospitals in St John's region was achieved without further deterioration. Provincial wide initiatives are needed to promote more positive work environments and increase the organizational effectiveness.

scholarly journals Factors associated with mothers’ health care-seeking behaviours for childhood fever in Burkina Faso: Findings from repeated cross-sectional household surveys

2021 ◽  
Author(s):  
Hermann Badolo ◽  
Aristide Romaric Bado ◽  
Hervé Hien ◽  
Nicolas Méda ◽  
Appunni Sathiya Susuman
Keyword(s):  
Health Care ◽  
Burkina Faso ◽  
Health Care Quality ◽  
Household Wealth ◽  
Care Quality ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Factors Associated ◽  
The Impact ◽  
Childhood Fever

Abstract IntroductionFever is one of the most frequent reasons for paediatric consultations in Burkina Faso, but health care-seeking behaviours and the factors associated with health care-seeking in the event of childhood fever are poorly documented. This study aims to help fill this gap.MethodsThis study used the data from the baseline and endline surveys conducted to evaluate the impact of the Performance-Based Financing (PBF) program in Burkina Faso. Univariate and multivariate binary logistic regression analyses were used to identify the factors associated with appropriate healthcare-seeking for childhood fever. Odds ratios (ORs) were estimated to assess the strength of associations and used 95% confidence intervals for significance tests. Data were cleaned, coded and analysed using Stata software version 16.1.ResultsAmong the children under five who had a fever, 75.19% and 79.76 sought appropriate health care in 2013 and 2017, respectively. Being 24–59 months old (AOR: 0.344, 95% CI: 0.182–0.649 in 2013) and 79,2% (AOR: 0. 208, 95% CI: 0.115–0.376 in 2017), living in a very wealthy household households (AOR: 2.014, 95% CI: 1.149–3.531 in 2013 and AOR: 2.165, 95% CI: 1.223–3.834 in 2017), having a mother with a secondary or higher level of education or having made at least four antenatal care visits were significantly associated with seeking appropriate health care for childhood fever. Living in an area where the health facility is safe was also significantly associated with seeking appropriate care for childhood fevers.ConclusionThe findings underscore the need for interventions that would improve appropriate health care-seeking among mothers for their children. These interventions could include mothers’ sensitization to the benefits of modern health care use, increasing women’s education, improving household wealth status, improving the level of prenatal and postnatal care use and improving health care quality and safety in health facilities.

scholarly journals TUBERCULOSIS CONTROL ACTIONS: ANALYSIS BASED ON THE ACCESS AND PRIMARY HEALTH CARE QUALITY IMPROVEMENT PROGRAM

2016 ◽  
Vol 25 (4) ◽  
Author(s):  
Francisco de Sales Clementino ◽  
Emanuella de Castro Marcolino ◽  
Luciano Bezerra Gomes ◽  
Joria Viana Guerreiro ◽  
Francisco Arnoldo Nunes de Miranda
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Quality ◽  
National Level ◽  
Care Quality ◽  
Annual Number ◽  
Improvement Program ◽  
External Assessment ◽  
Primary Health ◽  
Directly Observed Treatment

ABSTRACT The study's aim was to analyze primary health care delivered to people with tuberculosis on a national level, based on the information collected by an external assessment implemented by the Programa de Melhoria do Acesso e da Qualidade da Atenção Básica. This cross-sectional study with a quantitative approach used data from the 2nd cycle external assessment of the Programa de Melhoria do Acesso e da Qualidade da Atenção Básica conducted in 2014. The Statistical Package for Social Sciences was used to establish frequencies and check for associations using the Chi-square test. The percentage of Family Health Strategy units recording the annual number of confirmed tuberculosis cases and respiratory symptoms was high for the entire country (81.1%). In contrast, the recording of follow-up of tuberculosis cases was performed by only 48.3% of the facilities, while only 48% of the health basic unites units implemented directly observed treatment. The findings reveal barriers in the structure of health basic unites units regarding the operationalization and sustainability of care provided to individuals with tuberculosis, including directly observed treatment.

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