Challenges Faced Rural Healthcare Facilities Health And Social Care Essay

Challenges Faced Rural Healthcare Facilities Health And Social Care Essay Twenty-five percent of the total population in the United States are living in rural areas and compared with urban Americans and healthcare facilities in rural areas generally serve low-income, the elderly, and individuals who are less informed and armed with less knowledge concerning health care prevention measures. Moreover, rural individuals accessing healthcare in rural facilities face barriers to healthcare such as fewer doctors, hospitals and health resources in generation and face difficulty in accessing health services. Statement of the problem   Hospital closures and other market changes have adversely affected rural areas, leaving State and Federal policymakers, and others concerned about access to health care in rural America. Considerable changes in the health care delivery system over the past decade have intensified the need for new approaches to health care in rural areas. Managed care organizations, for example, may not be developed easily in rural areas, partly be cause of low population density. Research Questions          The primary research question in this study is the question of whether rural health care facilities overcome the ongoing challenges to provide quality medical care to their communities. Rationale of the Research The rationale of this research is based upon the following facts: 1.) Rural Healthcare and Barriers to Accessing Care: Many small rural hospitals have closed, while other health care supply of primary care physicians and other health care provider facilities are in financial straits. Unavailability of resources and transportation problems are barriers to access for rural populations. 2.). The supply of primary care practitioners and other health care providers in rural areas is decreasing. Some are leaving rural areas to join managed care organizations elsewhere. 3.) Barriers to Health Promotion and Disease Prevention. Goals for improving the Nation’s health over the next decade can be achieved only if rural populations are included in efforts to remove barriers to access and use of clinical preventive services. 4.) Barriers Related to Lack in Health Care Technology. Technologies including telemedicine offer promise of improved access to health care, but their most efficient and effective applications need further evaluation. 5.) Organizational Barriers of Service Provision to Vulnerable Rural Populations: Low population density in rural areas makes it inherently difficult to deliver services that target persons with special health needs. Groups at particular risk include: the elderly; the poor; people with HIV or AIDS; the homeless; mothers, children, and adolescents; racial or ethnic minorities; and persons with disabilities. 6.) Consumer choice and the rural hospital. Factors that drive changes in rural hospitals have a critical effect on consumer choice and access. Significance of the Study This study is significant in that individuals in rural areas are likely to continue to receive less healthcare as well as less effective healthcare if rural healthcare does not gain necessary knowledge, informed by research study as to what should be done to better deliver health care services to those in rural areas. This study is of significance to several groups including patients depending on rural healthcare services, the families of these patients, the rural communities at large and the insurance companies who provide insurance coverage for individuals in rural areas.

Explain which early Tokugawa reforms did the most to stabilize Japan Essay

Explain which early Tokugawa reforms did the most to stabilize Japan and perpetuate Tokugawa rule - Essay Example At the beginning of the Tokugawa period, Japan was shaken by internal disorder and social unrest. In order to restore stability and order, the Tokugawa rulers established a social hierarchy, based on the principles of Confucianism (Hunter; Murphy). Many samurai were disposed of their land, which was concentrated in the hands of the daimyo. The daimyo were put under the direct control of the Shogunate. The land owners were located in the city of Edo, and this social organization was based on inherited position rather than personal merits. It was horizontal in the sense that at the top there was the Emperor, as well as the Shoguns and the daimyo. The lower layer consisted of samurai, followed by peasants, craftsman and merchants. The social structure during the Edo period was an interesting way for the Tokugawa to stabilize the country and to maintain order. The system was elitist in a way that the resources of the country were vested in the hands of very few people, which were under the control of the Shogunate. This hereditary form of autocracy prevented economic and social disputes and riots over land or economic predominance. The social order established by the Tokugawa was a centralized form of governance, which carried some of the features of European feudalism. Another reform, which created stability during the Tokugawa period, was Japan’s transition from trade openness to seclusion. At the beginning of the Tokugawa rule, foreign trade with Europe and the Americas was restricted (Hunter, Murphy). The reason for this major shift in external relations was the Tokugawa fear from the spread of Catholicism in Europe. Although some historians argue that the restrictions on foreign trade, imposed by To kugawa set the beginning of Japan’s economic isolation, they were also a form of protectionism which made Japan impervious to foreign influence. Explain which Meiji era reforms did the most to transform Japan into a modern nation and major military power The Meiji period was a benchmark in Japanese modern history, and marked the beginning of Japan’s ascent to economic and military supremacy. Economically, the Meiji period marked a tremendous shift from the policy of isolation and trade protectionism, which was characteristic of the Tokugawa rule. During the Meiji period, Japan opened its economic borders, and adopted open market economy, based on the Western capitalist model (Hunter, Murphy). The rationale behind the adoption of free market economy was to boost independent entrepreneurs, which at the time were the main component of the Japanese private sector. Open market economy increased competition and industrialization, which quickly transformed Japan from economic ally secluded nation, to one of Asia’s rising economic powers. The implementation of open economy allowed Japan to borrow expertise, knowledge and technology from the developed West, which soon made the country Asia’s leading manufacturer of goods. Other economic reforms included improved banking system and the adoption of unified national currency – the yen. The transformation of Japan in the Meiji period continued with the modernization of the military sector. This period saw the government’s effort to create a small, but well trained army. Army conscription was made compulsory for all men. Japan exchanged military expertise and training with developed nations such as France and USA.

No topic Term Paper Example | Topics and Well Written Essays - 500 words - 3

No topic - Term Paper Example I can surely claim that this employee is one of the best employees, who worked in our organization. Mr. Sutherland worked for two years in our volunteer organization as a devoted human resource manager. His open mind and creative ideas helped us many times. It was very interesting for us to see the way he managed to deal with different problems of our employees. This young man deserves further promotion, because he always does his best. Bill Sutherland has an outstanding motivation and there is no need to take a closer look at him. He operates at a full pace. He is ready to learn quickly and effectively. He always does his work in time and no delays were ever noticed. A sense of maturity and professionalism are two permanent companions of Mr. Brown. Our Company enjoys working with this employee and colleagues have positive attitudes towards him. Professionalism of this employee is integrated with his outstanding personal features. I will be looking forward to tell you about Mr. Brown in details for you to know that he is the best candidate for this position in your Company. I am always ready to confirm my words and I have no doubts that you will be satisfied with performance of this employee. Please do not hesitate to call me at 708-900,