Question 1

Small area study analysis is one of the tools used for the research of health services to analyze the way the heath care are being used over a certain region. The variation is important in areas where the researcher wants to study the rate of chronic disease being hospitalized such as pneumonia, heart disease, lung diseases and much more. This study has been used as a determinant of important variation in the targeted regions and explains the relationship between variations observed any behavior.  A small area will be incorporating a well-defined population, the well-selected sample size and the risk associated with that population (Birkmeyer, 1998). Basically, the small area requires doing the observation of the patient and then consultation will be done before the treatment so to have a well-defined result.

The small area variation, on the other hand, did not provide the outliers, it is said to be a method in heath service of establishing the research (Birkmeyer, 1998). The aim is to come up with the explanation on how rates are different from one region to another so they do not provide a well-defined mean of statistical data in the whole region as it has used one sample which is Elyria. It said that 31 percent of the patient from Elyria passes through more procedures of admission and as the result of this the hospital was referred as heart care center of excellence.

Question 2

Financial incentives are any monetary advantage or gain that is offered to either customers or workers to encourage them to work or to relate well in areas the services are not offered best.  This incentive encourages more actions which could not have been there without this gain. Most people believe that by adjusting the financial incentives can affect the way a profession do the task.

In this case this incentive will affect the way they practice medicine, for example, it is said that Kaiser Permanente which one of large health facility which has employed its own private doctors argues that a number of patient from Elyria, Ohio are a bit less than the national mean to go through these heart procedures in Northern Ohio where doctors are said to perform abundantly. A cardiologist who earns a salary rather than paid as per the procedure performed will treat the patient in less profitable clinics where there is the privilege of the hospital and a protocol will be followed to use drugs to bypass the heart surgery process (Birkmeyer, 1998).

According to Dr. S.Jones, a medical historian both angioplasties and coronary bypass indicated that they did not result to make life longer where a severe disease is involved. There are a number of risks involved in the bypass surgery like brain damage and which may even lead to memory loss. One of the major concerns about angioplasty is that most the heart attacks involve from small invisible lesions and the impact is the lesion which reflects on angiograms (Beck, 2014).

 The medical historian also advice on a greater focuses on preventing by changing lifestyle and through medicine. The hospital is maximizing profit if the bypass surgery is performed for example they make like $100 billion per year in the United States. The Elyria community hospital received $11,000 from Medicare for an angioplasty on the other side it received only $800 through cardiologist procedure while by use of bypass procedures the hospital could make $25,000 while surgeons making $2,200 in one operation (Beck, 2014).

Question 3

If I am one of the insurers I could have considered conduct to explain and with the differences in treatments and the way to cope with cost. The funds should increase in order to get full enrollment and target a good population. Some of the products are not fully supported by the government of the United States. The funds should be added in order to cover a number of eligible targets and cover all their needs (Birkmeyer, 1998).

The primary health care should also be made available; they should conjunct with National Health Service to increase the health services in rural areas and way of making the existing one more appealing (Birkmeyer, 1998). The entire insurance programs related to health should be able to cover the entire heart procedure if required.

There should be also an education policy which specific caters for that student who wants to specialize with this heath department and become professionals. The company will have an insurance policy which caters for the training of these professionals.

The insurance pool should be made available in case of risk and fund can be used as a booster. The company can be forced to make poll specific for high-risk patients who are chronically ill and this will reduce the patient being segregated from the process of underwriting. In conjunction with local government traditional health facility need to be managed and being made more appealing for example, they can offer primary care for free to residents (Plogman, 1998).

 They can also provide free maternal care and inspection of facilities like toilet and for those with the heart; the problem can be given a priority if the situation is sensitive and sent directly to the available expert. A special hospital or center can be set aside where more than a half is patients with heart problems (Plogman, 1998).

 

In conjunction with local government the Non-Governmental organization or business investors who are willing to set a heart center like that one in Ohio to be given license and local authority requirement free of charge. In a case of importing a machine or gadget which are essential in the treatment of heart, they should be imported free of tax. For who are willing to work in those areas can be given proper equipment and for a student who is willing to learn through being attached to that heart, the center can be given some financial incentives (Plogman, 1998).

The insurance company can arrange with the hospital that patient in the primary stage of treatment being offered some boutique and medicines where the insurance company can be paying fixed mount to these hospitals (Plogman, 1998). The medical fees can be bargained by practicing the bargaining power.

 

 

 

 

 

 

 

 

 

 

References

Beck, A. F. (2014). The role of financial and social hardships in asthma racial disparities. Pediatric, 431-439.

Birkmeyer, J. D. (1998). Variation profiles of common surgical procedures. . Surgery, 917-923.

Plogman, P. L. (1998). Anthem Blue Cross and Blue Shield's coronary services network: a managed care organization's approach to improving the quality of cardiac care for its members. The American journal of managed care, 1679-1686.