Discuss the key political, economic, and social forces that may have influenced the development of the clinic.
Economic and social conditions that affect people’s lives determine their health. People who are poor are less likely to seek proper medical care, as opposed to people who are of middle-class status and above. People with more social status, money, and education have a lot of choices and control over things, such as the neighborhoods, their salaries, occupational opportunities, etc. (Jin, Shah, & Svoboda, September, 1995, 153(5)) Dennis Raphael of the CSJ Foundation for Research and Education, reinforces this concept: “Social determinants of health are the economic and social conditions that shape the health of individuals, communities, and jurisdictions as a whole. Social determinants of health are the primary determinants of whether individuals stay healthy or become ill.” (Raphael, 2008) The development of clinics has become increasingly more important since the passage of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010. Politics influence clinics because when laws such as these are put in place, federal funds will follow. These acts will make healthcare more accessible to millions of people in the United States. (Hobbs, Morton, Swerissen, & Anderson, 2010). There is increasing recognition of the crisis in primary care and the relatively poor U.S. population health. Tools that can measure morbidity burden in individuals and populations will further reveal the special contributions of person focused medicine that the primary care provides. The adverse effects of specialist oversupply on costs and quality are becoming clearer. The increasing recognition of the importance of an evidence base for health decisions will spotlight the benefits of primary care oriented health systems. New organizing approaches and technology support can further increase the benefits of primary care. The United States must ensure that a sufficient number of primary care clinicians are trained to meet the needs of the population, the nation must invest in primary care practices to provide the technology and trained workforce that are necessary to provide access, improve quality and equity, and optimize spending across the entire population, public and private payers must rebalance relative reimbursement levels and the proportion of health care expenditures going to specialized services, and the nation’s medical education system must be reoriented to serve these goals. This national policy would become the blueprint and driving force for an integrated set of policy changes. The United States should move toward the goal of having 50 percent of active patient care clinicians (physicians, nurse practitioners, and physician assistants in primary care practice. Primary care clinician to population ratio should be developed and respect the reality that optimal primary care even with supporting teams would likely have 1,000 – 2,000 patients per clinician. Moreover, the opinion of some that a specialist shortage exists fails to take into account that about half of visits to specialists are follow up visits that are often more appropriately performed in primary care settings. If we are serious about improving health in the United States and reforming our health system, we need to think big “10x” about the place of primary care.
Create a comprehensive mission statement and explain what makes it a comprehensive mission statement. A mission statement is a statement of the organization’s reason for being, its purpose – what it wants to accomplish in the larger environment. (Kotler p.49). It explains why the organization does what it does. It says what, in the end, the organization wants to be remembered for. (Drucker). A clear mission statement acts as an “invisible hand” that guides people in the organization. (Kotler p.49). An effective mission statement clearly defines who the...
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