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Papers On Health Care
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Enhancing Total Quality Management at the U.S. Naval Hospital, Guam
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A 4 page paper providing a short overview of the development of TQM and its applicability in the hospital setting. Obvious points at which process improvements are beneficial are those related to patient outcome of course, and those responding to medical emergencies must have the freedom to make the choices necessary in situations often highly constrained by time limitations. Patients' family members also are customers, and improving their experiences increase customer satisfaction and perceived quality of care; decreasing waiting time and improving communication constitute apt beginning points for improving quality in the Emergency Room. Bibliography lists 8 sources.
Filename: KStqmHospGuam.rtf

Environmental Health Care
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An 11 page paper. It has long been known there is a link between environmental conditions and health. In fact, environmental conditions were first linked to disease in the late 1700s. Although this correlation is known, health care professionals receive very little training about it. The writer reports a survey of pediatricians, for example, 80 percent of whom do not feel comfortable even taking an environmental health history. Other research is also reported. The structure of the American health system is discussed as is the sociopolitical relationship between and among government, politics and health care. Bibliography lists 8 sources.
Filename: PGenvhlt.rtf

Escitalopram
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This is a 10 page paper which discusses all the aspects of the antidepressant drug escitalopram. The bibliography has 6 sources.
Filename: JHEsci.rtf

Establishing Long-Term Strategy at Shands Healthcare
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A 9 page paper providing a SWOT analysis and financial analysis for a Florida hospital striving to establish a long-term strategy for improvement in processes and patient satisfaction. The paper provides financial information and a few financial ratios to show that current management has not managed financial resources to gain maximum benefit from them. Bibliography lists 6 sources.
Filename: KSmgShandsStrat.rtf

Ethical Issues in Managed Care Research
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This 7 page paper provides an overview of the reasons behind the rise of the HMO and the dilemmas surrounding alternatives. The problem that the paper addresses is that most research is centered on those of white European heritage, a problem perpetuated by researchers’ use of large databases that in themselves exclude many from other population groups. Researchers pursue knowledge with admirable intentions, and they devote much effort to ensuring that they arrive at a research design free of bias of several types. Many fail to understand that they begin with bias, however, and that their entire effort is undertaken under the banner of researcher bias that translates to biased results. Bibliography lists 5 sources.
Filename: KSHMOethics.rtf

Ethical Issues in Marketing: Hospital Pricing
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An 8 page paper discussing hospital pricing decisions and the constraints under which hospitals operate primarily because of Medicare’s influence on the pricing structure of all of health care. Current practice at most public hospitals calls for billing full rates to those who obviously cannot pay (a Medicare compliance requirement), carrying the bad debt for some length of time determined by the hospital’s management and then reporting the individual’s payment history to credit reporting bureaus. Private hospitals merely refuse service to anyone without insurance. Hospitals are not at liberty to reduce prices when they are only marginally profitable, but they are free to exercise more ethical behavior toward those without a prayer of paying for emergency treatment. Most hospitals have room to become far more humanitarian than they currently are. Bibliography lists 6 sources.
Filename: KSethMktgHospPrice.rtf

Ethical Principles in “Tears of the Giraffe”
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A 5 page paper discussing this novel by Alexander Smith in terms of principles of ethics in general, but specifically those involving health care. The bottom-line message is that there are certain basic rights that individuals should be able to expect in their lives, but that are not always made available to them. When injustice occurs, the individual is to rise above it, condemning the unjust not with words or revenge, but with acts of kindness and understanding. The individual is to break the chain. Bibliography lists 4 sources.
Filename: KShlthCarEthGir.rtf

Ethical Standards In Two Industries
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A 24 page paper that compares the ethical standards of reducing services in the health care industry to reducing services in the information technology industry. An introduction states the comparion may not be as easy as it would appear. Examples are provided to illustrate the point. The essay explains three theories of ethics and with the use of specific scenarios, demonstrates how the reduction in services in each industry might be ethical or unethical. The last section of the paper is an overview with more examples and comments suggesting a valid comparison can be made only case by case. Annotated bibliography lists 15 sources.
Filename: PGeth4.rtf


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