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Papers On Health Care
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Pregnancy and Birth Outcome: The Importance of Prenatal Care Compared to the Influence of Socioeconomic and Cultural Factors
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A 9 page discussion of pregnancy and birth outcome in relation to preterm labor, preterm delivery and low birthweight babies. Emphasizes that pregnancy and birth outcome are obviously associated with a variety of factors other than the presence or absence of prenatal care alone. These factors include family structure, economic and racial classification, and the presence or absence of a support network. The existence of these factors, however, should not be interpreted to mean that prenatal care is not important in determining pregnancy and birth outcome. Indeed, the literature is full of correlations between these outcomes and prenatal care. In some cases in fact, such as in gestational diabetes, prenatal care is the most important determinant of birth outcome. Bibliography lists 10 sources.
Filename: PPbrthWt.wps

Preparing For EQuIP Survey
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A 4 page report that provides an overview of the Evaluation and Quality Improvement Program (EQuIP), required by the Australian Council on Healthcare Standards (ACHS) for accreditation of health care organizations. The report describes the criteria for patient health records. Bibliography lists 1 source.
Filename: PGacheq.rtf

Prescription Drug Coverage For Senior Citizens: Current Controversy
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10 pages in length. Health care reform has been a thorn in the nation's side ever since the development of private insurance and employer-supplied coverage after World War II. This union-supported venture did not sit well with subsequent presidents, such as Truman, who tried hard to reform health care so as to reflect a more comprehensive and viable commodity for all Americans. Clinton even took a shot at it, however, one might readily argue that his was the most catastrophic failure of all attempts made in past decades, with Johnson's passing of Medicare and Medicaid proving to be the only successful endeavor. Today, however, the issue of providing senior citizens with prescription drugs has come to the forefront of virtually all health-related concerns. Bibliography lists 10 sources.
Filename: TLCSnrDr.rtf

Prescription Drug Price Elasticity
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A 6 page paper assessing the economic effects of government payment for all or a portion of seniors' prescription drug needs. The desire to provide seniors with greater assurances that they will be able to afford health care in their latter years is an admirable one, but any route of direct government payment for prescription drugs can be expected to increase their costs. These price increases will affect all, and have the effect of further decreasing access by groups not qualifying for government assistance. Bibliography lists 9 sources.
Filename: KSRxPriceElas.wps

Prescription Drug Regulation in Australia
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A 5 page paper discussing Australia's efforts to both increase and decrease government involvement in control of the pharmaceutical industry. The nation also faces the same kinds of public health issues common to all developed nations. The government has difficulty reconciling its desire to control with its desire to reform itself; in the public health sector, the interests of the pharmaceutical industry often carry more weight than perhaps they should. Bibliography lists 10 sources.
Filename: KSauPrescr.wps

Prescriptive Authority for Pharmacists
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A 9 page overview of the issues surrounding the needs, justifications, and objections to allowing pharmacists to write prescriptions for medication and to intervene in medication regimes when they determine that regime may be dangerous or ineffective. Emphasizes that prescriptive authority for pharmacists has been perceived by physicians as an infringement into an area in which doctors have previously held an almost uncontested monopoly. Presents the argument that pharmacists may be more capable of monitoring and prescribing drugs than are doctors themselves. Outlines the legislative history of prescriptive authority in several states which have already enacted the authority and the limitations on that authority. Bibliography lists 8 sources.
Filename: PPprscrp.rtf

Presentation on UPMC Health System
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A 12-slide Power Point presentation on UPMC Health Systems in Western Pennsylvania, including discussion of the effects of the organizational structure of the system. The paper associated with this file contains speaker notes and sources only. Bibliography lists 6 sources.
Filename: KSupmcHlthCare.rtf

Pressures on Health Insurers
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A 4 page paper discussing the stresses faced by health insurers in general and CIGNA Healthcare specifically. Conditions in today’s health care market place increasing pressures on everyone involved, including insurers. CIGNA has experienced these negative effects as well, as evidenced by declining profits and a 65 percent decline in its stock price. The purpose here is to assess the extent of current trends’ effect on CIGNA’s business and to recommend beneficial changes to organizational structure. Includes two organizational charts, one current and one proposed. Bibliography lists 6 sources.
Filename: KShlthInsCIG.rtf


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