Barriers for Adopting Electronic Health Records (Ehrs) by Physicians Essay Example for Free

Barriers for Adopting Electronic Health Records (Ehrs) by Physicians Essay Barriers for Adopting Electronic Health Records (EHRs) by Physicians Introduction In the article, â€Å"Barriers for Adopting Electronic Health Records (EHRs) by Physicians,† researchers analyze the resistance associated with adoption of EHR systems by U.S. physicians. Current research supports the notion that electronic health records are not vastly supported in the U.S., especially in comparison to other countries. According to researchers at the Weill Cornell Medical College, â€Å"Doctors who go digital do appear to provide significantly better health care† (Nordqvist, 2012). While there are many productivity concerns around implementing a new system, this article explains why physicians are resistant to the adoption of EHRs and how those oppositions can affect the system. Analysis of Key Issues In 2012 approximately 72 percent of office-based physicians had adopted any HER system and 40 percent had adopted basic EHR systems (King, Patel, Furukawa, 2012). While there are a myriad of issues associated with the adoption of EHRs nationwide, some of the most prevalent are miscommunication, misinformation and misinterpretation. Physicians are apprehensive about the level error that could prevail with using EHRs. Joseph Conn found that, â€Å"an alarming number of clinicians are anecdotally reporting a substantial increase in the incidence of wrong order/wrong patient errors wile using the computerized physician order entry component of information systems† (2013). Clearly physician resistance to EHRs is directly related to the safety of patients as an increased predisposition for error is being revealed. Conversely, EHRs can be equally superior as they can also contribute more accuracy to the healthcare infrastructure. The Missouri Health Connection shared that EHRs can pr ovide health records universally, â€Å"improving the coordination and continuity of care and promoting informed decision making† amongst many other things (n.d.). Findings Based on the results from the study there are 20 reasons that physicians are resistant to the adoption of EHRs; stemming from cost to doctor-patient relationship. With all the viable concerns that physicians have, they  remain resistant and the acceptance rate is still low. Personal Assessment The evolution of EHRs and its impact on Obamacare and the overall healthcare system is pioneering. Obamacare is based on the perception that health care in the U.S. is more expensive than any other industrial nation because the incentive configuration is inadequate. Ideally, the government would like for Medicaid and Medicare patients to be consistently healthy and otherwise reimburse the physicians for keeping them healthy. However, for this to work the government needs instant access to patient records. With this access the government can eliminate reimbursement solely on test and procedures but incentivize for health results. While EHRs are beneficial for physicians they are equally beneficial for patients. The ability to walk into any healthcare facility and the physician have access to your medical history is substantial. As it relates to someone with health complications, this can minimize the risk of misdiagnosis or allergic reaction. Deuteronomy 15: 7-8 says, â€Å"If there be among you a poor man of one of thy bretheren within any of thy gates in thy land which the Lord thy God giveth thee, thou shalt not harden thine heart, nor shut thine hand from thy poor brother: But thou shalt open thine hand wide unto him, and shalt surely lend him sufficient for his need, in that which he wanteth† (KJV). As Obamacare seems to favor those who are less fortunate or helps those who need healthcare, there is a need to support this agenda. No one should go without health insurance and there are an alarming number of citizens without it today. References Conn, J. (2013). HER systems pose serious concerns, reports says. Modern Healthcare. Retrieved from www.modernhealthcare.com/article/20130624/NEWS/306249952. King, J., Patel, V., Furukawa, M.F. (2012). Physician adoption of electronic health record technology to meet meaningful use objectives: 2009-2012. ONC Data Brief. Retrieved from www.healthit.gov/sites/default/files/onc-data-brief-7-december-2012.pdf Nordqvist, C. (2012). Electronic health records linked to much better quality care. Medical News Today. Retrieved from http://www.medicalnewstoday.com/articles/251633.php.

The Causes of Substance Abuse Essay -- Drug Addiction Essays

Substance abuse is an issue that has disseminated in the society and is often regarded as the relic of a thoughtless materialism. A false belief regarding addicted individuals seems to be ingrained in the minds of the majority of the population (Sadava, 1987). This belief is very often accompanied by appalling mental images of addicts and a highly judgmental attitude (Sadava, 1987). As a result, the causes of addiction are still wrapped in obscurity. This paper aims to outline the most basic reasons that lead to substance abuse and dependency, from the early developmental stage until late adolescence. First of all, when a child-bearing woman is using drugs, the substances are being transferred to the foetus through the umbilical cord (Bashmore, Ketchum, Staisch, Barrett, & Zimmermann, 1981). As a consequence, the foetus experiences the same physical symptoms as its mother, such as blood intoxication and spasms (Bashmore et al, 1981; Kreek, Nielsen, Butelmann, & LaForge, 2005). Substance abuse during pregnancy can cause spontaneous abortion, heart defects and low birth weight (Bashmore et al., 1981), as well as behavioral problems and addiction proneness for the offspring (Bashmore et al., 1981; JÃ ªdrzejczak, 2005). More specifically, substance abuse during pregnancy can elicit a series of chemical reactions in the developing brain of the foetus (Kreek et al., 2005). As a result, in the future life of the offspring, an environmental or a psychological stimulus may be enough to lead to substance abuse (Kreek et al., 2005). The experiences an individual has during his or her childhood are considered equally important prognosticators for using drugs. Witnessing a parent or a caretaker abusing substances is considered as an ... ...r and public policy. Englewood Cliffs: Prentice-Hall. Sihvola, E., Rose, R. J., Dick, D. M., Pulkkinen, L., Marttunen, M., & Kaprio, J. (2008). Early onset depressive disorders predict the use of addictive substances in adolescence: A prospective study of adolescent Finnish twins. Addiction, 103(12), 2045-2053. doi:10.1111/j.1360-0443.2008.02363.x Spooner, C. (1999). Causes and correlates of adolescent drug abuse and implications for treatment. Drug and Alcohol Review, 18(4), 453-475. doi:10.1080/09595239996329 van Dalen, A. (2001). Juvenile violence and addiction: Tangled roots in childhood trauma. Journal of Social Work Practice in The Addictions, 1(1), 25-40. doi:10.1300/J160v01n01_04 Zimić, J., & Jukić, V. (2012). Familial risk factors favoring drug addiction onset. Journal of Psychoactive Drugs, 44(2), 173-185. doi:10.1080/02791072.2012.685408

How Barbaric were the Barbarians Really? Essay

The books have claimed the Mongols to be barbaric, but how barbaric were they? The barbarians have earned the title barbaric. The barbarians were people who didn’t belong to a certain culture or group of people, and pretty much did what they pleased. The Mongols were barbaric with their laws, punishments, and the amount of battles and deaths caused in their presence. The barbarians were barbaric in many different ways. The Mongol Empire was bigger than the continental U.S., being 4,860,000 square miles of conquered land (Doc 1). The Mongol Empire was more that three times bigger that the amount of land Adolf Hitler conquered during his time (Doc 1). With the empire being this big, there would need to be laws. There were laws on hospitality, adultery, drinking, and marriage. With these laws came punishments. For example, if you committed adultery, you would be executed, even if there were no earlier convictions (Doc 10). There were also laws made by Genghis Khan that were enfor ced during battle situations. If you were a soldier and you got scared and ran away from battle, if you were found, the rest of your group of 10, including you, would be executed. If your whole group of 10 flees, the group of a hundred you were in would all be executed along with you. You were expected to stay with your group throughout battle, or your consequence would be death (Doc 2). In battle, if you were a prisoner or war, that was not desired to be a slave, or were an artisan, the law was to put you to death with the axe (Doc 3). The number of deaths caused by the barbarians, is not countable. Many people were killed and or captured by the Mongols. Along with the people, their towns were also demolished. Through the years 1220-1258, there were 5,107,000 plus deaths alone (Doc 4). In 1221 in Nishapur, Persia, there were 1,747,000 deaths according to a Persian chronicler (Doc 4). The Mongols tore the city apart and in the process, â€Å"severed the heads of the slain from their bodies and heaped them up in piles†¦Ã¢â‚¬  (Doc 4). There weren’t many options for punishments, not that the people got to choose their punishment, and people who were punished were probably a big part of the number of deaths caused the barbarians. Punishment and death wa s very common in the Mongol Empire. The Mongol leaders might have this punishment to make clear that they are in charge and to intimidate others. There was always a punishment for rule breaking. Most often, the punishment was death. There were different ways of  killing people, or to sound nicer, putting them into a deep sleep in the Mongol Empire. In the Empire there were different forms of being killed, or put to death. You could just be executed, you could have you head chopped off, you could be shot multiple times with arrows, you could even be buried alive upside down (Doc 5,4,3,2). Killing was very common with these peoples. The Mongols overall were very violent. They could be organized at times, but they were more barbaric by following the rules that were organized by the emperor. The Mongols conquered many lands, but killed and lost others they knew in the process. The laws were partially barbaric because of the different parts involved in them. If you committed a crime, there wasn’t anyone to help you get out of your punishment. The most barbaric thing is that mostly everything resulted in death. If you committed a horrible crime, such as adultery, the way you are killed might be worse, but if you got drunk more that three times a month, you could possibly be put to death (Doc 10). The barbarians were a barbaric people. As you can tell, they did what the pleased. The laws made by Genghis Khan that were used for battle situations were barbaric because if one person or a small group of soldiers left because they were scared, everyone else and them included, were killed (Doc 2). There was pretty much only one punishment in the whole Mongol Empire, and that was death. This punishment is barbaric for the people who didn’t commit huge and serious crimes. Death was a big part in the success of the Mongol Empire. If they, the barbarians, hadn’t killed the people from the cities they captured, there could have been revolts against the Mongols. The Mongols were barbaric because of many things, but mostly for the amount of death they caused. The Mongol Empire set the example for the other empires to follow. Again I ask, how barbaric were the barbarians really? The Mongols were barbaric enough for them to be called barbarians and with the number of deaths cau sed by them, it would be safe to say that the barbarians were pretty barbaric.

Lyndon B. Johnson Causes on the Vietnam War - 1077 Words

Lyndon B. Johnson: Causes on the Vietnam War America has gone through high and lows as a country, but overall we overcome and grow and use our history to shape out future. When John F. Kennedy died, Lyndon B. Johnson took over as president and was at first liked and favored that he came back for a real term after the term he took over after JFK died. He then changed, and brought many Americans to fight in Vietnam and sacrifice their lives for a Vietnamese war, and was greatly looked down upon for this. Lyndon B. Johnson politically and socially with his Great Society and changed during his time as President of the United States of America. During the course of 1965, Lyndon Johnson set the stage for three years of legislation that†¦show more content†¦They also authorized him to take whatever measures he deemed necessary against North Vietnam. In the months that came before or proceeded the 1964 presidential election, Johnson was mocked or blamed by the Republican candidate, Barry Goldwater, for being too soft in his approach to North Vietnamese military. In response to these comments by Barry Goldwater, Johnson told the public that he was not prepared to send US troops thousands of miles overseas to do what the South Vietnamese Army should be doing this whole time which was to protecting their own people. Johnson won the 1964 election by a landslide. Among the vast array of bills that he got passed were health assistance for the elderly and the poor and measures to protect the environment, increase aid to education, prohibit discrimination in housing, and protect consumer. Johnson hoped to pressure the North Vietnamese and their Viet Cong allies to give up, while at the same time avoid drawing China or the Soviet Union into the fighting. He had sent 550,000 U.S. troops to South Vietnam by 1967, a vast increase from the 16 ,000 that had been there when he succeeded to the presidency in November 1963. His failure to honestly discuss how badly the war was going and to reveal the true costs of the conflict led to a credibility gap with voters. He also badly underestimated the determination of the enemy to win. The Great Society did make some historic achievements,Show MoreRelatedThe Vietnam War and Iraq1029 Words   |  5 PagesDuring the Vietnam War, between 1955 and 1984, fifty-eight thousand Americans lost their lives, as well as over three-million Vietnamese lost theirs. The financial cost to the United States comes to over one hundred-fifty-billion dollars. The causes of the Vietnam War were derived from the symptoms, components and consequences of the Cold War. The Vietnam War revolved around America’s belief that communism was a threat to expand all over South East Asia. 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