DNP 810 What is the impact of chronic disease on both increased health care expenditures and wasted resources?

Sample Answer for DNP 810 What is the impact of chronic disease on both increased health care expenditures and wasted resources? Included After Question

What is the impact of chronic disease on both increased health care expenditures and wasted resources? Do genetics play a role? How can the doctoral-prepared nurse apply this information in practice? Explain. Support your rationale with a minimum of two scholarly sources.

A Sample Answer For the Assignment: DNP 810 What is the impact of chronic disease on both increased health care expenditures and wasted resources?

Title: DNP 810 What is the impact of chronic disease on both increased health care expenditures and wasted resources?

Currently, some 50% of the US population has a chronic disease, creating an epidemic, and 86% of health care costs are attributable to chronic disease. The medical profession and its leadership did not recognize or respond appropriately to the rising prevalence of chronic disease. As a consequence, a health care crisis emerged, with inadequate access to care and quality of care together with

excessive costs. In the years since the 1950s, when the chronic disease prevalence grew, the clinical literature did not follow. It remained preoccupied with acute disease. Similarly, medical education did not change. Studies and critiques gave little or modest attention to the rising dominance of chronic disease and neglected elements of good care.

Recently, some health services responding to their growing number of patients with chronic illness have designed and tested new ways of providing care. They have found that, as a result, the patient’s health outcomes were improved, costs of care were lower, and patient satisfaction was higher. These results and experiences provide examples of what can be done. The health care crisis and the emergence of a chronic disease epidemic coincided to a substantial degree. Although the epidemic did not cause the crisis, it contributed significantly. Now, the medical profession and its leadership are confronted by the responsibility to build a practice of medicine and a health care system that better meet the needs of patients with chronic illness and reduces the health care crisis.

Using combinations of these innovations, many of which were joined together in the Chronic Care Model of practice ²¹, ²², the organizations found that they not only improved the quality of care but also decreased costs. Improved quality arose from enhanced self‐care, fewer complications from disease or treatment, and greater satisfaction for patients and physicians. Lesser costs resulted from greater patient involvement in care, reduced emergency department visits, and fewer hospitalizations. For example, when Group Health Cooperative improved coordination of care, access to care, and goal setting with patients, several things happened: patient involvement increased, hospitalizations declined 6%, emergency department visits declined 29%, and costs diminished $10.3 per patient per month. When Intermountain Healthcare increased self‐care, it found improved outcomes for depression and diabetes and 10% fewer hospitalizations. The German Health Insurance Program compared results from using the Chronic Care Model for 10 000 patients with diabetes with results from an equal number of patients with diabetes receiving usual care over 4 years. The study group had 50% fewer deaths, 25% fewer disease complications, and 11% less costs.

DNP 810 What is the impact of chronic disease on both increased health care expenditures and wasted resources

These results were obtained mostly by primary care physicians (family physicians, internists, and pediatricians) who sought to improve their care and teach through practice and service modification. But the results are not just relevant to primary care. In various ways, they are pertinent to any physician or practice whose patients have a chronic illness.

Success of the practice innovations depends on behavior change by all involved, not on different uses of medicines or surgery. The physician becomes a partner of the patient who adjusts treatment to the patient’s health state and wishes. The patient, who must bear the consequences of the disease and treatment, becomes a caregiver and care team member, executing the treatment plan daily. A nonphysician team member maintains remote contact with the patient, facilitating the treatment plan. The health service assures support of the health team and needed changes in the treatment plans as they evolve. Such a practice pattern, similar to that proposed by Engel in 1977 ²³, will create a mood and logic of collegiality that is central to success with a chronic illness.

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Important information for writing discussion questions and participation

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Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

Your response needs to be a minimum of 150 words (not including your list of references)
There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
Include in-text citations in your response
Do not include quotes—instead summarize and paraphrase the information
Follow APA-7th edition
Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

A minimum of 6 responses per week, on at least 3 days of the week.
Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
Each response needs to be at least 75 words in length (does not include your list of references)
Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
Follow APA 7th edition
Points will be deducted if the above is not followed
Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
Here are some helpful links
Student paper example
Citing Sources
The Writing Center is a great resource