COMMENTARY AND QUESTIONS: The United States is suffering a shortage of licensed physicians and registered nurses to provide primary health care. While the physician shortage is profession-wide, there is a greater shortage of primary care physicians than specialty physicians. Further, the United States is suffering from physician maldistribution, with more physicians (primary and specialty) choosing to practice in affluent urban areas as opposed to more economically depressed rural areas. Rural community hospitals that depend upon physician referrals for inpatient admission, outpatient surgery, and diagnostic testing revenues are suffering because there aren’t enough physicians to generate sufficient revenues for the hospital to be financially viable. Rural patients who have the economic means and ability are responding to the primary care shortage by seeking primary care in the urban areas, which means that they are referred to urban hospitals for inpatient admission, outpatient surgery and diagnostic testing.
Hospitals across the U.S. have critical shortages of nursing staff and are suffering the consequences of inadequate patient throughput. Patient throughput is the process of moving patients through the hospital at the appropriate time in the patient’s treatment so that the patient’s bed can be opened for a new revenue-generating patient. For example, an ICU patient should be moved to a lower-care medical-surgical floor as soon as possible so that the ICU bed is available for a new patient. Similarly, this same patient should be moved to a rehabilitation hospital as soon as they no longer need acute care so that the patient’s medical-surgical bed is available for a new revenue-generating patient. In some instances, patient throughput is being slowed down because there isn’t enough nursing staff on the medical-surgical floor to receive patients from the ICU or other higher care areas. The inability to move patients through the hospital to lower levels of care (and ultimately to discharge) negatively impacts the hospital’s revenues.
The combination of primary care physician shortages, physician maldistribution negatively impacting the rural areas, and critical nurse staffing shortages have a cumulative negative effect on rural community hospitals. Please discuss the following:
1. What are managerial actions that a rural community hospital CEO can take to alleviate the revenue shortfalls of the maldistribution of primary care physicians and inefficient patient throughput caused by nurse staffing shortages?
2. Should the CEO seek to recruit primary care physicians and/or nurses from foreign countries to move into the rural community and establish a professional practice in the community? If yes, there would be additional primary care physicians to make patient referrals to the hospital (e.g., revenue-generating) and additional nurses to staff the hospital clinical service locations so that patients could be moved through quicker.
3. However, what is the effect of recruiting international medical and nurse graduates to the United States on the global health care economy in less developed countries? Does the CEO have a socio-ethical duty to not recruit qualified medical practitioners away from their home country when they are sorely needed to take care of patients in that home country; or is the CEO’s duty to their own rural community in the United States?
Writing a critical essay involves analyzing a particular text or work of art and evaluating its effectiveness or merit. To write a critical essay, follow these steps:
Choose a topic: Select a text or work of art that you want to analyze. This could be a book, movie, piece of artwork, or even a speech.
Read or watch the work: Read or watch the work carefully, taking notes as you go. Pay attention to the themes, characters, plot, and any literary or artistic techniques used.
Research: Conduct research on the work to gain a deeper understanding of its context, history, and cultural significance. This can help you better evaluate the work’s effectiveness.
Develop a thesis statement: Based on your analysis and research, develop a thesis statement that articulates your argument or perspective on the work. Your thesis should be clear, specific, and debatable.
Write an outline: Organize your thoughts and arguments into an outline, which will guide the structure of your essay.
Write the essay: Using your outline as a guide, write your essay. Be sure to support your thesis with evidence from the text and incorporate your research to provide context.
Edit and revise: Once you have completed your first draft, edit and revise your essay for clarity, coherence, and style.
Example of a critical essay on a book:
Thesis statement: In George Orwell’s “1984,” the use of language as a tool of oppression reveals the dangers of totalitarianism.
In “1984,” Orwell depicts a dystopian society where the government controls every aspect of citizens’ lives, including their thoughts and language. The government’s language, Newspeak, is a tool of oppression that limits citizens’ ability to think critically and communicate effectively. For example, the government replaces words with their opposite to limit the range of ideas that can be expressed. The government also uses slogans and propaganda to manipulate citizens’ beliefs and emotions. By showing how language is used as a tool of oppression, Orwell reveals the dangers of totalitarianism and the importance of preserving free speech and thought.
Example of a critical essay on a movie:
Thesis statement: In “Get Out,” director Jordan Peele uses horror and satire to critique racism and the commodification of black bodies.
“Get Out” is a horror movie that doubles as a biting satire of racism and the commodification of black bodies. The movie follows Chris, a black man who visits his white girlfriend’s family and uncovers a horrifying conspiracy. Peele uses horror tropes to underscore the horror of racism, such as the “sunken place” where Chris is trapped. He also uses satire to expose the absurdity of the commodification of black bodies, such as the white family’s desire to transplant their consciousness into black bodies. By blending horror and satire, Peele creates a powerful critique of racism and its insidious effects on society.
In conclusion, writing a critical essay involves careful analysis, research, and evaluation of a particular text or work of art. By developing a clear thesis statement and supporting it with evidence and research, you can provide a thoughtful and persuasive critique of the work.
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