Kleinman: Rural and Remote Health

People living in America’s rural and remote areas outside often have different social and economic determinants of health. These areas also have generally older populations, higher levels of health risks and higher rates of disease, chronic disease, and injury. People living here generally have less access to health services with shortages of almost all health professions. Elly Kleinman, Americare Companies CEO has been looking into this topic for some time now. His research on healthcare access in rural and remote locations has in fact proven his initial thesis, that people living in these areas are generally disadvantaged in their access to healthcare services.

This article provides a profile of the characteristics and health of people living in rural America.

Living and working in a rural and remote location can be a rewarding and challenging way of life. It can be difficult for people to access help and support for l health problems for many reasons. Health services in rural and remote areas are also very different from their city counterparts. Although facilities play a vital role in the provision of integrated health services, yet they are generally smaller than those located in urban areas. Rural and remote health services are more dependent on primary health care services, particularly those provided by General Practitioners.

On average, people living in rural areas don’t always have the same opportunities for proper health as those living in big cities. That means residents of more inaccessible areas of America are generally disadvantaged in their access to products and services, employment and educational opportunities, as well as income. Still, as Kleinman further explains, rural Americans generally have higher levels of social cohesiveness, such as higher rates of participation in volunteer work and helping in their community.

According to Elly Kleinman, rural and remote services can benefit from the modern innovative technologies, and apply these approaches in the diagnosis and care of patients, and training and expanding scopes of practice for doctors, nurses, and other healthcare providers. Such innovations can significantly contribute towards improving the accessibility to health services and the quality of care for many rural and remote Americans.

Vaccination against Hospitalization

Many people throughout the country, last year ended up hospitalized for conditions that could have been prevented if they were vaccinated on time, suggested the founder Americare - Mr. Elly Kleinman. The majority of hospital admissions were for diseases such as whooping cough, chickenpox and diarrhea. Recent reports further reveal that a large number of people over the age of two months were hospitalized for vaccine-preventable pneumonia and influenza.

Immunization and Pediatrician experts already warned not to read into the figures without first knowing whether they included people who had not received full course of vaccinations before being hospitalized, or if they included diseases not covered by vaccines. Also it is common knowledge that vaccines are not 100 % effective, so some hospitalizations could have been a result of vaccine failures.

According to Kleinman, Health Department figures show 50 000 measles cases recorded in America last year, and more than half of them were children. Pricey vaccination rates in some trendy suburbs have raised concerns among some Health experts. If in the year 2000 the percent of children under seven that had been lodged as conscientious objectors by their parents was only 0.23%, nowadays that number has increased up to 1.77%.

The healthcare study performed by Elly Kleinman, found that an astonishing number of last year’s hospitalizations could have been prevented nationwide. In addition, he suggests that more than one in 20 patients could have avoided hospitalization only if doctors had picked up some of the warning signs sooner.

Kidney and urinary tract infections, dental conditions, heart diseases, diabetes complications, and skin infections were some of the most common preventable hospitalizations for last year.

Vaccine effectiveness is usually obtained by variable unconditional logistic regression, which is appropriate when frequency matching is used.

A new study shows that flu vaccines prevent flu-associated hospitalizations among people at age 65 or older, even during seasons when vaccine effectiveness is low. The research findings showed that during a more severe flu season, a flu vaccine with 10% effectiveness would avert around 13,000 hospitalizations, whereas a vaccine with 40% effectiveness would avert about 60,000 hospitalizations.

Senior Care on High Demand

Thanks to the aging of the baby boomer generation born in the period between the late 1940s and the 50s, the American population is getting older than ever before. As the boomer population reaches the age of 65, it is expected that the senior population will reach up to 88.5 millions, which is over twice the number of seniors in 2000, and makes twenty percent of the total population of the United States. America’s founder and president, Elly Kleinman has long been involved in the healthcare industry. According to him this increasing elderly population has and will necessitate more senior healthcare.

Experts predict that the demand for efficient home health care will continue to grow in the years to come, particularly amid the adoption of new and expanded payment and delivery models. Executives from the home health industry, such as Elly Kleinman himself, will need to carefully navigate this new landscape.

Senior care as an industry began spreading in the somewhere between the 60s and 70s, with government activity such Medicare and a longer life expectancy, which led to older Americans needing care.

The actual care given to patients varies from state to state. Home health care can reduce the length of a hospital stay following a surgery, which translates to substantial cost savings.

Today, around 7.6 million Americans receive some kind of health care, whether it is for disabilities, chronic care or hospice care. Most of the home health- care users are aged over 65 and frequently have multiple chronic health conditions.

The home health care industry is broke into pieces, and no major company has more than 5% market share. Aging demographics, comparative cost of service and changing consumer preferences are the three key factors that shape the high demand for home health care. In addition to the growing number of seniors, the home care demand is also being driven by those who prefer to be treated in the comfort of their home. When compared with alternatives such as receiving care in a skilled nursing facility or rehabilitation hospital, having care provided in the home is a much more appealing option. The demand is also driven by insurers and government, who want to control costs.

Americare’s founder and CEO, Elly Kleinman will continue his work in the industry, hoping to achieve something that would benefit the entire community.

Kleinman: Effective Health Care Providers

Any time a person we love needs medical care we rely on professionals to answer our questions, give a proper diagnose, and recommend treatments. In the years behind us, doctors were unquestioned authorities and had the lead in conversations with patients over medical care. But with time things have slightly changed, and the relationship has shifted.

With the vast amount of information available online, patients and their caregivers are now able to educate themselves. That means they are able to search for specialists, research on their own for diseases, medications, and treatments, explore various alternatives, find out what others are doing in a similar situation, and more. Elly Kleinman is the founder and CEO of the Americare Companies. Working in the health care industry for over 35 years, he has witnessed the change of healthcare professionals moving towards partnership with the patients, in order to achieve optimal treatment and care.

The caregiver usually plays a central role in this partnership. As a caregiver you are likely to be the person who gathers information, speaks to doctors, transports the patient, ensures lab tests are done, prepares and gives medications, handles insurance, and takes care of many other related tasks. In this article, Elly Kleinman will offer some tips to remove barriers and encourage communication between the caregiver, the doctor, and other healthcare practitioners.

A little preparation goes a long way in making interactions with medical staff more effective. Here’s how Elly Kleinman suggests this can be done.

Recent researches indicate that ineffective communication among health care professionals is one of the leading causes of medical errors. When nurses were asked to point out contributing factors to patient care errors, most of them stated communication issues with physicians as a highly contributing factor.

The large amounts of literature, regarding safety and error prevention, shows that ineffective or insufficient communication among team members is a major contributing factor to such unwanted events. In a care setting, communication failures can lead to serious events such as increases in patient harm, length of stay, and resource use, as well as more intense caregiver dissatisfaction. Reflecting on the outcomes of communication, Kleinman has found that better nurse-physician communication has a more positive patient outcome, like lower mortality, higher satisfaction, and lower readmission rates.

However, due to a number of interrelated dynamics, effective communication among health care professionals can be quite challenging. Health care is complex, with professionals from a variety of disciplines involved in providing care at various times throughout the day, sometimes at different locations, creating a gap with limited opportunities for quality interaction.