Health Care Reform: A Literature Review

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There is a shift in healthcare that is bringing forth opportunities to make a difference by the provision of quality care at a lower cost, with the potential of better outcomes. While there are several ways to make these prospective changes, via health care delivery models and technology, many are still seeking answers for the most efficient and effective approach. Wexler, Hefner, Welker, and McAlearney (2014) explore the various possibilities and opportunities where healthcare reform aims can be obtained and used in primary care settings by examining various delivery models and alternative approaches. This article presents valid objectives to move healthcare reform strategies forward with the utilization of evidence-based care.
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The article takes off by discussing the key facts that have demanded a change in healthcare. One of the strengths of this article is that it can be very helpful for those in healthcare who just becoming familiar with the basics of health care reforms and implications for primary care. The up-to-date references were taken from several government sites and peer reviewed articles in providing a brief, yet informative summary of health care reform potentials in primary care with the purpose clearly stated in its introduction. I found common facts about how ACOs, PCMH, and strong IT systems are the vehicles and key components of health care transformation. The authors explained how they “all share a common need for a strong infrastructure to support improved transitions, integration, and coordination of care” (Wexler et al., 2014, p. 300). Mason, Leavitt, and Chaffee (2014) echoes this fact in their writings and described the effectiveness of health information technology in producing grander efficiencies (p. 127). While the authors identified some of the challenges involved with implementing transforming to a PCMH system, it would have also been helpful to read about the some of the potentially challenging encounters that clinicians may face when implementing new health information technology. In our textbook, Mason et al. (2014), provide some examples of the problem that may occur, such as the expense of purchasing and implementing new systems and how personnel may react to the changes (p. 127). Examples as such would have enhanced health information technology section, which I thought was underemphasized in this particular

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