I will be describing the difference between nonprofit and for profit hospitals, also describing at least three major trends that have occurred within the hospital sector, plus describe and differentiate the roles of hospitals and nursing homes in providing long-term care and giving three examples, and last critique the current state of long-term care policy in the United States. Nonprofit hospital can be found all over the country.

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These hospitals take all comers, never refuse treatment and offer many community-based health programs. For-profit hospitals represent a corporate model of health care which seeks profit first. These organizations enjoy higher technologies and create state-of-the-art facilities according to (Jonathan Lister) a he said that nonprofit hospitals traditionally charge less for medical procedures than for-profit hospitals in the United States. Also stated in these article Non-profit hospitals does a better job in treating patient than for profit hospitals?

Non- profit hospital will treat all patients regardless of health insurance or financial status but on the other hand the for-profit can refuse treatment of a patient if the hospital believes they cannot pay. Non-profit hospital brings in less money than for profit hospital but enjoys the tax exempt status. For- profit hospitals bring in more capital to take of the hospital needs such as to purchase new medical technologies and keep the debt of the hospital down and the new medical system may lead to diagnostic procedures and surgeries.

Nonprofit hospital seeks to help the community more with free community health clinics and acute centers, but on the other hand for- profit 2. hospitals may start to buy out Non-profit hospitals and the community programs will not continue. There are several issues that some hospital has to deal with such as: Specialty hospitals, changes in technology, and reimbursement Mechanisms. Specialty hospital is poses a threat to community general hospitals to much greater extend in the past years according to (Williams/Torrens 2010).

The new Specialty hospitals focused on cancer and heart patient and this hospital are partially owned by physicians who practice within them. Changes in technology is continuing to advance, but it is like a two-edge sword and at the same time their are challenges where as the technology would advance and the clinical practice expands of specialized services but at the same time it comes with a price. (Williams/Torrens 2010). Financial reimbursement mechanisms has become complex and most hospital and hospital systems pay their bills by this mechanism of reimbursement, and now fund for most hospitals is the Federal Medicare program.

Medicare has imposed an array of requirements to reduce fraud and abuse (Williams/Torrens 2010) Long-term care in the health care system plays a different role in the hospitals and in the nursing homes. A long-term care hospital give services to patients that needs long term care say for instance, a cancer patient, burn victim, or a patient with heart disease and because they would need care by a medical professional person, the stay would be extended. According to the (Center for Medicare & Medicaid Services) 3.

Long-term care hospitals (LTCH) are certified as acute care hospital, but LTCHs focus on patients who, on average, stay more than 25 days. LTCHs specialize in treating patients who may have more than one serious condition, but may improve with time and care, and may return. Long –term care nursing homes are for are for people that are disable needing around the clock help and not necessarily sick with a condition, but they may be stricken with dementia and Alzheimer’s disease.

According to (Webb/Fillmore/Ganim/Silvers) Today’s nursing facilities can trace their origins to the 19th century system of poorhouses, which serves the role of sheltering and caring for people who were unable to care for themselves and with the passage of the Social Society Act, society recognized in law a new social contract with the poor, and as a result, for-profit and not for profit custodial homes proliferated, being able to provide better quality sleeping accommodations, food and clothing than the poorhouses.

The United States has several policies pertaining to Long-term care and they are at federal, state, and local levels leading toward a certain type of population. According to the (Meds cape) page both the process of U. S. long-term care policy have serious shortcomings and the consequences of these short-comings will increase as the population ages.

Policy makers continue to face an array of complex policy problems regarding the balance between nursing home care, assurance of quality, into-grating acute long-term care and affordable access. As I conclude I would like to say that the hospitals and the long-term care facilities are designed to help people achieve functional independence, as to receive treatment to cure what is causing the illness or how to life a full life with the condition.

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