Planning, Policy and Healthcare Economics

Planning, Policy and Healthcare Economics

In a transcultural nursing team as in the scenario at hand requires careful delegation since there is a high likelihood of misunderstanding from the basis of language as well as qualification differences which can quickly create communication barrier. Would the registered nurse consider the delegation in a manner that display protection of health, welfare and safety of the patient by paying attention to the alarm and at the same time providing an option for the novice nurse to allow scanning of the barcode,  the event who have been arrested before issuing the medication (Zerwekh & Garneau, 2017).

At the same time, would the registered nurse monitor the performance of the task she delegated and verify the implementation of the administration of the claimed antiemetic drug, she might have detected the problem at a near miss level. This would have allowed for reviewing of the action of the delegated tasks which would act to cease the initiation of the drug. This was not the case since the senior nurse left the LPN/LVN to operate alone and under instructions which were already misunderstood leading to medication error.

In the United States, the health expenditure is considered to be too high. This can be on the basis of the need to continuously invest in the sector. The sector also has many players ranging from producers, employers, exporters as well as suppliers who need to be maintained to ensure the healthcare system is moving. This must be supported by the states via allocation. Beside these expenditures, the allocation extends to compensation, wavering as well as absorption as in the above case. All these extend the spending hence turning to burden the entire state and affect its economy by dragging it with increased expenses (Palmer et al., 2014). This impedes economic growth since such instances can be avoided to save for other essential expenditures or the allocation be invested in other sectors.

There exist many drivers that lead not only to the increased expenditure to the health services but also in the premiums paid to the insurance companies by the contributors (Rambur, 2015). These can be related to the costly nature of new drugs that are being prescribed, an unhealthy lifestyle that requires individuals to seek medical attention as well as the existence of less transparency concerning the prices and quality of care being provided.

With the high cost for the insurance companies, they have employed strategies such as coming up with initiatives that are geared towards wellness (Bujar et al., 2017). The companies have vowed to offer incentives and rewards to participants in the health and wellness programs. This has enabled the majority to practice preventive health hence reducing the overall claims for their health expenses.

Besides, the insurers also act in the benefit to protect the interest of their clients. To reduce the costs incurred, they can embrace the level funding company healthcare costs (Rambur, 2015). With this plan, the employer is charged per month for fixed premiums for each employee and after a period, for instance, two years, they refund the premiums in the case where the claim was relatively lower the contribution made. Beside this, such arrangements are not taxed by the state since they are filed to be self-funded.


Indeed, the healthcare sector forms significant holder of the state’s economy as it has a very high expenditure which is continuous in nature and can’t be ignored. This is even raised when occurrences such as medication error occur where compensation need to be made. There is need to employ various strategies not only to the healthcare contributors but all the stakeholders to employ strategies to cut down the expenses incurred in healthcare.


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