BHA FPX 4002 Assessment 3 Historical Trend Analysis

BHA FPX 4002 Assessment 3 Historical Trend Analysis

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BHA FPX 4002 Assessment 3 Historical Trend Analysis

Student Name

Capella University

BHA-FPX4002 History of the United States Health Care System

Prof. Name


Historical Trend Analysis

Exploring historical patterns and transformations unveils the progression of American healthcare over time. Examining these shifts facilitates future growth and development in healthcare. Alterations in health trends profoundly influence the daily operations of healthcare administrators, necessitating adaptations to meet evolving demands. Healthcare remains a dynamic sphere.

Trends and Regulations

Enhanced healthcare access correlates with superior patient care. Improved access enables patients to receive adequate care and treatment, subsequently enhancing prognosis. Access to healthcare plays a pivotal role in mitigating mortality rates and impeding disease advancement. Quality healthcare serves as a cornerstone for cultivating thriving communities and populations. It engenders a sense of confidence and reliance among patients towards healthcare providers, fostering better compliance and health outcomes. Patients receiving superior care demonstrate heightened engagement in monitoring and managing their health.

The financial burden associated with healthcare has historically deterred patients from seeking necessary medical interventions. Nonetheless, the evolution of trends and regulations over centuries has rendered medical expenses more manageable.

Healthcare Access

Accessible healthcare stands as a fundamental necessity, ensuring patients can avail themselves of medical attention when required. Constraints on healthcare availability contribute to elevated mortality rates and disease progression. Across history, diverse regulatory measures have been instituted to bolster healthcare accessibility, such as the establishment of state medical boards in the 1800s, the enactment of the Hill-Burton Act in the 1900s, and the implementation of the Patient Protection and Affordable Care Act in the 2000s.

Healthcare Quality

The quality of healthcare significantly impacts treatment efficacy and patient prognosis. Over time, initiatives like the U.S. Army Medical Department in the 1800s, the establishment of the Center for Improvement in Healthcare Quality in the 1900s, and the enactment of the Patient Safety and Quality Improvement Act of 2005 have aimed to elevate healthcare quality. These efforts emphasize patient engagement and provider accountability, thereby advancing healthcare quality standards.

Healthcare Cost

The cost associated with healthcare has historically posed a barrier to access. However, milestones such as the introduction of healthcare insurance in the 1800s, the advent of prepaid health plans in the 1900s, and the implementation of systems like the Outpatient Prospective Payment System in the 2000s have rendered healthcare more economically accessible. Consequently, patients are empowered to seek timely medical assistance.

Trend Analysis

The healthcare trajectory across three distinct eras underscores substantial advancements in accessibility, quality, and cost. Regulatory interventions have driven improvements in healthcare accessibility, consequently enhancing patient care and treatment options. Quality standards in healthcare have surged, ensuring elevated levels of care and patient safety. The financial aspect of healthcare has become more manageable, courtesy of insurance and payment systems, thus enhancing overall healthcare accessibility.


In summation, the evolution and refinement of the healthcare landscape have engendered remarkable progress in care quality, patient outcomes, and healthcare affordability. Enhanced healthcare access ensures timely interventions for patients. Regulatory measures have uplifted healthcare quality, guaranteeing patient safety. Financial barriers to healthcare access have diminished, enabling a broader demographic to afford essential medical care. Collectively, healthcare has undergone significant enhancement over the past three eras, translating into improved prognosis, treatment modalities, and disease management.


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BHA FPX 4002 Assessment 3 Historical Trend Analysis

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BHA FPX 4002 Assessment 3 Historical Trend Analysis

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Appendix: Evolution of Access, Quality, and Cost in Health Care

Table 1: Trend Analysis of Health Care Milestones

Time Period Regulatory Legislation, Agencies, or Quality Initiatives Health Care Access Health Care Quality Health Care Costs
1800s State medical boards Establishment of medical practice regulations protecting patients (Truex, 2014) Promotion and implementation of health awareness (Reilly, 2016) Provision of lower health care costs through insurance (Scofea, 1994)
  U.S Army Medical Department and United States Sanitary Commission Implementation of new health care regulations and awareness (Reilly, 2016) Implementation of medical care and treatments in hospitals (Reilly, 2016)
  Healthcare Insurance Introduction of health insurance covering non-death related costs (Scofea, 1994)
  Hospital Treatment Provision of surgeries, outpatient, and inpatient services (Scofea, 1994)
  Regulating Healthcare Implementation of state healthcare regulations and physician licensing (Chaudhry, 2010)
  U.S Army Established the Hospital Corps Maintenance of medical records for better follow-up care (Weedn, 2020)
1900s Hill-Burton Act Federal grant program providing hospitals with funds (Centers for Medicare & Medicaid Services, 2021a)
  Food, Drug, and Cosmetic Act Regulation of medical equipment and medicine labeling (Young & Kroth, 2018; FDA, n.d.)
  Self-Pay is the primary source of healthcare services Patient payment for healthcare services (Young & Kroth, 2018)
  Introduction of prepaid health plans (direct contracting) Improved availability of healthcare for working Americans (Young & Kroth, 2018)
  Center for Improvement in Healthcare Quality (CIHQ) Regulation and accreditation services for healthcare treatments (Center for Improvement in Healthcare Quality, n.d.)
2000s Patient Protection and Affordable Care Act Mandated coverage of preventive care services at no patient cost (Centers for Medicare & Medicaid Services, 2021b)
  Patient Safety and Quality Improvement Act of 2005 Improvement of patient safety and reduction of incidents (Centers for Medicare & Medicaid Services, 2021c)
  Outpatient Prospective Payment System (OPPS) Medicare payment for hospital outpatient services based on flat rates (Centers for Medicare & Medicaid Services, 2021d)
  Medicare Care Compare Platform for comparing medical facilities (, 2021)
  Hospital Quality Reporting (HQR) and Initiative (H.Q.I.) Mandatory reporting of quality issues by medical providers (Centers for Medicare & Medicaid Services, 2021e)
  Managed Market Competition; Consumer-driven health plans Introduction of consumer-driven health plans (Well, 2002)

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