HEALTH SERVICES ADMINISTRATION (HSA) 375 – Case Study 3

The Queen’s Health Policy Research Unit (QHPRU) estimated the need for stroke services in Brooklyn, New York using measures of prevalence and incidence of

 

(1) MODIFIABLE AND NONMODIFIABLE RISK FACTORS FOR STROKE

(2) ACUTE CASES OF STROKE

(3) MAJOR SEQUELAE OF STROKE

 

 

They identified the effective health services that are targeted at each of these three dimensions and linked these steps to estimate need for health services. They compared the estimate of need for health services to compiled measures of levels of stroke-related health services in Queens, New York to see if there was a gap (unmet need) or surplus (over met need) of these services.

 

1.      Risk factors for stroke include heavy alcohol consumption, atrial fibrillation, diabetes, hypercholesterolemia, hypertension, obesity, low physical activity, smoking, ischemic heart disease, and transient ischemic attack. Where might QHPRU get estimates of the incidence of these conditions?

2.      For each risk factor, or stroke sequelae, QHPRU listed the kind of intervention that would be effective, and the proportion of people for whom this intervention would be appropriate. According to Table 4.3, which three interventions are appropriate for hypercholesterolemia, and for what proportion of high-risk individuals?

3.      The following types of interventions were recommended for acute stroke services:

 

(a)  SURGICAL INTERVENTION (CAROTID ENDARTERECTOMY)

(b)THROMBOLYTIC THERAPY

 

(c)  IMAGING OF THE BRAIN (CT OR MRI)

 

(d)NON-INVASIVE IMAGING OF THE VESSELS (ULTRASONOGRAPHY OR MAGNETIC RESONANCE ANGIOGRAPHY)

 

(e)  INVASIVE IMAGING OF THE VESSELS (CEREBRAL ANGIOGRAPHY)

(f)REHABILITATION THERAPY

 

For what percent of at-risk individuals are these services recommended?

4.      Estimates of people in Queens, New York with hypercholesterolemia are as follows:

 

 AGES 25-44: 30,000 MEN AND 13,000 WOMEN  AGES 45-64: 33,000 MEN AND 42,500 WOMEN

 

  AGES 65 AND ABOVE: 17,000 MEN AND 42,000 WOMEN

 

How many residents in Queens will need fasting lipoprotein analysis and dietary and pharmacologic interventions for hypercholesterolemia?

 

5.      It is estimated that Queens provides dietary and pharmacologic intervention for hypercholesterolemia to 66,000 and 15,500 patients respectively. What is the level of unmet need in terms of the number of patients not receiving each of these two recommended interventions?

What percent of need is not currently being met in Queens?

 

6.      The incidence of acute stroke cases was estimated at 3,500 cases, 100 of whom died before reaching the hospital. The prevalence of chronic stroke cases was estimated to be 4,300. Use Table 4.4 to estimate the number acute and chronic stroke cases needing core stroke services, and services for chronic stroke and disability.

It is estimated that Queens provides thrombolytic therapy and carotid endarterectomy to 50 and 200 patients respectively. CT and MRI brain imaging is provided to 1,000 and 150 patients respectively. Non-invasive and invasive imaging of the vessels is provided to 425 and 170 patients respectively. Rehabilitation is provided to 1,400 acute stroke survivors, and homecare services are provided to 1,400 chronic stroke with disability patients. What is the level of unmet need in terms of the number of patients not receiving each of recommended services for acute or chronic stroke victims? What percent of need is not currently being met in Queens?

 

   7. Is this facility meeting the needs of its target population?

 

 

 

 

 

 

 

 

 

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with Macro Essays
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
Testimonials
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Business Studies
Great paper thanks!
Customer 452543, January 23rd, 2023
Psychology
I requested a revision and it was returned in less than 24 hours. Great job!
Customer 452467, November 15th, 2020
Political science
I like the way it is organized, summarizes the main point, and compare the two articles. Thank you!
Customer 452701, February 12th, 2023
Political science
Thank you!
Customer 452701, February 12th, 2023
Psychology
Thank you. I will forward critique once I receive it.
Customer 452467, July 25th, 2020
Finance
Thank you very much!! I should definitely pass my class now. I appreciate you!!
Customer 452591, June 18th, 2022
Technology
Thank you for your work
Customer 452551, October 22nd, 2021
Accounting
Thank you for your help. I made a few minor adjustments to the paper but overall it was good.
Customer 452591, November 11th, 2021
Education
Thank you so much, Reaserch writer. you are so helpfull. I appreciate all the hard works. See you.
Customer 452701, February 12th, 2023
11,595
Customer reviews in total
96%
Current satisfaction rate
3 pages
Average paper length
37%
Customers referred by a friend
OUR GIFT TO YOU
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat