BHA FPX 4002 Assessment 3 Historical Trend Analysis

Historical Trend Analysis

The history (BHA FPX 4002 Assessment 3 Historical Trend Analysis) of the United States healthcare system, particularly in nursing, is complex and uneven. It has not always been founded on scientific principles or given by experts who hold strong ethical and moral beliefs. Historically, a lack of adequate education has led to these challenges. Before the modern age, rules and metrics for access, quality, and cost remained mostly unaltered, resulting in low quality of care (Agweyu et al., 2023). The healthcare system and medicine evolved with schooling, resulting in today’s distinct emphasis on access, regulations, quality, and cost considerations.

Related Assessment:
BHA FPX 4002 Assessment 2 Changes in Medical Education

This historical trend study aims to offer an overview of the history of the United States healthcare system, with an emphasis on rules and measurements for access, quality, and cost. It tries to demonstrate how these developments have helped patients by improving transparency in healthcare services in terms of quality, safety, and cost (“Healthcare: Past, Present, and Future,” 2021). This assessment will be useful in my position as a health administrator by identifying patterns that have affected the healthcare business and assisting with strategic planning to emphasize the transition from quality improvement to a quality revolution.

Trends and Regulations

Critical indicators of healthcare services in a well-functioning system include a strong finance mechanism (cost), well-educated and suitably compensated personnel, consistent decision-making information, and well-maintained healthcare facilities to assure quality medications and care. All healthcare workers prioritize providing high-quality treatment. Access, quality, and affordability are fundamental elements of health policy that are now a high priority on state, national, and global agendas (world health organization, 2023).

Health Care Access

Healthcare access refers to the timely use of personal health services in order to obtain the greatest potential health outcomes (National Academies of Sciences, 2019). It includes coverage, services, timely delivery, and personnel availability. Healthcare access is critical for promoting and sustaining good health, controlling and preventing illnesses, decreasing avoidable impairments and deaths, and attaining healthcare fairness for everyone (Kruk et al., 2019). 

Several historical milestones have had a significant impact on healthcare access in the United States. The US Army Medical Department and the United States Sanitary Commission were established in 1862 to offer care for post-Civil War casualties and raise public health awareness. The Agency for Healthcare Research and Quality (AHRQ) was founded in 1989 to improve access to healthcare services. Furthermore, the establishment of the Office of the National Coordinator for Health Information Technology (ONC) in 2014 paved the way for national healthcare information sharing (, 2019).

These advances demonstrate that access to treatment has increased over time, encompassing a broader spectrum of patient groups.

Health Care Quality

Healthcare quality is defined as the assessment and delivery of effective and safe treatment in an environment of transparency and support, with the ultimate goal of achieving optimum or essential health outcomes. Prioritizing patient safety, decreasing healthcare-associated infections, and limiting unpleasant pharmaceutical effects are all essential components (Nasiri et al., 2023).

Throughout history, numerous US legislation, regulatory bodies, and quality programs have had a substantial impact on the quality of healthcare delivery. The formation of the National Committee for Quality Assurance (NCQA) in 1991, the introduction of the Health Plan Employer Data and Information Set (HEDIS) in 1989, the establishment of State medical boards in the 1800s, the US Army’s Hospital Corps in 1886, the introduction of QIOs in 2002, and the Physician Quality Reporting Initiative (PQRI) or System (PQRS) in 2006 are some examples of that (Moede, 2023).

Trend analysis of care quality shows that improving healthcare quality can improve physician reliability, promote cost-effectiveness through value-based care, and establish sustainable healthcare practices based on safety, effectiveness, patient-centeredness, equity, efficiency, and appropriateness.

Health Care Cost

Health care costs include all of the real prices and resources used to provide health care services, such as treatments, operations, and medications. It is essential for giving financial protection in the event of an accident or illness.

Throughout history, numerous US laws, regulatory bodies, and quality programs have affected the cost of medical care. These include the Patient Protection and Affordable Care Act of 2010 (Aragòn-Correa et al., 2020), the Benefits Improvement and Protection Act of 2000 (BIPA), the Hill-Burton Act of 1946, the founding of the Health Care Financing Administration (HCFA) in 1977, and the introduction of the first health insurance policy in 1850.

Trend research reveals that medical service prices in the United States remain a serious concern, with continuous difficulties such as fast increases in healthcare expenses and restricted access to medical insurance. These elements continue to pose problems to the United States’ healthcare system.

Trend Analysis

Over time, trends and regulations in healthcare access, quality, and cost have emerged, but they are not always adequately enforced. Access and quality of treatment have improved significantly from the 1800s to the present, better serving the country’s patient population (Griffin, 2020). Since the inception of the United States healthcare system, the criteria for quality of service and accessibility have changed dramatically.

However, medical care expenses have remained a persistent worry for many years and continue to be the most difficult obstacle in providing healthcare services in the country. Despite rules, policies, health care insurance, and organizational efforts, US residents are concerned about the rising prices of accessing vital and high-quality medical services and pharmaceuticals (Crowley et al., 2020). Addressing these cost concerns is critical to ensure that everyone has access to and can afford healthcare.

In recent years, there has been a beneficial shift in healthcare rules and practices, resulting in increased access, equity, and quality of treatment. However, a key issue that has yet to be addressed is the rising cost of medical care services, which makes it difficult for people to get appropriate treatment regardless of their financial situation (Dieleman et al., 2020).

As a healthcare worker, I’ve seen attempts like the 2010 Patient Protection and Inexpensive Care Act (ACA) to make healthcare services more inexpensive over time (Capella University, n.d.). While some patients have benefitted from the ACA and recognize its importance, others have questioned its execution and efficacy. 

Addressing the escalating costs of medical care services is a major goal for ensuring that all people can access and afford the quality health care they require.

Conclusion – BHA FPX 4002 Assessment 3 Historical Trend Analysis

The historical trend analysis of the United States healthcare system reveals considerable improvements in access, quality, and restrictions throughout time. While efforts have been made to improve patient care and provide fair access, the issue of rising healthcare expenditures persists. Efforts such as the ACA have attempted to minimize these issues, but continued attempts are required to ensure inexpensive and sustainable healthcare for all persons. The continued emphasis on cost-effective solutions and equal access will be critical for the future of healthcare in the United States.


BHA FPX 4002 Assessment 3 Historical Trend Analysis: Agweyu, A., Hill, K., Diaz, T., Jackson, D., Hailu, B. G., & Muzigaba, M. (2023). Regular measurement is essential but insufficient to improve the quality of healthcare. BMJ, PMC9999465(/PMC9999465), e073412.

BHA FPX 4002 Assessment 3 Historical Trend Analysis: Aragòn-Correa, J. A., Marcus, A. A., & Vogel, D. (2020). The Effects of Mandatory and Voluntary Regulatory Pressures on Firms’ Environmental Strategies: A Review and Recommendations for Future Research. Academy of Management Annals, 14(1), 339–365.

BHA FPX 4002 Assessment 3 Historical Trend Analysis: Crowley, R., Daniel, H., Cooney, T. G., & Engel, L. S. (2020). Envisioning a Better U.S. Health Care System for All: Coverage and Cost of Care. Annals of Internal Medicine, 172(2), S7.

BHA FPX 4002 Assessment 3 Historical Trend Analysis: Dieleman, J. L., Cao, J., Chapin, A., Chen, C., Li, Z., Liu, A., Horst, C., Kaldjian, A., Matyasz, T., Scott, K. W., Bui, A. L., Campbell, M., Duber, H. C., Dunn, A. C., Flaxman, A. D., Fitzmaurice, C., Naghavi, M., Sadat, N., Shieh, P., & Squires, E. (2020). US Health Care Spending by Payer and Health Condition, 1996-2016. JAMA, 323(9), 863–884.

BHA FPX 4002 Assessment 3 Historical Trend Analysis: Griffin, J. (2020, March 27). The History of Medicine and Organized Healthcare in America. JP Griffin Group.

BHA FPX 4002 Assessment 3 Historical Trend Analysis: Healthcare: Past, Present, and Future. (2021). In Springer Publishing Company.

BHA FPX 4002 Assessment 3 Historical Trend Analysis: (2019). ONC | Office of the National Coordinator for Health Information Technology.

BHA FPX 4002 Assessment 3 Historical Trend Analysis: Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-DeWan, S., Adeyi, O., Barker, P., Daelmans, B., Doubova, S. V., English, M., Elorrio, E. G., Guanais, F., Gureje, O., Hirschhorn, L. R., Jiang, L., Kelley, E., Lemango, E. T., Liljestrand, J., & Malata, A. (2019). High-quality health systems in the Sustainable Development Goals era: time for a revolution. The Lancet Global Health, 6(11), e1196–e1252.

BHA FPX 4002 Assessment 3 Historical Trend Analysis: Moede, A. (2023). Perceptions of Northeastern Wisconsin Health Insurance Employers Toward Hiring Applicants with a Health Information Technology Two-Year Degree.

BHA FPX 4002 Assessment 3 Historical Trend Analysis: Nasiri, N., Parvin Mangolian Shahrbabaki, Sharifi, A., Iman Ghasemzadeh, Khalili, M., Karamoozian, A., Khalooei, A., Ali-Akbar Haghdoost, & Sharifi, H. (2023). Barriers and Problems in Implementing Health-Associated Infections Surveillance Systems in Iran: A Qualitative Study. Medical Journal of the Islamic Republic of Iran, 37(57).

BHA FPX 4002 Assessment 3 Historical Trend Analysis: National Academies of Sciences. (2019). Factors That Affect Health-Care Utilization. In National Academies Press (US). health organization. (2023).

BHA FPX 4002 Assessment 3 Historical Trend Analysis: Delivering quality health services A global imperative for universal health coverage.

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