Background statement: Heritage Valley Medical Center has had a wonderful reputation for providing excellent health care services to their community. Initially, their community was 80% Caucasian, 40% African American, and 5% Hispanic. However, in the last 5 years, the population has changed to more minorities and the whites have moved out to the suburbs. This caused the Center’s occupancy rate to go down 40% because many of their traditional, more affluent, private-pay patients had left the neighborhood. To bring in revenue, they campaigned to bring in more Medicaid patients.
An article by Bahr discusses importance of community outreach and involvement in the treatment of heart attack patients (Bahr, 2017). Bahr found heart attacks have beginnings which can be identified and acted upon at the community level before reaching the hospital (Bahr, 2017). Bahr’s article describes a community intervention in the past which improved heart attack survival rates by sixty-two percent by increasing bystander and community participation (Bahr, 2017). A different evaluation by Lachance showed programs which emphasized self-participation and health literacy by utilizing community health workers showed positive patient outcomes (Lachance, 2017). Utilizing community health workers in the Hmong population could be beneficial population as they suffer from being stuck in low-wage jobs (Fadiman, 2012, p. 206).
In 2013, California physician Daniel J. Stone wrote an article for the Los Angeles Times titled “Our Big Appetite for Healthcare.” Stone wrote this article because he wants people informed about the growing addiction that people in Southern California have for healthcare. He outlines how the problem is bad for both doctors and patients. By publishing this article, the Los Angeles Times hopes to have people more knowledgeable about the reality of overusing healthcare. Stone uses two persuasive strategies to interest readers.
In 2009, President Barack Obama constructed a speech to inform the people of the problems we had in our healthcare system. Previously, there had been many instances of people who didn’t own any healthcare coverage, and in return they suffered from debt from medical bills. He challenges your mind to think critically over all the hard, concrete logos he uses throughout his speech. After he provides strong logos for the medicare providers, he shows vivid imagery about things that would be changed to help the people and our economy alike. While he gives this strong well rounded speech, he keeps his composure and controls his facial expressions.
A major healthcare concern is making medicine available to those who are impoverished and live in underserved areas. I grew up in Gloversville, New York, a medium sized town that was at one point considered the most impoverished city in the state. Growing up in this region has given me understanding of what life is like in underserved areas. I 've witnessed first hand, the difference in opportunity between myself and students coming from a more urbanized background. It is easy to empathize with those who do not receive proper treatment due to demographic disadvantages.
After the passage of the ACA, Minnesota was chosen to pilot a Medicaid program using ACOs to improve healthcare delivery because of the previous reforms that were made to the state’s Medicaid system. In 2008, the Minnesota state government passed the Health Care Reform Law which implemented the utilization of health homes to provide Medicaid services and a revision of the state’s quality and monitoring system of the Medicaid program (Edwards, 2013). The law was also expanded to use ACOs after the passage of the ACA, in order to provide more comprehensive care for Medicaid beneficiaries (Edwards, 2013). The use of the ACOs “forged a partnership to redesign the health care workforce and improve the coordination of the physical, behavioral, social, and economic dimensions of care” for Medicaid beneficiaries (Sandberg, Erikson, Owen, Vickery, Shimotsu, Linzer, Garrett, Johnsrud, Soderlund, & DeCubellis, 2014). To ensure the success of the program, the state also developed a safety-net program to ensure that Medicaid recipients would continue to receive quality care to meet their health care needs, if the pilot program
The author also highlighted that addressing issues concerning unequal availability to healthcare is in imperative in order to reducing health disparities (McHenry, 2012). I think as APNs one thing we can do is make patient aware of what their insurance will cover and what types of services they are eligible for. For many patient, suggested interventions and treatments may be disregarded due to a lack of financial means. In addition to this many people have simply decided not to take advantage of health insurance coverage that is available to
Healthcare in the United States is in desperate need of reform. There are several rationales to further explain this proposition. As an illustration, the Declaration of Independence states our unalienable rights: life, liberty and the pursuit of happiness. In other words, every individual should be entitled to healthcare as it preserves life and promotes the general welfare. The federal government should, therefore, enact a program of universal health to better protect and serve all of its citizens.
These factors increase the minority groups of being uninsured, lack of health care accessibility, receive poorer quality care and experiencing worse health outcomes, including low income individuals and black people (Ubri & Artiga, 2016). In United States, the healthcare disparities are very obvious and it can be clearly seen between urban and rural
For both the uninsured group and those who are eligible for government assistance because of their low economic position, access to health is limited by the number of private providers willing to treat them. In many cases private providers are linked to particular private health insurance companies and won 't accept patients outside their network. These people must then rely on the overburdened public health system for care, and as such usually only seek treatment in emergencies. The public health system, while filled with competent staff, is nevertheless restricted by its funding and can therefore not always provide all these patients with the best quality of care. The inequality in health care access is a continuing issue in America and as such it is important for future consumers and workers on the Foothill College campus to have a thorough understanding of the issue so they can move to improve the problem in the
Introduction People hope and seeks long and healthier lives. Thus, health care is the act of taking preventative or necessary medical procedures to improve people well-being. Improvement or preventative may be done with surgery, the administering of medicine, or other alterations in a person 's lifestyle. These services are usually offered through a health care system made up of hospitals and physicians. Although, the health care system is set up to reduce or to prevent disease etc., there is a gap or disparity in the US health care system.
Health care should not be considered a political argument in America; it is a matter of basic human rights. Something that many people seem to forget is that the US is the only industrialized western nation that lacks a universal health care system. The National Health Care Disparities Report, as well as author and health care worker Nicholas Conley and Physicians for a National Health Program (PNHP), strongly suggest that the US needs a universal health care system. The most secure solution for many problems in America, such as wasted spending on a flawed non-universal health care system and 46.8 million Americans being uninsured, is to organize a national health care program in the US that covers all citizens for medical necessities.
”(Twelvetrees, 2001) It takes special skills to work within communities especially if the community is not very open to suggestions and the issue to be addressed is sensitive. To be effective in community work, it takes a collaborative effort and partnership to bring about changes and advance the community. When working with communities, the planned change model as developed by Kirst-Ashman & Hull (2009) is a tool that can be utilized.
As individuals, and in groups, we can change our communities. We can set up neighbourhoods and institutions in which people commit them self to working to form strong relationship bonds and alliances with people of diverse cultures and backgrounds.
Even though, we can acquire this knowledge, awareness and understanding just by surfing the internet or reading a book, we can make the effort to ask the people living in our community our questions, deepening our understanding, awareness and knowledge about them and at the same time bonding with them. Sometimes, the internet or book may not have all of the answers to our questions and
