Chapter 1
INTRODUCTION
1.1 Background
The provision of health care services/facilities to public now becomes a severe problem in developing countries. The accessibility to these health care facilities is the key parameter in establishing healthier communities. The degree of accessibility of health care institutions is one of the most significant indicators for measuring the efficiency of the health care system (Gatrell and Elliott 2009).
The public’s access to health care institution could be seriously restricted by distance (Black and al 2004). Longer distances may affect especially the access of the people who are physically impaired and elderly person for health care. In general, the longer the distance to health care facilities higher the risk of fatalities (Jones et al 1998; Hare and Barcus 2007), although this is disputed by some studies (Drummer and Parker 2004).
The study of accessibility to health care has long been of interest to medical geographers and other social scientists (Quah 1977; Joseph and Phillips 1984). Such
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Gulliford et al (2002) contend that “the availability of services, and barriers to access, have to be considered in the context of differing perspectives, health needs and material settings of diverse groups in society”. Luo and Wang (2003) and Guagliardo (2004) distinguished between potential accessibility (which refers strictly to physical accessibility or to the number of people residing within a certain range who could potentially use the services of these health care facilities should they face no barrier) and revealed accessibility (or actual utilization of health care facilities, which takes into account the barriers mentioned
Health Care in the US is arguably available to all who seek it but not everybody has had the same experience and treatment when walking through the doors of a healthcare facility. In many cases, people are discriminated against due to their gender, race/ethnicity, age, and income and are often provided with minimal service. Differences between groups in health coverage, access to care, and quality of care is majorly affected through these disparities. Income is a major factor and can cause groups of people to experience higher burden of illness, injury, disability, or mortality relative to another group.
P4- when looking at strategies and communication techniques used with different individuals with different needs whom need to overcome different challenges many aspects must be looked at. A challenge Patrick may face may be awareness and knowledge, he may face this as well as others. Patrick may be aware that he has HIV however he may not be aware how much this will effect him and he may not be aware how to deal with it as he may lack the knowledge. In order to overcome this Patrick could educate himself in depth on HIV, this will help him come to terms with it and will also help him to help others understand HIV. A challenge Alice may face might be acceptance or belief, she may not have the determination to become alcohol free and therefore
In the ever changing landscape of health and social care and children and young person’s settings there are many pieces of government legislation and regulatory framework that service providers and organisations must now comply with. For example Care Quality Commission (CQC) introduced the essential standards of quality and safety which are central to the workplace. Every staff member has responsibility for providing good quality social care. Social care governance is the process by which organisations ensure good service delivery and promote good outcomes for people who use services.
This essay aims to identify and evaluate the inequalities in health care in different areas of society, namely disability and gender. Firstly, it is important to understand what we mean by health inequalities. It is commonly understood that health inequality refers to unjust differences in the health status, usually preventable, between different groups, populations or individuals. The existence of such inequalities is attributed to the unequal distributions of social, environmental and economic conditions within societies. Such conditions determine the risk of individuals getting ill, their ability to prevent sickness, as well as opportunities to access to the right treatments.
Barriers in Health and Social Care: The barriers in health and social care are physical barriers, psychological barriers, financial barriers, geographical barriers, cultural/language barriers and resource barriers. Physical barrier Physical barrier are objects that prevent an individual from getting to their destination. For example, a wheelchair user is unable to enter a building because there are steps so they can’t get through the entrance.
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.
The lack of financial resources can be a big problem to access to health care. The lack of available finance is a barrier to health care for many Americans but access to health care is reduced most among minority populations. The irregular source of care is another reason why access to health is a disparity. Compared to white individuals ethnic or racial minorities are less likely to be able to visit the same doctor on a regular basis and tend to rely more on clinics and emergency rooms (News Medical Life Sciences). 5.
Health Care Disparities Health care disparities are unfortunate and being culturally competent is an essential step toward eliminating these inequalities. In this discussion, I will review what disparities are associated with the Appalachian culture and how they affect health status, employment, and education. I will also identify two nursing interventions that could be taken to help decrease the affect that health disparities have on the Appalachians and review what the biggest challenge would be when implementing the interventions. There are about 27 million people that live in the area defined as the Appalachian region, which spans 13 states.
Many Americans were led to believe that the introduction of the Patient Protection and Affordable Care Act in 2009 would put an end to disparities in health care access. While it did improve the situation for a small percentage of the population there are still many Americans who lack access to good quality health care. Health care access in America is determined by money and those in lower socioeconomic groups frequently tend to miss out on adequate care. In a recent health care report by the national health research foundation Kaiser Family Foundation, it was noted “health care disparities remain a persistent problem in the United States, leading to certain groups being at higher risk of being uninsured, having limited access to care, and experiencing poorer quality of care” (Kaiser Family Foundation). The current health care
Having accessibility to any form of healthcare is important to everyone in the world. Despite the fact that it is available to most countries, it does not mean that it is available to everyone. Being able to possess healthcare is seen as a gift in some parts of the world. In some countries, healthcare is free and accessible for all inhabitants, while in other countries one would have to pay for their own health insurance. Specifically, when focusing on Italy and America, there are major differences regarding their healthcare systems.
As Bernie Sanders once said, “Health care must be recognized as a right, not a privilege.” Most developed countries choose to live by this quote while the United States of America chooses to go against it. Universal health care has benefits on multiple levels, whether it’s a single individual or the people in a whole. The U.S is one of the few developed countries that doesn’t offer universal health care to their people, yet the U.S spends more than seventeen percent of their GDP on health insurance. Many people believe that universal health care is a simple one solution problem, but the truth is that there are multiple forms of universal health care that provide all citizens with the health insurance they need.
It may surprise you that, according to the World Health Organization (WHO) and World Bank, at least 400 million people lack access to essential health services. They said, at least 6 percent of people in 37 low and middle income countries are living in poverty because they must spend the money for health. Health care services is the most importance thing that we need because it is not only for improve the health but also through individual behaviour and lifestyle choices such as quitting smoking, eating the nutritious food and living a healthy lifestyles.
The 8 factors in the True Access Model include: (1) historical, (2) structure, (3) financing, (4) interventional, (5) preventive, (6) resources, (7) major health issues, and (8) health disparities. The following factors are described in more detail. First, the historical factor describes the health and well-being of each country and discovers how health and access to health services have been historically well-defined. Structure is the second factor in the model and observes the assembly of health care delivery; which includes infrastructure, policies, staff needs, roles, and responsibilities. The third factor is financing which is a challenging factor to address in regards to ‘true
Gatekeeping in terms of the healthcare sector has been debated throughout the years on whether the process has resulted in the contribution to the improvement of healthcare of a population. The term, gatekeeping is defined as the general public having to go through ‘doors’ in the health care system. This means that referral is required from primary care sectors such as General Practitioners (GP) being the first point of contact, in order to have authorised access to receive secondary and/or tertiary care sector service, these services include specialists such as dermatologists, cardiologist and oncologist. The idea of gatekeeping was originally developed to control the amount of money that is spent on healthcare and as a response to the shortage
These disparities that exist in all the factors have to be eliminated with suitable control measures. Regulations on health care services and their access has to be made more