The term social determinants of health, can be defined as a ‘set of conditions in which people are born, grow up, live and work.’ These conditions include housing, education, financial security and the environment along with the healthcare service. (http://www.rcn.org.uk/__data/assets/pdf_file/0007/438838/01.12_Health_inequalities_and_the_social_determinants_of_health.pdf) These factors are affected by the amount of money, power and resources that are available at a global, national and local level. Social determinants of health are linked to health inequalities according to the World Health Organisation, health inequalities are ‘the unfair and avoidable differences in health status seen within and between countries.’
Ethical Complexity of Distribute Justice and Rationing Medicine is a practice based on moral standards applied to clinical values and judgments, also known as medical ethics. Ethical values consists of beneficence, nonmaleficence, autonomy and justice. However, these ethical principles are affected when distributive justice and rationing of health care resources are implemented “…in a world in which need is boundless but resources are not…” (Scheunemann & White, 2011, p. 1630). The historic Hippocratic Oath described the four main principles of medical practice and established a moral conduct for clinicians. Beneficence demands that health care providers develop and maintain skills and knowledge, consider individual circumstances of all patients, and strive for the patient’s benefit.
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
After reading this case I was terribly shocked about the fact that something like this could happen in our medical history. I couldn’t believe how a patient could be neglected so much. Based on the material that we have learned the lack of ethical theory of deontology in Dr. Evan was disturbing. As a doctor Dr. Evan’s role is to care for patients, keep them away from harm and prolong their life. Though in the trial he stated as if he didn’t care.
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 systems must create statements of policy which will help to eliminate racial injustice and develop culturally competent services. Clarification of racial equality is the basic key that legislation must apply to health policies and practices. Realistic and practical strategies are need to properly respond to the requirements of black minority ethnic communities. We will need to include more efficient programs to educate young adults and children what racial equality is, and how important it is in the health care field. There must be specific guidelines that hospitals must push for in every professional individual.
Health disparities is not only a Clayton County issue but a national issue as well. Consequently, Healthy People 2020 initiated a decisive goal to reduce health disparities among all Americans by the year 2020. One of this goals of Healthy People 2020 is the reduction of infant mortality rate among Americans to a target goal of 6.0 deaths per 1,000 live births.1 In 2015, infant mortality rates for black non-Hispanics were 2.2 times that of white non-Hispanics. As it relates to sudden infant death syndrome (SIDS) black non-Hispanics mothers were 2 times greater than that of white non-Hispanics mothers.
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.
According to Baldwin (2003) health care disparities are the differences in health and health care between population groups including race, socioeconomic status, age, location, gender, disability, and sexual orientation. Disparities limits the improvements of quality health care which could result in unnecessary health care expenses. Factors that are contributing to disparities within today’s society are lack of access to quality health care and the number of individuals who are uninsured. As the population continue to grow and become more diverse health care disparities will continue to increase.
“in conflict theory, all social arrangements… have a political and economic bases and consequences” (p.10, Clarke) It is evident that health care is no stranger to this concept of class structures and the inequalities that are result from it. The government makes all the major decisions and implements the rules in regulations when it comes to health care. While individuals with low socio-economic statuses feel abandoned and suffer from the
Some areas in the United States face higher rates of crime and drug abuse. This contributes to the prevalence of health disparities within different communities. In order to eliminate or decrease the distinct difference between areas that are at higher health risks than others one must begin to understand why they exist. Some areas have higher drug abuse rates than others due to factors such as poor education, poverty, unemployment rates, and lack of community involvement. These things play a major role in whether or not a young adult is going to start the use of drugs or drinking alcohol.
Health disparities have been an issue all over the world. In the United States, individual and community activism have been seen in an attempt to address the health inequalities of the underrepresented groups tracing back to 1781 (Mitchell, 2015). With the passing of the Affordable Care Act (ACA), the hope for social equality and justice through insurance for all remains complex. The legislation will certainly provide better health outcomes, but health advocacy remains an important aspect in changing the landscape of our health system. A study indicated that the overall rate of insurance coverage increased and a decreased in “coverage disparities related to race and ethnicity” was noted a few years after the ACA was passed (Buchmueller,
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.
America is supposed to have the best resources, the best facilities, and the best doctors in the world. Notice the key words ‘supposed to’ because in times like this America is failing. Not only do doctors refuse to care for people of color, sometime doctors will misuse their power and abuse patients by unfairly
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.