SmolhaAshlyeeQuestionsWeek11

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University of South Alabama *

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PSC 585

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Medicine

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Jan 9, 2024

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docx

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Uploaded by Ashlyee91

Health of the Elderly: Policy Issues and Challenges 1. How and why have demographics changed? Who is utilizing hospitals and physicians the most? Are there any subgroups who are especially needy or utilize these services more? a. The population of adults 65 and older has increased significantly. With this population living longer it has caused an increase in demand for health services. b. Men tend to have worse medical conditions and utilize the hospital more. c. Elderly and disabled. 2. Review exhibit 4. What are the major conclusions of this table? Do you think anything has changed or would be different if the table were updated for the 2000’s? 3. Discuss the two future projection theories discussed in “Future Implications of Changing Morbidity…” Do you believe either of these are accurate characteristics of the implications since the 1980s? What influence do/should these outcomes have on public policy? a. What other projections did you find interesting or impactful on policy-- why? 4. What are the structural and policy recommendations of the authors in the conclusion of this piece? Do you agree with them? Would you add any personally now? Theories of Disability in Health Practice and Research 5. Terms and major concepts: a. What is the social model of disability?  Radically different view.  Based on positivist theories

 What is the difference between an impairment and a disability?  Impairment is the functional limitation within the individual caused by physical, mental, or sensory impairment.  Disability is the loss or limitation of opportunities to take part in the normal life of the community on an equal level with others because of physical and social barriers. b. What is the positivist theory?  Remain the dominant influence on healthcare given disabled people. c. What is the stance of functionalists?  Medicine’s role to cure and to main the “normal” functioning of people and society.  What is the impact of treating disables individuals in the "sick role"?  By failing to identify that disabled individuals do not necessarily have “something wrong with them,” it simply reproduces biased norms and standards, instead of addressing the ethnic and financial forces that precipitate them. d. What is the stance of social construction?  The experience and subjectivity as central to the research process, and critical theory sees disabling barriers as a key research issue. e. How does critical theory see the world of health care and disability?  Sees disabling barriers as a key research issue.

 Covers similar ground to the other theories, but it sees disabled individual’s problems explicitly as the product of an unequal society.  What has been this theory's impact on health care and policy?  It tends to be indirect and has raised political awareness. Unmet Need for Mental Health Care Among U.S. Children: Variation by Ethnicity and Insurance Status 6. Connections across lectures: a. The study finds that children of Latino descent are less likely to be treated for mental health when in need. Using lessons learned from previous readings, discuss at least two distinct reasons why this might be.  The first is many children of Latino descent come from families that live in rural communities, and do not have the adequate care they need.  They may also have issues with not having health insurance, and it leads to them not having care they need. b. The study finds that children that are uninsured, as opposed to publicly insured, are less likely to be treated for mental health when in need. Using lessons learned from your insurance reading, discuss why this is the case. Be sure to use the appropriate terms and concepts learned.  According to the text from Jones and Bartlett individuals who are uninsured have limited options for medical care and have three options on how to receive it.

1. The patient can pay physicians out of pocket at rates that are typically more expensive than those under insurance plans. 2. Seek care from a safety net provider. 3. Obtain treatment for acute illnesses at a hospital emergency room. a. The hospital does not receive direct payment unless patients can afford them. 4. We also have to look at Mediating Factors which is associated with healthcare services such as health insurance, access to healthcare, quality of healthcare. 7. The study reviews literature that found that when studying insured children, there were lower rates of use for African American children when compared to Caucasian children. Hypothesize why this might be, based upon what you have learned in this course.  Many African American children come from low-income families many are often a single parent home, with that being said if African American children come from a single parent home this puts them at risk for not utilizing the healthcare services as needed. The reason for this is because if the child has a parent working more than one job then it is almost impossible for them to take the child to the doctors. b. Further, another study found that there was no disparity between rates of use across race in the Great Smoky Mountains. Why might this be?

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