Health Care Barriers

Transportation is one of critical social determinants of health and the availability of convenient transportation impacts individuals’ ability to access quality healthcare (Canadian Institutes of Health Research, 2011). One of the major challenges that rural Canadians face is the lack or limited of public transportation which results in delaying access to health-care services (Canadian Institutes of Health Research, 2011). Canadians who reside in rural communities or small towns generally have to travel long distance to get the health care they need. Transportation is a significant issue for access to health care services, particularly in rural areas where travel distances are required and access to substitute means such as public transit or taxi services is limited or lack (Rural Assistance Center, 2015). Transportation services play an essential role in assisting residents in rural communities, particularly those who are vulnerable and most in need of this assistance to maintain their health and well-being.

As I am advancing career and my education, I understand that there is a need to know what affects my profession and health care on a local, state and federal levels. I need to know, the who, what and why. If ever want to make a change, I believe I need to know where to start and have my facts straight, just as if I was calling a physician when my patient begins to deteriate. I think health care policies and how they affect the public will only better my care and who I am as a nurse. To see what it takes to attempt to make a new policy. Personally I would like to see physicians take back more of their role in patient care decisions. Insurance companies make many decision based on economic reasons

Barriers in health care can lead to disparities in meeting health needs and receiving appropriate care, including preventive services and the prevention of unnecessary hospitalizations (HealthyPeople.gov, 2012). In their 2008 annual report, the Agency for Healthcare Research and Quality lists several disparities’ in health care. They report that racial and ethnic minorities in the United States

Sabatino, Charles (2010). The Evolution of Health Care Advance Planning Law and Policy. The Milbank Quarterly, (88) 2, 211 – 239 Retrieved from the Milbank Quarterly

Barriers to healthcare include factors that restrict or hinder people from receiving adequate and quality health care service. Health care disparities are those differences that negatively affects less advantaged group (Mehta, 2014). Health care barriers play a significant role in comprehending causes of disparities. This paper will discuss the obstacles and disparities that exist and affects healthcare.

Patient access to affordable health care is an ongoing issue in the United States. The first portion of the policy process involves three different stages, the formulation stage, legislative stage, and the implementation stage. Three main stages exist in the process to transform a topic into a policy (Morone, J. A., Litman, T. J., & Robins, L.S., 2008). Coupled with the implementation stage is an evaluation of all the stages to determine effectiveness and gather information for use in future public health care policy making. In the formulation stage, the ideas, concepts, and information steam from this process of policy making. The

In order to first start a policy process, the problem for which a policy is to be created must be identified and the policy holding a solution to the problem. Researchers and stakeholders will investigate the problem to identify if the policy will reach the policy making agenda. Policies must be to improve society’s health and wellbeing. In the United States (U.S.) public health related issues that require a formulation of a new policy and come from local, state, or federal legislations which ruling govern the provision of health care services and regulations. In this

Typically, when the United States mandates a new federal policy, it is up to the implementation of states to enforce; The Affordable Care Act (ACA) is no exception. While the ACA has sparked a particularly concerted effort of objection amongst states (Leonard, 2012), it can be extremely beneficial to see the outcome of this implementation in the political context of each state and learn from their differences. In New Mexico, the main objective of the ACA was achieved; when reviewed in 2015, 52,358 individuals had either opted for or were re-enrolled in health insurance through the Marketplace who would have otherwise been uninsured (Assistant Secretary for Public Affairs, 2015). As the future of the policy will rapidly change in the coming months, it is imperative that a concerted effort be made to look at what worked in the past few years so that the next few may move forward rather than rehash a previously treaded path.

There is inexhaustible confirmation that without an individual order a Health Care change bill would miss the mark concerning attaining all inclusive scope. In the studies finished with the case state of Massachusetts, it plainly demonstrated "that intentional methodologies without a boss or individual command would just blanket around 40 percent of the uninsured; including a business order would even now leave around 50 percent of the uninsured without scope. In Massachusetts they could attain all inclusive scope just with an individual command." (Wilkes, 2009).

When a health care organization is implementing a strategy, being aware and planning for the primary barriers will help in having a successful outcome. Primary barrier can include personal factors like lack of agreement, lack of skills, lack of motivation, or even lack of awareness. These are all types of internal barriers. Some of the primary external barriers can include lack of resources, outside organizational constraints, and lack of collaboration. The lack of evidence is another example of a primary barrier in health care.

The most important stakeholder in the healthcare policymaking is probably the patient. In Massachusetts, the Act provided “nearly universal health insurance coverage” (case study). In 2009 the

Health promotion has been defined as the process of enabling people to increase control over their health and to improve it. This process requires personal participation and supportive environments. For people with disabilities, however, personal participation is often limited by non-supportive environments. Lack of knowledge on how to modify programs to meet specific needs, poor attitudes, and unfriendly environments often creates insurmountable barriers to participation for many people with disabilities. While innovative medical technology has increased the life span of individuals with disabilities, little attention has focused on improving their health span. The reportedly high incidence of chronic secondary conditions seen in persons

Communication challenges lead to limited access to appropriate treatment, and lower retention once engaged in treatment. These structural barriers to care may be particularly salient in mental health settings, where there are fewer non-verbal tests to assess for illness and good diagnosis often depends on clear, accurate descriptions of the symptoms. Given the rising Limited English Proficiency (LEP) population and these significant treatment challenges. It is imperative that we develop ways to reduce health care disparities among LEP individuals. (Pg. 1)

Despite Trinity's plans to go ahead with work, having developed a five-year plan that lays out what would be accomplished in a certain bracket of time, the truth remains that healthcare does not operate in a vacuum. Trends that emerge in the national market are influenced by legislation, delivery of care, changes in payment methods, and social and economic conditions. Healthcare professionals monitor policy at the national level by reviewing legislative initiatives and analyzing rules and regulations. Understanding healthcare policy helps in facilitating grant reviews and in developing program initiatives,

As health care providers, we have seen a lot of patients come to the emergency with very serious infection or after 5 days of abdominal pain. We always encourage patients to seek medical care as soon as possible. However, not everyone wants to believe that they have health problems. There are many reasons that prevent the patients from seeking health care.