Lack Of Access To Health

The relationship between the determinants of health and health outcomes had been thoroughly studied. In policies or programs to reduce and prevent health disparities, factors that contribute to the rise in trends are called the determinants of social health. It is equally important to recognize that childhood is an important time in which interventions can have a significant impact on health outcomes throughout life. (Dubiel et al, 2010)

When considering the American medical system, it is clear that the policy solutions for disparities occurring outside the clinical encounter

Health justice is a broad term. For me it means that everyone is able to receive health care despite where they are, what their background is, and how much money they have. Although this is the case, the current world health system isn’t like this. Health care is not as accessible as it should be. Many poorer, developing countries are still facing shortages of health care clinics in their area. The people in the world who do have health care, on the other hand, are the ones who are well off and have more money. Thankfully, due to the efforts of many different individuals and organizations, the healthcare system is slowly shifting over to where we want it to be. Not saying that it is perfect, we still have a long ways to go before we are able to create total health justice, but we are on our way for a world with health care that everyone is able to access and get the proper care they deserve.

The decline in hospital capacity was accompanied by a rise in staffing. Full-time equivalent personnel rose (Malagi & Kamath, 2016). Most of the additional personnel in hospitals are not focused on patient care but management or administration purposes. The American Hospital Association data shows that outpatient department visits have risen per 1,000 persons indicating that capacity for ambulatory services has risen overtime. Emergency departments have reduced with a larger percentage of closures being in rural areas. Compared to hospitals, physicians have continued to increase. Specialists have increased except for radiologists and general surgeons. There is, however, an uneven distribution of physicians between rural and urban areas. There is an estimated shortage of 3,000 physicians in nonmetropolitan areas. In addition to an increase in physicians, there are new forms of acute-care facilities. There are relatively new facilities that have been accredited. Ambulatory surgery centers have, for instance, risen (Best et al.,

There are 2,157 Health Professional Shortage Areas (HPSA’s) in rural and frontier areas of all states and US territories compared to 910 in urban areas.**

Amongst the other industrialized countries of the world, the United States has the worst healthcare system (Davis, Stremikis, Squires, & Schoen, 2014). This ranking does not come from a lack of funds, considering the United States spends more than twice as much per capita than the United Kingdom which is ranked at number one (Davis, Stremikis, Squires, & Schoen, 2014). A major problem is America is the health disparities that vary across the nation. Health disparities “refer to differences in access to or availability of facilities and services. Health status disparities refer to the variation in rates of disease occurrence and disabilities between socioeconomic and/or geographically defined population groups”("Health Care Disparities", 2009). Even though one RAND study suggests that virtually every demographic is at risk of not receiving needed care, there are definitely certain populations that are at higher risk of falling victim to these disparities ("National healthcare quality and disparities report 2014", 2015). A majority of Maine’s population falls into one of these riskier demographics, which is and will continue to affect the health and quality of life for Mainers if not addressed.

There are many factors that contribute to this supply of IMGs. Among those factors are: specialties, geographic locations, and employment settings avoided by US medical graduates, a surplus of residency positions in teaching hospitals, and increased market penetration of managed care plans in urban areas.

Another threat is the current state of rural hospitals nationwide. According to the case study, about 25% of Americans live in rural areas and only about 10% of physicians actually practice in rural areas. There is a 15% gap in the ratio of rural citizens to available practicing physicians. This is a threat to ELH’s need to attract and hire more physicians. In relation to rural hospitals, citizens have longer drive times to their medical facilities. This causes them to delay routine visits which subsequently exacerbates

Research shows that healthcare is not equal among all demographics and it is evident that throughout time, various groups of people have been taken advantage of by the medical community.

There is some sort of reasons existing for the disparities in health care such as,

As the population grows, the demand for family physicians, surgeons, and other health professionals grows along with it. Over the years, there has been an increase in the number of people from other countries working in the United States as physicians. The outcome of this is that the amount of Americans serving has decreased. But more specifically, the percentage of minority professionals has suffered. In my home city, Detroit, Michigan, most of the professionals work for the “Big Three,” Ford Motor Company, General Motors, and Chrysler.

New York’s population is almost four times as much as Alabama’s (United States Census Bureau); because of this, New York has a number more of healthcare facilities across New York. Unlike New York, Alabama is mostly made-up of rural areas that do not have healthcare facilities, meaning travel is commonly necessary to receive healthcare services. Rural areas have always had a greater need for physicians but continuously struggle to contain physicians. In most cases physician’s income is lower in rural areas causing doctors to move to areas with higher per capita income (Neumann, Sessions, Ali, Rigby, 2012).

So, less doctor-distributed country may have longer waiting time to get service. The most distributed area is Washington DC in United States. However, the least distributed area is also United States. United States is huge country, so rural and urban areas have big differences. Germany is next highest distribution of doctors in the country.

Changes in access to health care across different populations are the chief reason for current disparities in health care provision. These changes occur for several reasons, and some of the main factors that contribute to the problem in the United States are: Lack of health insurance – Several racial, ethnic, socioeconomic and other minority groups lack adequate health insurance coverage in comparison with people who can afford healthcare insurance. The majority of these individuals are likely to put off health care or go without the necessary healthcare and medication that is needed. Lack of financial resources – Lack of accessibility to funding is a barrier to health care for a lot of people living in the United States

The number of physicians in the country has been decreasing at such a great rate that the government and other stakeholders in the health care sector are trying to camouflage this by increasing the number of foreign doctors practicing in the country. The American Medical Association has been trying to promote these re-entry programs designed for physicians since the year 2009 to help curb this problem. There are many people who can see what the problem is, but it is not possible for them to do much about it. Physicians also see this problem, and they are well aware of why the shortage is arising, but they are also unable to do much to prevent the issue. There are many problems that lead to the shortage of physicians, and unless something is done, it will continue escalating ADDIN EN.CITE Lynch19721573(Lynch, 1972)1573157317Lynch, MichaelThe Physician "Shortage": The Economists' MirrorAnnals of the American Academy of Political and Social ScienceAnnals of the American Academy of Political and Social Science82-88399ArticleType: research-article / Issue Title: The Nation's Health: Some Issues / Full publication date: Jan., 1972 / Copyright © 1972 American Academy of Political and Social Science1972Sage Publications, Inc. in association with the American Academy of Political and Social Science00027162http://www.jstor.org/stable/1040122( HYPERLINK l "_ENREF_6" o "Lynch, 1972 #1573" Lynch, 1972).