Access to health care is important because it affects everyone. Access to quality health services is essential for preventing, managing and reducing diseases for all Americans. This is one of the many Healthy People 2020 topics that the U.S. Department of Health and Human Services recognizes and currently striving to address. According to Healthy People 2020 (n.d.), some of the ways to achieve the best health outcomes include entry into the health care system via insurance coverage, access to available health care service clinics and having a trustworthy health care worker to provide prompt treatment. Barriers to health services include high cost of treatment, lack of insurance coverage, limited availability of services and lack of cultural competence in care. Lack of insurance coverage can make it difficult for patients to get the health services they need. Patients are therefore more likely to have poor health status, less likely to receive care and even die prematurely due to later diagnosis. To ensure access to available services, patients should have a primary care provider (PCP) who they can trust and see regularly. The ability to have a regular PCP can effectively increase patient-provider communication, improve the likelihood of appropriate care and thus reduce death rates (Healthy People 2020, n.d.). Access to health care services can provide patients with much needed preventive services such as health promotion (e.g. tobacco cessation, exercise and diet
The United States is the only remaining industrialized nation without some form of universal access to medical services (Light, 2002). As an industrialized nation, it is shameful to see so many people suffer on various levels due to inadequate access to appropriate health care (Rashford, 2007). Research will show that with equal access to healthcare for everyone in the United States, there would be much more preventative care and therefore the cost for treating chronic diseases could be greatly reduced. The New England Journal of Medicine states that they believe a requirement, in the United States, is broad access to wisely designed programs of health promotion, in which the concept of health promotion is expanded to include a goal of cost reduction. This expanded concept directly addresses the challenge of preventing illness as well as that of reducing health care costs (New England Journal of Medicine, 1993). Did you know that preventable illness makes up for approximately 70% of the burden of illness and the associated costs (New England Journal of Medicine, 1993). Many Americans feel that universal health care is not a role that the government should be involved in however; Medicare, Medicaid, and other federal programs have been shown to improve health for
Everyone should have the opportunity to achieve a healthy life and have comprehensive health care services available to them. To achieve this healthy life, people need to have access to the health care system and to a health care provider with whom they can develop a trusting relationship. However, existing barriers to attaining health care services often lead to disparities which in turn lead to differences in life expectancy, health status and a higher prevalence of certain chronic diseases (HealthyPeople.gov, 2012).
The health care system must change to improve our nation’s health and takes strong steps to address the unsustainable growth of health care costs in America. We still have a long way to go before our health system become effective. We still have population that do not have insurance, have difficulties accessing their health care, or their needs are not met within the healthcare system. It is an investment in prevention and wellness and increasing access to primary care physician.
Despite the countless advanced in technology and the abundance of health care organization popping up all over the place, whether they are free standing clinics, hospitals, urgent cares or etc, many people still lack the ability to receive quality health care. This has become a concern throughout the world, but especially a more vocal concern for residents of the United States in the past few years. In this paper we will discuss the reasons preventing access to quality health care and how we can overcome the many obstacles that stand in our way to provide quality health care to many who lack it today.
Improving access to care is imperative to seeing healthcare costs decrease. The cost that could be saved with increased patient access could be as high as $5.2 million (Hamlin, 2015). Access to care affects many aspects of healthcare that are not obvious. For example, patient experience, outcomes, and compliance are all better because of increased access to care.
Health is dynamic and determined by the determinants of health that have factors that can both benefit and hinder our overall health (Liamputtong, Fanany, & Verrinder, 2012, p. 9). The primary health care (PHC) principles accessibility, inter-sectorial collaboration, appropriate technology, emphasis on health promotion and public participation helps all individuals at different social standings based on income levels and geographical location determined by the social determinants of health to access PHC and make an equitable health care system (McMurray & Clendon, 2011, pp. 36-44; Liamputtong, Fanany, & Verrinder, 2012, pp. 13-14).
Many factors can influence a person’s access to health care. Age can influence access to health care because some physicians will treat only children or only the elderly. Income can influence access to health care because specialty driven health care usually involves significant out-of-pocket expense to the patient because some procedures are not covered by health insurance. Location also can be an influence on access to health care. Many patients do not have transportation because of age, dependency on family members, health reasons, or financial reasons. According to the Journal of the National Medical Association, Access to health care can influence the prevalence of chronic disease risks and cancer screening utilization in many ways (Shavers, Shanker, Alberg, 2002, p. 955). If patients are not given
Primary care access is a growing concern for all Americans and the reason behind this concern is an imbalance between demand for care and capacity to provide care. Demand is growing as the population expands, ages, and faces chronic illnesses and the capacity is shrinking as the ration of primary care clinicians to population drops (Ghorob & Bodenheimer, 2012). A primary goal of the Affordable Care Act (ACA) was to improve access to quality health care for uninsured Americans, largely through public and private insurance expansions (Polsky et al, 2015). At the same time, the architects of the law recognized the need to increase the availability of primary care providers to meet the increased demand for health care (Pg. 538, 2015).
Within the United States some populations groups face greater challenges then the general public with being able to access needed health care services in a timely fashion. These populations are at a greater risk for poor physical, psychological, and social health. The correct term would be underserved populations or medically disadvantaged. They are at a disadvantaged for many reason such as socioeconomic status, health, and geographic conditions. Within these groups are the racial and ethnic minorities, uninsured children, women, rural area residents, mentally ill, chronic illness and the disabled. These groups experience greater barriers in access to care, financing of care, and cultural acceptance. Addressing these
Every individual in the world deserves to enjoy health and wellness. Maintaining or achieving proper health needs enables individuals to be productive at work and leisure. Traditionally, many people have had barriers obtaining adequate healthcare due to economic constraints or personal inconveniences. Despite impressive technological advances in medicine, the challenge of delivering quality healthcare to the Americans continues to be debated amongst the nation’s political and healthcare leaders. The aging baby-boomers and the increased number of uninsured people add to the equation of population growth which results in limited access to primary healthcare for the entire public. On the
This literature review will describe and discuss the challenges of accessing health care services and how primary care physicians are deeply impacted by the Patient Protection and Affordable Care Act. Access to Quality and Affordable Health Care in America Presently, access to health care services in the United States is labeled substandard. As explained by the Department of Health and Human Services, access to comprehensive, quality health care services is important for the achievement of health equity and for increasing quality of a healthy life for all. In 2008, the Commonwealth Fund released “Racial and Ethnic Disparities in the U.S. Health Care”. In this report, they note, minority Americans are more likely to have problems accessing high-quality health care than whites. Considering the Centers for Disease Control and Prevention state that minorities comprise 36.3 percent of the nation’s population, having this much of the populace unhealthy has major implications. Consequentially, minorities are less likely to experience the health outcomes that lead to a better quality of life. Access to health services is key for prevention of disease and disability, detection and treatment of health disorders, improving the quality of life, and overall physical, social and mental health status. With the PPACA allowing unprecedented access to primary care
The United States of America has been known to be one of the most advanced countries in terms of our quality of medicine, medical programs, and medical advances. A person can walk into nearly any emergency room without the fear of being turned away or not getting care. With so many resources and cutting edge technology, it’s hard to believe that this health care system does not function to suit the needs of the populations that are most in need of care. Gaining access to long term, continuous health care has become an arduous task, especially over the past two years. Finding a primary care provider seems impossible nowadays, whether a person is insured or uninsured.
Because the child is from the inner-city, she may not have had equal access to quality healthcare and adequate resources for deaf children, which has hindered her from learning official sign language. In the USA, many children that are deaf do not receive “equal access to care, intervention, and follow-up services” (Sacks et al., 2014, p. 92). Socioeconomic, minority status and non-English native language are barriers to children having access to various types of services and health care that produce favorable developmental outcomes (Sacks et al., 2014).
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
Access to preventive health care should not be definable as one of life’s luxuries, yet that is what is has come to be for the approximately “50 million Americans” who have no health insurance (Turka & Caplan, 2010). Clogged emergency rooms and “preventable deaths” are just two of the consequences associated with the lack of health insurance that would provide access to preventive care (Turka & Caplan, 2010). We as a nation are depriving our citizens of one of our most basic needs—being healthy.