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. One area where access to care is a problem is in the rural communities. Healthcare professionals including physicians, nurse practitioners, and nurses all affect the quality and cost of care (Derksen, & Whelan, 2009). Going forward importance needs to be placed on using recourses more efficiently and effectively; these resources include but are not limited to tests, prescriptions, …show more content…
Having increased access to care is going to help improve healthcare because continuity of care is going to increase (Hamlin, 2015). Patients are more compliant with increase continuity of care because of a trust relationship being developed. Healthcare is often driven by consumers and insurance companies; there is strong pushes for insurance companies to start paying better through Patient Care Medical Homes (PCMH) or Accountable Care Organizations (ACO) rather than paying at a per-visit basis (Hamlin, 2015). With PCMH or ACOs payment is made on a continuum of care, encouraging the provider to be involved in all aspects affecting health of the patient (Derksen, & Whelan, …show more content…
Even though this money is being awarded to providers in rural areas, the nation continues to have a shortage of rural health providers (Derksen, & Whelan, 2009). One solution would be to increase this grant money or make it even more available for specialist. Again, the problem with this solution depends on the grant money being available for use. Another concern is that this change takes time; the access to care improvement needs to happen now. Lastly, when the provider has gotten the loan repaid there is not always a motivation to stay in the rural area. If providers leave, problems involving continuity of care
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
Transportation is one of the largest barriers to health care access in rural communities. Fortunately, many interventions
There are two principal conditions leading to physician shortages in rural communities according to Wright and colleagues. They are “demand-deficient”, meaning they have insufficient populations and resources to support a physician practice, they are “ambiance-challenged,” meaning they are isolated, lack quality services and amenities, and/or are in geographically unattractive settings, or a combination of the two sets of conditions. Inner-city physician shortages are a more recently recognized issue. They are affected by the same conditions, though the specifics are different (Wright, Andrilla, and Hart 2001).
Geographic maldistribution has creates barriers of care to people living in rural areas. Although there is an oversupply of physician specialists in many of the urban healthcare areas around the world, while the inner cities and rural community are struggling to attract healthcare physician professional to provide high quality care to the local population. “The supply of specialties has increased more than 100% over the last 20 years, while supply of generalists has increased only 18%” (Niles,2014). Any shortage of health workers can prevent good access to health services and is a barrier to universal coverage. The issue of the matter is that maldistribution of health workers between urban and rural is consider to be virtual concern around
The Accountable Care Organization (ACO) are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high-quality care to their Medicare patients (McCarty, B., 2016). For example, Medicare Shared Savings Program was created by The Center for Medicare & Medicaid Services to monitor and establish that all ACO’s are meeting the quality performance benchmarks and reduce Medicare spending by certain percentages (H., 2017). The growth of ACO’s from 2011 to 2016 is astonishing, in 2011 there was 64 ACO’s and by 2016 they have risen to 838 in the U.S. (H., 2017).
Significant health disparities between rural and urban populations have been a major concern in the United States. One prominent factor contributing to the disparities is lack of access to quality care in rural areas which is closely associated with challenges faced by rural health care providers (National Rural Health Association, 2007). Rural hospitals are the key health care provider in rural areas, offering essential health care services to nearly 54 million people (American Hospital Association, 2006). They face a series of challenges such as workforce shortages, rise in health care costs, difficulty in finding access to capital, difficulty in
‘Some counties don't have certain types of doctors” (Leonard 2). If an individual only has one insurer that supports that area, that insurer may not cover that doctor or hospital in that area, which can result to that individual driving far out of their area, just so they can see a doctor or get their medical treatment for a reasonable price. Individuals are also being limited with options because their insurers may see them as costly, and they could force the individual to go to under resourced hospitals (Goodnough 3). This shows that even if an individual does not live in a rural area and has plenty of options to choose from, they can still be limited in location because their medical treatment can be seen as too expensive, and the insurance company has to figure out a way to save money.
Living on a small farm in Montrose, SD, I have seen the hardships that can go along with living in rural areas. With two parents who commute 30 minutes to work everyday, it was always an almost impossible task to get medical attention for any illness. Experiencing these hardships has helped me gain a great respect for rural clinics, and opened my eyes to the opportunities a rural clinic offers to future medical professionals, such as, myself.
Rural Americans face the struggle of accessing healthcare, both preventative services and also specialty care, here in America. What is the cause most often? Distance. According to a study conducted by Buzza et al (2011), those surveyed believed that distance was perhaps the most important reason for lack of access to healthcare on a variety of the spectrum to include: routine healthcare, emergency care, specialty care, and in some cases diagnostic services. What the study found was that among other things, improved means of getting to said services would in turn, improve access to healthcare services for rural Americans.
Access to care works because people will have adequate resources to doctors and pharmacies. Having access to a doctor will increase quality of a person life or preserve it. Have medical facilities in the community generate money for that community which can provide more health programs to the
Rural Americans face an exclusive combination of issues that create disparities in health care that are not found in urban areas. Many complications met by healthcare providers and patients in rural arears are massively different than those located in urban areas. Financial factors, cultural and social variances, educational deficiencies, lack of acknowledgement by delegates and the absolute isolation of living in remote rural areas all combined to hinder rural Americans in their struggle to lead a normal, healthy life. Rural hospitals located in rural areas faces many disadvantages, such as; minimum resources, shortcoming or unprepared professionals, and financial disparities. Although many of these challenges could be solved
The morbidity and mortality rates are higher in the rural areas than in the urban areas partly due to the high rates of chronic illness and poor health behaviors. The health care disparities of the rural population have led to negative bias. The bias within the health care field have affected clinical judgment and decision making (Blair, Steiner, & Havranek, 2011). Bias further lead and exponentiate health disparities, continuing the trends and challenges among the rural population. Economic status is another negative impact of health care disparities among the rural population. Their low economic status continues to effect the availability of resources to improve the health care infrastructure and specialization. Health reform is needed to improve the effects of the health care disparities and their negative impacts on the rural
Access to healthcare is a factor of great importance that needs to be addressed by any healthcare system. Issues such as the
The research paper analyzes decision- making on what type of health services are provided, which is the key consideration in delivering the appropriate and accessible health care for rural and remote populations. In regards, the research conducted from Bio Med Central (BMC), the discussion suggested that financial ratios are important when understanding the financial conditions of the company. There is representation on the Return on Assets (ROA) ratio, and identifies the financial trends at BMC are favorable in the future. Despite residents of rural communities experiencing poorer health outcomes and exhibiting higher health needs, workforce shortages and maldistribution mean that rural communities do not have access to the range of
Access to care is important because it delivers gaining entry to the health care system which impacts the overall aspects of health; Access is also the key to early detection of illnesses, disease prevention and overall better outcomes. (Healthy People 2020). In my department, access to care is critical because of the type of population that we deal with. Limited access to health care impacts people 's ability to reach their full potential, negatively affecting their quality of life and in some can make a difference between life and death.