...Kara Williams MPH 5220 U02D1 Barriers to Reducing Disparities in Health Care July 17, 2013 The purpose of this post is to disseminate the learners view regarding the barriers to reducing disparities in health care. The National Library of Medicine defines Healthcare disparities as a “differences in access to or availability of facilities and services,” and “Health status disparities refer to the variation in rates of disease occurrence and disabilities between socioeconomic and/or geographically defined population groups” (U.S. National Library of Medicine, 2013). A barrier to reducing disparities based on race and ethnicity is to increase education related to those chronic diseases that most affect communities of color. Community Outreach and Public Engagement/Cultural Competencies are used within the public sector; however, the effectiveness of these programs must be questioned. Rebecca Voelker (2008) states, “Not only did treatment disparities persist; the magnitude of the disparities did not diminish” (Voelker, 2008), the ineffectiveness of health care programs persist and perpetuates the cycle of health care disparity and health status disparity. Voelker references the Racial and Ethnic Approaches to Community Health (REACH 2010) a pilot program in South Carolina and Georgia, which are examples of effective outreach to communities of colors, these programs were managed effectively and precisely, thus they were able to reduce the disparity gaps per disease (Voelker...
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...Barriers to accessing Health and Social Care and, describe how barriers to accessing Health and Social Care may be overcome Britain is a welfare state health and social care services are provided for all citizens. Even so many people experience difficulty in accessing the services they need become of barriers, Financial Barrier: This to do with how much it might cost to access a surgery. If the health social care or early years service the individual is trying to access is some distance away they may not be able to afford the transport costs to get there. If a patient has to pay for medical prescriptions they may not get the medicine they need. Costs are becoming an increasing barrier stopping people from getting access to the health care they need. Overcome: The individual who is not able to afford the transport costs to get in the surgery, he should contact the service to arrange a mobile surgery so they can go. For patients who can afford to pay medical prescription, depend on their age they can get free medication. Also if the patient is not able to get free medical prescriptions he can apply for benefits or a medication passport. Culture: Culture involves all of the acceptable practices for good manners and ways of doing things which are important to a particular group. Example- In some cultures an individual would not make eye contact with a professional, such as Social Worker or a Doctor, as sign of respect. Whereas for other groups lack of eye contact would...
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...Barriers to communication There are many factors which may affect an individual's ability to effectively communicate. These factors are known as communication barriers, as they prevent or interfere with the person's ability to send, receive, and/or understand a message For example visual and/or hearing impairments can act as barriers to effective communication. These barriers mean that the person has difficulty is seeing written communication, such as a letter or email, and/or hearing spoken word conversations, for example between a care worker and a patient in a day care centre when the two are discussing future care plans, leading to possible misunderstandings, or embarrassment to the person with the hearing/visual impairment and they cannot fully understand the care worker if the care worker is not aware of, or not seeing to, the persons additional needs. These needs can be seen to by speaking clearly and slowly, and/or repeating, rephrasing what has been said, to help people understand what is being said to them. Time should be given to the message receiver; so that they can digest the information they have received and think about how they want to respond. Electronic devices can also be used, such as text phones, telephone amplifiers and hearing loops, and it is important to give the individuals using the devices enough time to use it whilst communicating. An induction loop system helps deaf people hear sounds more clearly by reducing or cutting out background noise. ...
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...Assignment 2 M1- Assess the ole of effective communication and interpersonal interaction in Health and Social Care with reference to two theories of communication. In this assignment I will assess the role of effective communication and interpersonal interaction in health and social care with reference to the theories of communication and from watching the video clip of David and his physiotherapist. Communication involves a two way process in which each person tries to understand the new point of another person. Michael Argyle (1972) argued that interpersonal communication was a skill that could be learned and developed as driving a car. He developed a theory of the communication cycle of having six stages which are 1. An idea occurs 2.Message coded 3. Message sent 4. Message received 5.Message decoded 6.Message understood. On the other hand another theorist Tuckman believed that communication in groups was influenced by the degree of people understanding each other. There four stages to his theory which are 1.Forming, 2.Storming, 3.Norming and four performing. Both types of communication were used in the physiotherapy session. I will be looking at each stage of communication in detail giving strengths and weaknesses for each. I will start with Michael Argyle. The communication Cycle-Michael Argyle 1. Idea occurs This is the first stage of the communication cycle. For someone to get the message of what you wanted to say it is a result of an idea occurring. You think...
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...African American Health Care Analysis Cheryl Robinson Capella University CST5500 Multi-Cultural Issues in Health Care Crobinson82@capellauniversity.edu Dr. C Vaugh Abstract It is a cliché of health education that programs and interventions will be more effective when they are culturally appropriate for the populations they serve. In practice, however, the strategies used to achieve cultural appropriateness vary widely. This paper briefly describes African American history and how it relates to health care services. It explains the culture, value and belief of African American when it involves health promotion and disease prevention. Some major health concerns and barriers are noted within the black communities and population as well as way to promote health and disease prevention throughout the African American communities. History of African American population African Americans first arrived to the United States as a crew on a pirate ship in the year 1619. The American population saw these new immigrants as an opportunity and captured many of the six million African immigrants and sold them as slaves (Bennett, 1992 as cited in Edelman & Mandle, 2002). The African American community suffered through a history of slavery and discrimination which has led to their current health and wellness problems. Many of their current problems have been linked to the segregation and cruel treatment that they were subjected to in the past, but African Americans have...
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...Barriers to Health Care in Children in Out of Home Placement Michele Burnette, RN Nur/440 July, 22, 2013 Leslie Rowan Barriers to Healthcare in Children in Out of Home Placement Vulnerability can be described as a concept of susceptibility or risk of health problems. (Chesnay & Anderson, Vulnerable Populations, 2012) One population that meets this description is children in out of home care. These children come from diverse backgrounds with different cultural and religious beliefs related to medical care. They also have been exposed to a cadre of situations such as violence, substance abuse, and untreated mental illnesses of caregivers, etc. It is not uncommon for a child in out of home placement to be behind on routine vaccinations, physical examinations, dental care and to experience developmental and educational delays. “Children and adolescents in foster care have more intensive service needs as compared to the general pediatric population or even other children who are poor” (“Fostering Health: Health Care for Children and Youth in Foster Care,” 2011, p. 201). When a child first enters foster care there is an opportunity to help the child while reaching out to the family. This perfect opportunity to catch the child up regarding the medical and dental neglect that has transpired in their lives can be met with several barriers. One of the most common barriers to care is the inability to obtain proper medical histories for this population (“Fostering...
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...Telemedicine Introduction According to the American Telemedicine Association, telemedicine has become a world leading innovative strategy for providing quality health care to patients via the exchange of medical services using communication technology (Siegal, 2012). This exchange of medical information has brought the accessibility to health care to many patient in which otherwise would not have the required resources to access many health care services. In many scenarios, telemedicine has bridged the gap between the need of specialized medical technology at one specific location and an individual’s medical diagnosis at another. Hospitals and other health care providers, which service rural areas of the country, now have an avenue of approach when dealing with accessibility of patients, especially the aging population in these areas. Telemedicine has provided the way of accessing technology and reaching out to a new strategy of practical medicine. In this research we will discuss many of the value added approaches of telemedicine and how it has affected the change in healthcare. There are three main areas of focus that will be considered. As stated, we will discuss and assess the technology currently being used to provide telemedicine services. This technology is broad and can cover vast amounts of information, but the focus will be to explain the main contributors of telemedicine technology and the adoption of this technology by providers. The first part of emphasis...
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...Assessment of Mental Barriers Rae L. Young Ashford University HCA430: Special Populations Instructor: Catherine Amitrano October 14, 2013 In life there are many barriers, however there are too many barriers that prevent people from getting the mental help they need. For example, the military has one of the best medical plans for soldiers and their family member, however pride and fear of being degraded keeps soldiers from seeking treatment. Barriers are not a part of the permanent fixture, they can be broken. There are many barriers that holds a mentally ill person back from getting the proper treatment that they need. However, I will discuss three barriers that affect the progression of the mentally ill. Social capital, community barriers, and financial barriers can be the leading causes that affect this vulnerable group. Remember that social capital is the measure of interpersonal relationships that people have with others; to phrase it differently, social capital is the support network of family and friends who take care of us when we are ill and hug us at the end of a bad day" (Burkholder & Nash, 2013). "The “social” in social capital emphasizes that these resources are not personal assets; no single person owns. When it comes to regulatory, legal, ethical, and accreditation requirements, there are none that relate to this barriers. Doctors, Kawachi, I., & Berkman, (2001) studies agree that social ties play a beneficial role in the maintenance...
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...Workplace Back in 1999 the U.S. Health Department set a goal to, “eliminate disparities in health and in access to service for minorities,” for Healthy People 2010 (Crist, 2002). 2010 has come and gone, and although there have been improvements that goal continues to be in place for Healthy People 2020. Some vulnerable populations are still at risk and face many barriers preventing them access to proper healthcare. Attempting to overcome these barriers will often fall on the shoulders of healthcare providers; it becomes their job to help decrease the overall health disparity suffered by vulnerable populations. In this paper the subject to discuss is the vulnerable Mexican American population and will evaluate barriers faced by them as well as barriers faced by healthcare workers, and the methods that could be used in order to help decrease current health disparities. Mexican-Americans: A Population at Risk Mexican-Americans, especially aging Mexican-Americans are an extremely vulnerable population. Currently, Hispanics are the fastest growing ethnic population in the United States and as of the 2003 U.S. Census, their population, “grew at a rate almost fourfold that of the general population—13% vs. 3.3%--over a 39 month period” (Keating, et al. 2009). That being said, non-English-speaking immigrants are often socially and economically disadvantaged, which impacts health disparities (Keating, et al. 2009). Barriers to Care There are many barriers that are working against...
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...The health issue within the Marshall County residents was to a large extent according to the staff at Indiana Marshall County health department of Marshall County. This paper will describe how effectively Indiana County health officials work to eliminate health inconsistencies among the Marshall County population that are experiencing an inconsistent burden of health coverage. Marshall County health department staff stands behind their mission statement to support and protect the health and safety of our county’s population, by addressing health issues and identifying solutions to address social determinants of health, and promote access to high- quality preventive health care. Health care access barriers play an important role in understanding causes associated with decreased screening, late presentation to care, and lack of treatment, result in poor health outcomes and health inequalities. Defined by recent studies, include but are not limited to availability and proximity of facilities, transportation, and fundamental characteristics of care. According to data from the local hospitals serving Marshall County, decreased use of preventive measures, delayed arrangement and lack of treatment or insufficient treatment are all associated with poor health outcomes among our residents in Marshall County. Financial availability to Individuals who are uninsured or insured are subject to Structural barriers is defined by the health care system's availability. Such barriers may be within...
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...Health Disparities in Maternal Health and Birth Outcomes of Women in the United States The Health Resources and Services Administration, defines health disparities as “population-specific differences in the presence of disease, health outcomes, or access to health care” (Mandal, 2014). This paper will focus on the health disparities existing within the United States between women of various ethnicities. Specifically, the disparities we will discuss incorporate preterm births, low birth rates, and infant deaths. First, a brief background will be presented, followed by two solutions to combat the issue, and finally I will conclude with my recommendations for the foremost beneficial approach to combat these distressing disparities. Background...
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...This article looked into the potential barriers and the factors that restrict ethnic minority and patients from using health services. The methods used in the article were from different studies that conducted health services and the different factors in the creation of the barrier that the minority were facing. This article reviews fifty four articles from different countries, and other ethnic minorities. System level, provider level and patient level were all potential barriers that occur to newcomers. System level was a barrier due to the organization of the health care system, provider level was a barrier due to providers skills and attitude, and lastly patient level was the cause of enabling resources, and limited on resources. Furthermore,...
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...Health Services Strategic Marketing HSA 505 2016 An orthopedic group practice has decided to develop a pediatric sports medicine program. Describe at least three potential markets for this new service. There are many marketing decisions one make in their effort to build an effective program, but should always include Ability, Availability, and Price. Ability refers to skill, but also a special focus in the practice. Availability is the amount of time one has to invest in the practice and of course cost, this is contingent on the cost of service and supplies and salary one wants to receive, all three are critical to making marketing decisions. One segment of marketing is through private practice, the goal is develop enough patient-to-patient clients to ensure a profitable practice. Another marketing approach is small group practice marketing, this segment has partnerships that develop with physicians, using referral counter parts, contracts, and staff privileges at multiple hospitals and these develop into specialty orthopedic group practices. Academic practices is the focus of reaching a broad spectrum of patients through the use of radio, television, government contract, and managed care organizations, revenue may come from teaching in academic settings and consulting. The challenges to a successful practice can be escalated by overhead cost and of course liability concerns, but the over-all goal is to improve a successful practice over time by defining specific practice...
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...Canyon University: 430-V 07/12/2013 Suneeta Sharma The nursing profession has become the largest segment of nation’s health care workforce and has become integral part of health care services, so the future without large numbers of nurses is impossible to vision. The changing landscape of the health care system and the changing profile of population require that the system undergo a fundamental change to provide patient-centered care. To meet the demand for safe, quality, and affordable care will require a fundamental rethinking of the roles of many healthcare professional, including nurses. But nurses are unable to fully participate in the resulting evolution of the US health care system. A number of barriers prevent nurses from being able to respond effectively to rapidly changing health care setting. These barrier need to be overcome to ensure that nurses are well-positioned to lead change and advance health. In 2008, The Robert Wood Johnson and IOM launched a 2 year initiative to response to the need to assess and transform the nursing profession. The IOM appointed the Committee on the RJWF initiative on the Future of Nursing, at the IOM, with the purpose of producing a report that would make recommendations for an action-oriented blue print for the future of nursing. Nurses works in different setting, including hospitals, schools, long-term care centers. They have different level of education from LPN to nurse scientist. Through its deliberation, the committee developed...
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...Key Elements Of Health and Social Care Services. There are many types of provisions that suppport health and social care services for example stautory, voluntary, private and informal. There are many different ways of providing health and social care. Most care is provided by the goverment, this is called stautory care this is provided by the law. For example the goverment have a responsibility to provide some type of chilcare for a child in the form of schools and nurserys. There are many examples of statutory care for example the NHS, The NHS is working with the goverment so for example if a person needed an operation which is important the NHS will get funding by taxes of individuals and the goverment to fund for this operation, this is how the NHS provide health and social care. Another way of providing health and social care services is Voluntary. Some organisations care services provide these services without being asked to, they have chosen too. For example British Red Cross and The Salvation Army, some voluntary care services count on donations from individuals and half the staff who work for them are volunteers. Private care is funded by the individual. The goverment have nothing to do with private care. With Private care a person has to be able to pay for this, the goverment do not fund for private care. You can not get private care if you can not afford it. Many people go with private care because they want to avoid NHS waiting lists, not sure about NHS...
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