...Review of John Q. John Q is an emotionally-packed movie that surrounds the unfortunate medical circumstances of John, played by Denzel Washington, and his son. The purpose of the film was to raise the many issues surrounding poor health care in the United States, and even less empathy from hospital administration and insurance companies. After John’s son collapses at a baseball game, the doctors diagnose him as having a heart that is too large for his body and declare that he must receive an immediate transplant to survive. Quickly, the hospital administration informs John that his insurance plan does not cover such an operation and an immediate payment of $100,000 must be made just to get his son’s name on the donor list. The overall goal of the movie is to communicate the importance of health care reform and the problems surrounding the current health care system with employer-sponsored health insurance. Within the first half hour of the movie, the villain becomes clear: “it’s all the fault of a healthcare system that caters to the rich and well-insured middle classes while denying quality care — or even life itself — to the uninsured and to poor people” (Lockard). This villain becomes magnified through the events of the plot; whereby, the employer has changed John’s insurance plan without notification and the hospital administrators and doctors are unsympathetic towards the pleas of the family. Through the use of and excellently written screenplay, John Q is able to...
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...Health Care Utilization Mary-Ann F. HCS/235 December-10-2013 Health Care Utilization Health care physicians and their patients in rural areas are confronted with barriers that are so much more diverse than those in the cities. Rural residents are challenged to deal with distinctive mixture of factors that lead to disparities in health care not found in cities. Financial constraints, type of health care coverage, lack of health care providers and quality of care, transportation difficulties, existing health problems, and complete isolation of living in remote rural areas all act together to hinder rural residents in their struggle to live healthier lifestyles. The purpose of this essay is to present the categories of health care barriers that may affect John Q.’s health care utilization, identify factors that are mutable or immutable, and some of the ways the mutable factors can be change. There are many factors that affect John’s health care utilization; one example is the disparity in incomes for rural residents that cause financial constraints. According to the National Rural Health Association, the average per capita income is $7,417 lower than in urban areas and the rural residents are more likely to live below the poverty level (2013). John Q. has a full-time job but his income is still not enough to allow him to shop around for a better health care coverage that meet his needs. John’s employers are less likely to provide health care coverage which is why he...
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...A Look at John Q HCS/235 History of Health Care Utilization in the US November 20, 2013 Brett Robinson A look at John Q Too poor to afford private health care insurance coverage, but lucky enough to qualify for Medicaid John Q faces yet another challenge. John’s father recently suffered a heart attack which brought into question his own mortality. John like many Americans is a working class man who works full time but still under the poverty level and into a substandard and overworked Medicaid system. He like many others has high blood pressure and with his father recent heart attack he would like to be checked out. Due to John’s low income he qualifies for Medicaid coverage, but also has work within his restraints. John lives in a rural community where there are local doctors however none accept Medicaid. The closest primary care physician who takes his insurance is a forty minute drive away. John also is without a car, he relies on a friend or public transportation. There are many mutable and un-mutable factors in this case. John could get a better job, which could result in better insurance coverage. “The U.S. Department of Health & Human Services states that one-quarter of America’s population lives in rural areas”(Jones, 2013). John Q lives in a rural area where his son has heart condition and is in need of a heart transplant and the closest primary care physicians is 40 miles away. John usually gets a ride to work from a friend or relies on public transportation...
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...Health Care Utilization John Q Scenario John Q. recently moved to a rural community. He works full-time, but qualifies for Medicaid because of his low income. John has high blood pressure and his father recently had a heart attack. Thus, he decided to call to find out which providers nearby accept Medicaid. While there are local doctors, he discovered that the closest primary care physician who accepts Medicaid is a 40-minute drive and appointments must be made 2 weeks in advance due to the number of patients at the practice. In addition, the practice does not offer weekend or evening hours. John usually catches a ride to work with a friend or relies on public transportation. (University of Phoenix, 2012). Based on the above scenario, John Q. needs to see a doctor to keep from becoming a victim of a heart attack. There are many factors involved with John Q. using health care services. He has a low income, receives Medicare, no local physician available, limited transportation, and yet he has a need to see a doctor. These factors are described as predisposing, enabling, need, mutable, or immutable. The immutable factors cannot be changed, whereas the mutable factors could change. How dose one change them is the question? This question is important because the changes need to be made so that everyone can have access to health care no matter what area they live in. One of the major factors affecting John Q’s access...
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...John Q’s Blues The business of health care insurance is more about making the most amount of money possible while making the patients believe that they are valued. Let’s not confuse value with importance because they are different. People are necessary for health care insurance companies to make money, but that does not mean that the health care providers care. This paper will illustrate the picture of a man John Q, who is suffering from high blood pressure and has Medicaid but is forced to deal with unreasonable circumstances. There is a steady decline of doctors who will accept new Medicaid patients. Location, location, location is the most important factor at this point. For example, new Medicaid patients would have an easier time getting accepted in Wyoming than in New Jersey (Galewitz, 2012). This produces a significant problem because new Medicaid patients who need vital medical attention or even preventive measures may not be able to get the care they need. The next option for these individuals would be to go to a free clinic. Even though in some cases this may be their only options, but this does not guarantee the patient will be seen or get the care that is needed. According to Andersen (1995), there are three important elements when looking at a health services utilization model: predisposing, enabling and need. Predisposing concerns makes the patient away ahead of time concerning the care that can be received. Enabling is the...
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...Health Care Utilization Paper Option B Svetlana Leyzerov HCS/235 May 25, 2015 Hanna Matatyaho Health Care Utilization Paper Option B The Behavioral Model of Health Services utilization was developed by Ron Andersen in 1968, and subsequently refined with his colleagues over the years. It is the most widely adopted conceptual framework for studying the use of health services, especially with regard to determining whether or not access to and consumption of health services is fair. The model underwent three revisions, or phases, the first of which was the initial Behavioral Model. Developed in the 1960s, this phase was focused on individual use of the health care services. Phase two was in 1970s, where Anderson collaborated with other colleagues in order to recognize the importance of national health policy, the resources in the health care system, and changes in those over time. A third phase, in 1990s, acknowledged changes in the environment as part of understanding the use of health care services. Although the Behavioral Model of Health Services Use was revised, the core factors that it was built on stayed the same. It is based on a function of predisposing, enabling, and need for health care. The predisposing factors are stronger in tendency for some individuals than in others. It is further subdivided into demographic factors including age, gender, and ethnicity; social factors- education, occupation, and residence mobility; health beliefs-attitude toward the...
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...Resource: Health Care Utilization Paper Grading Criteria Select either Option A or Option B from this assignment. Write a 1,050- to 1,400-word paper according to your chosen option. Option A Health care reform is part of an ongoing debate and recent substantial legislation. Address the following in your paper for Option A: In what ways have recent health care reform measures expanded or inhibited access to care? How might changes to access influence utilization? Explain the concept of what universal health care may be, and how current care reflects or contrasts with this. Who are the stakeholders involved in the movement towards a system universal health care? With healthcare expansion a goal of reform, what new roles are emerging in the industry today? Option B John Q. recently moved to a rural community. He works full-time, but qualifies for Medicaid because of his low income. John has high blood pressure and his father recently had a heart attack. Thus, he decided to call and find out which providers nearby accept Medicaid. While there are local doctors, he discovered that the closest primary care physician who accepts Medicaid is a 40-minute drive and appointments must be made 2 weeks in advance due to the number of patients at the practice. In addition, the practice does not offer weekend or evening hours. John usually catches a ride to work with a friend or relies on public transportation. According to Chapter 4 of The U.S. Health System: Origins...
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...Health Care Utilization Paper Wendy Witt HCS/235 8/13/2012 Delores Usea Healthcare Utilization Paper For many individuals acquiring and using a regular source of medical care is often influenced by many factors. Perceived and evaluated need, and potential access are connected with both predisposing (immutable) and enabling (mutable) factors. Predisposing factors determining the use of health services include demographics, age, gender, race, ethnicity, education, occupation, location, health and cultural beliefs. Immutable factors cannot be changes. Immutable factors are connected with mutable beliefs regarding health values, beliefs, and knowledge. Mutable factors are enabling factors that can be changed. Enabling factors consist of personal and community factors. For example, a personal factor would be an individual s income changed, or the individual gained health insurance or lost health insurance. Community factors include health services resources, health facilities, and transportation. Location has an effect on John’s ability to utilize health care because John recently has moved to a rural community and the nearest physician is 40 minutes away. Providing a healthcare facility within John’s community he would be able to utilize healthcare on a regular basis will help John to live a healthier longer life. Factors that may affect John’s utilization of health care include transportation. Transportation has a large impact on the ability for individuals who are...
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...John Q. Crystal Beere HCS/235 March 16, 2015 Steve Linerode John Q. John is like many people in the country that have a low income job. He is working a full time job but still doesn’t make enough to afford insurance on his own so he has Medicaid. This limits his options on coverage and who he can go to. He has a condition that needs medical attention, high blood pressure, but because of his insurance he is finding it hard to get the care he needs. Many people have that problem but there are solutions to get the care you need. John lives in a rural area that doesn’t have any primary care doctors that take his insurance. He was able to find two doctors in his area but not a primary care physician. The closest primary care physician he found is forty minutes away from his home. This is a challenge for him because he catches a ride to work or relies on public transportation. These problems are mutable, which means they can change. He could move to a different place, closer to the doctor he needs to see. Although with his low income job he might not be able to afford a place closer to the doctor he needs to see. He could also invest in getting a car. The cheapest option for him would to be get a car so he doesn’t have to rely on others to take him and possibly miss an appointment. He could still catch a ride with a friend or use public transportation if he wants to save on gas so he has it to get to his appointments...
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...for health care services? The health status of every individual is relative to environmental and heredity factors. In general, the average individual doesn’t have control over their genetic makeup; however, there behavioral lifestyle is and it influences their overall quality of life. Environmental factors are things that an individual can always alter to improve their health. For example, changes in their diet, physical maintenance, and stress. The decisions from the initial case deal with treatment; further along there is areas of discipline, education, responsibility, and adopted healthy lifestyles. With this in mind, the wrong decision will equally influence health care supply and demand significantly. For example, the increasing rate of diabetes in the country is a result of either decision. Type 1 diabetes is a hereditary form of the virus caused from the digestive system not processing insulin. However, type 2 diabetes is caused by environment influences which cause the pancreas to insufficiently produce insulin. Type 2 diabetes is usually caused by obesity. In fact, I researched this information before for a previous class and its been proven that 95% of all diabetes infected individuals have type 2 diabetes. The overall number of individuals with diabetes make up 30% of the U.S. population. The number of individuals with the disease began to spike in the mid 1990’s and the demographic equally expands from young children to older adults. Financially, the health care...
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...Healthcare There are many factors the effect whether or not a person will utilize their health care options. Some of those items are changeable and some are not. Other factors we perceive as un-changeable but they can be changed, just with major effort on our part. Some of the unchangeable things are your age, gender, and race. There are temporarily unchangeable things such as education, occupation, and location. Also, a person’s beliefs on whether or not they need health care is something that is very hard to change. Things that have the most chance of change is income, available insurance, health care facilities, and transportation. Situation Our situation: John Q. recently moved to a rural community. He works full-time, but qualifies for Medicaid because of his low income. John has high blood pressure and his father recently had a heart attack. Thus, he decided to call and find out which providers nearby accept Medicaid. While there are local doctors, he discovered that the closest primary care physician who accepts Medicaid is a 40-minute drive and appointments must be made 2 weeks in advance due to the number of patients at the practice. In addition, the practice does not offer weekend or evening hours. John usually catches a ride to work with a friend or relies on public transportation. Unchangeable factors “Predisposing factors determining the use of health services include demographics—age, gender, and race or ethnicity—which are immutable factors...
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...Emergency Medical Services: The Evolution Behind the System Russell Keogler CED 595: Project Seminar May 3, 2011 Dr. Richard Gatteau Abstract The purpose of this study is to determine the evolutionary process of the emergency medical services system. The research explores the impact of war and prominent military figures on the development of emergency medical services as well as civilian efforts made to establish emergency services within the public sector. The research also discusses the ways in which major medical advancements and various reports and acts of legislation played a crucial part in the development of the modern day EMS system. Overall, results show that the EMS system as we know it today is a fairly modern creation based on centuries’ worth of ideas and discoveries. Introduction In modern day America the three digits 9-1-1 signify an accessible lifeline for individuals in need of emergency medical attention. The vast system is accessible from any telephone line and provides emergency services to even the most remote locations of the country. However, in spite of the simplistic process to initiate services, the emergency medical system is very complex. Thousands of independent agencies working in different capacities must coordinate efforts to insure that the system runs efficiently. Without effective cooperation by organizations the system would undeniably fail to meet the expectations of those calling for medical aid (Limmer &...
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...implementation is privacy and security integrity. A system that does not meet the privacy and security regulations pertaining to healthcare and record keeping, could keep a facility from adapting such a program. The HIPPA Act ensure patients that their health information is kept confidential and safely stored, therefore any breach in a systems intelligence that questions its ability to abide by the set forth laws will not be implemented. Providers’, authorized medical and administrative staff should have knowledge on protecting patient information while utilizing HIT systems, and have the ability to recognize problems and deficiencies in a given system. Another issue in privacy and security is the sharing of information between providers. Some healthcare facilities and private providers will pass up HIT adaptation due to the fact that their ability to share meaningful information in collaborative care is disabled. An example of this is if a private physicians’ practice considers upgrading their medical record system. They currently use paper charts and would like to transition to an electronic health record (EHR) system no only to keep better track of medical need but also to have efficient utilization to and from specialist and the nearby hospital. The physicians consider cost, efficiency, convenience, privacy, security and technology compliance when selecting an HER system. Assume that the physicians’ have chosen to go with the same system the hospital and their colleagues use. A couple...
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...individual receive the medical care that they need and will the family be will to help or it will cause a tear in the family. Ella who is the individual that will be discussed in this paper, because she is the one that is dying and it is her wishes that everyone especially her husband John, is trying full fill her last wishes. A little background is required for any of this to make sense Ella has been diagnosed with breast cancer and has been treating her condition with natural remedies, and for a long time, despite what the doctors have told her, it seemed to have been working causing her cancer to remission, however that route seems to have ran its course and now the cancer has come back with a vengeance cause Ella to come to the conclusion that she is dying, and she has starting to set up for the end, making her requests to be allowed to go home and pass at home, (Introduction_to_the_Miller_Family). Bringing an individual home that is basically coming home to be more comfortable until they die can and does cause a lot stress on not just the primary caregiver at that point, but the entire family and any friends that will become involved. One must remember that natural medicine techniques have been around a lot longer that what we would consider normal medicine, in fact "approximately 40% of the US population report using complementary and alternative medicine, including Maharishi Vedic Medicine (MVM), a traditional, comprehensive system...
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...Multi-Criteria Decision Making (MCDM) is to develop a well-defined process that can scan through such extensive fields of choice to arrive at the best possible solution. Goal Programming is one tool (developed in conjunction with MCDM) that can handle a problem with multiple, conflicting and incommensurable alternatives, and this article explains how the loose coupling technique can integrate MCDM with GIS to assist decision making among competing alternatives. As an example, this methodology has been applied for community development purposes in the Hooghly District of West Bengal, India. 1 Background The inclusion of Multi-Criteria Decision Making (MCDM) in spatial environments provides us with the basis for spatial decision support systems. Spatial multi-criteria decision problems typically involve a set of geographically-defined alternatives from which a choice of one or more alternatives is made with respect to a given set of evaluation criteria. Within the framework of spatial analysis, MCDM models have...
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