Premium Essay

The Underserved

In: Social Issues

Submitted By Doretha
Words 6464
Pages 26
Place matters in the United States. Access to affordable high-quality healthcare depends upon where you live. Throughout rural America, nearly 50 million people face challenges in accessing health care. The past several decades have consistently shown higher rates of poverty, mortality, and limited access to a primary health care provider in rural areas. With the recent economic downturn, there is potential for an increase in many of the healthcare disparities and access concerns that are already elevated in rural communities. High poverty rates and job loss in the current economic recession highlight the challenges of accessing health care and rising health care costs in rural areas. Rates of poverty are higher, with fifteen percent of people in rural areas living below the poverty level compared to twelve percent of people in urban areas. The rural economy is dominated by small businesses, which are struggling as the cost of healthcare continues to skyrocket. In the current recession, the rural economy is losing jobs at a faster rate than the rest of the nation, and loss of jobs can lead to loss of healthcare coverage. In particular, rural communities dependent on manufacturing have lost nearly five percent of their jobs since the recession began.

Many rural residents work part-time, seasonally, or for themselves, making them less likely to have private, employer-sponsored health care benefits. Research shows that ninety percent of farmers have insurance coverage; one-third purchased it directly through an insurance agent (compared to the national average of eight percent). Nearly one in five of the uninsured or 8.5 million people live in rural areas. This problem is worse for rural minority populations, the rural poor, and those with less than a high school education. Rural residents spend more on health care out-of-pocket expenses than urban...

Similar Documents

Premium Essay

Essays for Stipend

...Essay #1 ( One objective of the state stipend program is to recruit students who know and understand the underserved communities served by the public mental health system. Explain how you meet this objective) I understand the struggle underserve communities, such as minorities face because I am part of that population. I grew up in a poor neighborhood were resources were limited and we struggle to get access to government health agencies. There is a need of competent counselors who are able to understand underserve communities especially, professionals who are able to speak another language. I have seen the struggle my clients have finding a therapists that speaks Spanish. As a Latino professional, I understand the barriers underserved communities face, specially when these communities do not have the knowledge or strength to look for mental health resources because of stereotyping and lack of information. As a Spanish speaker, marriage and family therapist, I have the power to make a difference and serve people who need my services. It is extremely important to help underserved communities obtain access to resources that can help them live a healthier life. Essay #2 (One objective of the state stipend program is to recruit students with the capacity to serve the culturally diverse needs of persons in mental health care. Explain how you meet this objective) By having knowledge of diverse cultural groups we can help others more effectively. The needs of a person from......

Words: 890 - Pages: 4

Premium Essay

Hlt 205 Week 6 Complete Latest

...HLT 205 WEEK 6 COMPLETE LATEST To purchase this tutorial visit here: http://wiseamerican.us/product/hlt-205-week-6-complete-latest/ contact us at: SUPPORT@WISEAMERICAN.US HLT 205 WEEK 6 COMPLETE LATEST HLT 205 Week 6 Topic 6 Discussion 1 Define health care disparities. Where and how do they exist? Identify at least three contributing factors. How could we change this? Make sure to use a reference to support your response. HLT 205 Week 6 Topic 6 Discussion 2 Describe the historical aspects and methods for identifying underserved populations. Discuss how you would improve these methods, track a population’s progression, and/or determine whether a population is no longer underserved. HLT 205 Week 6 Assignment Benchmark Assignment: Disparity Analysis Chart Details: This is a benchmark assignment. As a health care professional, it is important not only to be aware of underserved populations but the similarities and differences among these populations. In this assignment, you will create a chart in Microsoft Word that profiles two minority populations, which can be selected from the options on the Office of Minority Health (OMH) website: The Office of Minority Health The Office of Minority Health The Office of Minority Health http://minorityhealth.hhs.gov/omh/browse.aspx?lvl=2&lvlid=26 Your profile for each population needs to contain information for the following categories: 1. Demographics: How large is the group’s population size within the United States?......

Words: 1945 - Pages: 8

Premium Essay

Detroit Safety Net

...A N A S S E S S M E N T O F T H E SAFETY NET in Detroit, Michigan Urgent Matters The George Washington University Medical Center School of Public Health and Health Services Department of Health Policy Acknowledgments The Urgent Matters safety net assessment team would like to thank our community partner, the Voices of Detroit Initiative (VODI), for its help in identifying key safety net issues in Detroit and connecting us with stakeholders in the community. At VODI, Lucille Smith was instrumental in coordinating our site visits, interviews and focus groups and an essential resource through the course of the project. We would also like to thank Amani Younis for her help in facilitating two of our focus groups. The Voices of Detroit Initiative is a partnership between the leading health system providers in Detroit, federally qualified health centers and the Detroit Health Department. VODI focuses on bringing all segments of the community together to address the issues of access to cost-effective health care for the uninsured. We would also like to acknowledge William Schramm at the Henry Ford Health System for providing us with important information and resources regarding the emergency department at Henry Ford Hospital. The Urgent Matters team would also like to recognize the many individuals in the Detroit health care community who gave generously of their time and provided important and useful insights into the local safety net system.......

Words: 3881 - Pages: 16

Premium Essay

Nvt Task2

...NVT2 Task 2 Daniel Kramer Student ID: 000257902 Western Governors University NVT2 September 24, 2012 First Interview Western Governors University Nursing Program Interview Form This interview is to be conducted in person or over the phone. Persons being interviewed are not expected to respond in writing. Candidate name: Daniel S Kramer Candidate ID number: Student ID: 000257902 Name and title of the interviewee: Kimberly J Stults RN, MSN Describe the specialty area of the interviewee: Director of Education and Health Information Technology The interviewee belongs to the following category: Educator Educator Administrator Clinical Specialist Staff Nurse Nurse Researcher Date of interview: September 13, 2012 In person: X Via phone: 1. How would you describe your role in your current position and your educational preparation for this role? I am responsible for the initial creation, continuous education, and competency for whole house. I have my MSN in Nursing Education. This has prepared me and shown me the need for education services and the need to maintain competency for the staff. Provides the necessary tools to deliver current and competent care to our patients. My education has shown not only the need for education, but has provided insight into how to provide the educational programs/training to the staff. 2. How would you......

Words: 3737 - Pages: 15

Free Essay

Improving Health Care

...completely opposed to the idea of universal health care I do believe there are numerous other easier choices to make that will improve the health care of our underserved communities. The most important way to improve our community is to give them proper knowledge of the information. Studies have shown that once you know better you do better. The simple fact is that most citizens in the underserved communities are uneducated and unaware of their poor health decisions physically, mentally, and sexually. I believe if the education systems improved we could prevent some of the health issues the communities are facing. For instance sexually transmitted disease are preventable when someone is practicing sex safely, however if someone is unaware of how to protect themselves they won’t. They have now exposed themselves to diseases that could have been prevented with the right education program. In other words with the a more effective education system notifying people of underserved communities of healthy choices and decisions we will see an improvement in our communities health. Another way to improve our community’s health is to give them access to health care and services. These services should be specifically for the low income families so these services must be affordable. By providing health care services for the underserved communities this will almost guarantee an improvement...

Words: 328 - Pages: 2

Premium Essay

Shortage of Doctors in Rural Areas

...Doctor Shortage Impacts Rural Areas Jean Larsen Senior Project Kristi Hund March 1, 2011 Abstract The United States is experiencing a substantial shortage of physicians, which is creating a severe supply and demand problem in America. Citizens living in rural areas should receive the same quality of care as those living in urban settings. Substantial differences exist in quality and access to health care for persons living in rural America. The shortage of physicians in rural America calls for immediate attention and change, as the inadequate supply of physicians is affecting the quality of patient care. The life expectancy of persons living in rural America is actually declining due to treatable conditions such as diabetes, cancer, heart disease and chronic obstructive pulmonary disease. These illnesses could be managed with proper medical treatment. This paper addresses these issues and recommends two solutions. Healthcare is in crisis in many countries, not least of which is the United States. We hear on the news how health care providers are unable to provide medical care to an increasing number of chronically ill and the aging population. There are a number of systemic failures, none is more difficult to correct than the basic lack of human resources. There are simply not enough physicians to service the needs of the population. The problem is intensified in rural areas, where specialized physicians may not be found within several hundred miles. The healthcare...

Words: 5146 - Pages: 21

Free Essay

Service Lines

...A1. Risk Factors Trinity conducted a community health needs assessment in which the following demands were identified: Oncology Services, Orthopedic Services and Cardiovascular Services. These targeted demands are mainly in part due to an aging community population (15% of the population will be over 65 within the next five years), and with that these particular services are in great demand and currently Trinity Hospital offers no formal services of this kind. A Strategic plan is in place to target these services and a recommendation to implement will be provided and we will first identify the risk factors for each of these services in the community and how the needs are being addressed at the current time in the Trinity community. Oncology Services- There are several risk factors affecting the community if cancer treatment isn’t addressed in an appropriate manner. New cancer cases are expected to grow at a 34% rate in the next five years and currently the facilities and equipment to diagnose and treat patients is not able to keep up with the growth of cancer patient volume and physicians and nurses say that the available services are disorganized and poorly put together. This is a visible risk to the community and Trinity Hospital if the surrounding community cannot depend on the hospital to adequately diagnose and treat their illness. Another risk factor is the need for cancer prevention and educational programs focusing on lifestyle changes to emphasize healthy......

Words: 1115 - Pages: 5

Premium Essay

Vulnerable Population Essay

...Vulnerable Population Essay Carly Rauch Wheeling Jesuit University MSN 525 April 04, 2013 Vulnerable Population Essay A vulnerable population is the state of a population or individual being vulnerable to a specific event or disease. A vulnerable population is a group of individuals who are in some way disadvantaged particularly having limited resources to healthcare. Vulnerable populations lack equity socially, demographically, geographically, and economically (Shi & Singh, 2013). These populations groups include ethnic and racial minorities, individuals who reside in rural areas, uninsured women and children, the mentally ill individuals, the disabled and chronically ill individuals, those affected by HIV, and the homeless. Vulnerability is determined by a merging of enabling, predisposing, and characteristic needs at both the contextual and ecological levels. These three characteristics of vulnerability not only determine one’s accessibility to health care, but also influences ultimately an individuals’ risk of developing an illness or even recovering from their illness if already sick (Shi & Singh, 2013). Belief systems, demographic characteristics, and social structures are attributes that predispose individuals to vulnerability. Vulnerability statue is greatly influenced by these attributes due to their association with access to resources, health behaviors, social position, and health status variations. Predisposing attributes are difficult to...

Words: 1262 - Pages: 6

Free Essay

Looking for Change

...customers, they start using CHECK CASHING STORES! -“we can get you what you need RIGHT NOW” -underserved Americans pay same amount of fees and interest as the typical American pays for groceries (89 billion per year) -money is becoming more and more digital ----less places accept cash! Aka getting expensive for more and more people. You pay a fee for checks to cash and cash to card and fee for every purchase you make on the card!! -student loans weaken credit! Banks use credit to measure persons ability to repay a loan. They look at length of credit history, past loan payments, and debt. If you’ve never taken out a loan or line of credit then you’re basically INVISIBLE! -not having a credit card can save you from debt but can cause you not to be able to get a loan! -lots of financial transactions aren’t even tracked! Banks don’t see monthly bill payments, or rent, or hard work! They only see a number! This number is hard to fix! You mess up early and your credit is screwed for a while! -nearly half of all households live paycheck to paycheck and couldn’t come up with $2,000 for an emergency. -title loan commercials! So many PAYDAY LOAN places. Designed to be paid back with borrowers next paycheck. Title loan are just like payday loans except you put up your vehicle. -80% of borrowers are forced to renew there loan within the first 2 weeks. -¼ households today are underserved -bank...

Words: 403 - Pages: 2

Premium Essay

Dnp Statement

...that provide holistic patient care and it is a role I have wanted to pursue for numerous years. I began my nursing career at the age of 16, as a certified nursing assistant in Calvert City, KY. At this young age, I decided to dedicate my life to helping others in their medical time of need. To date, I have been a practicing registered nurse for ten years, working in both acute and critical care settings. I am now anticipating taking the next step towards my short-term goal of becoming an advanced practice nurse. I plan to achieve my short-term goal by earning a Doctor of Nursing Practice degree from Murray State University. My long-term goal is to become a Family Nurse Practitioner, which will provide holistic and quality care to underserved families and individuals in rural Western Kentucky. After I completed my bachelors of science in nursing, I quickly knew that my professional goal was to strengthen my nursing skills while working in the nation’s top research hospitals. By practicing at Vanderbilt University, Stanford Hospital, and University of Vermont, I have fulfilled that goal, and in the process have been exposed to many different cultures, lifestyles, and nursing systems. I believe these vast cultural experiences enhance my ability to connect with and treat a diverse patient population within the communities of Western Kentucky. During my nursing career, I have had the opportunity to be a nursing leader in various roles. At Vanderbilt......

Words: 524 - Pages: 3

Premium Essay

Health Care

...created HRSA. It is the main federal agency responsible for enhancing and making health care service accessible for people who are uninsured or medically vulnerable. Their vision is, “Healthy Communities, Healthy People.” Their mission is, “To improve health and achieve health quality through access to quality services, a skilled health workforce and innovative programs.” The four major goals for HRSA are; “Improve access to quality care and services; strengthen the health workforce; build healthy communities and improve health equality”. HRSA’s 2013 budget is $8.4 billion. The budget targets the critical health care needs of millions of people in underserved areas. Three major areas of the budget investments are: to narrow the gap in the accessibility to health services; to make more health professionals available in medically underserved areas and to be instrumental in the state and local communities quest to reach their targets in their health service needs. In addition, the budget includes $122 million to allow people who live in rural areas receive quality care and access to health care. Additional funds have also been provided by Ryan White HIV/AIDS program to help people who live with HIV/AIDS. This fund focuses on improving care for at-risk population exclusively on HIV/AIDS care. It provides financial resources and health care coverage for people with HIV disease. More than 236,000 Americans receive life saving medication and treatment with the help of this......

Words: 892 - Pages: 4

Free Essay

Annotated Bibliography

...Domestic Violence and Homelessness Among Women: Some of the Causes and Remedies Joel Nwoke Capella University School of Social Work Netto, Pawson and Sharp (2009). Preventing Homelessness due to Domestic Violence: Providing a Safe Space or Closing the Door to New Possibilities? This study looks into the impact of prevention-centered homelessness policy responses to domestic violence, with reference to the 'Sanctuary' model. This model supports women facing homelessness due to domestic violence to remain in their current residence, protected against attack from outside the home. The model provides greater autonomy to some women in these circumstances, it is not appropriate for all the women because increase emphasis on Sanctuary schemes could make it difficult for women who might prefer to move. Despite the considerable benefit, Sanctuary schemes appear to operate on the assumption that women will take responsibility for ensuring their continuing safety, by calling the police when they feel threatened with violence despite the enhanced security at houses. In the interim, the scale of homelessness related to domestic violence and the need to tackle the root causes of domestic violence calls for alternative policy responses in supporting victims of domestic violence through more effective action in dealing with perpetrators. Roschelle, A.R (2008). Welfare Indignities: Homeless Women, Domestic Violence, and Welfare Reform in San Francisco. This research study......

Words: 1672 - Pages: 7

Free Essay

Pepsico: Brand Extension Study

...ALCOHOLIC PREMIX MARKET BRAND EXTENSION STUDY Project by: 1. Kunal Agarwal – B002 2. Anurag Choudhary – B014 3. Vikram Iyer – B022 4. Sneha Jha – B026 5. Ninad Karandikar – B030 6. Smriti Mahajan – B032 7. Varun Verma – B062 Objectives of Today’s Discussion • Provide an analysis of the alcoholic beverage industry (and associated sub-markets, including beer, wine, liquor, and the nascent pre-mixed & energy segment) • Analyze PepsiCo’s operational and strategic advantages as they relate to potential entry into those markets • Identify, test, and address prerequisites for successful market entry • Provide strategic recommendations on whether, and how, PepsiCo should pursue a new product launch in the alcoholic pre-mix beverage space 2 Should PepsiCo Launch an Alcoholic Pre-mix? Hypothesis: Current conditions are favorable for PepsiCo to launch a alcoholic pre-mix beverage. Sub-Hypotheses: 1. Scalability: Growing demand in the alcoholic pre-mix beverage market supports a new entrant. 2. Defensibility: There is a first-mover advantage in this market. 3. Execution test: – PepsiCo’s existing manufacturing, bottling, and distribution infrastructure can be leveraged to minimize costs through economies of scale vis-à-vis its competitors. – Adding an alcoholic pre-mix to PepsiCo’s portfolio would not negatively impact brand equity. 4. Value Proposition: Customers perceive an added value and are willing to pay a price premium for a Pepsi-branded alcoholic pre-mix......

Words: 1701 - Pages: 7

Premium Essay

Toys R Us Case Study

...complex healthcare system. It also evaluated the effectiveness of the navigator role as it supports the elimination of barriers to care for minorities and women living in low-income and underserved communities. This study reviewed the results from surveys given to women being treated for breast cancer at different hospitals, and cancer clinics to determine if navigation improves patient access to appropriate evidence-based healthcare. The findings showed higher patient satisfaction and compliance, continuity of care, decreased anxiety levels, and increased social support systems from families and friends when navigation services were provided. Key Words: Patient Navigator; Breast Care Coordinator; Breast Care Patient Navigator; Breast Cancer in Women; Current Studies involving Breast Cancer Introduction Breast cancer is the second leading cause of death and the most common disease found in women living in the United States (Basu, Linebarger, Gabram, Patterson, Amin, & Ward, 2013). The American Cancer Society estimates at least 207,090 women will be diagnosed annually with invasive breast cancer (Kober, Padula, Gray, & Powell, 2011). The mortality rate for breast cancer remains high among ethnic minorities and women living in underserved communities (Gabitova, & Burke, 2014). ). A...

Words: 3073 - Pages: 13

Free Essay

Culturally Competent Planning

...health professionals and may hinder efforts to eliminate health disparities in the United States (Rahill & Rice, 2010). Studies have shown that health problems facing newly arrived Haitian immigrants are not adequately attended to apparently due to cultural health factors that prevents these immigrants from seeking modem health care ((Woart, 1997). For example, there is evidence that Haitians experience substantially higher incidence of some cancers, have low rates of cancer screening, and are often diagnosed at later stage of disease, as compared with other racial and ethnic groups in the United States (Allen, Mars, Tom, & Apollon, 2013). Haitians encounter distinctive barriers to health services, which places them at risks for being underserved. Language barriers, unfamiliarity with preventive care, confidentiality concerns, mistrust and stigma concerning Western medicine, and a preference for natural remedies (Allen, Mars, Tom, & Apollon, 2013), all account for barriers to health services for the Haitian population. Newly migrated Haitians also fear seeking healthcare may jeopardize their opportunities to stay in the United States. There are numerous health concerns within the Haitian American community. With the Haitian American population growing quickly, it is imperative that nurses are cognizant of these concerns, and are able to adequately care for these patients. It is known that Haitians commonly suffer from cardiovascular disease, Type II diabetes, hypertension......

Words: 1246 - Pages: 5