FAU Vulnerable Populations and The Healthcare System Discussion

Below I have 2 posts please provide a response for both

Part 1

Your response to your peers by extending, refuting/correcting, or adding additional nuance to their posts.

Effectiveness of the healthcare resources for the vulnerable in my community

The hospital is a vital and often the only source of healthcare for vulnerable communities in rural and urban areas. Some communities stand a chance of losing the healthcare resources and opportunities they need due to transformation in the hospitals. I come from a rural community, and one in five people live in rural areas of America. Therefore, approximately one-fifth of Americans are living in rural areas. Despite access to healthcare being a vital resource in good health in Latin America and any other region in the world. Rural residents encounter any access barriers (Rural Health Information Hub, 2021).  Access to healthcare means using healthcare resources on time for the best possible health outcomes.

In any country, residents should conveniently and confidently access healthcare services. The services range from public health services, dental care, primary care, behavioral health care, and emergency care. According to Rural Health Information Hub (2021), accessing healthcare is vital because it improves the overall physical and mental, and social health status of an individual. Further, accessing healthcare services is critical in preventing diseases, improving the quality of life, improving life expectancy, detecting and diagnosing illness, avoiding and eliminating preventable deaths.

The government has put in place special payment programs. The programs account for the unique circumstances of the vulnerable communities. However, vulnerable communities require integrated and comprehensive strategies to reform payment and healthcare delivery. The government allows vulnerable communities to choose healthcare services considering their needs and preferences (Rural Health Information Hub, 2021). Additionally, healthcare providers and payers can collaborate and develop health strategies. The strategies enhance the healthcare services for all Americans.

AHA’s Board of Trustees formed the AHA Task Force in 2015. The task force aimed to ensure that vulnerable communities access healthcare. Apart from that, the task force examined ways that healthcare systems can facilitate healthcare access in vulnerable communities. Also, the task force identified challenges in accessing healthcare services (Bhatt & Bathija, 2018). AHA Task Force considered many comprehensive and integrated strategies necessary for reforming healthcare delivery and payment. Its goal is to avail essential tools for healthcare providers to enable vulnerable communities to access healthcare. In addition, the healthcare provider can determine critical healthcare services that they should always maintain at a local level and the delivery systems options that allow them to determine essential services.

Rural communities encounter barriers that limit their access to healthcare. There must be necessary and appropriate healthcare services available in a timely and obtainable manner to ensure rural communities access healthcare. There are many factors that America must consider in terms of healthcare access even when there is an adequate supply of healthcare services in a community. AHA Task Force states that rural residents must have the following to have good healthcare access. They must have finances to pay for the healthcare services, for instance, dental and health insurance acceptable to the healthcare provider (Bhatt & Bathija, 2018). Transportation services are located at a distance. Therefore, there must be a means to reach and use healthcare services and take paid leave to use such services. Further, individuals must trust the healthcare services they use not to compromise their privacy (Bhatt & Bathija, 2018).  Additionally, individuals must believe that they can access quality healthcare. Rural communities are associated with mental health issues and substance abuse that result in stigma.

References

Bhatt, J., & Bathija, P. (2018). Ensuring access to quality health care in vulnerable communities. Academic Medicine, 93(9), 1271-1275. https://doi.org/10.1097/acm.0000000000002254 (Links to an external site.)

Rural Health Information Hub. (2021). Rural health information hub. https://www.ruralhealthinfo.org/topics/healthcare-access

Below I have 2 posts please provide a response for both. 150 words each with reference.

Part 2 

Your response to your peers by extending, refuting/correcting, or adding additional nuance to their posts.

Vulnerable Populations

      For millions of Americans living in vulnerable rural and urban communities, their hospital and community health are very important, and often their only, source of health care. Every day, hospitals and healthcare systems face the challenges and opportunities of an ever-changing healthcare environment.  As transformation in community health care field continues, some communities are still at risk of losing access to health care services and the opportunities and resources they need to improve and maintain their health.

      Every day, hospitals and health systems are navigating the challenges and opportunities of a constantly changing health care environment. At the community level, they have been focusing on meeting the demands of today and tomorrow by redefining how they can best serve patients and communities, create new models of care and collaboration, address affordability and value, and advance health in the United States. To advance the health of all patients and all communities, there has been encouraging commitment to ensure that all individuals have access to affordable and equitable health, behavioral, and social services; provide increased value to individuals; embrace the diversity of individuals and serve as partners in their health.

      About one in four Americans, according to the CDC (2018), have multiple chronic conditions, and spending on patients with multiple chronic conditions across the United States consumes 71% of all health care dollars throughout all settings. Therefore, there is a constant effort of redefining healthcare to meet the needs of these vulnerable populations including women, children, and rural Americans. They are adjusting to this new reality: A reality of helping patients with multiple chronic conditions take charge of their health.

     More efforts are devoted on people with low incomes, who are disproportionately racial and ethnic minorities. Due to the lack of health insurance, there may be little interaction with the medical system. They are less likely to receive recommended preventive treatments such as dental treatment, blood pressure checks, diabetes testing, cancer screening, and influenza vaccinations, and are more likely to be admitted to an emergency room or hospital for a condition that might have been treated elsewhere. They are also twice as likely to develop behavioral health problems as high-income people and three times more likely to be socially isolated; and the chances of food insecurity are 10 times higher (CDC, 2018).

      For most medical professionals, it is not news that that if their patients’ basic needs aren’t met, they are less likely to stay healthy, no matter how good their care. Improving primary care services is the most important thing we can do to improve the health of vulnerable people in terms of medical services. We know that primary care clinicians feel that they are barely ready to meet the behavioral and social needs of low-income patients. Individuals’ health behaviors are embedded in social contexts and affected by social ties (Wasche et al., 2021). Therefore, to meet the broad needs of patients, we need to find ways to support primary care clinicians in their efforts, such as working with community-based organizations to meet patients’ comprehensive needs.

      Ensuring access to these essential health services for vulnerable communities is to ensure that care is equitable and culturally competent. Healthcare organizations must continue to work to close medical and health care disparities that persist for too many people from racial, ethnic and cultural groups. This will require the collection of race, ethnicity, language preference and other socio-demographic data and ensuring competency training for all physicians and clinical staff.  Without diversity and equity in health, there is no quality. Quality, cost, equity, diversity and public health are closely linked. Regardless of the organizational structure, a strong partnership between state and local health departments is essential to promote and protect the health of populations (Schoon et al., 2018).

References

Centers for Disease Control and Prevention (2018).  Multiple chronic conditions. Retrieved March 6, 2018 from      https://www.cdc.gov/chronicdisease/about/multiple-…

(Links to an external site.)Wasche, H., Niermann, C., Bezold, J., & Woll, A. (2021). Family health climate: a qualitative exploration of everyday           family life and health. BMC Public Health, 21(1), 1–13. https://doi.org/10.1186/s12889-021-11297-4

Schoon, P. M., Porta, C. M., & Schaffer, M. A.  (2018). Population-Based Public Health Clinical Manual.: The Henry         Street Model for Nurses, (3rd Ed.). Sigma.

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