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Current economic issues impacting healthcare
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Camden is an example of this type of place-based approach. Camden is among the poorest city in the United States. It population face high rate of poverty and often lack access to care, with high utilizers of ER and hospital visits for preventable conditions that are treatable by a primary provider. As a result, individuals have difficulty accessing primary care along with a number of “behavioral, social, and medical issues” (Heiman & Artiga, 2015). The Camden Coalition used data to identify a small group of patients who had consumed a large quantity of medical resources and limited assets. Using these finding, the coalition designed and implemented a citywide health-information exchange, to coordinate care and locate patients in needs of intervention.
Care anywhere is a new way to look at health care and Eric Dishman really sheds some light on the importance of this idea. I have never taken the time to stop and think about this idea, but now that Dishman brings it up I wonder why we don’t already have this, because technology has come so far that, that isn’t what is holding us back from achieving this goal. Dishman
In the documents titled, William Graham Sumner on Social Darwinism and Andrew Carnegie Explains the Gospel of Wealth, Sumner and Carnegie both analyze their perspective on the idea on “social darwinism.” To begin with, both documents argue differently about wealth, poverty and their consequences. Sumner is a supporter of social darwinism. In the aspects of wealth and poverty he believes that the wealthy are those with more capital and rewards from nature, while the poor are “those who have inherited disease and depraved appetites, or have been brought up in vice and ignorance, or have themselves yielded to vice, extravagance, idleness, and imprudence” (Sumner, 36). The consequences of Sumner’s views on wealth and poverty is that they both contribute to the idea of inequality and how it is not likely for the poor to be of equal status with the wealthy. Furthermore, Carnegie views wealth and poverty as a reciprocative relation. He does not necessarily state that the wealthy and poor are equal, but he believes that the wealthy are the ones who “should use their wisdom, experiences, and wealth as stewards for the poor” (textbook, 489). Ultimately, the consequences of
Researchers have proven that people with a lot of paraphernalia are normally not as cheery than less privileged people. There are many statements with a theme in these two writings. The poor man and greasers have simple needs which helps them be more joyful. The Outsiders by S.E. Hinton and the poem “Poverty and Wealth”, have similar themes. One of the themes in the poem and the Outsiders is, money can't buy happiness.
Health care providers not knowing their surrounding community impacts the way they provide health care to a patient. I hope to use my background in community work with underrepresented populations and the qualities I gained to hopefully reduce and someday diminish the concern that health care isn’t keeping up with the demographics of the surrounding community. The third health care concern I will talk about is another near and dear to me which is the severely low quality health care women in developing countries receive.
As the middle class began to further divide, those who grew in wealth became known as a banking/industrial class. Along with their sudden economic prosperity there came a desire for social transformation- an aspiration for new aristocracy. They carried their traditional middle class values into prominence with their accumulation of wealth. They sought to achieve a merit oriented Society rather than social climbing, for their children's sake, into the existing one based solely on birth. This hindered the new class from ever attaining Aristocratic Social acceptance for their new wealth and deemed them the nouveaux riche. Despite obvious disapproval from the Aristocracy the nouveaux riche continued their economic ascent through "personal contact [which] was a crucial element in filling posts" (Loftus 5). This dependence upon others for mounting economic standing was contrary to the middle class value of independence. This industrial class was forced to rely upon the connections, potentially aristocratic, in order to succeed. Loftus explains that middle-class values were carved out in these attempts to define a society based on merit rather than aristocratic privilege. However, the importance of cultural capital and social networks to success in the period implies that the rise of the middle-classes in the Victorian period saw the replacement of one set of privileges with another (Loftus 4). However the Nouveaux Riche failed to fully assimilate into aristocratic society due to lack of pedigree.
For decades, individuals living in rural areas have been considered medically underserved. Access to healthcare is a problem that has been increasing for individuals in rural America due to aging populations, declining economies, rural hospital closures, rising healthcare costs, healthcare provider shortages and difficulties attracting and retaining healthcare personnel and physicians (Bauer, 2002). This population experience more health disparities than t...
This book written by Melvin L. Oliver and Thomas M. Shapiro, addresses the following question: What will an examination of the black middle class, compared to the white middle class, reveal, in terms of economic stability and distribution of wealth? The authors answer this question in seven chapters. Using different studies, statistics, and history, this book conducts a socioeconomic comparison of the two races in America.
According to healthypeople.gov, a person’s ability to access health services has a profound effect on every aspect of his or her health, almost 1 in 4 Americans do not have a primary care provider or a health center where they can receive regular medical services. Approximately 1 in 5 A...
...ntralizing and taking a holistic approach towards health for underserved communities, could lead to improved show rates, as well as, knowledge and communication between patient and health care providers. Especially in under marginalized communities, where advocacy and resources are lacking and needed the most, the manner in which health officials effectively educate and provide the resources to these communities need to be strategically assessed to translate scientific research into practice. With the value and importance of public health increasing, I desire to address the social determinants of health to reduce health disparities through utilization of technology and partnerships with community organizers. Thus, I believe a degree from Oregon State will be an excellent opportunity for me to merge my skills, backgrounds, and passions, turning a vision into reality.
Trinity Community Hospital is based in an economically sound community. Structured 25 years ago, in a prime location this 150-bed, non-for-profit hospital offers to the community residents a broad range of general medical, surgical, and support services. Patient Protection and Affordable Care Act (PPACA) of 2010 signed into law requires a non-profit hospital is to conduct a community needs assessment. To justify their tax exemption every three years thorough analysis of community assessment will be widely publicize. Interventions will also need to be included to meet assessment needs must also meet at least one of the following criteria:
Edwards, N. C., Etowa, J., Peterson, W. E., & Kennedy, M. A. (2012). Community health
Geographic studies on health care and wellbeing have often been divisive. Some researchers have primarily been devoted to health structures, examining correlates and predictors or describing patterns in data using sophisticated statistical techniques (Aday & Andersen, 1974; Buor, 2003; Wilson & Rosenberg, 2004); whereas others have focused on psychosocial elements and/or the cognitive environment and how they influence or inform the patterns of health care access, usage and behavior (Parr & Philo, 2003; Parr, Philo & Burns, 2004). The task for most emerging health geographers and researchers, including myself, has been to merge these dichotomized approaches to health studies and social science at large (Hartshorne & Clark, 1962; Lawson & Staeheli, 1990; Clark, Lissel & Davis, 2008). This critical realist worldview argues that phenomena in the real world that we study as researchers are structured and possess causal powers and liabilities (Sayer, 2015).
This is a community profile that aims to identify a specific health improvement issue within a local geographically determined community. ‘A community profile is an attempt to describe a particular community or neighbourhood. It uses a variety of different techniques to build up a picture of the community from a number of perspectives’ (Barnardos.org.uk, 2004) including several components of a community such as its demographic characteristics, patterns and trends i.e. its epidemiology in order to make comparisons between different localities to determine areas needful of specific health improvements with the goal of improving local people’s health and reducing health inequalities. A core definition of community as distinguished by Macqueen and Mclellan et al (2001) is ‘a group of people with diverse characteristics who are linked by social ties, share common perspectives, and engage in joint action in geographical locations or settings’.
The TASO model catered to the community because it allowed flexibility and confidentiality. If a patient was unable to travel to the facility, they were able to have their treatment brought to them. This helped many who were unable to afford the travel to a facility, but also those who were not able to physically go and receive treatment from a facility. On the other hand, those who did not want to disclose their medical situation to another were able to have their treatments done at the facility, which maintained confidentiality (Ellner, et al. p. 14). If a patient had access to a phone and had a question or concern, they were able to call a hotline to receive advice. For those in more rural areas, TASO was able to build outreach centers
Since a significant part of the population is young females, there is a need for services regarding gynecology, family, and pediatric care (Taylor, 2004). Despite most of the population being young, diabetes and hypertension also play a role in the population and therefore, services are needed to address these issues (Taylor, 2004). Since most of health care center populations are from low income households, health care centers usually provide enabling services such as “case management, translation, transportation, outreach, eligibility assistance, and health education” as well as other comprehensive services (Taylor, 2004, p. 8). To assure health care centers are fulfilling its purposes, each health care center goes through a Performance Review Protocol where the health care center is graded more on their performance than its compliance, unlike its former Primary Care Effectiveness Review (Taylor,