NURS FPX 6008 Assessment 1 Identifying Local Health Care Economic Issue

Identifying a Local Healthcare Economic Concern

NURS FPX 6008 Assessment 1 Accessing medical care and having enough insurance for health is an problem that affects people and health professionals and organizations within the community we live in. Lack of health insurance is a major economic obstacle that restricts people’s access fast and quality health care. The report will concentrate on the financial aspects of insufficient health insurance coverage and its impact on healthcare delivery.

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Root Causes of Inadequate Healthcare Insurance

Healthcare has struggled since the beginning of time with the deficiency of health care insurance, which is a major issue for the entire healthcare system, which includes health professionals, patients, and even organizations. Based on statistics provided by the Centers for Disease Control and Prevention (CDC) in 2019, around 28.9 million Americans in the United States lacked health insurance, and the number is likely to worsen due to the COVID-19 outbreak.

Description of Insufficient Health Insurance Coverage

The population most at risk in regards to this are people with a low income as well as their family members. In particular, San Francisco General Hospital (SFGH) offers care for an extensive number of patients who are uninsured or underinsured. NURS FPX 6008 Assessment 1 Identifying Local Health Care Economic report from the San Francisco Department of Public Health San Francisco Department of Public Health revealed that 10% of San Francisco residents lacked health insurance. A further 9 per cent had difficulties in accessing health care despite having insurance. The people who do not have coverage frequently delay or delay medical treatment because of financial concerns as well as poor outcomes for their health.

Impacts of Insufficient Health Insurance Coverage

The adverse impact of not having enough insurance coverage to provide healthcare for San Francisco General Hospital (SFGH) can be seen in the population demographics of patients, which include many patients being uninsured or covered by Medicaid. This presents a problem for those receiving healthcare and also burdens the hospital budget due to non-compensated healthcare. To combat this issue, SFGH has introduced a variety of initiatives such as Financial counselling and the charitable care program, which is available to all suitable patients.

NURS FPX 6008 Assessment 1 Rationale Behind Healthcare Insurance

The main reason behind insufficient health insurance stems from the idea that access to top-quality medical services is a fundamental human right. Inaccessibility to crucial health services can result in an increase in health problems and financial stress. The United States features factors like the high cost of healthcare and the complex insurance system, as well as the inadequate coverage of insurance accessible, make it a challenge to get sufficient healthcare insurance.

Motivation for Addressing Healthcare Insurance

My experiences as a health care provider and the citizens impacted by the lack of health coverage have been the catalyst for my decision to choose this issue. Being aware of the detrimental impact that the absence of insurance coverage has on the patient’s ability to access essential healthcare and the financial burden the healthcare industry faces is a strong reason to tackle this issue.

Disparate Impacts of Healthcare Insurance on Various Groups

The absence of healthcare insurance that’s adequate is an issue for those people of lower socioeconomic or minority groups and can result in health disparities. As a healthcare provider

Insufficient insurance coverage adversely influences the quality of healthcare offered to patients, especially patients from diverse social or economic backgrounds.

Underlying Gap Contributing to Insufficient Healthcare Insurance

The reason for insufficient coverage of healthcare is in the fact that there aren’t accessible and affordable alternative to insurance for health particularly for those in lower socioeconomic classes. NURS FPX 6008 Assessment 1 high costs of healthcare, insufficient insurance coverage provided by employers as well being the stringent conditions for getting into government insurance plans compound the situation.

Policy Solutions

To resolve this issue it is necessary to develop comprehensive policy alternatives to increase access for affordable and full healthcare insurance to everyone regardless of your race, income or medical illness that pre-exists. It could include expanding Medicaid eligibility, enhancing the ACA marketplace, or developing strategies to address the social factors at root that impact the health of people.

NURS FPX 6008 Assessment 1 Identifying Local Health Care Economic Issue

The research suggests that the initiatives aimed at improving access to health insurance could significantly impact the quality of healthcare and the financial security of both health providers and patients. In particular the research suggests that Medicaid expansion may provide greater access to health care and better health outcomes, and lower financial burden.

Conclusion

Health insurance is a major economic challenge that affects people health care institutions, individuals, and also communities, particularly those in distinct socioeconomic classes or low incomes. The solution to the problem is complete strategy for policy to ensure access to healthcare coverage that is affordable and comprehensive to everyone.

References

Camilleri, S., & Diebold, J. (2019). Uncompensated hospital care and patient satisfaction: A method that is variable. Health Services Research, 54(3), 603-612. https://doi.org/10.1111/1475-6773.13111
Centres for Disease Control and Prevention (CDC). (2021). Health insurance coverage: Early release of estimates from the National Health Interview Survey, 2019. https://www.cdc.gov/nchs/data/nhis/earlyrelease/insur202102-508.pdf
Cohen, S., Cohen, N., & Gabbay, E. (2020). Paternalism and the concept of certitude. Bioethics, 34(5), 478-482. https://doi.org/10.1111/bioe.12700
Kaiser Family Foundation. (2020). Important facts regarding the people without insurance. Kff.org. https://www.kff.org/uninsured/fact-sheet/key-facts-about-the-uninsured-population/
McInerney, M., Winecoff R., Ayyagari P., Simon K. And Bundorf M. K. (2020). ACA Medicaid expansion is linked to a rise in Medicaid participation as well as better health for the population near-elderly, as evidenced by research from the Health and Retirement Study. Inquiry
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Odeny, B. (2021). Eliminating the gap in health equity: What role can the implementation of science play? PLOS Medicine, 18(9), e1003762. https://doi.org/10.1371/journal.pmed.1003762
Phuong, J., Riches, N. O., Madlock-Brown, C., Duran, D., Calzoni, L., Espinoza, J. C., Datta, G., Kavuluru, R., Weiskopf, N. G., Ward-Caviness, C. K., & Lin, A. Y. (2022). Health-related social determinants that affect gene-environment COVID-19 research The challenges and the opportunities. Advanced genetics, 3(2), 2100056. https://doi.org/10.1002/ggn2.202100056
San Francisco Department of Public Health. (2022). San Francisco Health Plan 2022: A description of the quality enhancement program and the Work Plan. Sfhp.org.
https://www.sfhp.org/wp-content/files/providers/QIEval/QIPlan.pdf
Tolbert, J., Orgera, K. and Damico, A. (2020 19th December). The most crucial facts concerning the individuals who do not have insurance. Kaiser Family Foundation.
https://www.kff.org/uninsured/issue-brief/key-facts-about-the-uninsured-population/
World Health Organization. (2019, July 16). Health coverage for all.

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