The Analysis Of a Pertinent Healthcare Issue Assignment

The Analysis Of a Pertinent Healthcare Issue Assignment

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To Prepare:

Review the national healthcare issue/stressor you examined in your Assignment for Module 1 (access to healthcare), and review the analysis of the healthcare issue/stressor you selected (access to healthcare).
Identify and review two evidence-based scholarly resources (preferably for providers and < 5 years old) that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.

The Assignment (1-2 pages):

Developing Organizational Policies and Practices

Add a section to the 2-3 page paper you submitted in Module 1. The new section should address the following in 1-2 pages: The Analysis Of a Pertinent Healthcare Issue Assignment

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Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
Cite evidence that informs the healthcare issue/stressor and/or the policies(access to healthcare), and provide two scholarly resources in support of your policy or practice recommendations.
Due to the nature of this assignment, your instructor may require more than 7 days to provide you with quality feedback.

Please see attached previous assignment and rubric uploaded

Analysis Of a Pertinent Healthcare Issue: Access to Healthcare

Lack of access to care is a significant stressor that impacts healthcare organizations. Patients who do not have access to healthcare facilities and services are at a higher risk of developing severe health conditions that could have been treated or managed with early intervention. Access to care is caused by various factors, including financial constraints, transportation challenges, insurance, and inadequate healthcare infrastructure (Ristau & Talamantes, 2022). The lack of access to care not only impacts patients but also affects healthcare organizations’ financial stability. Patients who delay or forgo medical care due to lacking access to healthcare services tend to require more expensive and complex medical care when seeking treatment (Li et al., 2022)The Analysis Of a Pertinent Healthcare Issue Assignment. This results in increased healthcare costs for both the patients and healthcare organizations.

Within this organization, I work in the emergency department, where we deal with situations that reveal how lack of access to care is a stressor to the patient and the organization. For instance, one of the primary reasons for the lack of access to care is poverty and the distance to healthcare. Poverty leads to outcomes such as homelessness, which profoundly impact the healthcare system. For instance, the homeless patients seen at my location are 75% due to seeking shelter and food. In contrast, the remaining are seen due to a healthcare issue that requires immediate treatment, especially the Natives coming from a vast distance. Our organization should address the lack of access to care to ensure that patients have access to the medical attention they need. Strategies such as outreach programs, telehealth services, and partnerships with community organizations can help to improve access to care. Many of these strategies currently assist access to healthcare, if they are still in progress, with the best resources available.

Article Summaries

Article 1

Ahmad and Ranade-Kharkar’s (2021) article discusses the impact of COVID-19 on health disparities and access to care in the United States. The authors argue that the pandemic has exacerbated healthcare inequities, particularly for marginalized communities, such as people of color, low-income individuals, and those with limited English proficiency. The article suggests that addressing these disparities requires a multi-faceted approach that includes improving access to care, addressing social determinants of health, and prioritizing health equity in policy decisions. The article highlights the critical role of public health professionals and healthcare organizations in promoting health equity and reducing healthcare disparities. The authors suggest that healthcare organizations can address access to care challenges by implementing innovative strategies such as outreach programs, telehealth services, and partnerships with community organizations. The article emphasizes that it is essential to ensure that healthcare services are accessible to all, regardless of race, ethnicity, income, or language barriers. Overall, this article is related to the lack of access to care as a national stressor in healthcare by highlighting the negative impact of healthcare disparities on marginalized communities and the importance of addressing access to care challenges to promote health equity The Analysis Of a Pertinent Healthcare Issue Assignment.

Article 2

Zanchetta and Cordeiro’s (2021) article discusses the role of community-based participatory research (CBPR) in improving access to healthcare for immigrant and refugee populations in Canada. The authors argue that CBPR can help address these communities’ unique needs and challenges, such as language barriers, cultural differences, and lack of familiarity with the healthcare system. The article provides examples of successful CBPR initiatives, including partnerships between academic institutions and community organizations. The article highlights the importance of involving immigrant and refugee communities in research to ensure that interventions are culturally appropriate, relevant, and sustainable. Academic institutions can play a vital role in facilitating CBPR initiatives by providing resources, expertise, and support to community organizations. The article also emphasizes the need to address power imbalances and build trust between academic and community partners to promote meaningful collaboration and engagement.

Overall, this article is related to the lack of access to care as a national stressor in healthcare by highlighting the unique challenges immigrant and refugee communities face in accessing healthcare and the importance of community-based approaches to address these challenges. The article suggests that CBPR can effectively promote health equity and reduce healthcare disparities by engaging with communities and developing culturally appropriate interventions.

Strategies to Address Stressors

Ahmad & Ranade-Kharkar (2021) suggest that healthcare organizations can address access to care challenges by implementing innovative strategies such as outreach programs, telehealth services, and partnerships with community organizations. These strategies can help engage with marginalized communities, provide alternative healthcare access, and bridge the gap between healthcare providers and marginalized communities. The article also emphasizes the importance of ensuring that healthcare services are accessible to all, regardless of race, ethnicity, income, or language barriers. The Indian Health Service (IHS) has collaborated with the tribes to seek results for adequate healthcare, both for access and finances.

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In Zanchetta and Cordeiro’s (2021) article, the authors suggest that community-based participatory research (CBPR) can effectively address access to care challenges faced by immigrant and refugee populations. CBPR involves engaging with communities in the research process to develop culturally appropriate and relevant interventions. The article provides examples of successful CBPR initiatives, including partnerships between academic institutions and community organizations. The authors also emphasize the importance of addressing power imbalances and building trust between academic and community partners to promote meaningful collaboration and engagement The Analysis Of a Pertinent Healthcare Issue Assignment.

These strategies can positively affect my organization by involving the community. The Alaskan Natives know their culture better than anyone and their hardships. Allowing them to help create results to access issues and letting them be active in healthcare decisions may impact maintaining compliance. Maintaining compliance will decrease mortality rates and ease the stressors on the individual and the facility financially.

Overall Alaskan Natives have come a long way in gaining access to healthcare. Alaska is a massive state with environmental factors (mountains, rivers, deserts, glaciers, forests) and a vast distance between villages that prevent travel. Most villages (about 80%) are not linked by road, and other ways of transportation must be utilized (ferry, snow machines, ATVs).

The IHS of Alaskan Natives works with tribes and tribal organizations to provide health services for the Alaskan Natives. Seventy-one health facilities and 57 tribally operated Community Health Centers (CHS) funded by IHS provide satellite and part-time services. This healthcare available allows for medical care access to those at further distances. There is travel personnel that makes contact with tribes every week or so in order to provide follow-ups and initial treatment of some sort. The downfall is that no one is there whenever needed, and time must pass to be seen again for follow-up appointments.

The Alaskan Native Medical Center (ANMC) is the hub for all tribes to have access to 24-hour access to medical care. The only exception to this concept is when treatment is needed immediately, and they cannot get to the hospital that can help. The distance and lack of transportation delay the patients’ care, but ANMC has a solution. Air travel brings patients from far distances to the local airport in Anchorage, where Alaskan Fire Department (AFD) meet them and sets up travel from the airport to the hospital. This airfare is not cheap because it requires medical personnel to be on the flights; also, the weather can hinder the flights in and out of tribes and Anchorage. Unfortunately, the weather cannot be controlled, and the winders can be brutal. The weather is the most significant adverse effect and the hardest to overcome.

Overall, the process is working for ANMC and the natives. ANMC provides housing for those who travel to gain access to healthcare. The housing is connected to the hospital; if off-site, a bus provides transportation to and from appointments. This relieves the patients from the stress of finding somewhere to stay while seeking medical attention away from their homes and not having to worry about how to afford it. ANMC tries to incorporate their culture into the hospital and housing with artifacts from their past and food they are used to in their tribesThe Analysis Of a Pertinent Healthcare Issue Assignment.

Section 2

Competing needs impacting access to healthcare

According to Baeten et al. (2018), healthcare organizations encounter problems while addressing healthcare concerns due to competing needs. The need for financial stability versus the need to deliver medical services to those who cannot afford them is one of the competing needs that affect access to healthcare. Care must be provided to all patients, irrespective of their capacity to pay, and healthcare institutions should ensure that they can sustain their financial viability. Patients who cannot pay for medical treatments may have less access to care due to this competing need.

Another competing need is the need to guarantee the highest level of care versus the need to give timely access to care. Care providers must strike a balance between the necessity to provide patients with immediate medical care and the need to provide high-quality health care. This might be problematic when dealing with few resources and a large number of patients.

Relevant Policy or Practice in the Organization

The Emergency Medical Treatment and Labor Act (EMTALA) is an important policy that affects how people can access healthcare in our organization. The US Congress passed the Act in 1986 to deal with the problem of patients being turned away from emergency departments because they could not afford to pay (Hsuan et al., 2018). Any person who arrives at the emergency department must receive immediate medical attention, irrespective of their capacity to pay, legality, or any other circumstances that can be viewed as discriminatory, according to the EMTALA, which applies to all institutions that take part in Medicare. Whatever their financial or social situation, all patients are expected to receive adequate emergency medical care under the program. The policy’s primary objective is to guarantee all patients obtain emergency medical care. The Analysis Of a Pertinent Healthcare Issue Assignment

Critique of the Policy for Ethical Considerations:

According to Hsuan et al. (2018), EMTALA is a critical policy that fosters emergency medical care access. It does, however, have some ethical flaws. The Act guarantees that all patients receive urgent medical attention, irrespective of their capacity to pay or any other considerations that may be considered discriminatory. This is consistent with medical ethics’ principles of justice and beneficence. This has also helped relieve pressure on emergency departments by preventing patients from being driven away due to financial constraints. Besides, the policy has had some unintended effects. One problem with EMTALA is that it fails to address the fundamental issues with healthcare access. Patients in the emergency room often have huge hospital bills that they cannot pay, putting them in a challenging financial position and possibly forcing them into bankruptcy. The policy also raises questions about resource allocation and the cost of emergency medical care. Healthcare institutions that provide emergency medical care to uninsured patients may face significant financial challenges, limiting their capacity to offer excellent care services to other patients. The policy has also contributed to more individuals seeking non-emergency care in emergency rooms, potentially lengthening wait times for those needing immediate medical attention (Hsuan et al., 2018)The Analysis Of a Pertinent Healthcare Issue Assignment.

Policy or Practice Changes to Balance Competing Needs and Address Ethical Shortcomings:

Setting up a sliding fee scale is one policy change that can balance competing financial stability needs and access to care. Patients might pay for medical treatments according to their income if there was a sliding cost system. This strategy might address the institution’s financial sustainability and ensure that individuals who cannot afford medical treatment can still receive healthcare.

Implementing telehealth services is another policy reform that can balance the competing needs of timely access to care and quality of care. Patients could receive medical care through telehealth services without going to the hospital in person. This will enable healthcare professionals to concentrate on patients who need urgent medical attention while lowering the number of patients in the emergency room. By allowing healthcare professionals to monitor patients from a distance, telehealth services might also raise the standard of care.

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Evidence and Scholarly Resources Supporting Policy or Practice Recommendations

According to Yerokun (2017), a sliding fee scale can enhance healthcare access for disadvantaged groups such as low-income patients. The study discovered that implementing a sliding fee scale policy substantially increased the number of patients receiving medical care, particularly among low-income patients.

Fathi et al. (2017) discovered that telehealth services could boost access to care while reducing the number of patients in the emergency department. According to the study, patients receiving telehealth services were less likely to be admitted to the emergency department and more prone to getting appropriate medical attention. The Analysis Of a Pertinent Healthcare Issue Assignment

Conclusion

Access to healthcare is a significant source of stress for individuals and medical organizations. Competing needs, like financial viability versus access to care and timely access to care versus quality of care, may also make addressing the issue difficult for medical institutions. For example, incorporating a sliding fee scale and telehealth services might assist with addressing these competing needs while championing access to healthcare. Scholarly evidence backs up these policy changes and their possibility of enhancing healthcare access. On the other hand, care providers must keep reviewing and refining their policies and practices to address ethical concerns and guarantee that all clients obtain appropriate medical attention.

 References

Ahmad, F., & Ranade-Kharkar, P. (2021). Addressing Health Disparities in the Time of COVID-19. American Journal of Public Health, 111(1), 19–22. https://doi.org/10.2105/AJPH.2020.305986

Baeten, R., Spasova, S., Vanhercke, B., & Coster, S. (2018). Inequalities in access to healthcare. European Commission.

Fathi, J. T., Modin, H. E., & Scott, J. D. (2017). Nurses advancing telehealth services in the era of healthcare reform. Online Journal of Issues in Nursing, 22(2). Retrieved from:  https://doi.org/10.3912/OJIN.Vol22No02Man02

Hsuan, C., Horwitz, J. R., Ponce, N. A., Hsia, R. Y., & Needleman, J. (2018). Complying with the Emergency Medical Treatment and Labor Act (EMTALA): challenges and solutions. Journal of Healthcare Risk Management, 37(3), 31-41.

Li, Q., Li, J., Yang, X., Li, L., & Liu, Y. (2022). Differences in access to healthcare services and health outcomes among migrants and residents in China: A systematic review and meta-analysis. BMC Public Health, 22(1), 101.

Ristau, R. A., & Talamantes, M. (2022). Addressing Health Equity Through Community Health Workers: Opportunities for Promoting Access to Care. The Journal of Ambulatory Care Management, 45(1), 30-36.

Yerokun, G. (2017). Establishing an Active Reproductive Health Center and a Sliding Fee Scale at Bellevue Health Clinic. Retrieved from: https://digitalcommons.unmc.edu/cgi/viewcontent.cgi?referer=&httpsredir=1&article=1006&context=coph_slce

Zanchetta, M. S., & Cordeiro, J. A. (2021). Community-based participatory research: The role of academic institutions in increasing access to health care for immigrant and refugee populations. Public Health Reviews, 42(1), 9. https://doi.org/10.1186/s40985-021-00150-1 The Analysis Of a Pertinent Healthcare Issue Assignment

Analysis Of a Pertinent Healthcare Issue: Access to Healthcare

Lack of access to care is a significant stressor that impacts healthcare organizations. Patients who do not have access to healthcare facilities and services are at a higher risk of developing severe health conditions that could have been treated or managed with early intervention. Access to care is caused by various factors, including financial constraints, transportation challenges, insurance, and inadequate healthcare infrastructure (Ristau & Talamantes, 2022). The lack of access to care not only impacts patients but also affects healthcare organizations’ financial stability. Patients who delay or forgo medical care due to lacking access to healthcare services tend to require more expensive and complex medical care when seeking treatment (Li et al., 2022)The Analysis Of a Pertinent Healthcare Issue Assignment. This results in increased healthcare costs for both the patients and healthcare organizations.

Within this organization, I work in the emergency department, where we deal with situations that reveal how lack of access to care is a stressor to the patient and the organization. For instance, one of the primary reasons for the lack of access to care is poverty and the distance to healthcare. Poverty leads to outcomes such as homelessness, which profoundly impact the healthcare system. For instance, the homeless patients seen at my location are 75% due to seeking shelter and food. In contrast, the remaining are seen due to a healthcare issue that requires immediate treatment, especially the Natives coming from a vast distance. Our organization should address the lack of access to care to ensure that patients have access to the medical attention they need. Strategies such as outreach programs, telehealth services, and partnerships with community organizations can help to improve access to care. Many of these strategies currently assist access to healthcare, if they are still in progress, with the best resources available.

Article Summaries

Article 1

Ahmad and Ranade-Kharkar’s (2021) article discusses the impact of COVID-19 on health disparities and access to care in the United States. The authors argue that the pandemic has exacerbated healthcare inequities, particularly for marginalized communities, such as people of color, low-income individuals, and those with limited English proficiency. The article suggests that addressing these disparities requires a multi-faceted approach that includes improving access to care, addressing social determinants of health, and prioritizing health equity in policy decisions. The article highlights the critical role of public health professionals and healthcare organizations in promoting health equity and reducing healthcare disparities. The authors suggest that healthcare organizations can address access to care challenges by implementing innovative strategies such as outreach programs, telehealth services, and partnerships with community organizations. The article emphasizes that it is essential to ensure that healthcare services are accessible to all, regardless of race, ethnicity, income, or language barriers. Overall, this article is related to the lack of access to care as a national stressor in healthcare by highlighting the negative impact of healthcare disparities on marginalized communities and the importance of addressing access to care challenges to promote health equity. The Analysis Of a Pertinent Healthcare Issue Assignment

Article 2

Zanchetta and Cordeiro’s (2021) article discusses the role of community-based participatory research (CBPR) in improving access to healthcare for immigrant and refugee populations in Canada. The authors argue that CBPR can help address these communities’ unique needs and challenges, such as language barriers, cultural differences, and lack of familiarity with the healthcare system. The article provides examples of successful CBPR initiatives, including partnerships between academic institutions and community organizations. The article highlights the importance of involving immigrant and refugee communities in research to ensure that interventions are culturally appropriate, relevant, and sustainable. Academic institutions can play a vital role in facilitating CBPR initiatives by providing resources, expertise, and support to community organizations. The article also emphasizes the need to address power imbalances and build trust between academic and community partners to promote meaningful collaboration and engagement.

Overall, this article is related to the lack of access to care as a national stressor in healthcare by highlighting the unique challenges immigrant and refugee communities face in accessing healthcare and the importance of community-based approaches to address these challenges. The article suggests that CBPR can effectively promote health equity and reduce healthcare disparities by engaging with communities and developing culturally appropriate interventions.

Strategies to Address Stressors

Ahmad & Ranade-Kharkar (2021) suggest that healthcare organizations can address access to care challenges by implementing innovative strategies such as outreach programs, telehealth services, and partnerships with community organizations. These strategies can help engage with marginalized communities, provide alternative healthcare access, and bridge the gap between healthcare providers and marginalized communities. The article also emphasizes the importance of ensuring that healthcare services are accessible to all, regardless of race, ethnicity, income, or language barriers. The Indian Health Service (IHS) has collaborated with the tribes to seek results for adequate healthcare, both for access and finances. The Analysis Of a Pertinent Healthcare Issue Assignment

In Zanchetta and Cordeiro’s (2021) article, the authors suggest that community-based participatory research (CBPR) can effectively address access to care challenges faced by immigrant and refugee populations. CBPR involves engaging with communities in the research process to develop culturally appropriate and relevant interventions. The article provides examples of successful CBPR initiatives, including partnerships between academic institutions and community organizations. The authors also emphasize the importance of addressing power imbalances and building trust between academic and community partners to promote meaningful collaboration and engagement.

These strategies can positively affect my organization by involving the community. The Alaskan Natives know their culture better than anyone and their hardships. Allowing them to help create results to access issues and letting them be active in healthcare decisions may impact maintaining compliance. Maintaining compliance will decrease mortality rates and ease the stressors on the individual and the facility financially.

Overall Alaskan Natives have come a long way in gaining access to healthcare. Alaska is a massive state with environmental factors (mountains, rivers, deserts, glaciers, forests) and a vast distance between villages that prevent travel. Most villages (about 80%) are not linked by road, and other ways of transportation must be utilized (ferry, snow machines, ATVs).

The IHS of Alaskan Natives works with tribes and tribal organizations to provide health services for the Alaskan Natives. Seventy-one health facilities and 57 tribally operated Community Health Centers (CHS) funded by IHS provide satellite and part-time services. This healthcare available allows for medical care access to those at further distances. There is travel personnel that makes contact with tribes every week or so in order to provide follow-ups and initial treatment of some sort. The downfall is that no one is there whenever needed, and time must pass to be seen again for follow-up appointments. The Analysis Of a Pertinent Healthcare Issue Assignment

The Alaskan Native Medical Center (ANMC) is the hub for all tribes to have access to 24-hour access to medical care. The only exception to this concept is when treatment is needed immediately, and they cannot get to the hospital that can help. The distance and lack of transportation delay the patients’ care, but ANMC has a solution. Air travel brings patients from far distances to the local airport in Anchorage, where Alaskan Fire Department (AFD) meet them and sets up travel from the airport to the hospital. This airfare is not cheap because it requires medical personnel to be on the flights; also, the weather can hinder the flights in and out of tribes and Anchorage. Unfortunately, the weather cannot be controlled, and the winders can be brutal. The weather is the most significant adverse effect and the hardest to overcome.

Overall, the process is working for ANMC and the natives. ANMC provides housing for those who travel to gain access to healthcare. The housing is connected to the hospital; if off-site, a bus provides transportation to and from appointments. This relieves the patients from the stress of finding somewhere to stay while seeking medical attention away from their homes and not having to worry about how to afford it. ANMC tries to incorporate their culture into the hospital and housing with artifacts from their past and food they are used to in their tribes. The Analysis Of a Pertinent Healthcare Issue Assignment

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References

Ahmad, F., & Ranade-Kharkar, P. (2021). Addressing Health Disparities in the Time of COVID-19. American Journal of Public Health, 111(1), 19–22. https://doi.org/10.2105/AJPH.2020.305986

Li, Q., Li, J., Yang, X., Li, L., & Liu, Y. (2022). Differences in access to healthcare services and health outcomes among migrants and residents in China: A systematic review and meta-analysis. BMC Public Health, 22(1), 101.

Ristau, R. A., & Talamantes, M. (2022). Addressing Health Equity Through Community Health Workers: Opportunities for Promoting Access to Care. The Journal of Ambulatory Care Management, 45(1), 30-36.

Zanchetta, M. S., & Cordeiro, J. A. (2021). Community-based participatory research: The role of academic institutions in increasing access to health care for immigrant and refugee populations. Public Health Reviews, 42(1), 9. https://doi.org/10.1186/s40985-021-00150-1 The Analysis Of a Pertinent Healthcare Issue Assignment