Identification of the Problem
- Number of patients continues to grow;
- Number of medical specialists is in decline;
- Bad healthcare infrastructure;
- Narrow medical networks in all healthcare spheres;
- Long waiting times;
- Lack of insurance coverage.
What Can Be Improved
- Higher medical training of nurse practitioners, physician assistants, and pharmacists;
- New coordinated care models (“patient-centered medical homes”) (Modern Medicine Network, 2014, para. 13);
- Dissemination of “shared medical appointments” (Modern Medicine Network, 2014, para. 20);
- Dissemination of telehealth initiative;
- Possibility to make an appointment in after-hours;
- Popularization and financial facilitation of primary care training;
- Reduction of paperwork tasks.
What Processes Does This Affect
- Federal legislation;
- State economic process;
- Social service;
- Healthcare organization;
- Scientific research;
- Infrastructure development.
What Is the Current Situation
- As of 2014, 26,000 new doctors a year (Modern Medicine Network, 2014, para. 2);
- As of 2014, 9 million of persons with newly gained health insurance (Modern Medicine Network, 2014, para. 5);
- As of 2015, the percentage of the uninsured is 9.1% (U.S. Department of Health and Human Services, 2015, p. 2);
- As of 2015, 10.5% of persons under age 65, 12.8% of persons aged 18–64, and 4.5% of children under age 18 are uninsured (U.S. Department of Health and Human Services, 2015, p. 6);
- As of 2015, 4.5% of persons failed to obtain needed medical care due to high cost (Centers for Disease Control and Prevention, 2016, para. 1);
- As of 2015, 87.8% of persons have a usual place to go for medical care (Centers for Disease Control and Prevention, 2016, para. 1).
- Gender, age, race, level of income and education influence the insurance coverage;
- The uninsured receive poor-quality healthcare;
- The problem of fair healthcare resources allocation among the insured;
- Existing principles of distributive justice complicate the problem of allocation;
- Discord in the national community with regards to fair healthcare access principles;
- People do not have the opportunity to influence the allocation decisions that affect them (Trotochaud, 2006).
- Occurs in healthcare continuum (Augmentative Communication News, 2009);
- Arsenal of communication tools (synchronous and asynchronous) to expand access to healthcare;
- Influences consumer satisfaction;
- If effective, reduces waiting time;
- Clinicians take communication training courses;
- The shared medical appointment allows for time-saving.
Strategies That Contribute to Resolution of the Problem
- Increase or decrease of the healthcare services use;
- Evaluation of policies that affect healthcare services use;
- Adoption of new healthcare access principles;
- Reduction of social characteristics influence;
- Minimization of the costs of healthcare services use;
- Implementation of new communicative tools.
Stakeholders Involved in the Process
- Federal government;
- Healthcare organizations and services;
- Social services;
- Influential individuals;
- State doctors and vendors;
- Healthcare service consumers.
Challenges and Opportunities That Arise in the Process of Resolution
- Discord in governmental and private healthcare services;
- Greater costs for insurance coverage provision;
- Social attitude to healthcare minorities;
- Discord in the scientific community with regards to healthcare access principles;
- Development of healthcare infrastructure;
- New working places for primary care specialists;
- Strengthening of healthcare networks.
Evaluation Plan That Can Be Tracked Over Time
- Purpose: assessment of the fair distribution of healthcare services
- How many people receive healthcare?
- What kind of healthcare do the uninsured people receive?
- What ethical principles affect the distribution of healthcare? Are they fair?
- What communicative tools does the healthcare industry use?
- How many newly trained medical professionals are there?
- How many retired medical professionals are there?
- Did the healthcare infrastructure improve?
- Statistical reports will count as a key criterion in the evaluation
Indicators That Can Be Tracked Over Time
- Number of the insured;
- Number of the uninsured;
- Number of medical specialists in all healthcare spheres;
- The efficiency of newly introduced communicative tools;
- The efficiency of newly introduced meth.
Augmentative Communication News. (2009). Communication access across the healthcare continuum. Web.
specifically for you
for only $16.05 $11/page
Centers for Disease Control and Prevention. (2016). Access to Health Care. Web.
Modern Medicine Network. (2014). 7 ways to improve access. Web.
Trotochaud, K. (2006). Ethical issues and access to healthcare. Journal of Infusion Nursing, 29(3), 165-171.
U.S. Department of Health and Human Services. (2015). Early release of selected estimates based on data from the 2015 National Health Interview Survey. Web.