US health care influences ANS✔✔ the health care system is influenced by
various factors including politics, economy, technology, social and cultural
values, physical environment, and demographic and health trends
key system players have economic interest to protect; can lead to a positive
effect, similar to our three branches of government, where there is a
balance of power (physicians, administrators of health care institutions,
insurance companies, large employers, government); US health care has
followed a medical model; recently has been pushing promotion of health
rather than curative; market justice approach
vulnerable populations ANS✔✔ -those with health needs but inadequate
resources to address those needs
-they receive care through the nations safety net (medicare/Medicaid,
community health centers, migrant health centers, free clinics, hospital
emergency departments)
market justice ANS✔✔ these forces are responsible for fair distribution,
distribution is based on patient's willingness/ability to pay; healthcare is like
any serviceable good; individuals are responsible for their own healthcare;
health is a decision and responsibility of ones self; free market rather
government provides the resources
social justice ANS✔✔ well being of the community over the individual,
inability to obtain medical services because of lack of financial resources is
unjust; view healthcare as a social resources; governmental support;
, Solution 2024/2025
Pepper
socioeconomic status is not a factor; equal access to healthcare is the right;
medical resources are allocated by a central planning source
public health care mission ANS✔✔ improve and protect community health;
actions taken by state and local governments to promote optimum health
for society as a whole
public health care services ANS✔✔ monitor health status to solve
community health problems, health problems and hazards investigation,
educating and empowering the public about health problems, mobilizing the
community to identify and solve health problems, develop policies to
support health efforts, enforce laws and regulations to protect health of the
community, provide health care access, ensuring competent and
professional health workforce, evaluating population-based health services,
perform research on interventions to solve health problems
access ANS✔✔ ability of an individual to obtain health care services when
needed, restricted to those with: health insurance through their
employer/self funded, government sponsored health care programs, funding
to pay privately without insurance, safety net providers/services
cost ANS✔✔ US spends more than any other developed country on health
care (continue to rise at alarming rate, many have limited access to basic
care)
control/barriers ANS✔✔ uninsured dropped 4% nationwide with the
affordable care act, 1/3 of physicians don't accept new Medicaid patients,
primary care needs to be paid out of pocket for uninsured (tend to wait until
real problems exist)
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