Lack of Access to Healthcare Services
When patients can access healthcare, they are empowered to create impactful relationships with nurses and manage and overcome illness and other related diseases. If there is no impactful access to healthcare services, people are likely to live with undue pain and conditions that are likely to worsen as time goes by. Most of the US still needs to get ready to reach healthcare, and most barriers experienced are not for their own making. The main issues identified are physical accessibility, socioeconomic aspects and cultural aspects of healthcare setups (Jeste et al., 2020). The physical issue is that large populations may need help accessing the right transportation systems and long waits before they get booked because of the poor approach to allocating the population’s time. Socioeconomic aspects have issues with the cost of healthcare and affordability because the most basic healthcare is not extended. A large population needs insurance to get the right healthcare support; thus, living with undue conditions is a common phenomenon, which makes lack of access to healthcare services a major issue. Culture is also a dominating issue, for example, the language barriers, fear of getting the medication and also aspects like the perceptions about healthcare, especially attached to the religious setting.
Patient-Centered Health Interventions and Timelines
Patient-centred care is the approach of caring for the population and patient in a meaningful and valuable way to the population. The patient-centred health intervention will involve aspects like listening to the issues related to the population, informing and involving the population in a better way that will allow them to access healthcare services to reduce the gap of physical, socioeconomic and cultural (Grover et al., 2022). According to the Institution of Medicine (IOM), patient-centred care is offering healthcare that respects population responsiveness, patient preferences, needs and valuables and ensures that all values are adhered to. The intervention will address Picker’s Eight Principles of Patient-Centered Care to attain effective patient outcomes.
Issue 1: Physical Access to Healthcare: The intervention that will be implemented to the physical intervention is having the first mobile health clinics, which will be key in ensuring that issues related to transportation due to geographic issues are resolved. The mobile clinic is a well-customized vehicle used to travel in communities to deliver healthcare with the experts. A wide range of services can be delivered in this manner where staffing needs to involve a combination of physicians, nurses and community health workers, among other health professionals (Oleribe et al., 20190). The intervention is critical because a large population can be tested on some conditions that may be underlying to them, and they do not get the opportunity to be tested; thus, the data can be used to inform the healthcare fraternity on where to focus when developing community health programs. The timeline for this intervention should be within two weeks because assembling vehicles and appointing programs for community health is a simple exercise to deal with. The time limit should be manageable because a large population is suffering from inaccessibility. In addition to mobile clinics, telehealth services need to be implemented in hospitals so that individuals can queue online and meet the doctor through virtual platforms for consultations (Malone et al., 2020). The timeline for the intervention should be within a 3-week timeline to develop the intervention and create awareness in the population and community that they can now book services through telehealth practices.
Issue 2: Socioeconomic, the intervention to social and economic aspects like the cost of getting healthcare the intervention that will work out is supporting low contributions on insurance and using government programs like health environment, which will reduce the healthcare complications. The government should complement insurance services to people with limited resources and the ability to pay for huge health costs. Healthcare insurance schemes will allow them to deal with healthcare issues effectively (Hilty et al., 2019). The intervention should be carried out effectively with a 3-6 months timeline to ensure that the population has an effective way of funding their health through the healthcare insurance plan. Safety and stable housing are also programs to ensure that the population has a good environment that reduces the chances of getting diseases so that they can reduce the chances of chronic diseases.
Issue 3: The cultural aspect will be intervened through the permanent supportive housing model, which ensures that the population has affordable housing and is a good measure of intervening in socioeconomic issues in the lack of accessibility to healthcare services. There is evidence of the benefit of offering affordable housing to the population because it reduces the burden of such a population getting chronic conditions, reducing behavioural health conditions (Grover et al., 2022). The programs should also have a time limit of 3-6 months to ensure that the population gets a supportive, safe environment through affordable housing options.
Literature Review
A satisfying experience for the patient should be based on the experience and the program related to Health People 2030. There are different reasons that contribute to the lack of access to healthcare services, and most of the studies outline socioeconomic as one of the major reasons. One survey demonstrated that when people aged between 60 and 64 years who were previously uninsured become eligible for Medicare, their use and frequency of clinical services increased. In the same way, offering Medicaid coverage to uninsured adults also increases the chances of people receiving diagnoses of chronic diseases like diabetes. In the same manner, offering Medicaid to uninsured adults showed an increase in receiving diagnoses for chronic diseases like diabetes. The study also indicated that issues related to physical access to healthcare facilities were also significantly related to the lack of healthcare services.
Coordination of clinical care should be one of the main priorities because it is the main base for healthcare practices. Coordination of care is helpful in the process of identifying basic resources and information that should be identified in the process of delivering incredible services. Coordination of ancillary services is also a priority because through these services, for example, the telehealth services and identifying the right nurses who can effectively interact with the patient in the process of carrying out healthcare services that will influence the business and process of ensuring that all members will get the right services (Malone et al., 2020). The other priority of coordination is looking at frontline patient care because they are the people who come into contact with the patients. Through their efforts, overall accessibility and services care will be effective, and deliverables will be effectively identified.
The satisfying experience from the client is that in designing that kind of healthcare services accessibility protocol, first, the population will be able to link up with the community so that they will understand the concept of the issues being addressed. The patient will be involved through participation, and they will be able to talk about the issues that pressure them and offer their recommendation (Levine, 2021). Through such collaboration, patients and the population will be able to share their pressing issues, for example, why they fear facing healthcare services and socioeconomic hindrances; in that way, all patients will be able to open up and share their points of constraints.
Aligning with Health People 2030
That aligns with the approach of Health People 2030, which is involved in establishing a model for achieving population health initiatives based on the accessibility of health services. The framework involves a central idea and function of achieving Healthy People 2030. It involves a mission and vision, foundation principles, overarching goals, and action. The Health People 2030 was structured under the recommendation of the advisory secretary established on national health promotion and disease prevention objectives approaching 2030. The approach helps in selecting objectives for the framework. The goal of Health People 2030 is to reduce the issues that lead to healthcare disparities, like physical distance, cultural barriers, and socioeconomic barriers, thus attaining healthy people in the country.
Code of Ethics
The order of delivering the priorities in handling the lack of access to health services aligns with the nurse’s code of ethics of integrity, demonstration of value, respect and justice to all patients. The patient thus needs to support the universal rights of patients and show empathy, especially in aspects like cultural diversity and socioeconomic aspects. These priorities will ensure that the key aspects are being given first approaches and priorities and will have high considerations when delivering the interventions (Levine, 2021). The main priority needs to be given to the overall outcome, and feeling of the patient as far as the healthcare services delivery is concerned because if the coordination is well done, it becomes easy to alleviate the feelings and the key areas that need to be looked at include the coordination of clinical care, coordination of ancillary and related support services for example telehealth. The last issue to look at in coordination is frontline patient care.
Healthcare Policy Implications
The healthcare implication of the healthcare continuum set is that the population will be able to contribute to the existing effectively. Implementing the interventions will offer physical comfort in that patients will positively impact how healthcare will be offered in the short term, and aspects like pain management, activity assistance and daily living needs will be achieved. The approach will also be able to deal with emotions and alleviation of fear and anxiety. That is because the treatment and diagnosis will be catered for effectively. There will also be the continuity and transition to more effective healthcare services where the patient can effectively account for information about medication, physical limitations and socioeconomic mitigation approaches.
Conclusion
Wide approaches can be used to manage the issue of access to healthcare services across the population. These approaches need to be based on the issues related to physical accessibility and socioeconomic and cultural aspects. Through mitigating these issues, it will be easy to effectively achieve healthcare services and accessibility to most of the population because what separates them from getting accessibility to healthcare services is ensuring that there are good interventions that mitigate the physical barriers to accessing health, socioeconomic and cultural variances.
References
Grover, S., Fitzpatrick, A., Azim, F. T., Ariza-Vega, P., Bellwood, P., Burns, J., & Ashe, M. C. (2022). Defining and Implementing Patient-Centered Care: An Umbrella Review. Patient education and counseling, 105(7), 1679-1688.
Hilty, D. M., Chan, S., Torous, J., Luo, J., & Boland, R. J. (2019). Mobile Health, Smartphone/Device, and Apps for Psychiatry and Medicine: Competencies, Training, And Faculty Development Issues. Psychiatric Clinics, 42(3), 513-534.
Jeste, S., Hyde, C., Distefano, C., Halladay, A., Ray, S., Porath, M., & Thurm, A. (2020). Changes in Access to Educational and Healthcare Services for Individuals with Intellectual and Developmental Disabilities during COVID‐19 Restrictions. Journal of Intellectual Disability Research, 64(11), 825-833.
Levine, R. L. (2021). Healthy People 2030: A Beacon for Addressing Health Disparities and Health Equity. Journal of Public Health Management and Practice, 27(6), S220.
Malone, N. C., Williams, M. M., Smith Fawzi, M. C., Bennet, J., Hill, C., Katz, J. N., & Oriol, N. E. (2020). Mobile Health Clinics In The United States. International journal for equity in health, 19(1), 1-9.
Oleribe, O. O., Momoh, J., Uzochukwu, B. S., Mbofana, F., Adebiyi, A., Barbera, T., & Taylor-Robinson, S. D. (2019). Identifying Key Challenges Facing Healthcare Systems in Africa and Potential Solutions. International journal of general medicine, 395-403.
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