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Barriers in Health Care - Essay Example

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Barriers in Health Care [Name of Student] [Name of Institution] Introduction The United States’ health care system faces a number of challenges and/or barriers with regards to service quality, availability, accessibility, cost and appropriateness among other aspects of the sector…
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Barriers in Health Care

Download file to see previous pages... The existence of these barriers calls for stakeholders, especially providers and regulators such as government agencies and private providers to design and implement policies and strategies by which these barriers may be reduced or eliminated. Similarly, patients should also be aware of the potential barriers to their accessing and utilization of health care in the country (Purnell & Paulanka, 2008). The main reason these barriers should be aptly and exhaustively addressed and eliminated is that their continued existence will inevitably result in claims of discrepancies and disturbing levels of racial, ethnic and geographic discrimination and disparities in health care delivery, status and outcomes (Purnell & Paulanka, 2008). Although financial barriers to health care are the most easily identified and talked about, the nonfinancial reasons by far exceed the financial ones in their enormity and effects on the health system, health care, and health outcome. Examples of nonfinancial barriers encountered in the health care system are physician/health service accessibility, lack of medication time off from work, untimely appointments, and poor attitude to health care due to cultural factors (Purnell & Paulanka, 2008). ...
Under patient/population characteristic barriers are barriers related to health care needs, predisposing features, and enabling features while health behavior barriers encompass barriers related to personal health practices of populations (Purnell & Paulanka, 2008). On the other hand, health outcome barriers are the characteristics of health care providers. Finally, environmental barriers could encompass the structural and organizational factors of the system and the health care providers therein. It is apparent from the above categorization that barriers in the health care system may be presented as patient-level, provider-level, and system level barriers. These barriers thus affect different aspects of the system. Barriers to Change and Change Management Among the aspects of health care particularly affected by barriers are change, its implementation and management. To ensure quality and indiscriminate delivery of health services, it is of the essence that change is embraced and managed via the effective overcoming of the identified barriers to change and delivery of health services (Purnell & Paulanka, 2008). The generally cited reasons for failure to overcome change barriers in the health care system are absence or little acceptance of change, poor realignment in thinking by the system’s stakeholders, and lack of appropriate knowledge and guidance on change implementation and management (Purnell & Paulanka, 2008). Additionally, the system and many health care facilities under it do not have clearly established and explained strategies and tactics for maintaining long-term change and change management. Although controversies and debates surround the concept of change and its implementation and ...Download file to see next pagesRead More
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