The capstone project is designed to be completed in sections. This is part three of the assignment.

Review your logic model, change proposal, and initiation plan. Describe in detail how the overall change plan will be evaluated, and the resources needed to evaluate the project. Discuss the evaluation process in relationship to the projected outcomes.

Create a dissemination plan. Explain how the outcome of the project will be disseminated externally (outside the setting to health care community) and internally (unit or hospital where the change process has taken place). A detailed plan answers the questions who, what, where, how, and when.

This assignment requires that you support your position by referencing at least three to five scholarly resources. At least two of your supporting references must be from peer-reviewed resources.

Prepare this assignment according to the guidelines found in the APA Style Guide – abstract is not required

This assignment uses a rubric that is attached. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Running head:  HEALTHCARE BARRIER

 

 

 

 

HEALTHCARE BARRIER 5

 

 

 

 

 

 

Healthcare Barriers

 

10/01/2020

 

 

 

 

Introduction

Healthcare is considered as one of the fundamental sectors in the economies of many countries in the world. United states invest vast amounts of money annually to the healthcare sectors. The states have also devoted a significant amount of money to the healthcare systems in their respective states. However, several barriers face the healthcare sector. The access to healthcare services and the high costs involved in treatments and diagnosis is a significant hindrance to many people, especially the vulnerable groups (Houghton et al., 2020). Immigrants have challenges accessing healthcare due to the high level of documentation required. Healthcare in the United States is funded through government services offering insurance cover to the people through the dedication in their contributions. The private sector also plays a significant role in providing insurance covers to private individuals.

Problem definition

Patients encounter challenges in accessing healthcare, especially when their well being and desires are not aligned with the care provider. Individuals seek medical services hoping to reap positive outcomes from medication and treatment. When patients do not have access to medical insurance covers, they are unable to utilize the healthcare facilities. Some patients who cannot speak a specific language in healthcare facilities have challenges expressing themselves in the medical facilities with the physicians.

The major obstruction to access to healthcare is financing. Healthcare systems in the United States have been criticized for being costly (Moore et al., 2017). Many people continue to fill bankruptcy forms while other vulnerable minorities with low levels of income lack access to healthcare due to financial challenges. Unpredictable open systems beset access to health in various situations. Utilization of the general public transport systems and sporadic open transport does not comprise an obstruction. However, unpredictable open transport systems comprise of a major hindrance. Administration’s wellbeing needs to be covered by a medical cover to overcome the challenge of financial defenselessness. Efficiency in the utilization of wellbeing administrations is characterized by considering social insurance proficiencies and submitting oneself to the standards offered by wellbeing administrations (Houghton et al., 2020). The decision to utilize the administration wellbeing or not is an individual choice. These decisions are primarily based on the confinement to the prevailing social setting. Majority of the ethnic communities execute medical issues solely without regard to companions. The help of a companion becomes essential when the individual is overwhelmed and need assistance.

Proposed solutions

The body works on account of nourishment and trade frame. An obstruction to dietary capacity occurs when there is limited capacity to translate into sustenance marks. When a patient declines to acknowledge the significance of therapeutic requirements, it comprises of another obstruction that requires overcoming. It comprises of compelling patients to decline the essential therapeutic care on accounts such as pregnancy. Failure to acknowledge is evident, especially when the pregnancy truth is disregarded and neglected. Lack of access to essential documentation such as the visa and work licenses act as an obstruction (Moore et al., 2017). Lack of these facilities and services restrict the utilization of the wellbeing administration and financial sources. Vagrant patient reaps several benefits in care supply due to their collaboration and good relationship with the law support offices and other state organs such as the government and the police. The patients live in the panic that their citizenship becomes endangered incase of endless infection. Such cases occur when the patients manage to apply for the wellbeing subsidized by the government. The unavailability of diversity in monetary assets acts as a boundary to human services. The prevailing financial situations have a significant impact on the individual’s lives. Lack of budgetary assistance and significant needs poses several problems for the outsiders seeking care due to the powerless position they occupy.

Stakeholder role

The healthcare sector has a wide range of stakeholders who work to ensure that services in healthcare are offered efficiently. Reforms carried out in the healthcare administration systems affect all the stakeholders in the sector. Stakeholders in the healthcare sector include the physicians, patients, the various companies offering insurance services and the government. The collaboration of the stakeholders is critical if healthcare facilities have to execute successful reforms, especially in overcoming barriers in access to healthcare services. The government, as a stakeholder in the healthcare sector, determines the ease of access to healthcare services for both local and international clients seeking healthcare. The government plays an essential role in ensuring healthcare access as a human right is delivered.

Resources in reform implementation

Implementation of reforms in the healthcare sector incurs high costs and resources. The human resource capacity is essential in the implementation of healthcare reforms needed to eliminate barriers in access to healthcare. Enough physicians ensure that patients receive service at the healthcare facilities at a convenient cost. The nurses and physicians carry an essential role in diagnosis and treatment (Moore et al., 2017). Technology is another critical resource needed in the implementation of healthcare reforms. Technology serves to increase efficiency in the healthcare sector. Technology enables physicians to share information about various diseases, treatment and diagnosis, facilitating the treatment process. The sharing of information is critical in enhancing healthcare research. Technology is, however, faced by several challenges such as compromised privacy of a patient’s information and data.

Expected outcomes

The categories of people in the society taking powerless positions find it hard to procure medical coverage which is a major hindrance to pre-birth ideal care. For the minorities and immigrants to have access to medical care, a lot of medication data and documentation are required. The objective is o ensure that they meet the minimum requirements prior to receiving medical care. The data critical to access medication for minorities include the verification of residence, the wage per year and other critical details to understand their target. The confidence and support received by healthcare organizations originate from the human expert services offered and experiences from the loved ones. Patients failed to support the increments of the medical measurements after being misled that their ailments could excavate or entanglements would result (McGlynn et al., 2020). Possession of customary wellspring care attributed to the ground makers in the preventive social insurance utilization. There are two basic aspects that influence administration wellbeing; the ignorance of administration accessibility and the unavailability of acquiring information about the administration. In some instances, the ethnic minorities lack sufficient information such as accessibility and capacity during access to healthcare specialists. In such instances, the ability to utilize essential healthcare services is confined in line with their needs. The ethnic minorities have limited access to screening administration facilities. The low level of service utilization results from ethnic minorities is attributed to unavailability of learning services. Ethnic minorities need to possess enough information about the administration and the existing alternatives in preventive care. The rate of vaccinations is high among ethnic minorities. Other negated aspects include the need for learning especially on the preventive administrations.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

Houghton, C., Meskell, P., Delaney, H., Smalle, M., Glenton, C., Booth, A., … & Biesty, L. M. (2020). Barriers and facilitators to healthcare workers’ adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. Cochrane Database of Systematic Reviews, (4).

Moore, L., Britten, N., Lydahl, D., Naldemirci, Ö., Elam, M., & Wolf, A. (2017). Barriers and facilitators to the implementation of person‐centred care in different healthcare contexts. Scandinavian journal of caring sciences, 31(4), 662-673.

McGlynn, N., Browne, K., Sherriff, N., Zeeman, L., Mirandola, M., Gios, L., … & Niedźwiedzka-Stadnik, M. (2020). Healthcare professionals’ assumptions as barriers to LGBTI healthcare. Culture, health & sexuality, 22(8), 954-970.