“Immigrants have limited access to healthcare because of the way health insurance is obtained in the United States.” (Chesnay & Anderson, 2012) Obtaining insurance can be very expensive, frustrating to understand and also unfair to some individuals. Some immigrants are unable to communicate properly their concerns and health problems. There are many immigrants who have a medical condition that do not comply with their medication and treatment. Some believe that if they are noncompliant to improve their health, they do not deserve to be treated fairly to those who have insurance and are able to pay their medical expenses. Immigrants have a difficult time to obtain jobs.
2006). However, some health care services lack this which results in refugee patients trying to explain their issues to the doctor (AHRC, 2010). The use of Jargon in health care services has proven to be very difficult to understand (Australian Human Rights Commission, 2010). According to (AHRC, 2010), when refugees visit the doctors they are spoken to using jargon words can come across as threatening, which makes them feel discouraged from asking questions or requesting clarity. This leads to miss understanding and communication difficulties between the patient and doctor (AHRC, 2010).
I know numerous East Africans and other minorities who fear and put off going to the hospital or clinic simply because they feel no one truly understands them on a more personal level and that their needs can’t and won’t be met entirely. According to the American Medical Association over 55% of health care providers agreed that, “minority patients generally receive lower quality health care” due to the lack of cultural competence. Those of different cultural backgrounds feel uneasy due to communication barriers and the lack of cultural competency amongst some health care providers. As a Somali-speaking nurse, I feel Somali patients, along with those of varying cultural backgrounds would be able to establish that sense of ease that’s needed when entering a health care facility or without having to feel the shame of having an interpreter hear about their personal health issues. According to Hospitals in Pursuit of Excellence,
Poverty in mental health prevents patients from seeking out medical attention due to lack of insurance. “insurance coverage disparities make mental health care less accessible than other forms of health care” (Safran, 2011). Due to lack of insurance patients are not receiving adequate care, such as being evaluated, receiving the appropriate treatments, and not going to doctor follow up appointments to ensure proper care. Without receiving proper treatment, it can cause the patient condition to get worse and would not have a chance of a successful outcome. Also, poverty can cause additional stress and anxiety making the mental illness progress.
This lack of adequate coverage makes it difficult for people to get the health care they need and can have a particularly serious impact on a person's health and stability. Services Improving health care services depends in part on ensuring that people have a usual and ongoing source of care. Not having a usual place to go to when sick or in need of health advice delays necessary care which leads to an increased risk. People with a usual source of care are more likely to go in for routine checkups and screenings, and are more likely to know where to go for treatmen... ... middle of paper ... ...n of Healthcare Organizations (JCAHO), and the American Medical Accreditation Program (AMAP), just to name a couple. Each of the accrediting bodies is unique in terms of their mission, activities, compositions of their boards, and organizational histories, and each develops their own accreditation process and programs and sets their own accreditation standards.
(Gordon and Townsend 2000). Similarly, the DSS report states that “social exclusion occurs where different factors combine to trap individuals and areas in a spiral of disadvantag... ... middle of paper ... ...ly similar to those of the host population, although previous poor access to health care may mean that many conditions have been untreated. Symptoms of psychological distress are common but do not necessarily signify mental illness. Many refugees experience difficulties in expressing health needs and in accessing health care. Poverty and social exclusion have a negative impact on health.
The causes of non-adherence in chronic and acute patients include; behavioural and lifestyle choices, lack of adequate resources and lack of adequate healthcare education from healthcare professionals. According to Zhang, Lee & Meltzer (2014) patients often lack the ability to read and understand the instructions for their medication due to lack of education from their healthcare personnel. Therefore, patients are unable to meet their minimum adherence requirements leading to increased non-adherence rates. Therefore Zhang, Lee & Meltzer (2014) recommends that the prescription requirements should be simplified for patients to have a deeper understanding of their prescriptions. In addition, healthcare professionals should promote provider-patient relationships with the aim of explaining all the key information in regards to the healthcare
However, these people also experience barriers to accessing health care in Canada. Some of the barriers are: having regular family doctor, facing discrimination and lack of community support, and/or not having health insurance. These problems can exacerbate people’s homeless experience. First what is the definition of homelessness? There are two kinds of homelessness, “Absolute homelessness”,
Those who do have insurance may find themselves underinsured in the event of an emergency and unable to make the necessary co-payments. Alternatively, the insured’s provider may refuse to cover certain conditions. Besides the cost of adequate insurance and the booming cost of medical care, there are other factors that affect equal access to medical care for the impoverished. Among these are race, age, and geographic location. Poverty and the resulting inadequate medical care is a ubiquitous social problem that merits further discussion of the issue’s causes and implications.
The PCMH model promotes doctor-patient interaction and the personalized management of each patient by their primary care provider. The reimbursement system in particular sets this model apart from others. Physicians are reimbursed for the time spent with the patient in the clinic as well as for coordinating the patients’ health care team and communicating with the patient out of clinic. This means that, “doctors can be paid to send their patients a letter, or a link to a computer web site or a text message”.1 This will not only generate stronger patient-doctor bonds but also enable the patients to be more active in their health care plan. The model offers patients easier access to their health care team by providing more opportunities of communication outside the clinic in which they can receive medical counsel in a timely manner.