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Identify population groups facing greater challenges and barriers in accessing healthcare services

Vulnerable populations include the ethnic and racial minorities, the economically challenged, the uninsured, low-income children, the elderly, the homeless, those with human immunodeficiency virus (HIV), and those with other chronic health conditions, including severe mental illness (CDC, 2016). The definition for vulnerable populations goes further too also
include rural residents, who are often faced with the challenges in accessing healthcare amenities. The vulnerability in this population groups is mainly heightened by ethnicity, race, gender, age, financial status, absence of insurance cover and the lack of a health services in the
areas these groups reside. The healthcare and health problems associated with these groupstraverse with the social factors of education, poverty and housing.

Discuss the challenges faced in rural health

Around sixty million people or 19% of the American population live in rural areas. When it comes to healthcare, people living in rural areas are usually faced with different challenges from those living in urban areas. These obstacles are mainly fuelled by the factors of education, shortages of workforce, socioeconomic factors, cultural factors as well as lack of healthcare iniquities. In the United States, the utter isolation of residing in rural areas and the lack of recognition by their political representatives all contrive to create healthcare challenges therefore obstructing rural Americans in their fight to live healthy, normal lives.

Discuss measures the master’s prepared nurse can utilize to improve access to care.
Direct clinical practice is a major competency for every master’s prepared nurse. However though, the skill set differs in relation to the requirements of the population. A master’s prepared nurse should demonstrate a greater breadth and depth of knowledge in dealing with vulnerable populations (CDC, 2016). The nurses should poses advanced communication skills
when handling patients of different ages, developmental or functional status. They should be well equipped in giving the required range to services to this population.

Is care coordination important to population? If so why, if no why, in what ways doespopulation health ethics differ from medical ethics?

In the primary care practice, care coordination involves the deliberately consolidating all patient information for ease of access by all participants concerned with the patient for a more effective and safe and efficient heath care. The main intent for this practice is to ensure that the patient’s preferences and needs are met in the delivery of high level and quality healthcare. It can therefore be noted that this is an important aspect in the development of the American healthcare sector.

On the other hand, medical ethics mainly involves the personal relationship between a patient and the physician. Contrariwise, public health ethics involves the interaction between an institution or agency and the entire population or community. Medical ethics is governed by the four principles of: justice, beneficence, nonmaleficence and autonomy. In contrast, public health is governed by the principles of justice, fundamentality, community trust and interdependence

(Dayer-Berenson, 2014). Despite the sheer deference, it can therefore be noted that for medical preparedness to be ethical and effective, it must adhere to all principles of public health ethics.

In what way are they similar? How might the concepts of justice assist the master’s prepared nurse analyze the ethics of resource allocations and access to health services in diverse populations? The above two concepts of healthcare ethics both complement each other. In large part, because of the significant community-level effects of public health issues, medical ethics are suboptimal for assessing community-level public health interventions or plans-especially in the area of emergency preparedness ( Pozgar , 2012). In regards to justice as a key principle of ethics in the healthcare sector, all the healthcare systems in the United States are working towards achieving the six major aims of healthcare improvement: patient-centeredness, equity, efficiency, effectiveness, timeliness and safety. Therefore, it is the duty of the master prepared nurse to ensure that there are no variations in care as caused by the factors of socioeconomic status, ethnicity/race, gender and age in the provision of quality health care for all.


Center for Disease Control & Prevention (CDC) (2016). Health Euity – Minority health. Retrieved on 22 nd February, 2017 from https://www.cdc.gov/minorityhealth/

Pozgar, G. D. (2012). Legal and Ethical Issues for Health Professionals. Massachussets: Jones & Bartlett Publishers.

Dayer-Berenson, L. (2014). Cultural Competencies for Nurses: Impact on Health and Illness, Second Edition. Retrieved on 22 nd February, 2017 from < https://publish.jblearning.com/index.php?mod=jbbrowse&act=book_details&id=494>

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