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AnswersCategory: NursingHealthcare
Kieran Swift asked 11 months ago

Help me answer the following questions:
Identify population groups facing greater challenges and barriers in accessing healthcare services.

Discuss the challenges faced in rural health.

Discuss measures the master’s prepared nurse can utilize to improve access to care.

Is care coordination important to population?
If so why, if not why. In what ways does population health ethics differ from medical 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.

2 Answers
Sense Academics Staff answered 11 months ago

Here are your answers. Hope they will be helpful. 
Identify population groups facing greater challenges and barriers in accessing healthcare services.
The healthcare industry is made up of many different aspects that need to be taken into consideration.  One of the considerations that need to be looked at is the population groups that may face challenges and barriers in accessing healthcare services. According to DeNisco and Barker, 2016 these population groups may include, but are not limited to, those living in rural communities,those with mental illness,the homeless, the disable, the uninsured, those with HIV and AIDS, and racial and ethnic minorities.
Discuss the challenges faced in rural health.
Patients living in rural areas face problems other than ethnicity or gender.  They may also face challenges accessing healthcare due to weather, transportation, distance and proximity to health care facility (Strasser, 2016).  The reason the patients may be in the rural setting may be due to job relocation or family location or lack of resources to live in a more urbanized setting.  
Discuss measures the master’s prepared nurse can utilize to improve access to care.
The master’s prepared nurse can improve access to care by working with a primary care physician and opening a clinic that operates specific days of the week when patients can be seen.  Perhaps, if the master’s prepared nurse has a desires, he/she can partner with other master’s prepared nurses to open up the clinic more days of the week and offer more services to the patient populations served.  To those patients that still cannot be reached due to other reasons, perhaps telemedicine or mobile nursing care could be an option, just like visiting nursing is available now.
Is care coordination important to population? If so, why? If not, why?
Coordination of care is key to optimal healthcare, especially in a rural setting.  According to Williams, 2012 it is important to coordinate care amongst different ethnicities, races, living situations, etc to help aid in getting the greatest number of patients seen at a particular time.  If care is coordinated and care can be “lumped” together, then more patients can be seen at each appointment and make the appointments more fruitful for the master’s prepared nurse and the patient population being served.  Many times the coordination of care is just as important as the actual appointment itself. 
 In what ways does population health ethics differ from medical ethics? In what way are they similar?
Population health ethics and medical ethics are similar because they both deal with ethics and moral and what is best to deliver the safest care possible to either the public or to an individual.  They both have a set of moral codes that guide the healthcare providers in the delivery of care (DeNisco & Barker, 2016).  The difference between population health ethics and medical ethics is that population ethics is concerned with the public and is concerned with policy programs and laws to promote and protect public health; whereas medical ethics is concerned with the individual and a set of moral codes to the practice of medicine.
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 master’s prepared nurse can analyze the ethics of resource allocations and access to health services in diverse populations just as the master’s prepared nurse would do in any population because justice is the obligation to be fair in the distribution of benefits to those being served, according to Williams, 2012.  This means that everyone should be treated fairly, no matter their race, ethnicity, religion, or socioeconomic statuses. 
Healthcare providers need to try to be as fair as possible across the spectrum and do what is best for all patients.  We, as nurses, need to be advocates for our patients at all times and as we progress to become master’s prepared nurses, we need to keep building on this concept. 
References
DeNisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for the profession. Burlington, MA: Jones & Bartlett Learning.
Strassser, R. (2016). Learning in context: Education for remote rural health care. Rural & Remote Health, 16(2), 1-6.
Williams, M. A. (2012). Rural professional isolation: An integrative review. Online Journal of Rural Nursing & Healthcare, 12(2), 3-10.

academics Staff replied 11 months ago

It is true to state that diverse populations are faced with different challenges when it comes to obtaining timely and appropriate health care (DeNisco and Barker, 2016). Rural populations are faced with greater challenges in accessing quality healthcare as compared to their urban counterparts. Also, in complimenting the author further, the masters prepared nurse is obligated with the task of helping to improve the quality of healthcare services accorded to diverse groups of patients. He/she should work alongside other physicians towards reducing ethnic and racial disparities in the access to quality healthcare. Further, I agree with the author that coordinated care is a crucial element in ensuring effective and quality services in the healthcare sector (Williams, 2012). The similarity between population health ethics and medical ethics also goes unnoticed. Experts in both the public and private sectors consider cultural competence a crucial element of strategies to reduce disparities in care (Strassser, 2016). Lastly,
I concur with the author that justice is very important in the healthcare sector. It serves as
empirical evidence linking fairness and cultural competence to improvements in service delivery.

Sense Academics Staff answered 11 months ago

Hi, here are some other answers to your questions:
 
Identify population groups facing greater challenges and barriers in accessing healthcare services. Discuss the challenges faced in rural health.
As the population in the United States continues to grow and more immigrants arrive to the country, so does the number of populations facing barriers to healthcare. Poverty has been the number one factor in many populations facing the difficulties they do to access healthcare. Being one of the few developed countries in the world that does not provide socialized medicine, prices for basic healthcare needs is far out of reach for many populations. According to DeNisco & Barker (2016), certain populations are at greater risk for not accessing healthcare these populations include racial and ethnic minorities, uninsured children, women, those living in rural areas, the homeless, the mentally ill, the disabled, and people living with HIV/AIDS. Concerns in rural areas are typically related to distance and lack of available medical care. Many populations living in rural areas are not able to seek care in a timely manner or in a case of emergency. They also would rather not have to travel long distances for routine check-ups or follow-up appointments. Living in Ocala was a perfect example of this. Many patients I would go do home visits for in rural farm houses did not want to go to the emergency room because of the long drives and distance away from loved ones. Also, many patients were obligated to see physicians they did not like because of lack of availability.
 
Discuss measures the master’s prepared nurse can utilize to improve access to care. Is care coordination important to population? If so why, if not why.
Masters prepared nurses may take many measures to improve access to care. Being educated and understanding cultural diversity plays a big role in helping the population seeking medical care. For example, if a patient living in a rural area visits a masters prepared nurse who educates the patient appropriately and makes them feel comfortable, the chances of the patients coming back, once they understand and have been educated on the importance of their visit, will be increased. Educating the population in hospitals and clinics can make a big difference in the decisions patients make. Care coordination increases communication between the patient and the healthcare providers. This in turn provides better quality of care for the patient and is important to various populations.
 
In what ways does population health ethics differ from medical ethics? In what way are they similar?
Population health ethics more often refers to interactions between healthcare facilities, such as, hospitals, urgent care centers, healthcare providers offices and the patient population. Medical ethics refers to the relationship between physician and patient. Autonomy, beneficence, justice, and nonmaleficence pertain to medical ethics whereas interdependence, community trust, fundamentality, and justice. Both ethics have justice in common which is, according to DeNisco & Barker (2016), “the obligation to be fair in the distribution of benefits and risks.”
 
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 masters prepared nurse needs to understand that not all populations can afford the treatment required or suggested by healthcare professionals. Many patients I have seen in hospitals, who are low income, have said to me to let them know which are the most important medications because they will not be able to afford all of them. Many admissions we received were also due to certain patient populations not taking their prescribed medications due to not being able to afford them. All patients, regardless of income deserve the best available treatment to them. It is important for the masters prepared nurse to be aware of these disadvantages and have the appropriate resources to be able to help these patient populations to afford the treatment they require.