Access-to-Care in Different Situations Assignment

Access-to-Care in Different Situations Assignment

What are the issues with access to care in the given situations? Provide at least two solutions to the access-to-care problems in these scenarios.
Access-to-Care Scenarios in Various Situations Assignment:
Mr. A is a thirty-year-old African-American man. His employer covers his health insurance, which includes emergency room visits, hospitalization, and some preventive-care services like yearly physicals. He has to spend one to three hours at the doctor’s office every time he schedules an appointment for preventive-care services. In addition, after each office visit, he must schedule follow-up appointments for laboratory tests.
Mrs. B is a 30-year-old African-American mother of two.
She works at a company that does not provide health insurance to its employees. Mrs. B and her children frequently visit the emergency room for medical care.
Mr. C, a 52-year-old Asian male, is unemployed and has not seen a doctor in at least eight years. He only speaks a little English. He’s been dealing with some health issues. Furthermore, he was recently informed of a free clinic located just a few miles from his apartment. The local health clinic has no Asian healthcare providers. He is concerned about healthcare provided by anyone other than Asian providers.
Mrs. D and her husband, a middle-aged Caucasian couple, have recently relocated to a rural area. They are both on medications for chronic health conditions that necessitate bimonthly doctor visits. Their car recently broke down, and there is limited bus service in their neighborhood. They are having difficulty getting to appointments and obtaining medications. They are also less motivated to seek treatment because they have major disagreements with their primary care physician, a young woman in her early thirties. CLASSROOM ADDITIONAL INSTRUCTIONS

For millions of Americans who live in impoverished rural and urban areas, their hospital is a critical, and frequently sole, source of health care. As the hospital and health care system continues to shift, some communities may lose access to health care services, as well as the opportunity and resources necessary to improve and maintain their health. It is necessary to develop integrated, comprehensive solutions for health care delivery and payment reform that allow vulnerable groups to make individual choices based on their requirements, support structures, and preferences.

The authors of this Invited Commentary discuss the characteristics and parameters of vulnerable communities, as well as the critical health care services that hospitals should strive to maintain on a local level, as identified by the American Hospital Association Task Force on Ensuring Access in Vulnerable Communities. Additionally, they detail four of the task force’s nine emerging options for reforming health care delivery and financing and allowing hospitals to provide key health care services, as well as implementation challenges and how to overcome them. While this Invited Commentary focuses on vulnerable communities, the four highlighted strategies (addressing social determinants of health, implementing new and innovative virtual care strategies, developing global budgets, and implementing inpatient/outpatient transformation strategies), as well as the remaining five strategies, may be applicable to all communities.


Every day, hospitals and health systems navigate the risks and opportunities inherent in an ever-changing health care environment. The American Hospital Association (AHA) has been focusing on meeting today’s and tomorrow’s demands by redefining the hospital—or the “H”—in order to better serve patients and communities, develop new models of care and collaboration, address affordability and value, and advance health in the United States.


The AHA designed our Path Forward to enhance the health of all patients and communities by committing to five areas: access, value, partnerships, well-being, and coordination.


1 The health care field must work to ensure that all individuals have access to affordable and equitable health, behavioral, and social services; increase individual value; embrace individuals’ diversity and serve as partners in their health, including connecting with them in ways that make sense in the digital age; prioritize well-being and partnerships with community organizations; and coordinate and integrate care.2


Around one in four Americans, or 77 million people, suffer from numerous chronic conditions, and spending on patients with multiple chronic conditions accounts for 71% of total health care spending across all settings in the United States.


3 A component of redefining the “H” is reacting to the new reality of assisting patients with various chronic diseases in taking control of their health.


Additionally, redefining the “H” demands an emphasis on quality improvement, population health management, and a shift away from volume toward value. Finally, this change will enable seamless care coordination and service integration to effectively manage populations, resulting in improved outcomes and value for patients and health care providers.


We are adamant that quality and performance improvements are vital in tackling health care’s environmental transformations and difficulties. If the cornerstone of health care organizations, providing high-quality care will not waver even as the national health care system’s structure changes.

Discussion Questions (DQ)

  • Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words.
  • Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
  • One or two-sentence responses, simple statements of agreement, or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
  • I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

  • Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
  • In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
  • Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
  • Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

  • Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
  • Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
  • I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

  • I discourage overutilization of direct quotes in DQs and assignments at the Masters’s level and deduct points accordingly.
  • As Masters’s level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
  • It is best to paraphrase content and cite your source.


LopesWrite Policy

  • For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
  • Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
  • Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
  • Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

  • The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
  • Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
  • If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
  • I do not accept assignments that are two or more weeks late unless we have worked out an extension.
  • As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.


  • Communication is so very important. There are multiple ways to communicate with me: 
    • Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
    • Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.



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