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NHS FPX 6008 Assessment 2 Needs Analysis for Change

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    NHS FPX 6008 Assessment 2 Needs Analysis for Change

    Student Name

    Capella University

    NHS-FPX 6008 Economics and Decision Making in Health Care

    Professor Name

    Date

    Need Analysis for Change

    In this assessment, the need analysis for change will highlight the vast and emerging healthcare economic issue of limited access to care for Tampa General Hospital, Florida. With adequate access to care, community health and the economy will be improved. Moreover, vulnerable populations of low socioeconomic backgrounds or people encountering geographical barriers often face health disparities and diminished access to healthcare services and treatment. Therefore, addressing this primary healthcare concern and analyzing how to improve access to care for the general population and particularly vulnerable groups is paramount. This will predict outcomes and opportunities for growth once the proposed changes are analyzed and implemented.

    Summary of Healthcare Economic Issue

    The chosen healthcare economic issue is limited access to healthcare. The availability of healthcare services and adequate access to them can potentially treat diseases timely and prevent their long-term impacts on patients. However, in Tampa General Hospital, the access to care is a tremendous issue. Many nations face this healthcare issue globally, where hundreds of millions lack access to care due to poverty and inability to bear healthcare expenses (World Health Organization, n.d.). This issue profoundly impacted my work, organizational functionality, colleagues, and community. 

    Having witnessed this issue in my healthcare organization, I was deeply impacted by this heinous healthcare economic issue. I could not function properly watching impoverished people lack basic healthcare necessities due to costly treatments and medical bills. Moreover, the diverse group populations facing limited access to healthcare due to geographical barriers were dying due to ill management of chronic disease. The existence of health disparities and geographical barriers in accessing care made me sad and confused, which impacted my nursing practice. I made a few errors that were fortunately recovered promptly. My colleagues had similar feelings, and their minds were boggling due to limited access to healthcare services.

    NHS FPX 6008 Assessment 2 Needs Analysis for Change

    Moreover, my organization encountered the aftermaths of this healthcare economic issue, including higher costs due to enhanced hospital readmission rates and declining reputation. The community was the most affected body, particularly those with low socioeconomic status and living in remote areas. This issue caused them various health problems, including poor management of chronic conditions, delayed diagnoses, further increasing costs to their treatments, and increased length of hospital stay.

    The rationale for pursuing this issue is my inspiration from my experience of witnessing people suffer due to limited access to care. Furthermore, adequate access to care is the right of every citizen regardless of their location and socioeconomic status. Therefore, I strongly advocate the need for analysis for change on this peculiar topic impacting millions of lives and their health. The gaps contributing to the need for addressing this healthcare economic issue are geographic disparities and socioeconomic barriers. These gaps must be adequately addressed to change the system to improve access to care for all citizens.

    Socioeconomic or Diversity Disparities

    The healthcare economic issue of lack of adequate access to care particularly impacts low-income populations, where people suffer from financial constraints and cannot bear basic health necessities. The lower-income populations tend to suffer various health inequalities as they cannot manage the healthcare costs and remain unserved. This leads to limited access to basic healthcare services and worsening health outcomes due to unmanaged health conditions (Mishra et al., 2021). 

    Moreover, people from remote areas and underserved communities are vulnerable groups who encounter diversity disparities. Due to geographical barriers, people often neglect seeking medical care, and delay required health checkups. The limited access to care for people living in remote areas significantly hinders regular health checkups (Nguyen et al., 2020). Moreover, health disparities persist for people with disabilities due to a lack of accommodations and specialized services, causing physical barriers to accessing care (Doherty et al., 2020). The health disparities, particularly for these groups, necessitate changes in healthcare systems to enhance access to these groups so their health outcomes can be improved.

    Evidence-Based Sources for the Need to Address Issue and Implementation Plans

    Limited access to healthcare services has been a global issue, as WHO states that half of the global population lacks access to primary care services (World Health Organization, n.d.). Consequently, several evidence-based research studies address this primary health concern, aiming to provide adequate healthcare services to all populations, including vulnerable groups. According to McMaughan et al. (2020), limited access to care in lower-income people can increase morbidity rates, resulting in further poverty and reduced access to care. In addition, another study emphasized the need for improved healthcare access for rural populations as they face significant challenges in obtaining essential healthcare services.

    Specifically, rural populations are less affluent, sick, and older, with poorer health outcomes (Wilson et al., 2020). Similarly, a study highlights the pressing need for health equity and enhanced access to care for socially and culturally marginalized young people. The presence of multiple discriminations and access barriers such as cost, service locations, gender and racial differences, and confidentiality concerns have severely impacted low-income and homeless young people living in rural areas (Robards et al., 2019). This has resulted in poor health outcomes affecting their life at a young age. The potential changes and implementation plans based on research are highlighted in one of the studies by Jeste et al. (2020), where it is advocated to increase access to healthcare and educational services for disabled individuals through videoconference sessions and telehealth services to meet their medical, educational, and health needs adequately (Jeste et al., 2020).

    NHS FPX 6008 Assessment 2 Needs Analysis for Change

    Literature also supports procuring rural-based solutions to provide care to rural populations closer to home and narrow health disparities (Wilson et al., 2020). This can be achieved by integrating telehealth services and social media to improve health literacy and involve professionals. Through telehealth, vulnerable population groups will acquire healthcare consultations, care treatments, and education with better access overcoming geographical and financial barriers to travelling to the healthcare facilities. Enhanced access to healthcare by digital healthcare technology will result in better health implications and economic stability. Another potential change to improve healthcare access for lower socioeconomic people is enhancing health insurance coverage and expanding Medicaid access, leading to better health outcomes (McMaughan et al., 2020). Thus, it is essential to address the issue using effective implementation plans. 

    Predicted Outcomes and Opportunities for Growth

    Effective strategic plans to enhance healthcare access for vulnerable populations can yield significant positive outcomes and growth opportunities. These outcomes can strengthen both the organizational and community economies. Moreover, they have the potential to improve community health. The predicted results and opportunities by employing the implementation plans are as follows:

    Improved Health Outcomes and Opportunities for Growth

    By implementing plans such as enhanced healthcare insurance coverage and use of telehealth, organizations focus on delivering healthcare services to all population groups promoting health equity and social justice. This will improve health outcomes, particularly for populations with low socioeconomic status, disabilities, and remote population groups. The timely diagnoses and interventions will lead to fewer chances of incidence of chronic diseases. As a result, disease progression will be reduced leading to reduced mortality and comorbidity rates.

    Consequently, the healthcare cost burden will be reduced for patients and organizations (McMaughan et al., 2020). Organizations that advocate enhancing access to care for all citizens can foster strategic partnerships with other stakeholders, such as healthcare providers, insurance companies, and other community organizations. These partnerships will lead to collaborative initiatives driving growth and expanding organizational influence. Care planning and resource management will lead to economic benefits (Gharaee et al., 2019). 

    Reduced Healthcare Costs and Increased Revenue

    Better healthcare access with proposed implementation palms, healthcare providers can facilitate earlier diagnosis and interventions. This will reduce healthcare costs due to costly interventions on worsening health outcomes (Eckelman et al., 2020). Moreover, implementing telehealth for remote areas can save costs due to extensive commutes and improve the economy. Moreover, with increased access to care for all population groups, patient volume will be high, ultimately increasing revenue for healthcare organizations. Furthermore, expanded appointments, consultations, procedures, and interventions translate to greater financial stability and growth opportunities (Yip et al., 2019). 

    Conclusion

    Limited access to care is a significant healthcare economic issue globally. This prevailing issue in Tampa General Hospital impacted my work, organizational functions, colleagues’ work, and community. This issue mainly affects low-income populations, rural areas, and population groups with disabilities, leading to worsening health outcomes and further economic constraints. The evidence-based studies also highlight the importance of addressing this issue and promoting implementation plans that enhance access to healthcare services for lower-income populations, disabled individuals, and dwellers of rural areas. The predicted growth outcomes resulting from proposed changes or implementation plans are improved health outcomes, decreased healthcare costs, increased revenue, and expanded growth due to strategic partnerships for increasing healthcare access.

    References

    Doherty, A. J., Atherton, H., Boland, P., Hastings, R. P., Hives, L., Hood, K., James-Jenkinson, L., Leavey, R., Randell, L., Reed, J., Taggart, L., Wilson, N., & Chauhan, U. (2020). Barriers and facilitators to primary health care for people with intellectual disabilities and/or autism: An integrative review. BJGP Open, 4(3). https://doi.org/10.3399/bjgpopen20X101030 

    Eckelman, M. J., Huang, K., Lagasse, R., Senay, E., Dubrow, R., & Sherman, J. D. (2020). Health care pollution and public health damage in the United States: An update. Health Affairs, 39(12), 2071–2079. https://doi.org/10.1377/hlthaff.2020.01247 

    Gharaee, H., Tabrizi, J. S., Azami-Aghdash, S., Farahbakhsh, M., Karamouz, M., & Nosratnejad, S. (2019). Analysis of public-private partnership in providing primary health care policy: An experience from Iran. Journal of Primary Care & Community Health, 10, 215013271988150. https://doi.org/10.1177/2150132719881507 

    Jeste, S., Hyde, C., Distefano, C., Halladay, A., Ray, S., Porath, M., Wilson, R. B., & Thurm, A. (2020). Changes in access to educational and healthcare services for individuals with intellectual and developmental disabilities during COVID‐19 restrictions. Journal of Intellectual Disability Research, 64(11), 825–833. https://doi.org/10.1111/jir.12776 

    McMaughan, D. J., Oloruntoba, O., & Smith, M. L. (2020). Socioeconomic status and access to healthcare: Interrelated drivers for healthy aging. Frontiers in Public Health, 8(231). https://doi.org/10.3389/fpubh.2020.00231 

    NHS FPX 6008 Assessment 2 Needs Analysis for Change

    Mishra, V., Seyedzenouzi, G., Almohtadi, A., Chowdhury, T., Khashkhusha, A., Axiaq, A., Wong, W. Y. E., & Harky, A. (2021). Health inequalities during COVID-19 and their effects on morbidity and mortality. Journal of Healthcare Leadership, 13(13), 19–26. https://doi.org/10.2147/jhl.s270175 

    Nguyen, N. H., Subhan, F. B., Williams, K., & Chan, C. B. (2020). Barriers and mitigating strategies to healthcare access in indigenous communities of Canada: A narrative review. Healthcare, 8(2), 112. https://doi.org/10.3390/healthcare8020112 

    Robards, F., Kang, M., Steinbeck, K., Hawke, C., Jan, S., Sanci, L., Liew, Y. Y., Kong, M., & Usherwood, T. (2019). Health care equity and access for marginalised young people: A longitudinal qualitative study exploring health system navigation in Australia. International Journal for Equity in Health, 18(1). https://doi.org/10.1186/s12939-019-0941-2 

    Wilson, C. R., Rourke, J., Oandasan, I. F., & Bosco, C. (2020). Progress made on access to rural health care in Canada. Canadian Family Physician, 66(1), 31–36. https://www.cfp.ca/content/66/1/31.short

    World Health Organization. (n.d.). World bank and WHO: Half the world lacks access to essential health services, 100 million still pushed into extreme poverty because of health expenses. https://www.who.int/news/item/13-12-2017-world-bank-and-who-half-the-world-lacks-access-to-essential-health-services-100-million-still-pushed-into-extreme-poverty-because-of-health-expenses  

    Yip, W., Fu, H., Chen, A. T., Zhai, T., Jian, W., Xu, R., Pan, J., Hu, M., Zhou, Z., Chen, Q., Mao, W., Sun, Q., & Chen, W. (2019). 10 years of health-care reform in china: Progress and gaps in universal health coverage. The Lancet, 394(10204), 1192–1204. https://doi.org/10.1016/S0140-6736(19)32136-1