Healthcare Equity and Access in Specialty Areas

at
Categories
Tags

 

 

My focus area if Women’s Health. Obstetrics and Gynecology. Women present to the clinic for annual cervical cancer screening, pap smears, breast exams etc. Majority of the patient that present to the clinic are of lower income, no income and are affected by social economic disparities. I want to focus on that and cervical cancer screening.

 

 

Sample Solution

Healthcare Equity and Access in Specialty Areas

Despite continued improvements in survival from preventable disease, significant disparities remain. Black women are just as likely as non-Hispanic White women to receive a diagnosis of breast or cervical cancer, but they are 20% more likely to die from breast cancer and twice as likely to die from cervical cancer (American Cancer Society. There are many causes, but lack of screening is an important factor. Groups that are least likely to receive preventive screening, or to have timely, high-quality follow-up include those with limited or no health insurance, limited education and literacy, and no regular source of care, as well as those who are subject to discrimination based on racial, or ethnic. Despite coverage of clinical preventive services under the Affordable Care Act and Medicaid expansion, the lower financial burden has not been sufficient to overcome. A team approach is one of the most effective ways to pursue prevention efforts, allowing physicians to focus on patients` social and cultural situations to more effectively tailor care.

While a set of frameworks complement and build on each other, the delineation of the concept focuses heavily on vertical versus horizontal dimensions in a time-sliced fashion. That is, time dimension in accountability has not been of primary importance. However, it is worth noting that the time dimension is closely interrelated with a series of conceptual distinctions made in previous literature, and it may cover complementary aspects of the question concerning two sequential lines represented by administrative responsibility versus political accountability. First, the positioning of accountability actors depends on the time dimension. Civil servants usually have longer terms to serve the public interest over the long term. At the same time, they are responsible to the elected representatives of the public who tend to have “a limited time horizon” and “prefer policies that yield tangible benefits for constituents in the near term” (Posner, 2004: 137). For this reason, the priorities expressed by elected officials may be far more related to short-term issues and temporal problems instead of long-term solutions, whereas the long-lasting forms of civil service personnel would prioritize sustainable solutions to secure a long-term perspective of the citizens, both current and in the future. Second, the time frame is essential to distinguishing between two main streams of accountability. Accountability mechanisms focus predominantly on retroactive accountability for the past outcomes, while accountability as a virtue takes a proactive approach to ensuring ethical behaviors in the future. The timeline is also useful to distinguishing between ex ante accountability of the decision-making process leading up to the decision and ex post accountability where the results available from the decision already taken or where questions of compliance are identified and addressed. In other words, ex ante accountability refers to being accountable for the decision before an administrator act, while ex post accountability is suggestive of situations where administrators are accountable for the outcome of their decisions. For example, the focus of traditional bureaucratic administration is very much

This question has been answered.

Get Answer