Planning Better Health for the Future
Planning Better Health for the Future
Healthy People 2020
The Healthy People 2020 website developed by The National Center for Health Statistics is a national resource aimed at tracking the nation’s health (HealthyPeople.gov, 2018). SAMHSA’s National Registry of Evidence-based Programs and Practices promote the adoption of scientifically proven health strategies. This is meant to increase positive outcomes as healthcare provision is important and decisions regarding health care must be well informed (HealthyPeople.gov, 2018). Evidence-based practice provides the best and current practice from experts and has been proven as an effective problem solving approach mostly in issues affecting the healthcare sector. This platform provides information, which is aimed at empowering individuals to make informed decisions and encourage the communities to collaborate with the healthcare sector (HealthyPeople.gov, 2018).
Increasing Access to Healthcare Program
Increasing access to healthcare is a community based health program meant to improve access to comprehensive quality healthcare services to the citizens of the United States (Institute of Medicine, 2011). Access to healthcare services is one of the objectives of the federal as well as the state governments. There are a number of ways that access to quality healthcare can be improved. This includes the establishment of healthcare facilities, educational programs to increase the knowledge of the citizens on the importance of healthcare services, and increasing healthcare insurance cover (Institute of Medicine, 2011). A majority of the United States population lack access to quality healthcare services due to their low-income levels, which makes it a major challenge in accessing this basic need. With the Affordable Care Act, individuals are now able to access healthcare insurance cover (Perrin, 2014).
Access to quality healthcare is important in improving the overall health status of all citizens in the United States and plays an important role in promoting health, maintaining, preventing, and managing diseases across the nation (Institute of Medicine, 2011). This also increases life expectancy, which has an impact on the workforce impacting the economy of a nation (Institute of Medicine, 2011). The barriers to accessing healthcare services include the high cost of accessing healthcare services, unavailable healthcare services, limited insurance coverage, and culturally incompetent care (HealthyPeople.gov, 2018). This program is meant to serve all the citizens of the United States especially the minority and those living in geographical locations with limited access to healthcare services (Perrin, 2014).
Rationale for the Program
Due to the increasing healthcare demands, the current population is having a challenge in accessing healthcare services. The current reforms by the government are meant to increase healthcare coverage, as heath care provision is a role of the government (Black, Balneaves, Garossino, Puyat, & Qian, 2015). Some of the strategies aimed at increasing healthcare coverage include increasing healthcare insurance coverage and addressing the nursing shortage issue (Black et al., 2015). Due to the rising costs of accessing healthcare services, a majority of the population are unable to access this basic need. This has led to poor health outcomes, which may have a negative impact on other sectors of the economy as healthcare affects all other sectors (Black et al., 2015). The barriers to accessing healthcare services lead to negative outcomes, which include the inability to access preventive healthcare, delays in receiving appropriate health care, which may lead to worsening of health conditions, and unmet healthcare needs (Black et al., 2015).
With America spending more money on the provision of healthcare than any other nation, access to all populations has not yet been achieved and this program is aimed at increasing access to the neglected and minority populations, which are unable to access healthcare (Black et al., 2015). Healthcare services include important healthcare processes, which include prevention, treatment, and support to individuals in addressing healthcare concerns. Due to the increase in chronic illnesses attributed to poor lifestyles and the high population of old Americans attributed to the baby boomers, the current healthcare system is having a challenge in addressing the issues facing these populations (Black et al., 2015).
Most of the chronic illnesses, which include hypertension, diabetes, and cancer, require continuous care and monitoring which must be provided by healthcare facilities. If individuals suffering from these conditions do not have access to healthcare services, the healthcare goals are negatively affected (Black et al., 2015). This program will ensure that these individuals have access to the basic primary healthcare services, which help in addressing these major health issues. Preventive services are also important in preventing these health issues and other medical conditions from developing (Black et al., 2015). Other individuals are unable to access healthcare due to their geographical locations. This program is going to consider the issue of location in its implementation. Evidence-based interventions will be implemented to enable provision of healthcare services in these locations (Black et al., 2015).
This program is also aimed at solving the issue of inequality in the provision of healthcare across the United States (Perrin, 2014). Due to the differences in socioeconomic status and demographic factors, there has been unequal and disparities in healthcare distribution among the communities in the United States. To increase the efficiency of healthcare efficiency across the United States, all Americans must be able to access quality healthcare. Improved healthcare facilities will lead to a decrease in medical errors, which will improve healthcare outcomes (Perrin, 2014).
Program Establishment to Remain Culturally Competent
Increasing healthcare access will involve involving the community in the development and implementation of the program. Increasing access to healthcare program will be established through increasing health insurance coverage. Insurance coverage should be provided to all individuals regardless their ethnicity or socioeconomic levels (Dreachslin, Gilbert, & Malone, 2013). This program will ensure that any strategies implemented will be able to meet cultural as well as social needs of the diverse community. Healthcare programs should consider cultural and social factors of the local community to improve the reception and healthcare outcomes (Dreachslin, Gilbert, & Malone, 2013). Healthcare programs are meant to impact everyone in a nation including the minority individuals with different cultural backgrounds. This is meant to eliminate the healthcare disparities across the United States (Dreachslin, Gilbert, & Malone, 2013).
Programs should be respectful to the different cultural and ethnic group beliefs and practices across the United States. Healthcare professionals serving the public in the new healthcare facilities and programs should be culturally aware and adapt to the culture of the communities they serve (Dreachslin, Gilbert, & Malone, 2013). Establishing a culturally competent program also involves creating an environment accommodating different individuals from the diverse cultural and social backgrounds (Dreachslin, Gilbert, & Malone, 2013). This can be achieved by addressing internal biases and identifying areas for cultural growth. The program should be established in a respective, open, and honest way. This includes involving the community in decision-making and in the implementation process (Dreachslin, Gilbert, & Malone, 2013).
Involvement of the community in the decision-making process will promote commitment by the community in the implementation of the program. Cultural and social backgrounds may influence how a community perceives healthcare processes and it is important to research on a given populations’ behaviors and perceptions regarding healthcare (Dreachslin, Gilbert, ; Malone, 2013). There should be set guidelines to monitor and access cultural competence of the staff members involved in implementing the program. Cultural competence can be achieved through community sensitization and health education on how to access healthcare services and the available options. Recruiting community health workers instead of bringing foreigners or members from different cultural backgrounds should also be practiced (Dreachslin, Gilbert, ; Malone, 2013).
Effects of Budgetary Restraints Limiting Research in That Field
Budgets are important in the management and control of programs. Budgets provide resources for research, planning, and implementation process of programs (Duffy, 2013). A budget ensures that costs are managed in the establishment of programs. Increasing access to healthcare program requires adequate resources in all the processes concerning the program. For a program to be successful, adequate research must be conducted (Duffy, 2013). Research is important as it determines the next course of action by providing adequate knowledge about certain objectives. Research is going to inform participants of the program and must be adequately conducted affecting the implementation of the community-based program (Duffy, 2013).
A limited research will provide inadequate information regarding the challenges faced by individuals in accessing healthcare services (Duffy, 2013). A limited research will also not provide adequate information on the best strategies to implement that will address the issue of lack of access to healthcare services. This may affect the budget allocation planning for other resources, which may impact the success of the program (Duffy, 2013). Research provides evidence-based strategies, which will increase the chances of positive outcomes in the implementation of the program. Without this information, the strategies used may not be accurate depending on a particular region or population negatively impacting the outcomes (Duffy, 2013).
Well-conducted research is important in the development and implementation of healthcare interventions (Duffy, 2013). Research creates a foundation in the development and implementation of programs by enhancing the knowledge of researchers. Research also provides information to enable strategic planning in program development (Duffy, 2013). Inefficient research will affect other important areas of a program development, which include the costs related to the development and implementation of the program. Poor planning may lead to increased costs negatively affecting the implementation and outcome of the community-based program (Duffy, 2013).
Black, A. T., Balneaves, L. G., Garossino, C., Puyat, J. H., ; Qian, H. (2015). Promoting Evidence-Based Practice Through a Research Training Program for Point-of-Care Clinicians. The Journal of Nursing Administration, 45(1), 14–20.
Dreachslin, J. L., Gilbert, M. J., ; Malone, B. (2013). Diversity and cultural competence in health care: A systems approach. San Francisco, CA: Jossey-Bass.
Duffy, J. R. (2013). Quality caring in nursing and health systems: Implications for clinicians, educators, and leaders. New York, NY: Springer Pub.
HealthyPeople.gov. (2018). Healthy people 2020. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/Access-to-Health-Services/ebrs
Institute of Medicine (U.S.). (2011). Leading health indicators for healthy people 2020: Letter report. Washington, D.C: National Academies Press.
Perrin, K. M. (2014). Essentials of Planning and Evaluation for Public Health. Sudbury: Jones ; Bartlett Learning, LLC.