System-Based Health Disparities
Health docket is facing serious issues that are negatively shaping the field. Systems in health care are only offering care to the diversity of the population of the patients (Fredriksen et al., 2013). Among the topics in focus that are destroying the availability of quality health care are racial, economic instability and ethnics. However, disparity crisis has increasingly dominated the hospitals’ leadership team, staff, and board.
A defined system based perspective in relation to health disparity
Typically health care is the difference group faced by a group in access to, quality of care, coverage in health insurance and use of care. It can be as well explained as a need that cannot be explained by variation in the need of the health, treatment recommendation, or patient preferences. Moreover, health inequity and health inequality are also used to define disparities. Health disparities and inequality are mostly experienced in socioeconomic status, age, gender, language, disability status, and orientation and sexual identities from the system approach. Reducing the Medicaid funding is also a factor would result in health disparity. (Lê Cook, B et al., 2012)
Nursing role in addressing health inequalities
The Affordable Care Act (ACA) created to provide, enroll assistance, outreach to those eligible for Medicaid coverage majorly helps in reducing the health inequity. Moreover, the absolute and relative terms of reducing the health inequity are evidence of achieving greater and better health care from a system based perspective. Moving towards health equality is by selectively raising the health standards of those who are socially and economically disadvantaged and not be necessarily worsening the health of those who are advantaged.
The ACA coverage fund reduction. As disparity concern is very important as the population becomes diverse. The past decades there has been a great focus of reducing disparity in the health care system (Binswanger, I. A., et., 2016). However, federal change may result in losses in coverage which in turn could have led to reversing the current progress reducing health care inequity.
Binswanger, I. A., Redmond, N., Steiner, J. F., & Hicks, L. S. (2016). Health disparities and the criminal justice system: an agenda for further research and action. Journal of Urban Health, 89(1), 98-107.
Fredriksen-Goldsen, K. I., Kim, H. J., Barkan, S. E., Muraco, A., & Hoy-Ellis, C. P. (2013). Health disparities Results from a population-based study. American journal of public health, 103(10), 1802-1809.
Lê Cook, B., McGuire, T. G., & Zaslavsky, A. M. (2012). Measuring racial/ethnic disparities in health care: methods and practical issues. Health services research, 47(3pt2), 1232-1254.