Access to Health Care Journal
Access to Health Care Journal
Access to Health Care Journal
Give me any journals or Public Health Article Databases then do Reaction of it.
need just one page ( 1 paper)
The committee was tasked with identifying factors that influence a person’s use of health-care services, including poverty and level of urbanization. This chapter will address those factors. The committee has organized the beginning of the chapter around individual and societal determinants of health-care utilization, including factors that affect the need for care, the propensity to use services, and barriers to the use of services. That is followed by a brief overview of disparities in the use of health care that have differentially affected different population groups. Finally, it concludes with a discussion of what is known about the relationship between disability status and use of health-care services.
People use health-care services to diagnose, cure, or ameliorate disease or injury; to improve or maintain function; or to obtain information about their health status and prognosis. Health-care utilization can be appropriate or inappropriate, of high or low quality, and of high or low cost. Types of health-care utilizations are described in detail in Appendix A.
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The health-care delivery system has undergone great change over the past few decades. New and improved drugs, devices, procedures, tests, and imaging machinery have changed patterns of care and sites where care is provided (NCHS, 2003). The growth of ambulatory surgery has been influenced by improvements in anesthesia and analgesia and by the development of noninvasive or minimally
invasive techniques. New and improved, and less invasive, procedures are available to treat a number of previously untreatable conditions in a variety of new sites of care, or even in physicians’ offices. New drugs can cure or lengthen the course of disease, although often at increased cost or increased utilization. Combinations of technologies can be more effective than individual ones, such as the combination of drugs now used to treat HIV/AIDS, combination chemotherapy for many types of cancers, and the recent creation of scanning machines that combine positron emission tomography and computed tomography or positron emission tomography and magnetic resonance imaging. As some technologies become easier to use and less expensive, as equipment becomes more transportable, and as recovery times for procedures are reduced, even complex technologies move out of hospitals and institutional settings and into ambulatory surgery centers, provider offices, outpatient facilities, imaging centers, and patients’ homes and become more accessible. The average length of hospitalizations decreased with the diffusion of new technologies until 2010 and has been constant since then
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