Well it seems like community health centers expand to provide care for those with little or no income. The federal government can provide funding to develop additional access to medical communities that are struggling financially. People in the U.S. utilize health care services for many reasons, to prevent disease, prevent future illnesses, and to eliminate pain. Men have the tendency to wait until the last minute to check their health status or until they develop a symptom. Women on the other hand are different in this aspect. The factors that John’s health care utilization is that the situation he is in, his approved physician is 40 minutes away and that the appointment has to be set 2 weeks in advance. That creates a dilemma in John’s life because now he feels like he is stuck without an option. There is a solution to solve this problem if we take the information that is given in the story. With John and his daddy’s condition, that makes it more difficult to get the appropriate care that they need because they have to wait for two weeks to get treated.
I believe that with the proximity and the times that they accept patients because they don’t offer weekend and evening hours, I think John should find another option. The kind of insurance he has, the area he lives in, his level of income, his transportation issues and his health conditions are some of the factors that affect John. You can’t put your health on hold; if it needs immediate attention then you should go and seek what is nearest to you regardless of the coverage. There are local doctors and him and his father both should go before things progress further. I think that the factors that are equal, they can be mutable and immutable. Things that could be mutable can be that John could possibly get a job that already has good health insurance coverage instead of having to rely on Medicaid. He could get a higher paying job to pay for the medical expenses if he doesn’t have health coverage. John can change his living arrangements and move closer to a health care facility that accepts his form of insurance such as Medicaid and that could help him to be in the distance of getting better health care.
Also John has transportation issues so to solve that, if John has doctor’s appointments, Medicaid can pay for the ride at no charge to get him to his destination. That is an added benefit that Medicaid offers and is very useful. The things that are immutable are John’s health condition, that situation cannot be modified or changed as well as his father’s health condition. It can be with proper nutrition or change the lifestyle but probably, the condition is unlikely to change.
Aside from John and his Primary Care Provider, some other stakeholders involved in receiving Medicaid can include senior Medicaid and agency leadership, the State legislature and the Centers for Medicare and Medicaid Services (CMS). The reason for a stakeholder is for care management and managing expectations of the care program. The rise and cost and spending effects that many stakeholders include are things like the consumer, government, physicians, and elderly. Healthcare Cost and Utilization Project (HCUP). August 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/data/hcup/index.html