The four significant concepts determining access to care areaccessibility, affordability, accommodation, and acceptability.
is the ease of being able to receive care from a healthprofessional for a disorder or disease (Shi & Sing, 2008). Both geographiclocation and types of services influence accessibility (Markenson, 2010). Forinstance, a person in a rural community would likely have lower accessibilityto many services taken for granted by those in urban areas; however, ruralindividuals may have higher accessibility to some types of services due toshorter wait times and greater availability in a doctors schedule.Austin HolmesHPM5001 Spring 2010Professor Markenson
refers to the ability of individuals to pay for neededmedical service (Markenson, 2010). If deductibles, co-insurances and/or co-payments are too high, access to care will diminish and utilization of care willdecrease in accordance with market theories and supply/demand curves (Shi& Singh, 2008).
is a measure of how well a business adapts itspolicies and procedures to the needs of the population and/or its patientbase (Shi & Singh, 2008). For instance, if many of the patients work duringthe weekday, a Saturday clinic could be opened to meet the needs of thesepatients. An Inflexible schedule reduces accommodation, thus reducingaccess to care and inversely, a flexible schedule increases accommodation,thus increasing access to care.
refers to the openness of patients to receive care fromhealth care professionals. For instance, some patients only like to receivecare by either a male or female provider, or by a provider of a specific race(Shi & Singh, 2008). Also, wait times, and the doctors ability/desire to explainthe condition are both very influential factors in the patients acceptability of care being offered (Shi & Singh, 2008).
Identify which government agencies regulate the U.S. emergencymedical system and describe their responsibility.
The emergency medical system can be broken down into two maincategories; normal emergency response and disaster response. There areagencies at the federal, state and local level to handle these responses, andin many an agency may be responsible for both type of responses.At the federal level, there are five (5) main agencies (NHTSA, 2009).First, the
Department of Transportation; National Highway Transportation Safety Administration Department of Emergency Medical Service
is responsible for creating standards and guidelines foreveryday EMS practice. Most importantly, this department is responsible forthe educational standards for emergency services personnel from firstresponders to paramedics and everything in between. Second, the