Hello, please use HIV as the subject for the assignment. Course Competency Critique access to global healthcare. Scenario As a clinical nursing instructor working in a global health setting, you are creating a case study for your nursing students to help them better understand access to global healthcare. Instructions Based on a current global health problem, develop a case study scenario and two open-ended questions related to the scenario. Provide answers with rationales to the case study questions. The case study scenario should address variables affecting access to healthcare in a global population (at least five) The first question, answer, and rationale should address how culture and other variables impact global healthcare access. The second question, answer, and rationale should address how health disparities affect global health populations. Use APA format for citations and reference lists. Information should be supported by professional evidence published within the past
Case Study – Access to Global Healthcare
Access to healthcare is a major determinant of community and public health. Current approaches to enhancing access to healthcare services have been centered on expanding insurance coverage to vulnerable and low-income earners, healthcare technological innovations such as telehealth, cultural responsiveness in healthcare delivery, public education on care provisions, and others. Despite their effectiveness, poor access to healthcare is still a challenge in some American societies, with physical, social, economic, and cultural barriers still being implicated as causal factors for poor access to care. This paper explores variables affecting access to global healthcare through the lens of a case study on HIV.
Case Study
Mr. Kendricks is a 37-year-old African American male referred to the clinic from a remote village clinic in the Eastern part of Alaska for the management of pneumonia. He was diagnosed with HIV a year earlier but has been in denial. He claims that his miseries are because of a familial curse from his late grandmother and has been seeking divine interventions from the sorceress. The patient is a school dropout. He is unemployed, has no insurance coverage, and is late on his immunizations. He is a heavy alcohol drinker and an active cigarette smoker. During the assessment, he lamented alcohol as a causal factor for his disease. He also noted that his family has a low belief in the American healthcare system and has been against health initiatives such as immunizations and disease screening. During the physical assessment, the patient was found to be alert and oriented to space and time. He was diagnosed with opportunistic pneumonia and is set to begin antiretroviral therapy.
Variables Affecting Access to Healthcare Evident in the Case
The case study reveals some of the variables affecting access to global healthcare. This case study shows how poverty, race and ethnicity, access to healthcare facilities accustomed to geographical location, behavior, culture, and literacy/educational status affect access to healthcare. The patient, in this case, was unemployed and lacked insurance coverage. The patient was from an ethnic minority group. Ethnic minority groups in the U.S. are disproportionately affected by traditional problems of poor access to healthcare and healthcare disparity. This is because of specific factors within these groups, such as language barriers, misconceptions about the American healthcare system, or poor healthcare practices and behavior (Dawkins et al., 2021). This may be the case in the patient in the case presented.
Poor access to healthcare accustomed to a geographical location is also evident in the case. The patient is from a remote village in Alaska. The fact that he was referred to receive healthcare is another demonstration of poor access to healthcare facilities and services. Poor educational status and culture were other variables affecting access to care in the case. The patient was a school dropout. His culture was also against various healthcare practices and had low belief in the American healthcare system. The patient also attributed his suffering to a familial curse, which reveals cultural imprints in their definition of illness and disease.