Resource: Health Care Utilization Paper Grading Criteria

Select either Option A or Option B from this assignment.

Write a 1,050- to 1,400-word paper according to your chosen option.

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Option A

Health care reform is part of an ongoing debate and recent substantial legislation.

Address the following in your paper for Option A:

In what ways have recent health care reform measures expanded or inhibited access to care?

How might changes to access influence utilization?

Explain the concept of what universal health care may be, and how current care reflects or contrasts with this.

Who are the stakeholders involved in the movement towards a system universal health care?

With healthcare expansion a goal of reform, what new roles are emerging in the industry today?

Option B

John Q. recently moved to a rural community. He works full-time, but qualifies for Medicaid because of his low income. John has high blood pressure and his father recently had a heart attack. Thus, he decided to call and find out which providers nearby accept Medicaid. While there are local doctors, he discovered that the closest primary care physician who accepts Medicaid is a 40-minute drive and appointments must be made 2 weeks in advance due to the number of patients at the practice. In addition, the practice does not offer weekend or evening hours. John usually catches a ride to work with a friend or relies on public transportation.

According to Chapter 4 of The U.S. Health System: Origins and Functions, Andersen (1995) developed a model of health services utilization based on three categories of factors: predisposing, enabling, and need. These factors can be further categorized as mutable or immutable.

Address the following in your paper for Option B:

What factors may affect John’s health care utilization?

Are these factors mutable or immutable?

What are some ways to change the mutable factors?

Aside from John and his Primary Care Provider, who are some of the other stakeholders involved in his receiving Medcaid?

Reference

Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36, 1-10.

Use at least one peer-reviewed or scholarly reference to support your information.

Format your paper consistent with APA guidelines. For help with using APA format, see ‘Student Resources’ and the APA 6th Writing Style Sample Paper

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