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In: Nursing

Take Indian culture and writes about the impact socioeconomic status has on this culture's access to...

Take Indian culture and writes about the impact socioeconomic status has on this culture's access to care. Things to include: health care delivery systems such as cost-effective care (health insurance), preventive care, treatment plan, health promotion, and patient-centered care, etc. In addition, discuss social determinants and health disparities within this population as well as cultural healing practices, or alternative treatment methods. Lastly, select a cultural competency model that best supports this cultural group, and explain why the model was selected. Use the model to address techniques and challenges in providing culturally competent health care/services to your specific population.

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Expert Solution

The health care sector in the United States consists of an array of clinicians, hospitals and other health care facilities, insurance plans, and purchasers of health care services, all operating in various configurations of groups, networks, and independent practices. Some are based in the public sector; others operate in the private sector as either for-profit or not-for-profit entities. The health care sector also includes regulators, some voluntary and others governmental. Although these various individuals and organizations are generally referred to collectively as “the health care delivery system,” the phrase suggests an order, integration, and accountability that do not exist. Communication, collaboration, or systems planning among these various entities is limited and is almost incidental to their operations. For convenience, however, the committee uses the common terminology of health care delivery system.

the two main objectives of a health delivery system? The primary objectives of any health delivery system are to enable all citizens to receive health care services whenever needed, and to deliverhealth services that are cost-effective and meet pre-established standards of quality

the different types of healthcare delivery systems?

Healthcare delivery systems

  • Exclusive Provider Organization (EPO) EPO's have a network of providers who have agreed to provide care for the members at a discounted rate. ...
  • Health Maintenance Organization (HMO) ...
  • Integrated delivery system (IDS) ...
  • Preferred Provider Organization (PPO) ...
  • Point-of-Service (POS) Plan.

Preventive healthcare, or prophylaxis, consists of measures taken for disease prevention. Disease and disability are affected by environmental factors, genetic predisposition, disease agents, and lifestyle choices and are dynamic processes which begin before individuals realize they are affected. Disease prevention relies on anticipatory actions that can be categorized as primal,primary, secondary, and tertiary prevention.

A detailed plan with information about a patient's disease, the goal oftreatment, the treatment options for the disease and possible side effects, and the expected length of treatment.

Treatment plans usually follow a simple format and typically include the following information:

  • The patient's personal information, psychological history and demographics.
  • A diagnosis of the current mental health problem.
  • High-priority treatment goals.
  • Measurable objectives.
  • A timeline for treatment progress.
  • Health promotion is, as stated in the 1986 World Health Organization Ottawa Charter for Health Promotion, "the process of enabling people to increase control over, and to improve, their health.

Health promotion focuses on achieving equity in health. Health promotion action aims at reducing differences in current health status and ensuring equal opportunities and resources to enable all people to achieve their fullest health potential.

Patient-centred care is about treating a person receiving healthcare with dignity and respect and involving them in all decisions about their health. This type of care is also called 'person-centred care'. It is an approach that is linked to a person's healthcare rights. It is care that is respectful of, and responsive to, the preferences, needs and values of the individual patient. It involves seeking out, and understanding what is important to thepatient, fostering trust, establishing mutual respect and working together to share decisions and plan care.

The four principles of person-centred care are:

  • Treat people with dignity, compassion, and respect. ...
  • Provide coordinated care, support, and treatment. ...
  • Offer personalised care, support, and treatment.
  • Social determinants ofhealth such as poverty, unequal access tohealth care, lack of education, stigma, and racism are underlying, contributingfactors of health inequities. The Centers for Disease Control and Prevention (CDC) is committed to achieving improvements in people's lives by reducing health inequities
  • Examples of social determinants of health include:

  • Income level.
  • Educational opportunities.
  • Occupation, employment status, and workplace safety.
  • Gender inequity.
  • Racial segregation.
  • Food insecurity and inaccessibility of nutritious food choices.
  • Access to housing and utility services.
  • A “health disparity” refers to a higher burden of illness, injury, disability, or mortality experienced by one group relative to another. A “health caredisparity” typically refers to differences between groups in healthinsurance coverage, access to and use of care, and quality of care.
  • Many providers identified health care system factors that lead to disparities, such as lacking a diverse workforce, lack of interpreters, poor access to care, time constraints, and systematic factors that lead to differences in quality of care delivered (such as differences between public and private hospitals).
  • Alternative methods (alternativetoxicology tests) are methods able to: reduce the number of animals necessary in a test, refine toxicology procedures to make them less painful or stressful to laboratory animals, or, replace animals with non-animal (in vitro, ex-vivo or in silico systems).

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