Question

Choose one culture and writes a research paper on the impact socioeconomic status has on these cultures' 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 that impact care and health disparities within this population as well as cultural healing practices, or alternative treatment methods.

Answer 1

INDIAN CULTURE

Primary health care should be emphasized wherein people are put at centre of care. Health workers should live within communities to understand local culture and language which gives them unique perspective of health problems and needs.

The cost of healthcare is rising worldwide largely driven by heavy and growing burden of non commmunicable diseases including mental health disorders, ageing societies, innovations of expensive treatments and techniques. It is that cost effectiveness comes to play. Costing information is important for planning and decision making process on how to provide effective care within constraints of financial, human and other resources. It is prudent to make best use of available resources.

According to WHO globally around 20-40% of resourses spent on health was wasted. There is inappropriate and overuse of antibiotics which led to antibiotic resistance. WHO also suggests innovative ideas to raise revenue on the sale of tobacco and alcohol. Countries like Philippines, France, Egypt and Turkey raised tobacco taxes which showed good results and helps in significant reduction in prevalence of tobacco related diseases like lung cancer and premature deaths.

Universal health coverage has agreed an objective of health and development policy. UHC aims to ensure that all people can use promotive, preventive, curative, rehabilitative and palliative health services that are of sufficient quality and ensuring that use of these services does not cause financial hardship to consumers. All WHO member countries have agreed to provide this service depending upon their capability. The 12th five year plan targets a long term goal of UHC where each individual would be assured access to a defined essential range of medicines and treatment at affordable price.

SOCIAL DETERMINANTS THAT IMPACTS HEALTH CARE

• Health worker ensure their care is effective as possible and determine can larger medical community work together to overcome impacts of damaging social and physical environments
• Health care disparities are often viewed through lens of race and socio economic status and occur across multiple other dimensions like age, geography, language, gender, disability status, citizenship status and sexual orientation

SOCIAL DETERMINANTS OF HEALTH

Economic stability	Neighbourhood and physical environment	Education	Food	Community and social context	Health care system
Employment	Housing	Literacy	Hunger	Social integration	Health coverage
Income	Transportation	Language	Access to health options	Support systems	Provider availability
Expenses	Safety	Early childhood and education		Community engagement	Provide linguistic and cultural competency
Debit	Parks	Vocational training		Discrimination	Quality of care
Medical bills	Playgrounds	Higher education		Stress
Support	Walkability
	Geography

1. ASK

Ask about health factors not according to race, caste and other discriminities and also cannot fix with 15 min encounter. It is complex to know that low income white people have health outcomes similar with high income black people and black woman who have a college degree has same chance of having underwt or premature baby as white woman who doesn't have  school education. Things like poverty, food insecurity,discrimination, poor health literacy and others have marked adverse impact on health outcomes

2. CARE

Primary goal is to stengthen workforce and to improve efforts to reduce disparities. Social determinants of health included factors like socioeconomic status, education, neighbourhood, physical environment, employment and social support networks to access health care. Social determinants of health is important for improving health and reducing longstanding disarities in health care