Limited Access to Healthcare










Limited Access to Healthcare

Arnaldo Perez-Frometa

Capella University

Developing a Health Care Perspective








Access to healthcare services is very essential for sustainable level of living and good health. Several scholars have described access as “the timely use of personal health services to achieve the best possible health outcomes”. One of the issues facing many countries across the world including those with systems for universal healthcare is providing appropriate and timely healthcare access for deprived patients. Currently there is limited information on how those patients living in a context of social and material deprivation perceive obstructions in the system of healthcare. In this paper we shall discuss several resources addressing the issue of access to services in the healthcare system.

According to Andersen, Davidson, & Baumeister (2014), in their article titled “improving the access to care”, access refers to the actual utility of individual services for heath as well as everything else that can facilitate or impede their use. In this article they present research and policy issues as well as basic trends which are related to evaluating and monitoring the access to healthcare services. They show how evaluating and monitoring offers the platform for the prediction of health services, promotion of social justice and the improvement of efficiency and effectiveness for the delivery of health services. They analyzed access and healthcare outcomes using a behavioral model which provides a systematic framework of individual and contextual framework

They expanded the behavioral model by emphasizing on two new aspects. They include the life quality as an input and healthcare outcome and genetics as a factor for predisposing. They also examined some examples of access indicators which include efficiency and effectiveness measures, utilization, potential access and healthcare needs. Changes that occurred in these indicators over time were tracked using trend data. Finally they did observations on access and the present status as well as new areas of improving access via ACA which has played a big role in improving access to health care.

Next we are going to analyze the article written by Acharya et al., (2017) titled “Partnerships in mental healthcare service delivery in low-resource settings: developing an innovative network in rural Nepal”. This article provides an understanding on the contribution of mental illness on the worldwide burden diseases which are non communicable. However, the authors note that there has been an extremely limited access to ethnically sensitive, appropriately contextual and high quality service for mental healthcare. Despite the availability for interventions to improve outcomes for the patients, this situation still persists. The authors suggest that there is need for the development of partnerships network for adaptation of programs and their implementations. They hope that people will understand the contribution of mental illness on the global burden of non communicable diseases.

We shall now analyze the article written by Bozorgmehr & Razum, (2015), titled “Effect of restricting access to health care on health expenditures among asylum-seekers and refugees: a quasi-experimental study in Germany”. This article gives an understanding on how immigrants and asylum seekers access health care in Germany. The authors point out that health services for these groups of people are restricted for a while before being granted regular access which leads to increased costs of healthcare and delayed care. They analyzed both the impacts of limited access and most strategy reforms on expenditures involving health incidences for AS&R. They concluded that excluding AS&R, the cost of healthcare is higher compared to granting regular access to healthcare. Excess expenditures were as a result of restrictions and could not be extensively explained by differences in need since they were substantial.

The article titled “Income-related inequalities and inequities in health care services utilization in 18 selected OECD countries” and written by Devaux, (2015), discusses the impacts of policies in healthcare accessibility. The author reexamines inequities related to income in visits by doctors in eighteen selected countries. For the first time, there is the consideration of inequalities in preventive care services. Inequities and inequalities are gauged using concentration indexes and the estimation of needed adjustments for HCSU are achieved the indirect standardization procedure. The author concludes that inequalities in HCSU are still there in OECD Nations. In majority of these nations, individuals with higher wages are more likely to access healthcare services compare to those who earn less.

The article titled “Cloud-based adaptive compression and secure management services for 3D healthcare data”, and written by Castiglione et al (2015), outlines the influence of technology on healthcare accessibility. According to the author some of the major causes of errors in the healthcare sector are shared data and lack of access to resources. If two departments in the same organization share information then there will be confusion. Using three dimension images plays a great role in reducing this confusion. In the medical environment, three dimensional images play a fundamental role given their big sizes.

These images communicate a lot of information just by a single glance. Software for these images needs to be managed by medical applications in order to provide secure flexible and effective access to healthcare resources. Users can easily access this information in the institutions portal. The author shows how architecture resulting from this software with totally heterogeneous and different software and hardware characteristics can effectively interact, thus increasing healthcare accessibility by the end user.

According to Islam et al., (2015) in the article titled “The internet of things for health care: a comprehensive survey”, the internet of things can improve the access healthcare services. This article surveys progress in internet of things base on technologies in healthcare and reviews industrial trades, applications and the state of art platforms in healthcare solutions based on internet of things. This article also proposes an intelligent inclusive security model to reduce risk of security. Additionally, the article outlines internet of thing privacy and security features which includes threat models and requirements of security in the context of healthcare. Finally the paper discusses how several innovations such as wearable, ambient intelligence and big data can be leveraged from the perspective of healthcare.

By going through scholarly articles, I gathered essential scholarly opinions and facts about limited access to healthcare. I also enhanced my knowledge about this topic. For instance after reading the paper titled “Income-related inequalities and inequities in health care services utilization in 18 selected OECD countries” by Devaux, (2015), I was able to learn about the effects of policies in access to health care something that I didn’t know before this study. I also learnt how we can enhance access to healthcare. This research has also enabled me to build a repository of resources related to healthcare accessibility. It will be easier for me now to choose relevant recourses while writing the papers concerning healthcare accessibility.






Andersen, R. M., Davidson, P. L., & Baumeister, S. E. (2014). Improving access to care. Changing the US health care system: key issues in health services policy and management. San Francisco: Jossey-Bass, 33-69.

Acharya, B., Maru, D., Schwarz, R., Citrin, D., Tenpa, J., Hirachan, S., … & Kohrt, B. (2017). Partnerships in mental healthcare service delivery in low-resource settings: developing an innovative network in rural Nepal. Globalization and health13(1), 2.

Bozorgmehr, K., & Razum, O. (2015). Effect of restricting access to health care on health expenditures among asylum-seekers and refugees: a quasi-experimental study in Germany, 1994–2013. PloS one10(7), e0131483.

Devaux, M. (2015). Income-related inequalities and inequities in health care services utilisation in 18 selected OECD countries. The European Journal of Health Economics16(1), 21-33.

Castiglione, A., Pizzolante, R., De Santis, A., Carpentieri, B., Castiglione, A., & Palmieri, F. (2015). Cloud-based adaptive compression and secure management services for 3D healthcare data. Future Generation Computer Systems43, 120-134.

Islam, S. R., Kwak, D., Kabir, M. H., Hossain, M., & Kwak, K. S. (2015). The internet of things for health care: a comprehensive survey. IEEE Access3, 678-708.

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