Health Care Utilization Essay Example for Free

health supervise Utilization EssayHealth condole with reform is not a recently devised concept. The government and health professionals have study and tried to establish legislation that would assist the general population with a inwardness of raging adequate health treat for decades. The task has proven itself as a daunting one although studied the world over. Individuals struggle with disease and illness that they cannot afford medical attention and intercession. Insurance companies price mash or drop individuals from their policy reporting. Reform has to be apply to protect the public and provide crosswise the board health care for every situation. Ronald Andersen wrote in the Journal of Health and Social Behavior at that place is a model of behavior that determines the seeking out of health services (Anderson, 1995). Anderson collaborated with Odin Anderson and wrote The Initial behavioral imitate in 1968 to assist in the analysis of national survey data colle cted by the focus for Health Administration Studies and the National Opinion Research Center at the University of Chicago (Andersen Anderson, 1967). The model explains that at that place are elements that may determine if an individual will access health services.Anderson explained, I want to centering that the model was initially designed to explain the use of formal personal health services earlier than to focus on the important interactions that take place as people receive care, or on health outcomes(Andersen, 1968, p. 1). The Initial Behavioral Model (1960s) PREDISPOSING ENABLING USE OF CHARACTERISTICS RESOURCES NEED HEALTH SERVICES demographic Personal/Family Perceived Social Structure Community(Evaluated) Health Beliefs (Revisiting The Behavioral Model and Access to checkup get by Does it Matter?, 1995)The president had legislation passed in 2010 to implement the Affordable Care Act. Today, more than 45 million Americans lack access to affordable health restitution. A dditionally, m whatsoever individuals who do have health insurance have incomplete coverage that may include exclusions for pre-existing conditions, or they may be one-step away from losing coverage because of a change in employment. Individuals with health insurance face increasingly advanced premiums and medical costs that drive some to bankruptcy or force choices between maintaining health insurance coverage and paying for other household essentials (HHS, 2013). These new regulations will provide consumer defenses and the developing of a warring market. Insurance companies will be required to sp peculiarity a specific percentage on health care and not excessive administrative costs. in that location have been major changes to the accessibility of insurance coverage for individuals which have been diagnosed with a pre-existing medical condition. Insurance companies will no longer be allowed to cover insurance coverage for individuals, such as children born with life-threatenin g illnesses. This will also address living limits on medical care. at that place has been a health insurance exchange in an effort to pool millions of people and allow them to examine various insurance coverage policies to determine the best policy for them and their families. Health and Human Services has implemented a website for the comparison of the insurance coverage options (HHS, 2013).There have been conversations for decades round the implementation of universal health coverage. The World Health Organization defines it as a goal to visualise that people obtain the health services they need without suffering financial hardship when paying for them. It goes on explaining, access to health services enables people to be more productive and active contributors to their families and communities.financial risk protection prevents people from being pushed into poverty when they have to pay for health services out of their own pockets (WHO, 2012). There is a definite similarity with the concepts of universal health care and the AffordableCare Act promptly in place in this country.Attempts are being made to ensure that all citizens can access health care and increase their wellbeing in the process. The expansion of Medicaid will benefit multiple low-income citizens who, by dint of no fault of their own, are working at a minimum wage job. They are nevertheless earning too much money to be eligible for assistance and are not making fair to middling of a salary to afford health insurance coverage. It turns into a viscous cycle. The individual has to decide whether it is disclose to quit work and get assistance for medical care or to continue struggling and quiesce not make the grade.There have been no major issues personally with the implementation of the health care expansion. The insurances that I carry are both the Medicare and Medicaid. Medicaid has changed in that they are requiring that there is a primary care physician (PCP) established to oversee medical services provided. The initial visit would be to the PCP where whatever examination and testing would be performed for the determination of the necessity of a referral.The PCPs office would bone all medical records and coordinate with the specialists staff to establish a consultation. I sell myself an extremely fortunate individual because I have been able to have multiple medical issues communicate and corrected because of the medical coverage. The Medicare coverage is not as restrictive as Medicaid. Medicare allows the individual to access any physician or facility that the patient desires for treatment as long as their insurance is accepted.There has not been any specific positive or negative effect with this coverage. Medicare has provided successfully for preventive measures in my health services such as yearly mammograms, colonoscopy testing every two years (if deemed necessary through findings during prior examination), and comprehensive yearly physical examinat ions. Unfortunately, there is minimal dental coverage and no eye examinations available.There has been major skepticism with the Affordable Care Act being voted on and implemented in the governmental realm. It is exhibiting a number of positive actions implemented with the creation of this act. It is time that this country gives plan to the individuals which are suffering because ofno fault of their own other than being on the lower end of the income scale. Also citizens are pleased with the inclusion of the poor souls battling daily with an affliction that requires more attention and treatment than they could ever afford. It is in this new light that people are viewing the creation of the Affordable Care Act and see that this should prove to be beneficial to every citizen within the national borders.ReferenceAndersen, R. M. (1995). Revisiting The Behavioral Model and Access to Medical Care Does it Matter? Journal of Health and Social Behavior, 36, 1-10, retrieved from http//www.js tor.org/stable/2137284Andersen, R.M., Anderson, O.W. (1967), A Decade of Health Services, retrieved fromhttp//www.jstor.org/stable/1815595Health and Human Services (2013), Strengthen Health Care, retrieved fromhttp//www.hhs.gov/secretary/ closely/goal1.htmlWorld Health Organization (2012), What is Universal Health Coverage, retrieved fromhttp//www.who.int/features/qa/universal_health_coverage/en/index.html