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Accessibility of Healthcare, https://journals.sagepub.com/doi/full/10…
Accessibility of Healthcare
The commodification of Healthcare system
Financial burden for lower class
Heavy medical fees - might burden the lower class and discourage them from utilizing the resources
Decrease in Patient-Physician relationship
Mechanisms
Consumerism
- the relationship between the physicians and patients is based on self-interest rather than professional ethics. People will lose faith as they see healthcare system as transactions rather than public welfare.
Financial conflicts of interest
- profit-seeking medical providers might find themselves constantly in conflicts of interests. People would doubt if the providers are doing their jobs solely for money instead for the good of the public.
Unmet health care needs
- low income individuals would find medical fees burdenful if the healthcare system is commodified. Thus the increased risk of unmet healthcare needs from the lower classes might lead to a decrease in satisfaction from the general public.
The correlation between the relationships and the quality of the healthcare system
Higher degree of patient trust
raise their self-care ability
adhere to cancer screening or treatment
maintain healthy lifestyles
Long term effects
long-term glycemic control
higher health-related quality of life
patient satisfaction
fulfillment of medical needs
Potential Consequences
Detrimental for wellbeing, since the trust between patients and physicians is considered as essential in enhancing the quality of the healthcare system.
Less people would be accessing the healthcare system due to the lack of trust
Less people accessing -> the decline in quality
health care and poverty
Problems faced
5% of US citizens don’t have an access to medical access, and 31% of citizen have problems accessing medical bill, and debt.
households with moderate income have the most percentage with problems with medical debt and medical bills.
Counter arguments
Variation between healthcare systems in different countries
Insufficient health care
FRANCE
France: spent 11% of GDP on medical care US: spent 17% of medical care France medical care >US medical care
France had achieved the efficiency of medical care, and had been able to have access to healthcare without financial obstacles.
TAIWAN
UK
Counter arguments
https://journals.sagepub.com/doi/full/10.1177/0046958018759174