universally applicable, a majority of Medicaid patients are poor and struggle financially. In that sense, without Medicaid, many of these patients have a hard time with the “Health Care Access and Quality” Social Determinant of Health (SDOH). The Office of Disease Prevention and Health Promotion (ODPHP, 2020) cite that roughly 11.8% of the population live in poverty. These people are less likely to have access to health care, stable housing, healthy food, or opportunities for physical activity, and because of this lack of access, are more likely to die from preventable diseases such as diabetes and heart disease. At its essence, Medicaid is designed to help people living in poverty have access to health care… However there are additional challenges poverty presents that are outside of the scope of Medicaid. For example, Medicaid patients may have low or zero copays, however they may also have jobs that don’t offer PTO for doctor’s appointments. Going to see the doctor could result in a loss of wages, which could potentially set them back further into poverty. Or they may not have reliable access to transportation. For me, a doctor’s appointment is a 15 minute drive. For someone in poverty who may not have a personal vehicle, that same drive might be 45 minutes each direction of public transportation and/or walking. Medication affordability also falls into this SDOH. Maybe a patient can get a doctor’s appointment, make it to the appointment, and be seen… but if they can’t get access to medication each month (either due to money or time), then it’s not really helpful to make it to the doctor.So while Medicaid is seeking to provide an insurance of sorts to patients who may not be able to afford it, there are other social aspects, like transportation and paid time off from work that deter patients from seeking preventative medical care. As a healthcare management organization, we work with providers to seek ways to get patients into the doctor’s office. Through the state’s Medicaid program, we are able to offer referrals to food stamps/WIC, are sometimes able to offer Uber or Lyft services to help patients seek treatment, and we work with local non-profits, such as organizations that provide meals to people who are too poor or too ill to obtain groceries on their own. And while the work my organization does is helpful for patients in our community, it can be an actual culture shock for those who have not known poverty. Culturally, it’s important to keep this in mind while dealing with Medicaid patients; that many of the things we have access to are easily taken for granted. The cars we drive, the food we eat, the decision to order lunch or go out to dinner… all of those play a large part of having access to health care in the United States.READ THE ABOVE. WHAT DO YOU AGREE AND DISAGREE WITH? WHAT DID YOU FIND INTERESTING? WHAT ELSE MIGHT YOU ADD? EXPLAIN.

Question Answered step-by-step My line of work revolves around Medicaid patients. While it’s notuniversally applicable, a majority of Medicaid patients are poor and struggle financially. In that sense, without Medicaid, many of these patients have a hard time with the “Health Care Access and Quality” Social Determinant of Health (SDOH). The Office of Disease Prevention and Health Promotion (ODPHP, 2020) cite that roughly 11.8% of the population live in poverty. These people are less likely to have access to health care, stable housing, healthy food, or opportunities for physical activity, and because of this lack of access, are more likely to die from preventable diseases such as diabetes and heart disease. At its essence, Medicaid is designed to help people living in poverty have access to health care… However there are additional challenges poverty presents that are outside of the scope of Medicaid. For example, Medicaid patients may have low or zero copays, however they may also have jobs that don’t offer PTO for doctor’s appointments. Going to see the doctor could result in a loss of wages, which could potentially set them back further into poverty. Or they may not have reliable access to transportation. For me, a doctor’s appointment is a 15 minute drive. For someone in poverty who may not have a personal vehicle, that same drive might be 45 minutes each direction of public transportation and/or walking. Medication affordability also falls into this SDOH. Maybe a patient can get a doctor’s appointment, make it to the appointment, and be seen… but if they can’t get access to medication each month (either due to money or time), then it’s not really helpful to make it to the doctor.So while Medicaid is seeking to provide an insurance of sorts to patients who may not be able to afford it, there are other social aspects, like transportation and paid time off from work that deter patients from seeking preventative medical care. As a healthcare management organization, we work with providers to seek ways to get patients into the doctor’s office. Through the state’s Medicaid program, we are able to offer referrals to food stamps/WIC, are sometimes able to offer Uber or Lyft services to help patients seek treatment, and we work with local non-profits, such as organizations that provide meals to people who are too poor or too ill to obtain groceries on their own. And while the work my organization does is helpful for patients in our community, it can be an actual culture shock for those who have not known poverty. Culturally, it’s important to keep this in mind while dealing with Medicaid patients; that many of the things we have access to are easily taken for granted. The cars we drive, the food we eat, the decision to order lunch or go out to dinner… all of those play a large part of having access to health care in the United States.READ THE ABOVE. WHAT DO YOU AGREE AND DISAGREE WITH? WHAT DID YOU FIND INTERESTING? WHAT ELSE MIGHT YOU ADD? EXPLAIN. Health Science Science Nursing HEALTH INF HCA 680 Share QuestionEmailCopy link Comments (0)

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