HLTC05H3 Final: c05 notes
18 Aug 2015
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Document Summary
Widening racial, ethnic, class disparities in access to care and health outcomes. Explicit rationing: limit unnecessary use of services, evidence based, efficiency, money save. Increase in hc costs/spending poor quality care. Rationing of care based on ability to pay- non-compliance. Rising # of uninsured/inadequately insured (unequal access) Major mechanism of structural violence - disparities in access to care (race, sex, ses, class) Concierge/boutique medicine /managed care relationship between patient and doc where patient pays annual fee. Need to reduce public responsibility for pop health. Need to transform national health services into insurance-based hc systems. Patients referred to as client and planning is replaced by markets. Need for individuals to increase their personal responsibility by adding social capital to their endowment. Major barriers to achieving universal access to disease prevention, treatment, care & support. Colonialism end- tropical dis neglected economic reasons (low profit return) bias towards high-income nations. Infectious diseases 1/3 of burden but 5% of burden in rich.
