Resource: Health Care Utilization Paper Grading Criteria
Select either Option 1 or Option 2 and write a 1,050- to 1,400-word paper.
Option 2
John Q. recently moved to a rural community. He works full-time, but qualifies for Medicaid because of his low income. John has high blood pressure and his father recently had a heart attack. Thus, he decided to call to find out which providers nearby accept Medicaid. While there are local doctors, he discovered that the closest primary care physician who accepts Medicaid is a 40-minute drive and appointments must be made 2 weeks in advance due to the number of patients at the practice. In addition, the practice does not offer weekend or evening hours. John usually catches a ride to work with a friend or relies on public transportation.
According to Chapter 4 of The U.S. Health System: Origins and Functions, Andersen (1995) developed a model of health services utilization based on three categories of factors: predisposing, enabling, and need. These factors can be further categorized as mutable or immutable. In your paper, discuss the following questions:
What factors may affect John’s health care utilization?
Are these factors mutable or immutable?
What are some ways to change the mutable factors?
The number of health care services people use determines health care utilization. John Q is facing a situation that is far too common these days. He is in need of health care services; however, factors John Q has a full-time job thus because of his low income he is qualified to have Medicaid. Medicaid is a resource used by many it is a government program which helps with health finances. The only down fall of using a government plan such as Medicaid if your income goes up then a premium plan will kick in. example if John makes $250.00 every two weeks then monthly his income would be $500.00 this is considered low income based. If John’s income was to go up by $250.00 then he would have to pay