Health and Wellness Page 248-267

Questions Page 267

2.Describe the three categories of barriers facing people with disabilities. In chart format, rate these barriers from least to most problematic for patients, from simplest to most complex and from least to most expensive to solve.

The categories of barriers facing people with disabilities are architectural (e.g., structural issues that make it difficult for people with disabilities to be examined and treated using standard medical equipment), attitude (e.g., misconceptions on the part of physicians that may prevent their giving patients with disabilities the same level of treatment given to other patients), and knowledge (e.g., where little research has been done on the effects of particular disabilities on overall health), for instance spending a lifetime sitting in a wheelchair, may affect organs, etc.

Ranking the barriers:

Least to Most Problematic for Patients:

-architectural

-attitude

-knowledge

Simplest to Most Complex Barriers:

-architectural

-knowledge

- attitude

Least to Most Expensive Barriers to Solve

-knowledge

-attitude

-architectural

3.List the various access barriers to health care in Canada. Summarize each in one sentence. Which category of access barrier do you think is the most significant in Canada? Why?

Cost is a barrier to health care as many services are not longer being covered by Medicare, a recent example in Ontario would be eye exams. Health literacy is a barrier for people who cannot understand the medical terms used and who revere doctors to the extent they won’t question their diagnoses. Architecture, attitude and knowledge of factors related to disabilities are barriers to people with disabilities who can’t use the standard facilities offered in Canada. Income is a barrier as people who have significantly lover incomes than others in society tend to benefit less from society’s resources. A two-tier health care system is a barrier to anyone who cannot afford the extra services.

It might be argued that the two-tier health care system presents the most significant barrier because it is so complex an issue it might draw attention away from other issues.

4.In Chapter 3, you learned that, in Canada certain groups are more likely than others to live in poverty. From what you have read in this section, how will poverty affect these groups’ access to health car, both now and in the future?

Poverty currently will affect these groups’ access to extra services that are not covered by Medicare. In future, under a two-tier system, poverty might deny some people the ability to get tests done in a timely fashion.

5.Identify the major characteristics of a 1.) one-tier and 2.) two-tier system of health care delivery. Which do you think makes the most sense in Canadian society? Why?

A one-tier system is paid for entirely by taxes, and it allows all people equal access to basic services. A two-tier system would allow some people to pay a fee in order to get faster or better services.