NURS FPX 6618 Assessment 2
Mobilizing Care for an Immigrant Population
Name
Capella University
NURS-FPX6618: Leadership in Care Coordination
Instructor’s Name
August 31st, 2024
Mobilizing Care for an Immigrant Population
The indicators show that due to their background and experiences, it is hard to meet the medical needs of immigrants and refugees. Lack of proper care during displacement also increases the social health risks that are experienced by these societies where they are also prone to chronic diseases as well as infections (Bibrack et al., 2022). Basic hurdles such as language differences cultural differences and poverty further increase the challenge of getting access to healthcare services. All of these concerns must be fully understood to deliver relevant care as well as utilize cultural competency approaches, accurate health assessment tools, and resource keenness. This introduction examines some of the key principles that are essential in availing the necessary factors that can enable immigrants and refugees to access fair and efficient healthcare systems.
Rationale for Addressing Healthcare Needs
Immigrants and refugees are different from other people they are sick they need their healthcare requirements fulfilled. Because of the poor housing environment, this population often faces severe health hazards and issues which include being at risk of infection and worsening of their health complications (Batista et al., 2021). In addition, their immigrant and refugee populations suffer from a higher incidence of mental health disorders that are attributable to trauma and displacement. In addition, access to health care is limited and this only worsens the situation more. One major disadvantage that comes with being an immigrant is the language barrier; this makes it hard to explain one’s symptoms to the doctors and thus one is likely to be wrongly diagnosed and poorly treated.
This is because on many occasions barriers of finance and law prevent one from receiving the basic medical help which is warrants (Capon et al., 2023). One of the goals is the enhancement of the health of the population through the focus on the unique needs of early intervention and prevention. For enhancing health and quality of life by incorporating mental and physical health issues, integrated care strategies must be utilized.
Assessing the Healthcare Needs of Immigrants or Refugees
Health Risks and Conditions
The immigrants and refugees are likely to be in a different health risk status due to their unique conditions. For example, many arrive in the region from an environment that has high incidences of infectious diseases or those displaced by health shock due to limited health care access (Dubas et al., 2023). These individuals might also have higher incidences of such illnesses as diabetes and hypertension because they live in poor living standards, and cannot afford preventative treatment. These common illnesses are identified as well and the subsequent health-care interventions are determined through the efficient use of health-assessment instruments, for example, needs assessment and epidemiological studies.
Barriers to Healthcare Access
The major barriers that hinder immigrants and refugees from health care include; Language and communication which come with cultural differences and financial constraints. Some of the communication tools that could be used to assess the effectiveness of communication strategies and also to assess barriers include the Cultural Competency Assessment and Health Literacy Assessment (Ellick et al., 2024). When such barriers are defined such as, standardized assessments should be aimed and providing specific remedial measures that would ensure equal opportunities for the affected learners.
Resource Allocation
Optimization of health-related human, financial, and other related resources must hold great importance to meet the refugee’s and immigrants’ health needs. Financial models are used in the models of cost-benefit analysis and the methods used in determining the required amount of money for purchasing medical supplies, hiring staff, and acquiring technology support (Ellick et al., 2024). Such models may be applied to ensure that resources are allocated in a manner that would have the greatest possible impact, while also ensuring future sustainability by the organizations involved.
Identifying Organizations and Stakeholders
To respond adequately to the medical needs of a particular immigrant or refugee population, several organs/ stakeholders, have to be engaged. To address the above needs as well as provide the simplest level of disease control, the following health facilities are necessary; medical facilities, medical specialists, and primary care centers (Geuter et al., 2024). As important are the social service organizations that supply the necessities of life namely shelter, food, and money for other needs via social service organizations such as the Salvation Army and the local social service departments. There are also other organizations such as advocacy for ethnic groups and immigrants and agencies that deal with refugees’ resettlement and integration. Other necessary help is provided by the legal aid groups about legal issues and immigration processes.
Due to the differences in the health problems that can be solved jointly with the client, the participation of many organizations, and the need to address clients with various chronic diseases and mental illnesses, such provisions are necessary (Henein et al., 2022). This population requires some form of special attention and therefore healthcare professionals need to undergo cultural competence training so that they can be in a position to understand and respond to the needs of this special group. One of the special needs is the treatment of health disorders from past living conditions such as communicable diseases and other Injuries or mental health effects.
Characteristics That Define a Particular Immigrant Or Refugee Population
Demographic Characteristics
It is impossible to elaborate ethical and legal policies to relate to a particular category of immigrants or refugees if the researcher is not well acquainted with the definitional features of that specific category and if he or she is not in a position to produce credible and relevant statistical data. The people in this group may be from different countries with different cultural, social, and economic status, from the developing countries that are experiencing hardship or violence (Rushton, et al., 2019). Males and females are mostly targeted and all ages are often captured in the demographic profile and each group has different health needs. Some of the probable diseases that immigrants and refugees are inclined to include; chronic diseases, reemerging infections that came from previous residences, and mental-related diseases such as PTSD and depressants. It is explained by lacking insurance, budget constraints, language barriers, and unfamiliarity with the system.
Ethical and legal considerations
The process of policy formulation entails consideration of both legal and ethical factors in the use of electronic commerce. By the requirements of the non-discrimination and equity requirements found in the law, there is a need to do away with structural barriers and ensure that equality in healthcare services is provided. Other significant accompaniments include maintaining the patient’s identity and respecting the patient’s right to his/her treatment decisions (Shapiro et al., 2024). These components can be utilized to build policies that meet the needs of immigrants/refugees various needs without violating moral /legal norms. It will also gradually optimize the health outcome and provide equal access to the services across patients.
Interprets Current Organizational Policies For Providing Health Care To Immigrants And Refugees In The United States
Key Policy Elements
Access to Healthcare Services
CHIP and Medicaid are two of the ACA programs that offer coverage options for immigrants and refugees and hence enhance access to healthcare services among immigrants and refugees (Smaradottir et al., 2020). Since these programs attract individuals who are selected through a lottery, undocumented immigrants are usually locked out of such an opportunity; hence access may be limited. In the same manner, the ACA guarantees that all persons get some type of care as emergency health services are equally provided without regard to aliens.
Public Health Emergency Preparedness
During disasters, all people including immigrants and refugees have to be protected through policies that ensure that they are accorded the appropriate care that they deserve in situations like the COVID-19 pandemic (Smaradottir et al., 2020). This is because one way of protecting public health and containing the spread of diseases requires vaccinations; testing, and treatment regardless of the immigration status that a person holds.
Legal and Social Services Integration
To address the needs of the refugees in the physical. Social, psychological, and legal aspects of the refugees, organizations like the Refugee Health Promotion program focus on the integration of legal and health services with social services (Shapiro et al., 2024). This entails having the client get social services, assistance in accessing healthcare and other general needs, and getting immigration law advice.
Policy Relevance in the Current Environment
In the current global context in which debates about health care coverage, refugees, and immigrants continue to occupy the social and political agendas, such steps are needed. It means that there are still many Installer folks on healthcare accessibility although there is a legal basis in the shape of ACA and other similar federal legislations (Shapiro et al., 2024). Some of them face severe restrictions regarding healthcare: The issues that undocumented immigrants commonly face. Therefore, in an attempt to serve the various needs of the immigrant and refugee groups, there is a need to develop and implement cultural sensitivity as well as language translation services.
Assumptions and Biases Associated with a Particular Immigrant or Refugee Population
Assumptions and Biases
Hypothesis that does not include differences in the assessment of immigrants and refugees are ultimately the root of most assumptions about these groups. Another example of cultural assumptions is when the belief is made that people in a certain region have the same hygiene and moral values as other people, thus developing care plans that do not match (Smaradottir et al., 2020). For instance, if we suppose that all the people coming from a particular country are similarly using traditional medicine, then it is possible to overlook the differences in their choices and inclinations. Other erosion principles include economic assumptions; for example, assuming that all immigrants have low income fails to recognize the level of heterogeneity within this population, which may lead to inadequate or inappropriate financing. It hinders communication and fair access to health care since they think that all immigrants speak the same language and/or have similar fluency.
Influence of Culture and Linguistic Differences
Culture plays an important role in how immigrants and refugees perceive access and utilize services of healthcare. It may include their understanding of traditional medicine, attitude toward mental illness, or preventive measures (Bibrack et al., 2022). These cultural peculiarities should be understood to offer the patients the proper care that corresponds to their cultural and Ethiopian background. Language barriers add to the challenges people face in getting the right care. Lack of proper English language can culminate in worse situations including misunderstandings, reduced on the desired quality of care, and awkwardness in seeking help (Smaradottir et al., 2020). Some issues will need to be addressed to provide effective communication between non-English speaking patients and healthcare providers: one of the ways is to hire employees who speak both English and the language of the particular patient and another issue is to provide translations for healthcare providers. Two others are that cultural competency leads to the gains of trust and other patients’ willingness to seek as well as adhere to medical practitioners’ recommendations.
Evaluates Two U.S. Healthcare Policies
Affordable Care Act (ACA)
Law in 2010, the Patient Protection and Affordable Care Act or ACA enhanced the healthcare for several groups of people including refugees and immigrants, the act represented a significant change in the kind of healthcare system in the United States (Smaradottir et al., 2020). ACA has several sections; one of the popular sections is the Medicaid expansion that allows states to extend coverage to more people of a limited income, including immigrants. The ACA also has provisions for establishing state-based health insurance exchanges in which people can obtain health insurance policies of various types of eligibility criteria regardless of their immigration status.
Implications for Professional Practice
According to ACA, medical providers need to understand and explain to patients the rules for various insurance plans (Rushton, et al., 2019). It also points to the need for lobbying and legislation to address the inefficiencies that exist in healthcare coverage for undocumented immigrants. It means that the given complexities need to be managed and worked out to offer the highest quality of care for people thus, operating under given policies.
Refugee Act of 1980
The Refugee Act of 1980 provided refugee US number of refugees with adequate requirements and an encompassing structure. The Office of Refugee Resettlement (ORR) which was created by this act provides services to refugees in terms of basic social services, medical services, and employment assistance (Batista et al., 2021). Also, the act set parameters for the immunizations and the basic health check that refugees must go through on arrival to ensure compliance with necessary checks and treatment.
Implications for Professional Practice
To ensure the refugees receive proper follow-up, the professionals dealing with refugees have to familiarize themselves with the services that can be obtained based on the Refugee Act and have close cooperation with the resettlement agencies (Bibrack et al., 2022). To be able to manage the care of refugees there is a need to assess their health needs special on stress and trauma that come as a result of fragmentation. In addition to this, the ORR and other support organizations should provide information on resources that should also be made known by professionals interested in meeting whole needs of refugees.
Conclusion
That is why to fulfill the needs of refugees and immigrants in healthcare it is necessary to respond to some special concerns such as chronic conditions resulting from inadequate treatment throughout the displacement and infection. Awareness of barriers such as language, cultural, and financial barriers is pivotal for managing to delivery of care (Batista et al., 2021). These demands are best met if healthcare systems employ resource-allocation models, cultural-competency assessments, and a health assessment instrument. For the proper treatment of such populations, this introduction raises the importance of specialized interventions and the use of resources.
References
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