Introduction
Lately, most of the
healthcare professionals and associated medical care workers highlighted on the role of primary care as a main starting
point of medical service provision. By which; most of the medical care services
provided and have gave to patients properly and achieved demanded values
awaited. At the fundamental level, the concept of primary healthcare and
associated services abruptly changed from the complete absence of diseases that
was in the last century to the care about the healthy individuals and how to
attain wellbeing determinants physically, mentally and psychologically. Primary
care is the first level of contact for individuals, families and communities.
Moreover, 1st care services exceeded to play more effective role in
health promotion, diseases prevention and enhance the awareness of citizens
from the same society. Although, The role of primary care services is most
important and matching well with different new lifestyle of many countries but
somehow Still quality of services are little difficult to reach optimum point.
That may be varies according to standard levels of each society and system
figures implemented there and what more if that system matching properly with needs
or other additional carried objects been established beside. From that point the
availability of primary care put new point of interest and till now we can’t
say that there is one optimum healthcare system save and allocate the access
points among whole service demands in professional way. That may be create
clear point of confusion among medical professionals because simply lack of
convenient availability and reachable healthcare access point everywhere so,
the core value of provided services would be difficult to be performed in
awaited way. Thus the importance of healthcare accessibility emerged on the
surface released many perspectives and working pattern regarding the access
points to healthcare business models. With such, many different points of
access to healthcare with reallocation to the HC access forms of management and
operation.
In EU, around 17% of
population live in poverty, one child among each 5 raise and growing up in some
sort of economic and social deprivation. That by role reflect great existent
gap between present available services and degree of availability and convenience
among different society sectors. From private perspective; getting the services
properly in time and with good suitable way is much valuable than the service
itself. Thereby, failure of many healthcare systems to reach the whole healthcare
services provision in proper way and achieve satisfaction draw big question
marks. Clearly, there are numerous barriers in front the healthcare system
access whether through system operation procedures or companion with lack of
experience from involved workers. The forms of accessibility to healthcare
system could be physical or remote or geographical one. Whatever it is; to
eliminate the barriers may be retard the HC working model and also overcome
future obstacles face the patients should be better if we could melt and remove
all barriers, subsequently the HC services provision got more easier to the
patient with less access procedure steps so, that would be more fit and
supposed to achieve the state health policy for citizens.
Forms
of Healthcare accessibility barriers
In fact, the barriers
of Healthcare access threaten the level of suitability and determine how much
that system would work and succeed in future. Undoubtedly, the demographic
distributions and kind of HC value needed intentionally put variances among barriers
from country to country. In countries which apply more modern systems and use
high communication business models
and
those who use less technologies models and use more paper based and manual
systems; both you can find a lot of barriers but at least with variable shapes
and carried different impact on the whole process of healthcare. Barriers can
affect individuals, care providers, workers and may exceed to the whole society
if there was not any effort to fix and minimize them. The world health organization
defines the accessibility to healthcare system as a measure of the proportion of the population that reach appropriate
health services (WHO Regional Office for Europe 1998). On the basic level,
some researches proved that meaning of accessibility modified and carried more
not just meaning of merely access to the health services and get medical value.
The recent meaning of accessibility closely linked to affordability, physical
accessibility and including health promotion and prevention. The concept of
accessibility barriers become more modified and expressive models taking broad
shapes of diversity and sorts what makes some confusion if that we call barrier
is it real barrier and make obstacle to get easy and comfortable medical
service (Gulliford et al 2002) . The current confusion to identify the meaning
of barriers against system access reflecting the variances in performance
defects have declared enormously. To confirm the meaning of Healthcare barrier
accessibility pathway, it supposed to refer to other working feature should be
owned behind any operated medical cycle; the universal access of medical health
services put the system on border to define the volume of values gotten and in
what time and also measure the level of functionality for each of working
icons. Article 23 of charter states mentioned that everyone have the right to
access to the preventive healthcare and get benefits from the medical
healthcare and the condition established under the national laws and practices.
Depending on; become the necessity accessibility to the medical health system
and get 1st care has not any different meaning and lied huge
importance role with distributed accountable pattern toward the healthcare
design professionals and their colleagues. As the primary care is the core of
any healthcare system thereby, the entrance point and level of accessibility
drawn beneficially in prospective tunnel, also steps to get basic primary care
services is much considerably and carefully measured in adaptive way of each
society sector or community. Many operating HC systems could not achieve the
equality of access to different sort of demanded services. From other side,
removing the different retarding barriers from Healthcare cycle give the
opportunity to exceed service coverage to all patient categories (disable,
elderly, unemployed highly need patient and chronic disease wants). Surely
women and children who need efficient services, works with feasible time
schedule particularly urgently.
In coming table we
going to summarized the main category of burden depending on the most popular
and highly effective impact
Geographically barrier
is most widespread problem face the receiver in many middle and low income
counties. The existence of enough primary care services entrance gate widely
distributed throughout the whole state give the patient numerous choices and
multiple options according the place patient lives. From this point it found
the proper distributed care providers the many services can be given and in acceptable
time line. Geographical barrier is critical and highly complicated dilemma for
many countries, whereas with lack of clear and depending scientific spreading
of the service centers, that exaggerate the problem and create sever service
retardation on many levels with uncontrolled complications.
Lack of sufficient
family doctors the 2nd highly involved
barrier has emerged in countries implemented healthcare systems working closely
with primary physician and considered FD is the services or gate keeper for the
rest of services. May be that overcome in some countries by solution like
midwifes in Sweden to adjust the urgently need for pregnancy follow up medical
workers, and keep the Gynecologist for special or emergency visits. Creating
aside titles or collaborative jobs play crucial role to solve this problem and
gave good results to accommodate the more need from certain specialty. Under
this barrier it could put many other sub-barriers delivered from nurse, experts
and other specialty problems.
Financial Barriers to
get proper healthcare services is more common lately. Although the medical
services are many and encompasses numerous access points but still some society
categories suffered to get good and humane service. May be that related to insurance
percentage among society citizens. In other figure of financial burden has
modified that citizen could not afford out-source payment for services. United
States only has 13.4 % of uninsured citizen although the expenditures on
healthcare system highest globally. From practical prospective, the real
barrier is to forcing the patient tolerate additional service costs not
necessary just to show working system more modern. As a truth, if each
healthcare system provide precisely what actually demanded only and foster new
working ideas to do suitable allocation to the resources.
Cultural and languages
barriers have been appeared in widely movement
destination such as Canada, States, Australia, etc. What put the government in
the need to save the same language speaker particularly with new immigrants who
do not speak the new home language moreover, that open new challenge to the
working health operating systems and how that fit with diversity among
different individuals. May be from other opinion give new working ideas and
help in quality and system improvement process and at least still put the whole
healthcare cycle in big burden to adjust and accommodate the new or different
way of thinking to fit new and different demanded needs. As a truth, culture
diversity and individual variations can play crucial role in any healthcare
system success and indirectly achieve proper society welfare by good and
acceptable results emerged. In contrast, can be the main setback and inferior
point in the working system from the assessment level as well as find difficult
to get patient satisfaction and achieve good and acceptable values.
Conclusion
The barriers of
healthcare accessibility are not simple matter and actually cause many problems
at socioeconomic and political levels. Regarding healthcare accessibility in
Egypt my home is easier than USA or EU members, why? Because in western
countries the main gate or starting point to access of healthcare system in
coherent in almost one road called Family
doctor actually what is missed there
and may be that implemented in some private hospitals only. To access to
healthcare system in Egypt, that so easy through public, private hospitals, and
there are also many polyclinic enterprises for each area, and you can add many
available private clinic open from afternoon till next day morning in numerous
specialties. Depending on formerly mentioned seem that there are not any
accessibility defects or shortage availability in medical cycle in Egypt.
Moreover still
necessary introduce some solutions to mis-organized healthcare availability
there that make the services easily can be introduced to any even who does not
need. Subsequently, open the door for some mistakes and manipulating among some
of unfaithful medical worker. From private view, the scattered and many gate for
healthcare services would work well and good harmony if they unite under one
working portal services supply starting from GP or Family Doctor that I think
would be better to monitoring, assessment and follow up whole the process and
give fast feedback and high possibility to correct faults fast.
References
Access
to healthcare, Martin Gulliford, Myfanwy
Morgan, p36; 86
http://www.socialwatch.eu/wcm/access_to_health_services.html
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