NHS FPX 4000 Assessment 3 Analyzing a current healthcare problem

Sample Answer for NHS FPX 4000 Assessment 3 Analyzing a current healthcare problem Included After Question

Write a 4-6-page analysis of a current problem or issue in health care, including a proposed solution and possible ethical implications.


In your health care career, you will be confronted with many problems that demand a solution. By using research skills, you can learn what others are doing and saying about similar problems. Then you can analyze the problem and the people and systems it affects. You can examine potential solutions and their ramifications. This assessment allows you to practice this approach with a real-world problem.

A Sample Answer For the Assignment: NHS FPX 4000 Assessment 3 Analyzing a current healthcare problem

Title: NHS FPX 4000 Assessment 3 Analyzing a current healthcare problem

The health and wellbeing of the population depends largely on its access to and utilization of healthcare services. Access to healthcare refers mainly to the timely utilization of the available health services to promote the best possible outcomes of health. Access to healthcare is important because it enables patients as well as physicians to control acute episodes, prevent illness and exacerbations that would cause complications in health problems. Access to healthcare has dimensions that include availability, acceptability, approachability, affordability, appropriateness, and accommodation of health. Therefore, this essay paper examines the issue of limited access to healthcare and ways of addressing it in practice.

Description of the Problem

Limited access to healthcare is a healthcare issue that affects the health and wellbeing of the diverse populations. Limited access to healthcare refers to the untimely utilization of the available healthcare services by the population to promote their best possible outcomes of health (National Academies of Sciences et al., 2018). Limited access to health contributes to widen health disparities in a population alongside negative outcomes when compared with communities or populations with enhanced access to health (Dassah et al., 2018). Limited access to healthcare is a prevalent issue in the US. For example, the Center for Disease Control and Prevention reported in 2016 that 2% of the adolescents aged between 10 and 17 years did not access the usual preventive care, 21% did not receive their required well-child checkups, and 12% did not go for a dental visit over the past 12 months (Black, 2016). 

Limited access to healthcare arises due to a number of reasons. According to Dassah et al., (2018) limited access to healthcare is attributed to health-related factors such as disability. People with disabilities experience factors that hinder their access to their needed healthcare such as acceptability, affordability, availability, and geography (Dassah et al., 2018). Socio-demographic characteristics such as income level and residents of rural areas also contribute to limited access to healthcare. For example, the majority of rural residents have been shown to have low incomes when compared to urban residents, which affect the access to and utilization of healthcare services.

Similarly, urban residents often have more healthcare providers per capita when compared to rural residents, affecting the access and utilization of healthcare services. Language barriers due to ethnicity also contributes to limited access to healthcare services among the American populations. For example, individuals from ethnic minorities with low or no English proficiency affect access to care as well as quality healthcare in the state. Inadequate understanding by the patient contributes to poor compliance, patient satisfaction and underuse of healthcare services (National Academies of Sciences et al., 2018).  The other causes of limited access to healthcare include race and ethnicity, health insurance coverage and literacy levels among the population. The most likely causes from the above include geographical location, income and poverty level, race and ethnicity, and health status such as disability status.

Context, Importance and Populations Affected by the Problem

Limited access to healthcare is a prevalent issue facing a significant proportion of the population in America. Accordingly, people from ethnic minorities, low socioeconomic background, with disabilities, and lack insurance coverage experience the problem of limited access to healthcare services (Collaborators* & del Pozo-Cruz, 2017). The issue of limited access to healthcare services is important to nursing and health in general due to a number of reasons. Firstly, limited access to healthcare often lead to unmet health-related needs in a population. The consequence of failing to meet the health needs of the affected or vulnerable populations include worsened health outcomes, health complications and increased spending in health (National Academies of Sciences et al., 2018).

Limited access to healthcare also contributes to delays in the ability of a population to receive their needed care, which affect the realization of positive health outcomes. Enhanced access to healthcare lowers preventable illnesses, complications and hospitalizations. However, limited access implies that the population will be disproportionately affected by a disease increasing the risk of premature mortality, unnecessary hospitalizations and financial burden of disease management (Vecchio et al., 2018; Kominski et al., 2017; Alcalá et al., 2017). Due to these reasons, limited access to healthcare should be prioritized to promote positive health outcomes in the population. The populations that are commonly affected by the problem of limited access to healthcare are varied. They include low-income earners, the poor, people living with disabilities, those lacking medical insurance coverage, individuals from ethnic minorities, rural dwellers, and people with low literacy levels (Alcalá et al., 2017; Black, 2016; Dassah et al., 2018; National Academies of Sciences et al., 2018).  

Potential Solutions, Requirements for Implementing Solution and Consequences of Ignoring the Problem

Addressing the issue of limited access to healthcare services in the US requires the adoption of responsive interventions by healthcare stakeholders. Several interventions can be embraced to address the issue of limited access to healthcare services. A number of interventions that apply to the issue can be seen in the study by Bright et al., (2017). Bright et al., (2017) categorized the interventions that can be used to address the issue of limited access to healthcare services into supply, non-monetary, demand, and financial interventions. According to them, supply side interventions include delivery of essential services such as immunization and referrals by qualified healthcare professionals closer to homes or communities experiencing limited access to health. The supply-related interventions also include service level improvements (service integration, scaling up services and provider training).

The financial interventions that can be adopted include contracting in or out of essential services, fee exemptions, expanded health insurance coverage and the establishment of health education and promotion programs to raise awareness among the population on the need for improved service utilization (Bright et al., 2017). Health technologies can also be used to address the issue of limited access to healthcare services. For example, the use of telehealth could address the issue of limited access due to geographical issues or shortage of qualified healthcare providers in the rural settings. Telehalth services would enhance the access to healthcare services by reducing the cost-related barriers to healthcare (Lin et al., 2018).

An effective solution to addressing the issue of limited access to healthcare would be the incorporation of telehealth services into service delivery. However, its successful implementation requires enhanced provider training of the providers and patients on technology use, provision of incentives to the providers and support to the patients to enhance its effectiveness (Slightam et al., 2020; Zulman et al., 2019). The consequences of ignoring the issue of limited access to healthcare services in the population include widening disproportionate access to care, health inequalities and poor health outcomes in the affected populations including increased mortality and hospitalization rate alongside the burden of the disease (National Academies of Sciences et al., 2018).

Pros and Cons and Ethical Implications

The solution that is proposed to address the issue of limited access to healthcare services is the incorporation of telehealth technologies into health. The use of telehealth technologies in addressing the issue is associated with a number of benefits. Firstly, telehealth is cost-effective. It reduces the costs that patients could have incurred in travelling to receive the care that they need. Telehealth also promotes patient-centeredness in care (Kayyali et al., 2017). Patients and providers can interact whenever in need to address their health issues, hence, patient-centeredness. The use of telehealth also improves health outcomes by facilitating early identification and management of health problems (Lillicrap et al., 2019). Telehealth is however associated with disadvantages that include being expensive to implement, requires provider and patient training and eliminates the physical interaction between patients and providers, which could address other health needs not possible through telehealth (Lin et al., 2018).

Addressing the issue of limited access to healthcare services using telehealth is associated with a number of ethical implications. Firstly, it promotes equity and equality in health. The use of telehealth promotes enhanced access to care by the vulnerable populations through the elimination of barriers such as costs, availability and geography. Addressing the issue also promotes the ethical aspects of benevolence and non-maleficence. Healthcare providers ensure that care that is safe, efficient and effective is delivered to the affected populations in a timely manner. Healthcare providers also utilize the technology to make decisions that are of best interest in meeting the actual and potential needs of the patients (Kuziemsky et al., 2020).

The use of telehealth technology to address the issue of limited access to healthcare services however raises the ethical concern of data integrity. In specific, the use of health technologies threaten the privacy and confidentiality of the data of the patients. Data integrity issues such as breaches and ineffective use of the technology could lead to loss or access of data by third or unintended parties (Botrugno, 2019). Therefore, the use of telehealth health should prioritize the protection and promotion of data integrity.


Overall, limited access to healthcare services is a critical issue that affects the health outcomes of a population. Limited access to healthcare services is attributable to factors such as cost, geographical, race and ethnicity, and poverty-related barriers. Limited access to healthcare services affects populations that include individuals with disability, rural dwellers, the poor, insured, and those from ethnic minorities. Therefore, solutions such as the use of telehealth services should be incorporated to address the issue of limited access to healthcare services in the US.


Alcalá, H. E., Chen, J., Langellier, B. A., Roby, D. H., & Ortega, A. N. (2017). Impact of the Affordable Care Act on Health Care Access and Utilization Among Latinos. The Journal of the American Board of Family Medicine, 30(1), 52–62. https://doi.org/10.3122/jabfm.2017.01.160208

Black, L. I. (2016). Access and Utilization of Selected Preventive Health Services Among Adolescents Aged 10–17. 246, 8.

Botrugno, C. (2019). Towards an ethics for telehealth. Nursing Ethics, 26(2), 357–367. https://doi.org/10.1177/0969733017705004

Bright, T., Felix, L., Kuper, H., & Polack, S. (2017). A systematic review of strategies to increase access to health services among children in low and middle income countries. BMC Health Services Research, 17(1), 1–19. https://doi.org/10.1186/s12913-017-2180-9

Collaborators*, G. 2015 H. A. and Q., & del Pozo-Cruz, B. (2017). Healthcare access and quality index based on mortality from causes amenable to personal health care in 195 countries and territories, 1990-2015: A novel analysis from the global burden of disease study 2015. https://doi.org/10.1016/S0140-6736(17)30818-8

Dassah, E., Aldersey, H., McColl, M. A., & Davison, C. (2018). Factors affecting access to primary health care services for persons with disabilities in rural areas: A “best-fit” framework synthesis. Global Health Research and Policy, 3(1), 36. https://doi.org/10.1186/s41256-018-0091-x

Kayyali, R., Hesso, I., Mahdi, A., Hamzat, O., Adu, A., & Gebara, S. N. (2017). Telehealth: Misconceptions and experiences of healthcare professionals in England. International Journal of Pharmacy Practice, 25(3), 203–209. https://doi.org/10.1111/ijpp.12340

Kominski, G. F., Nonzee, N. J., & Sorensen, A. (2017). The Affordable Care Act’s Impacts on Access to Insurance and Health Care for Low-Income Populations. Annual Review of Public Health, 38(1), 489–505. https://doi.org/10.1146/annurev-publhealth-031816-044555

Kuziemsky, C. E., Hunter, I., Gogia, S. B., lyenger, S., Kulatunga, G., Rajput, V., Subbian, V., John, O., Kleber, A., Mandirola, H. F., Florez-Arango, J., Al-Shorbaji, N., Meher, S., Udayasankaran, J. G., & Basu, A. (2020). Ethics in Telehealth: Comparison between Guidelines and Practice-based Experience -the Case for Learning Health Systems. Yearbook of Medical Informatics, 29(1), 44–50. https://doi.org/10.1055/s-0040-1701976

Lillicrap, L., Hunter, C., & Goldswain, P. (2019). Improving geriatric care and reducing hospitalisations in regional and remote areas: The benefits of telehealth. Journal of Telemedicine and Telecare, 1357633X19881588. https://doi.org/10.1177/1357633X19881588

Lin, C.-C. C., Dievler, A., Robbins, C., Sripipatana, A., Quinn, M., & Nair, S. (2018). Telehealth In Health Centers: Key Adoption Factors, Barriers, And Opportunities. Health Affairs, 37(12), 1967–1974. https://doi.org/10.1377/hlthaff.2018.05125

National Academies of Sciences, E., Division, H. and M., Services, B. on H. C., & Disabilities, C. on H. C. U. and A. with. (2018). Factors That Affect Health-Care Utilization. In Health-Care Utilization as a Proxy in Disability Determination. National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK500097/

Slightam, C., Gregory, A. J., Hu, J., Jacobs, J., Gurmessa, T., Kimerling, R., Blonigen, D., & Zulman, D. M. (2020). Patient Perceptions of Video Visits Using Veterans Affairs Telehealth Tablets: Survey Study. Journal of Medical Internet Research, 22(4), e15682. https://doi.org/10.2196/15682

Vecchio, N., Davies, D., & Rohde, N. (2018). The effect of inadequate access to healthcare services on emergency room visits. A comparison between physical and mental health conditions. PLoS ONE, 13(8). https://doi.org/10.1371/journal.pone.0202559

Zulman, D. M., Wong, E. P., Slightam, C., Gregory, A., Jacobs, J. C., Kimerling, R., Blonigen, D. M., Peters, J., & Heyworth, L. (2019). Making connections: Nationwide implementation of video telehealth tablets to address access barriers in veterans. JAMIA Open, 2(3), 323–329. https://doi.org/10.1093/jamiaopen/ooz024