This article discusses the lack of public awareness of illness in the health and human services sector, leading to health care disparity. It examines the ethical, theoretical and conceptual framework and suggests solutions to promote health care equality.
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Running head:ISSUES IN HEALTH AND HUMAN SERVICES Issues in health and human services Name of the Student Name of the University Author note
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1ISSUES IN HEALTH AND HUMAN SERVICES Issue There are many issues identified in the health and human service sector. As a manager the issue that is most important is the lack of public awareness of the illness. This issue is important personally as a manger because poor public health awareness creates disparity in health care delivery. Areas with low health awareness are one with high mortality rates. People in rural areas and with low educational attainment lack health awareness. Due to poor awareness they limitedly access the health resources, insurance coverage, do not have healthy eating and living skills. In these sections of society, there is high prevalence of chronic conditions (Akinboro et al., 2016). It implies the responsibility of the health and human service manger to enhance the public health awareness and promote health care equality. Reflection on values My core values are better health care, engaged patients and communities, better patient experiences, improved health literacy and health care equality. However, the issue of the poor public health awareness challenges personal beliefs. It is because people with low health literacy are less likely to follow the treatment instructions, and highly likely to be re-hospitalised and less likely to seek preventive care during epidemics (Mantwill et al., 2015). People from different cultural, racial and ethnic background have different health values and beliefs. This leads to conflict of values. For instance, in Iranian cultures, women have poor access to reproductive health care and belief in preserving the girl’s virginity. Family beliefs shape the girls’ attitude towards the reproductive related issues. Such beliefs are attributes to poor health awareness (Seymour, 2018). Such health beliefs and values are challenging to the personal beliefs of equal access to reproductive health care for men and women.
2ISSUES IN HEALTH AND HUMAN SERVICES Examining issue- Ethical, Theoretical and conceptual framework Examining the issue from the ethical perspective, that is moral principles, theories, and conceptual frameworks, the issue of conflict between personal values and people’s health values is challenging. Diversity of ethical issues arises due to unfamiliar cultural norms of public. Changing the health beliefs, literacy and attitudes of people as per personal values will breach the principle of respect for persons, justice, beneficence and non-maleficence. It will favour the consequentialist theory that is end based. It will not favour the virtue ethics, religious ethics, deontological (duty-based) theories, due to disease demographics, and different professional expectations (Barnard et al., 2011). Examining from the legal perspective, health insurances can reduce the health disparity as well as introduce the new ones. It does not ensure the equity but improves the access to health care by providing awareness to people. Although, it is acceptable as per law of Canada, it may be objectionable from Islamic law perspective (Kasule, 2012). Solution There is a need of recognising the ethical tensions and pursue its root. To decrease the rate of poor public awareness, there is a need of rigorous awareness campaigns. It will help people change the perspective of health and its related beliefs and attitude. It will lead to increase in access to health services, improve health literacy, and reduce health disparity (Proctor & Hayes, 2017). As a manager of the health and human services, I would like to adopt the free market tools of private insurance. It will help increase the efficiency and quality of the government as well as the cooperative community insurance. It will help people with low socioeconomic status to gain health literacy by campaigns and access preventive or screening services on time (Kasule, 2012). Conflicts of values will be resolved by deciding which values
3ISSUES IN HEALTH AND HUMAN SERVICES takes priority in a given situation and ways to uphold them. It will help maintain the ethical equity (Little, 2018).
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4ISSUES IN HEALTH AND HUMAN SERVICES References Akinboro, O., Ottenbacher, A., Martin, M., Harrison, R., James, T., Martin, E., ... & Cardarelli, K. (2016). Racial and Ethnic Disparities in Health and Health Care: an Assessment and Analysis of the Awareness and Perceptions of Public Health Workers Implementing a Statewide Community Transformation Grant in Texas.Journal of racial and ethnic health disparities,3(1), 46-54. Barnard, D., Bui, T. T., Chase, J., Jones, E., Loeliger, S., Velji, A., & White, M. T. (2011). Ethical issues in global health education.Global health training in graduate medical education: A guidebook, 25-43. Kasule, O. H. K. (2012). Health insurance and the ethical issue of equity.Journal of Taibah University Medical Sciences,7(2), 61-68. Little, D. (2018).The paradox of wealth and poverty: Mapping the ethical dilemmas of global development. Routledge. Mantwill, S., Monestel-Umaña, S., & Schulz, P. J. (2015). The relationship between health literacy and health disparities: a systematic review.PLoS One,10(12), e0145455. Proctor, G., & Hayes, C. (2017). Counselling for Depression: a response to counselling educationinthetwenty-firstcentury.Ethicalconflictsforacounsellingapproach operating within a medicalised bureaucratic health service.British Journal of Guidance & Counselling,45(4), 417-426. Seymour, J. (2018). The Impact of Public Health Awareness Campaigns on the Awareness and Quality of Palliative Care.Journal of palliative medicine,21(S1), S-30.