Health & Socio-Political Issues: A Critical Analysis of User Pay Model

This essay examines the user pay model of care and its influence on the health of the population, particularly concerning aged care. It discusses how the model aims to support affordable aged care by increasing financial contributions from those who can afford it, while also addressing age inequity in healthcare service delivery. The model focuses on practical management of older patients, promoting self-management and independence through community-based healthcare services. However, it also acknowledges potential issues such as stereotyping, discrimination, and unequal access to essential goods and services for the elderly. The essay further explores the integration of long-term disease management principles, financial incentives, and the importance of information coverage and reporting within the user pay model. It concludes by emphasizing the need to address unequal resource allocation and ensure that older individuals receive the treatment they deserve, supported by medical advancements and research.

Running Head: HEALTH AND SOCIO-POLITICAL ISSUES
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Age, social and political issues influence the health of a population. This essay discusses
the user pay model of care which seeks to support affordable aged care through an increase in
financial contributions to aged care costs for those who can afford it.
The user care model creates initiatives to pass rules and regulations that prohibit age
inequity in the delivery of health care services .The discussions of the legal scholars have
disclosed that our on-going legal defense would not stop the formation and enactment of
government strategies that would use old age as a premise for issuing inadequate healthcare
resources. (Nigam & Ocasio, 2010). Services provided are for aged individuals who require
additional assistance so as to live their lives as self-reliant as possible, those who are vulnerable
or who may require security and services such as day care, nursing, and residential care
The model focuses on practical management of older patients in all areas through
offering services which include providing health care services in the community from one of the
dependencies to one of capacity building for the older person that motivate self-management and
independence. It promotes and extends the time in which people lead healthy, active and
fulfilling lives. Through the user pay model system older people are offered support and
preventive services that are available to them. Increasing demands for health and social care
reinforce the importance of considering how those services should are supposed funded (Tamiya
et al, 2011). All funding arrangements must be equitable and must not discriminate against any
group including older adults.
The user pay model also leads to stereotyping that result in differential treatment. Age
categorization that arises in health care settings may also include thoughts of healthcare
providers that ageing individuals will not gain from specific health care practices. Old patients

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may be stereotyped due to false information as a result misconception and lack of knowledge.
Most medics refer to studies that measure the outcome of different treatments within comparable
groups. Lack of recognition of the evidence-based literature on the treatment of seniors leads to
discrimination thus even the well-intentioned physician may use chronological age as a
prominent surrogate for physiological maturity.
Chronic disease prevalence is rising and at 80% estimation of the gross burden of
diseases is calculated in disability life adjustment. Illnesses that become persistent can prevail
across life cycle but more widespread with older age, especially the frail age. There will be an
escalate in the number of older people with a variety of intricate conditions linked to the
symptoms of chronic diseases .the user-pay model may not cover all of them because of
discrimination (Henderson, Willis, Xiao, Toffoli, & Verrall, 2016).Contradictory jurisdictional
financing responsibilities among the state and other institutions have produced a sophisticated
service and difficulty across the aged health sector regarding providing finances, management,
and conveyance of services across the continuum of care.
The user pay model integrates long-term disease management principles of self-
management in service delivery and early diagnosis of diseases. The delivery of the schemes and
services are targeted at the dominant sector since there is an opportunity for health providers to
capitalize on the soaring levels of mobility, independence, optimism. They are attributes of this
group of people and initiate a variety of health promotion and preventive policies that maintain
the healthy aging process (Duckett & Willcox, 2015). The services are provided by encouraging
the development of self-managing skills so that they can control the symptoms of the ailments
they may have. They introduce community care services that emphasize on their ability to

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undertake activities of daily living and keep their psychological and functional independence and
play a key role in allowing older adults to live independently in the society.
The model gives open to change services that meet intricate care needs that can often
include physical, mental and social care factors. It involves a multidisciplinary approach that
requires competent evaluation for the management of elderly patients with complicated wants in
the critical care setting. It puts a strong attention to supporting the responsibility of the carer as
part of the healthcare personnel within the critical and social care setting is essential.
Consumers can pursue chances to take care of their needs in productive and flexible ways
with possible cost savings since there is no restriction to acquiring services from the formal aged
care sector. Practical utilization of the customer buying power is an essential factor in the
improved financial outcome (Crawshaw, 2012). However, support services for self-management
only exist in limited locations which are supposed to be widely available whereby the
government must provide necessary information support and advisory services free of charge.
This could be funded by a small reduction in the value of individual care packages.
Progressively, financial incentives applied in health care as a result of growing demand
for health care associated with fiscal pressures. The quality and outcomes of the model give
individual long-term effectiveness since there are new schemes that are required. The model
improves the quality and the efficiency of the health system within the accessible resources
which will develop service delivery (Coburn, 2010). Financial incentive plans is one approach
where the system may incentivize health care providers to better production or adapt to enhance
quality provisions. It reduces economic uncertainty to consumers of health care by directing the
undertakings of providers towards some significant predefined goals and prevents poor results.

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Excellent information coverage and reporting are necessary for the user pay model been
the evolution of complete electronic documentation and straightforward accumulation and
utilization of information for estimating standard. It could be manipulated to train practitioners
and add civic about the super care. Medical aims and reputations are essential to medics, and
civics outlining of information on standard of care may solely progress as a driver of execution.
The method connecting consummation to stipend demands to be simple and open which
motivates enhancement at all classifications up to an agreed maximal threshold ensuring that low
performing practices have a stimulation to advance (Fong, Yuen, and IGI Global Online, 2018)
The status of the model depends on the potential alignment of monetary motivation with
a high standard of affliction. The model invests in a scope of standard advancement paths
including caretakers, new an information compilation system which links results to analytical
organization and support in general shared training chances (Bourke, Humphreys, Waterman &
Taylor, 2012).
This model strengthens utilities at the essential care level for old individual that points
health betterment and interception and self-administration actions that favor the elderly. It
emphasizes on current challenges arising from the older adults along the continuum of care. The
model promotes systems and agenda that put individuals away from sanatoriums and change the
equity of responsibility to the public and give solutions that are combined across the sequence of
responsibility and advocate continuous evolutions between the attachments in disparate care
contexts. It gives eligibility and determination of the need for services (Bank & EBSCOhost,
2016).

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It strengthens contact arrangements and processes that conduct the entry to public
affliction system and encourage self-administration step to chronic disease through the
development of appropriate case management models. There are also initiatives to improve
transmission procedures between the doctors and the critical control section. It strengthens the
society trust duty deliverance which enhances the development operation for older between
various schedules beside the spectrum of caution. Technical variations will happen to get around
changes and progressions in structure capacitance, therapeutic advancements and probe into
remedies and therapy that reduces ailments. This model commits to improving mutual techniques
with the state to enhance associations for the expansions of plans that assist the pattern of charge
for the senior individual.
Resource allocation gives the direction in which the model is heading. The older people
allocated funds that cater to their needs. There is rationing of resources to the senior whereby a
person with a similar health condition with another individual receive roughly the same health
care (Andersen, Rice & Kominski, 2011). However, the community encountered by an
obligation of assigning assets as justly and ably as feasible. The presumption of the ancient
maturity obstructs the likelihood of fortunate curative results and remains highly undependable
clinical outcome predictor. Hospitals often abandon patients especially the older people who
arrive in the infirmary wards moreover lacking any health security or with only medical
guarantee, a program which medics know gives low reparation remunerations (Almgren, 2017).
There is uneven entry to essential goods and aids which encourages disparity and is
demeaning to the one who are being rejected. Also, denial of life-expanding remedy to the old
may nurture the developing drift of different regard towards the seniors. When their age
advances they have limited medical choices and treatment because of the use of their

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chronological age which is not ethical. They are treated differently from other groups because of
beliefs by healthcare givers which seniors will not gain from health care approaches.
In conclusion, the user pay model is compelling and vital to the elderly. However; to
confront the issue of unequal allocation of resources must be taken into consideration and dealt
with accordingly by practitioners. The government has committed itself to help the older people
to get the treatment they deserve .The user pay model helps them to acquire the proper treatment
at the appropriate time and by the valid personnel. There is medical development and research
into treatment that will help them access any kind of health care processes.

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References
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