United States Healthcare: Analysis of Public Health and Primary Care

This report provides an in-depth analysis of the US healthcare system, highlighting the significant public health challenges, including the rise of chronic diseases like diabetes, heart disease, and mental health disorders, exacerbated by social determinants such as socioeconomic disparities, lack o...Read More

Running head: US healthcare
US healthcare
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The health care in United States is determined by its public health conditions that has
changed over the years from a number of new diseases that has emerged into the scenario,
due to environmental, social and cultural conditions as well as due to lack of proper care for
prevention and management of the same (Bloom & Tavrow, 2018). In United States, the
health care conditions are directly attributed to the lack of socioeconomic support and
financial coverage for a number of health conditions that has been prevalent in the health
scenario of United States for decades now. The major diseases that affected the public health
scenario of the people of united states are coronary diseases including atherosclerosis and
myocardial infarction result in increased rates of heart attacks, diabetes mellitus, renal
diseases as in acute kidney diseases, obesity, hypertension and Alzheimer’s-dementia-
Parkinson complex. It is to be understood with the rising population and increased
complexity in the living of day to day lives – the major hazards that are posed by the genetic
transmission through generations, chemicals, mutagens, biological factors and the
environmental factors as well the occupational hazards can be greatly attributed to the public
health scenario in the regions of United States (Onishi et al., 2017). It is also to be considered
that other the physical hazards such as heart attacks, diabetes mellitus, renal diseases as in
acute kidney diseases, obesity, hypertension and Alzheimer’s-dementia- Parkinson complex –
there are other hazards that can be categorized in the mental condition or mental health
condition category which leads to the increased rates of disruption of the psychological safety
and critically it is to be understood that mental health and well-being is as important a
parameter like the physical health and well-being that is to be identified by the policymakers
and the health care administrators who are in charge of making and developing as well
modifying the health care framework in the country of United States. More importantly, it is
important that the social determinants of health play a critical role in the development of the
diseases in the public health scenario of United States and it is very much vital that all of

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these parameters are managed and controlled by the national level health care control
framework, in order to bring out a proper service delivery system into the health care
scenario. The various social determinants of health that affects the health care scenario are
finance, employment, accessibility to primary health care in the local areas and to quality as
well as standard health care facilities, psychosocial health and the related addictions,
education and awareness of the population about the condition of the disease and the
preventive measures. All these factors are applied more so appropriately in the healthcare
scenario that concerns the community living minority groups of America that is the African
Americans who suffer greatly from psychosocial addiction leading to various physical and
mental health affections to a higher effect and in the urban societies of the country – the
different other factors such as sedentary lifestyle and sit in desk work styles in the corporate
work lives has resulted in the development of obesity and related systemic cardiovascular
problems in the persons living in the country of United States. In this study, the primary
health care in the community settings are been explored and the changes that are required to
be made by the United States government, based on the needs of the community and
population, are analyzed (Finnegan, Selwyn & Langhinrichsen-Rohling, 2018).
In United States, according to a study, diabetes affected 72% of population, 94% had
obesity, heart disease up to 72%, mental conditions were found in 65% of the general
population of United States. Obesity, myocardial infarction and hypertension are quite a triad
that affects the public health scenario of United States and lack of proper nutrition in the
community lives and lack of time in having healthier foods amongst the urban population due
to stress and anxiety caused by work also affects triad in a very adverse manner and distorts
the social determinants that affect the public health of united states (Hing et al., 2017). The
various aspects of the health care scenario that has been described above can be controlled by
the government of United States and over the span of recent years and decade, the Medicare

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service which is a national level health policy initiated and undertaken in order to better the
health care services at a national, state and local level has really affected the health condition
in a mixed manner. There has been positive effects of the government initiated Medicare
health care policies and in some areas, the effects or rather the clinical outcomes has not met
the aims mentioned in the national policy framework. In the community areas where
generally the minority social groups such as African American men and women resides are
affected both by lack of proper health care services as well as due to lack of hygiene in
addition to poor quality of life. Nutrition and proper intake of nutritional food which is a
major problem in these areas are further aggravated by the increased and prevalent rates of
the psychosocial addictions to drug and other substances and this poses a great and serious
challenge to United states government led and mediated health care service delivery to these
areas due to lack of primary health care networks (Bernstein et al., 2019). The main problem
is that the required numbers of the health care institutions as in community health care
centers which also known as the primary health care networks are lacking and even if they
are present or developed by the United States government in certain areas, these primary care
centers lacked the infrastructures required to service the communities in a pertinent way
(Tamblynet al., 2018). In the areas areas where the African American communities lives, the
traditional health services such as the traditional healers impart the age old health protection
to these people and if the primary health care centers has to work properly, the very services
has to be collaborated with the holistic care in order to deliver a more meaningful service of
the African American communities, residing in these local areas (Basu et al., 2019). The
needs of these African American community residing in different parts of United States are
nutrition, knowledge and awareness about the diseases, socioeconomic support, and quality
of living, employment and accessibility to primary health care centers. The National health
goals in the legal framework of United States are directed on elevating the diversity and

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equity pertaining to the health care services in United States and the policies must be
corrected and modified more in empowerment of the health knowledge and awareness of the
African American people living in the community areas and the primary health centers has a
great role to play in the same. The various aspects of the care in the primary health settings
are directed towards collaboration with the community leaders and the social activists who
works for the social and health interests of the people residing in the local community. Not
only the number of the primary health care setting has to be increased in the various
community regions of the country but a diversified workforce must also be recruited to
support the health needs and the psychosocial needs of the African American people living or
residing in these areas (Vargas Bustamante & Chen, 2018). Generally, general practitioners,
community and rehabilitation nurses, physicians are a part of these centers but as a matter of
fact it is to understood and based on the analysis done in this study, it can be said more
practitioners pertaining to different disciplines are required to work in the community care
teams in order to deliver a culturally competent service (Chin et al., 2013). Dieticians,
nutritionists, community care psychologists and developmental psychologists must be
included in the primary acre teams working in the primary care centers in order to address all
the needs of the community. Collaboration with the social activists and local workers would
also empower the socioeconomic status of the community and more education followed by
employment opportunities of the workers and practitioners from the community itself would
increase the resilience of the community towards its own health management (Tan & Black,
2018). The government policies must be made pertinent towards the more cultural health
service delivery through the primary care settings and more seminars and health promotion
activities has to be undertaken by the primary care settings in order to broaden the self-
management skills of the community members and it is critically important that the same
people are educated through the use of posters and reminders (White et al., 2015). The

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government has to take steps in order to form and strengthen the legislative framework in
welfare and health well-being of the African American communities living in the community
areas (Twombly et al., 2011).
Hence it can be concluded saying that the various the government of United States has
to make policy and regulation improvement in order to uplift the quality of services provided
by the primary care settings in the community areas. The social determinants of health which
are being distorted has to be adjusted and then then the correct workforce diversity ratio and
proper collaboration between the same has to be achieved in the operations of primary care
settings in order to deliver a more proper culturally competent care in the same areas.

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