John Q. recently moved to a rural community. He works full-time,
but qualifies for Medicaid because of his low income. John has high blood
pressure and his father recently had a heart attack. Thus, he decided to call
to find out which providers nearby accept Medicaid. While there are local
doctors, he discovered that the closest primary care physician who accepts
Medicaid is a 40-minute drive and appointments must be made 2 weeks in advance
due to the number of patients at the practice. In addition, the practice does not
offer weekend or evening hours. John usually catches a ride to work with a
friend or relies on public transportation. According to Chapter 4 of The U.S.
Health System: Origins and Functions, Andersen (1995) developed a model of
health services utilization based on three categories of factors: predisposing,
enabling, and need. These factors can be further categorized as mutable or
immutable. In your paper, discuss the following questions: What factors may
affect John’s health care utilization? Are these factors mutable or
immutable? What are some ways to change
the mutable factors?
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