Actions to Transform Health Care - Assignment Example

Action to Transform Health Care The report critically explores about the major barriers that confine rights and equalities of the indigenouspopulations in Montreal, Quebec, Canada. In this context, the discussion provides an in-depth understanding about the role of different socio-economic factors and their influence that restrain equalities of the indigenous populations to obtain health care benefits in the community. According to a critical assessment of the current health discourse condition in Montreal, it has been identified that lack of focus on making equal participation of the indigenous members is a significant constraint of the nursing institutions to offer healthcare services. Additionally, educational background along with lower income level of this segment of Montreal population often compels the indigenous groups to avail equal health care services. In this regard, a series of suggestive actions have been formulated that can increase the health care efficiency of the nursing institutions to protect health and wellbeing of the aboriginal members in the community. In this regard, changing and maintaining adequate compliance with the participation and accession of health care services can improve their process of protecting the wellness of the aboriginal groups. Furthermore, making continuous promotion of the health care facilities designed for the aboriginal groups along with improving the way of rehabilitation programs can also improve the current nursing trend in Montreal for the indigenous groups. Introduction In relation to the recent health care sector in Canada, a major development can be witnessed in terms of maintaining status and legitimacy in nursing of the community members. However, the health care sector of the nation is often alleged in terms of overlooking of conducting appropriate health and social care activities for the members especially the urban aboriginal groups. The aboriginal groups in the nations are subjected to face major disparities in terms of availing appropriate care, awareness and wellness programs to improve their health and wellbeing within the communities. Keeping with the changing notion in nursing practices, the primary objective of this research study is to bring a major understanding of the current nursing practice in Montreal Quebec, Canada. In this regard, the discussion of the report critically analyses discourses within the community regarding the status and legitimacy of aboriginals in the nursing sector. In addition, the discussion also tends to provide relevance suggestive actions that could transform the discourse and improve health and/or health care service for the aboriginals in the community. Discourses Identified in the Society The disparities in community health programs are among the major concern especially with regard to the developing and underdeveloped nations in the world. In this context, the communities in these economies are often recognized to face major issues in terms of acquiring care and long-term health benefits for the community members (Potvin, Gendron, Bilodeau & Chabot, 2005). The health service facilities in Montreal include a number of major health development practices that empower the prevailing communities to achieve stability in the context of wellbeing of the members irrespective of their age groups. However, the discourses in the community health services have also been observed that have major impact on the communities to obtain continuous improvement of the health services provided by public and private institutions. According to the recent community health services in Montreal, the public services are centrally focused on providing generic set of health development activities than the functions that are especially required in other health service segment. In this context, the existing disparities in the community health services, especially the elderly age population in Montreal is a major concern (Sutherland, Repin & Crump, 2013). With regard to an empirical study of Health Canada (2000), life expectancy level of the aboriginal group has been undergoing major vulnerability than the other groups and individuals in the communities. According to the research report of the public health care agency, it has been identified that the life expectancy for the aboriginal group was reduced to 7.4 years for male and 5.2 years for female individuals than the average life expectancy level of other Canadian groups within the communities (Smye, Rameka & Willis, 2006). In this context, it can be stated that a significant downfall in life expectancy level of the aboriginal groups has been measured as compare to the other Canadian groups is driven by few key determinants. Lower or insignificant focus of the community health care departments, and changing attitude and behavioral aspects of the people in this particular segment of populations are the major drivers leading to lowering the life expectancy of the aboriginal groups in Canada (Health Canada, 2000). Community health in Montreal is fundamentally governed and administered by the health and social service centres (CSSSs) that are liable to encompass Local Community Services Centres (CLSCs), public residential centres (CHSLDs) along with general and specialized health care service institutions within the territory. The operational activities of CSSSs can be characterized into four major categories. Firstly, the center provides adequate helps to the community members of Montreal to obtain health and social services as per their needs. Secondly, the institution is committed towards offering quality based health and wellness services to each community member ranging from residential to long-term health service centers within the community. Thirdly, CSSSs is also accountable to improve health and wellness services with the aim of encouraging community members to adopt healthy lifestyle irrespective of their income levels. Lastly, the health services of CSSSs are aimed to contribute to local and regional allies in order to maintain continuous improvement of the public health within the community of Montreal (Gouvernement du Québec, 2015). However, the central health care and nursing facilitators are often accused in terms of increasing awareness programs for the aboriginal groups in the communities. The adequate focus on maintaining generic nursing processes often mislead the nursing and health care service providers to provide adequate focus on health and wellbeing of the aboriginal populations within the communities. Discourse of Right to Counsel and Therapy In relation to the current health service in Montreal, the community members can identify a number of studies that portray a significant discourse towards the right of participating and availing continuous health and wellbeing facilities. In this regard, major disparities in counseling with the aboriginal groups in respond to their habits and unusual practices in involving health related risks can be considered as one of the major concerns in Montreal. The nursing facilities associated with the Montreal Urban Aboriginal Health Committee (MUAHC) can play a crucial role by generating awareness of the aboriginal populations and compel them to eliminate their habits that can lower health and wellbeing of the individuals. Although the community incorporates a number of well-established care facilities, the outpatients in the mental health facilities are often been overlooked towards taking adequate measure of serving clear counseling about the health and psychological condition of the service users (Lussier, 2012). Health care service promotion In the context of current community health services, the service providers in Montreal has also been observed to include significant disparities in terms of promoting its wide ranging of campaigns to develop the attitude and behavior of the aboriginal populations in developing their health conditions. The limited or less promotional activities to improve health and wellbeing significantly increases major vulnerabilities of the aboriginal populations across different areas in the Montreal territory. The nursing service providers also overlook of conducting communication with the aboriginal populations regarding their different physical issues that are often resulted from their different habit of consumption such as smoking and drinking alcohol among others. The lack of promotional activities of the services often confines the possibility for the aboriginal members to obtain health services as per their requirements. In addition, lack of proper usage of communication tools and advertising methods of providing adequate information about possible consequences of consuming unhealthy products (Gouvernement du Québec, 2015). Prevention and Early Intervention In relation to the current health service facilities in Montreal, the health care service centers have major deficiency in providing adequate information to the community members in terms of taking any early prevention process of the different types of health issues faced by the aboriginal populations. In this context, lack of promotional activities of the service providers can be duly accepted as major factors leading to lower knowledge regarding the prevention and early intervention process that might protect the aboriginal groups in the Montreal community to face major health issues (Lussier, 2012). Factors Leading to Cause such Discourses In relation to the current health and wellness services in the community of Montreal, although the community is endowed with a number of developmental schemes, but the health developmental activities especially for the aboriginal groups in the community are often influenced by few major factors. The major factors leading to impact on the health development sector has been briefly stated hereunder. Effects of Socioeconomic Influences on Health The nation has been experiencing continuous transition in its annual economic growth due to the downfall of the key economic indicators including annual household income, Gross Domestic Product (GDP), growth rate and unemployment among others. In addition, the socio-cultural factors such as educational growth of the population and development in health and wellness have also undergone major decline across the communities to protect health and wellbeing of the aboriginals. Therefore, the following discussion critically examines the current socioeconomic factors in context of the health and wellness of the aboriginal populations in the Montreal communities (Canadian Institute for Health Information, 2008). a. Income and Social Status Income as well as social status of individuals can be duly accepted as among the major set of socioeconomic factors that have considerable influence on the health condition of aboriginals in a particular community or territory. According to the observation of various studies, it has been perceived that higher income level and social status of individuals in Montreal are significantly linked with a better health than the aboriginals from lower or insignificant income levels in the community. Significant indifferences between the rich and poor populations in the community reflect a dissimilar health condition of the individuals, especially the aboriginal groups in Montreal (Canadian Institute for Health Information, 2008). In the context of Montreal community, the territory has been witnessing a significant development in terms of improving the income level indifferences of the population than other areas in Canada. A forefront step towards commercialization and increasing inward investment has been facilitating the area to reduce the differences of income level of the population’s access to health care services. However, the aboriginal groups have been undergoing major discrepancies in terms of availing continuous support from the health and wellness programs. Specially mentioning, the households from lower income levels are highly affected from different acute syndromes, as they are not regularly informed about the care facilities or their in capabilities due to the increasing cost of the services that are provided by the privately held institutions (Lussier, 2012). b. Physical Environment In relation to the modern phenomenon, physical environment around the communities also has major impact on the health of the aboriginals in a particular community. In this regard, adequate cleanliness and safety in the communities, workplaces or households significantly determine better health condition of the people across the territory of Montreal. Clean air, safe water and hygienic environment often help community members to reduce possible health issues and promote wellness of each individual. Additionally, embedded environmental sustainability within the communities and workplaces with emphasizing major development of the current and future generations has improved the physical environment in Montreal (World Health Organization, 2014). However, the physical environment of the community also has major challenges to maintain effectiveness of the physical environment due to significant inconsistency of the caregivers. Moreover, lack of long-term developmental plan and administering process of the community areas also has negative influence on the members to avail enduring physical environment (Canadian Institute for Health Information, 2008). Therefore, protecting community members especially the aboriginals from different health related disparities can be seen as a major factor. The adequate focus on maintaining cleanliness of the community can substantially reduce the possibility of the aboriginals to get easily involve in various wrongdoings that might have negative impact on their health and wellbeing. c. Health Services The notion of adequate accessibility and effective use of health services that help to prevent diseases is also a major determinant of a healthy community. Moreover, appropriate way of treating with ailments that have negative influence on individuals’ health is also an utmost concern of health services of this particular region (Public Health Agency of Canada, 2008). In relation to the current health services, people around the Montreal community are endowed with quality based and easily accessible health services irrespective of the demographic dissimilarities among the people. Therefore, the current healthcare service has been witnessed to bring major improvement on the health and wellbeing of the population in Montreal. However, the health service facilitators in the community also have major discourse in terms of encompassing the health needs and rights of the community members mainly the aboriginals to easily access services regarding various types of physical and mental illness. In this regard, inadequate funding for different types of illnesses often minimizes the social care services of the agencies and institutions, which further negatively impact on the community members. In addition, significant discrepancies in promoting, administering and identifying needs of the aboriginal members to avert the risk of different physical and mental illness can also be regarded as major issues of the health service providers in Montreal (Sutherland et al., 2013). d. Education Education can also be regarded as one of the key socioeconomic determinants behind health and wellness of individuals. Adequate educational background often helps in lowering the issues associated with poor health. Moreover, education also increases self-confidence as well as stress level of the individuals (Graham, 2004). In relation to the current socio-economic condition in Montreal, the community constitutes a major improvement in educating community members. However, the community members have significant deficiency in terms of gaining adequate knowledge and ideas to reduce possible health issues of the aboriginal groups in the community. The educational system in this community often overlooks incorporating major programs to shape behavioral characteristics associated with the protection of the aboriginal populations from various possible health and psychological issues. In this regard, the population from lower income group is the major segment with lack of knowledge and ideas about the impact of their daily habits on their health condition. In order to reduce the possibility of facing major physical and mental illness, the healthcare service providers are accountable to make the community members educated by developing thoughts and perception regarding their daily habits (Direction de santé publique, 2011). e. Social Support Network From a general perspective, an effective support and cooperation with family members, friends and community members often have major effect on the health condition of individuals especially from the aboriginal groups in the community. In this context, cultural aspects such as religious norms, traditions, customs and beliefs of the supportive members have significant influence on the attitude and habits of the indigenous groups and individuals in the community (Do & Park, 2009). In relation to the current scenario in Montreal, the community incorporates a strong alliance with varied sub-regional forums that significantly strengthen its social support network. However, the health service providers in Montreal incorporate a minimum number of societal entities to increase the efficiency of the health care services. In order to enhance the efficiency in the health service facilities for the community members, the service providers are essentially required to expand their social support network by including a large number of forums and non-governmental agencies or institutions to improve health and wellness services for the indigenous groups (Direction de santé publique, 2011). Suggestive Actions to deal Eliminate Health Discourse of Aboriginals in the Community Communities surrounding different developed, developing or underdeveloped countries are often witnessed to undergo major hurdles in acquiring appropriate support for the health and wellness services. In this context, discourse in the health services facilities in Montreal perceived a major issues due to the influence of various socio-economic factors among the aboriginals in the community. In relation to the unconventional era, health care industry has been highly influenced by a wide range of socioeconomic factors that have significantly helped to understand the current growth or development of this industry (Potvin et al., 2005). In relation to the recent observations of the healthcare sector in Montreal, the indigenous or populations from aboriginal groups are often experienced with major disparities in terms of obtaining support towards developing their health and wellness. The discourses in the community health service of Montreal are often recognized due to the unabated issues raised relating to the costs associated with the healthcare services (Sandoval & Caceres, 2013). In order to eradicate the inefficiency in health service constraints resulted from the socio-economic factors, the health service of the community should levy high focus on restructuring its care facilities within the communities. The possible actions that are required to improve the health service in Montreal have been discussed with the help of the following suggestive measures. Reducing Possible Barriers In order to minimize possible constraints that have major influence on the health service facilities of the nursing institutions, the community based healthcare services in Montreal should focus on reducing the barriers that restrain aboriginal users to get easy access to health care facilities. In this regard, enactment of strong policies along with health care service acts can substantially encourage the community members especially the aboriginal groups in Montreal to get ease access to health care facilities as per their needs. The process of making significant amendment in the policies will also help the service providers to encompass different areas of operations and increase the number of service users within the institutions. In addition, increasing the number of health clinics and consulting service centers to improve participation of the indigenous groups in Montreal and develop their health and social status. The process may substantially reduce possible health care barriers of the aboriginal members in the community (Sandoval & Caceres, 2013; Sante Montreal Portal, 2015). Health Promotion Activities Promotion of health and mental services is one of the major factors required in the Montreal community for developing its health services. In relation to the recent concerns regarding the health services in Montreal for the indigenous members, inadequate measures of ‘promoting advanced care facilities along with different rehabilitation process of various illness has been considered as a major issue in the community. In order to increase efficiency in the community health services, the service providers should highly focus on performing continuous promotion of the service facilities including advertisements and counseling campaigns across each area within the community (Mitchell, 2009). Moreover, the agencies and institutions should also focus on conducting wide range of promotional activities by educating the indigenous community members regarding the process of primary prevention along with early intervention for various types of physical and mental illness. In addition, encouraging adequate participation of the members in consulting health care services and needs of different facilities would also help the aboriginal groups in Montreal to improve their health and wellness. The process of encouraging participation of the community members will further help service providers to align their service facilities as per the needs of the members from indigenous groups and formulate appropriate set of practice guidelines towards improving their daily habits leading to health and wellness (Lussier, 2012). Social and Psychological Intervention and Support Programs Community health service has long been witnessed to highly influence by the social development practices. In order to reduce the possible increase in health discourse, the health care service providers in Montreal should highly focus on increasing the number of social and psychological support programs for the community members. In this regard, the support programs should commit towards performing long-term vision for developing rights of the indigenous populations in terms of improving their health and wellness (Lussier, 2012). Rehabilitation and Continuing Care Facilities In order to maintain long-term care facilities of the health and wellbeing of the aboriginal members, the service providers in Montreal should also need to plan and execute effective management programs in the form of rehabilitation and continuing care services for this segment of members. In this regard, the service facilitators should highly focus on making strong alliance with different sub-regional forums and institutions for streamlining care facilities for the indigenous populations within the community. Moreover, encouraging equal participation of the members from different income and demographic backgrounds can also help the service providers to maintain long-term health and wellbeing of the Montreal community (American Psychological Association, 2006). Conclusion According to a critical evaluation of the current health service in Montreal, it has been identified that the socio-economic factors have major bearing on the development of health service facilities. In relation to the current socio-economic factors, the community of Montreal has identified major barriers that restrain aboriginal members or groups to avail easy access to healthcare services. With regard to the various constraints in accessing the healthcare services, the assignment suggests a set of common and highly essential practices for the community to improve the health and wellbeing aboriginal populations. Adequate compliance along with the previously mentioned suggestive practices can also help this segment of users to get easy access to various advanced health and wellbeing services. Moreover, the suggestive actions described in the above discussion can also improve managing and controlling functions of the service facilitators and make continuous improvement of health and wellbeing within the Montreal community. References American Psychological Association (2006). Evidence-Based Practice in Psychology. American Psychologist, 271-285. Canadian Association of Social Workers. (2015). The role of social work in mental health. Retrieved from http://www.casw-acts.ca/en/role-social-work-mental-health Canadian Institute for Health Information. (2008). Reducing gaps in health a focus on socio-economic status in Urban Canada. Retrieved from https://secure.cihi.ca/free_products/Reducing_Gaps_in_Health_Report_EN_081009.pdf Direction de santé publique. (2011). Social inequalities in health in Montréal. Retrieved from http://publications.santemontreal.qc.ca/uploads/tx_asssmpublications/978-2-89673-119-0.pdf Gouvernement du Québec. (2015). Health and social service centres (CSSSs). Retrieved from http://www.santemontreal.qc.ca/en/where-to-go/health-and-social-service-centres-cssss/#c2901 Health Canada. (2000). A Statistical Profile on the Health of First Nations in Canada: Highlights of First Nations Health Statistics. Retrieved from http://www.hc-sc.gc.ca/fnihspni/pubs/gen/stats_profile_e.html Lussier, M. H. (2012). The Socioeconomic Status of Anglophones in Québec. Retrieved from http://www.inspq.qc.ca/pdf/publications/1494_SituationSocioEconoAngloQc_VA.pdf Mitchell, P. F. (2009). A discourse analysis on how service providers in non-medical primary health and social care services understand their roles in mental health care. Social Science & Medicine, 68, 1213-1220. Potvin, L., Gendron, S., Bilodeau, A. & Chabot, P. (2005). Integrating Social Theory Into Public Health Practice. Am J Public Health, 95(4), 591-595. Sutherland, J. M., Repin, N. & Crump, R. P. (2013). Funding health and social care in montréal, québec: a review of the methods and the potential role of incentives. Retrieved from http://www.cfhi-fcass.ca/Libraries/Reports/Funding-Care-Methods-Sutherland-E.sflb.ashx Sandoval, C. & Caceres, C. F. (2013). Influence of health rights discourses and community organizing on equitable access to health: the case of HIV, tuberculosis and cancer in Peru. Global Health, 9-23. Sante Montreal Portal. (2015). Mental health. Retrieved from http://www.santemontreal.qc.ca/en/support-services/services-by-type/mental-health/ Smye, V., Rameka, M. & Willis, E. (2006). Indigenous Health Care: Advances in Nursing Practice, Contemporary Nurse, 22(2), 142-154. World Health Organization (2014). The determinants of health. Retrieved from http://www.who.int/hia/evidence/doh/en/ Read More