1.Write an essay discussing the various causes and solutions for a patient’s inability to pay for medications (prescriptions). Your response should be at least 200 words in length 2. “Front desk syndrome” is a particularly troublesome aspect of patients visiting their healthcare provider. Write an essay describing this phenomena and methods to prevent or decrease its occurrence. Your response should be at least 200 words in length. Inmate Manipulation and Boundaries Nicole Jones, Dionne Russell, Francisco Villegas, Lupe Silva University of Phoenix CPSS/430 Dr. Debra McCoy May 16, 2022 What to Expect from This Presentation Summary of manipulation scenario Development of a plan for how to maintain boundaries in this situation Possible obstacles in setting and maintaining these boundaries Identifying ethical and legal consequences to not maintaining boundaries in this situation Manipulation Scenario Patricia Wilkes works as a correctional officer at Corcoran California state prison. Corcoran is a high security institution that houses some of the most violent male offenders. Patricia has worked at the institution for four years and has encountered two attacks against her from two separate inmates over a year span. Patricia is freshly returned back to work after being off for a week due to her injuries from her latest attack. The attack involved her being pushed down by an inmate, causing a sprain arm. Feeling vulnerable Patricia became friends with an inmate who witnessed the attack and promised to issue protection if she sneaks in contraband for him. She is conflicted but, because she is afraid; she agrees to do it. How to Maintain Boundaries in this Situation How to Maintain Boundaries in this Situation (continued) How to Maintain Boundaries in this Situation (continued) Possible Obstacles in Setting and Maintaining these Boundaries Possible Obstacles in Setting and Maintaining these Boundaries (continued) Possible Obstacles in Setting and Maintaining these Boundaries (continued) Ethical and Legal Consequences to not Maintaining Boundaries in this Situation Ethical and Legal Consequences to not Maintaining Boundaries in this Situation (continued) Ethical and Legal Consequences to not Maintaining Boundaries in this Situation (continued) Questions References HCA 4303, Comparative Health Systems 1 Course Learning Outcomes for Unit I Upon completion of this unit, students should be able to: 1. Identify and explain how demographics, such as age and race, impact true access to quality care. Reading Assignment Chapter 1: Introduction Chapter 2: Disparities in Health Care: Race and Age Matters Unit Lesson Many Americans find it difficult to even comprehend being denied access to medical care. When we are sick, we want to see a physician, promptly receive a diagnosis, and procure the necessary treatment that will restore us to our previous level of health. T ...

1. 1.Write an essay discussing the various causes and solutions for
a patient’s inability to pay for medications (prescriptions).
Your response should be at least 200 words in length
2. “Front desk syndrome” is a particularly troublesome aspect
of patients visiting their healthcare provider. Write an essay
describing this phenomena and methods to prevent or decrease
its occurrence.
Your response should be at least 200 words in length.
Inmate Manipulation and Boundaries
Nicole Jones, Dionne Russell, Francisco Villegas, Lupe Silva
University of Phoenix
CPSS/430
Dr. Debra McCoy
May 16, 2022
What to Expect from This Presentation
Summary of manipulation scenario
Development of a plan for how to maintain boundaries in this
situation
Possible obstacles in setting and maintaining these boundaries
Identifying ethical and legal consequences to not maintaining
boundaries in this situation

2. Manipulation Scenario
Patricia Wilkes works as a correctional officer at Corcoran
California state prison. Corcoran is a high security institution
that houses some of the most violent male offenders. Patricia
has worked at the institution for four years and has encountered
two attacks against her from two separate inmates over a year
span. Patricia is freshly returned back to work after being off
for a week due to her injuries from her latest attack. The attack
involved her being pushed down by an inmate, causing a sprain
arm. Feeling vulnerable Patricia became friends with an inmate
who witnessed the attack and promised to issue protection if she
sneaks in contraband for him. She is conflicted but, because she
is afraid; she agrees to do it.
How to Maintain Boundaries in this Situation
How to Maintain Boundaries in this Situation (continued)
How to Maintain Boundaries in this Situation (continued)
Possible Obstacles in Setting and Maintaining these Boundaries
Possible Obstacles in Setting and Maintaining these Boundaries
(continued)

3. Possible Obstacles in Setting and Maintaining these Boundaries
(continued)
Ethical and Legal Consequences to not Maintaining Boundaries
in this Situation
Ethical and Legal Consequences to not Maintaining Boundaries
in this Situation (continued)
Ethical and Legal Consequences to not Maintaining Boundaries
in this Situation (continued)
Questions
References
HCA 4303, Comparative Health Systems 1

4. Course Learning Outcomes for Unit I
Upon completion of this unit, students should be able to:
1. Identify and explain how demographics, such as age and race,
impact true access to quality care.
Reading Assignment
Chapter 1: Introduction
Chapter 2: Disparities in Health Care: Race and Age Matters
Unit Lesson
Many Americans find it difficult to even comprehend being
denied access to medical care. When we are sick,
we want to see a physician, promptly receive a diagnosis, and
procure the necessary treatment that will
restore us to our previous level of health. The concept of
waiting for several days to see a physician or not
receiving the care we believe we need seems barbaric at best.
Yet, people all over the world face this reality
every day, and the possibility of that happening in the United
States is more real today than any time since
the reorganization of medicine in the 1930s following the Great
Depression.
Lovett-Scott and Prather (2014) define true access as more than
healthcare services being made available.

5. They include three additional qualifications: 1) being able to get
to and from services (transportation), 2)
having the ability to pay for the services, and 3) getting your
needs met by the service. This definition builds
upon your previous learning and is appropriate for most any
healthcare setting. Most healthcare
administrators spend a large portion of their day determining
access to care and problem-solving issues and
obstacles to receiving adequate health care. One place where
this is pivotal is in the appointment line. This is
where patients call to schedule an appointment. Although we
would like to provide everyone an appointment
within 24 hours of their request, it is virtually impossible in
most settings.
This has often resulted in a costly overuse of Emergency
Departments (ED) to handle routine care, which
drives up the overall cost of health care. There is no similar
solution for access to specialty and subspecialty
care. When someone is referred by their primary care provider
to see a pediatric neuropsychiatrist, they are
not likely to find any shortcuts to appointments. The same could
be said for numerous elective surgeries.
These types of resource shortages and waiting lists have
prompted many influential individuals with financial
resources to become “medical tourists” in order to purchase the
care outside of the United States that they
need or desire without the same restrictions found in the United
States.
In this class, we will discuss the healthcare delivery system in
both developing and developed countries
around the world using a comparative analysis to better
understand the benefits and detriments they provide
to those they serve. Although we often think of medicine as
being a sacred, altruistic calling managed by the

6. most caring of all human beings, it is also a business that must
be maintained by following a business model.
Regardless of who is paying for the services, there is a cost and
a need to regulate as well as ration
resources. Each day, healthcare leaders balance several
interlocking variables such as the amount of
resources available and the needs of the people requiring health
care, and they serve as a “gatekeeper” for
those services. Whenever possible, nurses, advanced practice
nurses (nurse practitioners), physician
assistants, and other mid-level providers are used as “physician
extenders” in an effort to improve access to
care. The delivery system in countries around the world are
designed to balance supply and demand.
However, as we will see in this unit, demographics also play a
key role in allocating medical resources.
UNIT I STUDY GUIDE
Access to Care–Lack of Access
to Care: Perception, or Reality?
HCA 4303, Comparative Health Systems 2
UNIT x STUDY GUIDE
Title
Another word to describe these differences and inequities

7. related to basic demographics, such as gender,
race, ethnicity, geographical location, income, and
socioeconomic status (as opposed to clinical resources for
appropriate care) is disparities. Lovett-Scott and Prather (2014)
use numerous real-life examples to discuss
the multiple causes and interdisciplinary approach needed to
rectify disparities inside and outside of the
United States. You will perhaps find many of the examples
appalling or even impossible. Yet, they do exist.
Their perspective provides a much-needed reexamination of the
status of health care today.
In Units II-VIII, we will focus on the eight major factors that
determine a country’s true access to care based
on the original work of Lovett-Scott and Prather (2014). We
will spend the majority of our time doing
comparative analysis; two factors and two countries at a time.
In Unit III, we will explore Eastern and Western
medicine approaches by examining the United States and Japan
through the lenses of historical approach to
health care and the current structure each country employs to
deliver the care. Similarly, in Unit IV, we will
compare India and Canada on their healthcare financing
strategies and their views on when to intervene in
the health needs of their people (primary care, acute care, or
emergency care).
In Unit V, we will compare the United Kingdom and Ghana in
their approaches to preventive health care and
use of available resources. We will compare the major health
issues and disparities in both France and Cuba
in Unit VI. In Unit VII, we will focus on the behavioral health
(formerly mental health) issues found in both
developing and developed countries. Finally, in Unit VIII, we
will apply the knowledge gained to examine your
personal and professional vision for providing true access to

8. quality health care. It will be helpful if you keep a
“good idea” journal during this course to write down ideas you
may have or interesting facts you are learning
so you can write a final paper describing how the information in
the course has shaped your thoughts on
healthcare delivery and disparities.
As leaders in the healthcare industry, the burden falls on each
of us to become sensitive to the ongoing needs
of people from a variety of cultures, to embrace diversity, and
to end disparities whenever possible. As the
authors say, it is time to move the discussions about disparities
from the boardroom to a position of action.
Understanding and managing the expectations for access to care
and mitigating disparities for various
cultures will continue to be a significant core competency of
healthcare administrators.
Learning Activities (Nongraded)
Nongraded Learning Activities are provided to aid students in
their course of study. You do not have to submit
them. If you have questions, contact your instructor for further
guidance and information.
Use this Note-Taking Guide as you read Chapter 1 and 2. (Key
Available Below)
1. __________ health is, in some countries, the overarching
umbrella under which community-based
psychiatric mental health services are often grouped.

9. 2. The National Institute of Health (NIH) defines behavioral
health as __________ __________ to
underlying motivation.
3. The healthcare system in the United States is primarily
__________ __________ financed and
operated.
4. The Eight Factor Model derives from __________
__________ with consumers and healthcare
providers.
5. Much of the world’s population is dying from __________
and __________ that are well within the
realm of prevention:
6. Being in sync with every patient’s health __________ and
__________ is no easy task but required if
a provider is to address true access to care.
7. __________ discussions typically evoke strong emotions and
should be carefully planned.
8. We must talk __________ rather than __________ the
patient.
9. It has been well established that often people of __________
__________ will not go on
antihypertensive medications.

10. 10. A problem of particular concern that results in disparities is
that some clients lack the ability to pay for
__________.
HCA 4303, Comparative Health Systems 3
UNIT x STUDY GUIDE
Title
Fill in the Blanks Answer Key
Question
#
Answer Location of the
Answer in the
Textbook
1. Behavioral p. 9
2. Overt
actions
p. 9
3. private

11. sector
p. 4
4. extensive
discussions
p. 7
5. illnesses
and
conditions
p. 15
6. need,
concern.
p. 18
7. Diversity
p. 22
8. to, about p. 8
9. African
decent
p. 20
10. medications p. 19
Key Terms

12. 1. Access
2. Developed countries
3. Developing countries
4. Disparities