Origins and Functions,Andersen (1995) developed a model of health services

John Q. recently moved to a rural community. He works full-time,but qualifies for Medicaid because of his low income. John has highblood pressure and his father recently had a heart attack. Thus, hedecided to call to find out which providers nearby accept Medicaid.While there are local doctors, he discovered that the closestprimary care physician who accepts Medicaid is a 40-minute driveand appointments must be made 2 weeks in advance due to the numberof patients at the practice. In addition, the practice does notoffer weekend or evening hours. John usually catches a ride to workwith a friend or relies on public transportation. According toChapter 4 of The U.S. Health System: Origins and Functions,Andersen (1995) developed a model of health services utilizationbased on three categories of factors: predisposing, enabling, andneed. These factors can be further categorized as mutable orimmutable. In your paper, discuss the following questions: Whatfactors may affect John’s health care utilization? Are thesefactors mutable or immutable? What are some ways to changethe mutable factors?

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