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HLTH 349Article Review 4: “Health Care Reform and Equity: Promise, Pitfalls, and PrescriptionsHLTH 349Shelby RothwellMarch 6, 20171
HLTH 349In the article, “Health Care Reform and Equity: Promise, Pitfalls, and Prescriptions,” it discusses the lack of progress that has been made in the last decade. The Affordable Care Act (ACA) aims to expand insurance coverage to cover the 23 million uninsured but will need additional legislation to do so. The article discusses two fundamental challenges that are hindering progress: aligning health care resources with patient needs and revitalization of primary care, primarily for undeserved patients (Fiscella, 2011). The health care disparities provide a roadblock to making progress towards equitable health care. The article presents six interlocking domains: “access related to insurance coverage and costs, strengthening primary care, improvements in health information technology, changes in physician payment, adoption ofnational quality, and improved disparity monitoring and accountability (Fiscella, 2011).”

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