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Re: Discussion Starter

posted by Debbie McKeever at Feb 10, 2015, 4:49 PM

Last updated Feb 10, 2015, 4:49 PM

 

Some examples of different population groups that must be considered when doing health care planning according to Shi & Singh (2012), are “racial and ethnic minorities, uninsured children, women, those living in rural areas, the homeless, the mentally ill, the chronically ill and disabled, and those with human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS)” (p. 420). The subgroups within these populations can be broken down by race or ethnicity and broken down even further to how many people in each category are uninsured and live in rural areas. This information will help to plan for what areas need more access to health care services or insurance. This information can also tell us in what year was the percentage of people in all has AIDS compared to another year. This will show whether or not the percentage is growing or declining over time. It can be narrowed down to certain rural areas and then to race/ethnicity to determine who is most at risk.

For planning services, using charts and statistics is the best way to provide access to care and resources to needed populations. This is one of the most accurate ways of planning. If you see a certain area has increased the need for insurance, you know that area needs the most attention. These statistics will be able to show if there is a pattern with illnesses or deaths. These can improvement prevention planning. In order to gain more support in certain areas most health care organizations need proof that the area needs it the most. It is one way to determine where money should be spent and how much should be spent.

 

 

Re: Discussion Starter

posted by WANDA LANE at Feb 10, 2015, 6:40 AM

Last updated Feb 10, 2015, 6:40 AM

 

Within the United States there are several different population groups.  The 2010 census questionnaire listed 15 racial categories: White, Black, American Indian or Alaska Native, Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, Other Asian, Native Hawaii, Guamanian or Chamorro, Samoan, Other Pacific Islander, or some other race (Shi & Singh, 2012).  The Hispanic population is differentiated as well by region such as Central America, South America, Spain, or Mexico (Shi & Singh, 2012).  Within these population groups statistics are categorized by the following: smokers versus nonsmokers, birth weight, infant mortality, types of death, additional morbidity factors, alcohol consumption, use preventative screenings, and many others.  One could argue that a population or subgroup could be categorized by any condition or preference.  These statistics are used to determine probability of the incidence of certain diseases or conditions.  For example, according to an article in  Alcohol Health & Research World, myths such as American Indians are binge drinkers, are not accurate (Caetano, Clark, & Tam, 1998).  This myth has been perpetuated by Hollywood, and, what I believe to be, an irrational distrust of the American Indian. In fact “the Navajo tend to view social drinking as acceptable, whereas the Hopi consider drinking irresponsible” (Caetano, Clark, & Tam, 1998).

Statistically, in 2007 there was a 51.3% incidence of alcohol consumption among American Indians, but the incidence is 64.5% among whites (Shi & Singh, 2012).  Consequently, it is imperative that accurate statistics are measured to provide the correct health services.

 

 

Re: Discussion Starter

posted by LYNN SILLAMAN at Feb 10, 2015, 10:41 AM

Last updated Feb 10, 2015, 10:41 AM

 

There are clearly differences in the provision of health care quality among racial and ethnic minority groups. Access to care includes barriers to health care utilization for Blacks, Hispanics, Asian or Pacific Islanders, Native Hawaiians, Americans Indians and Alaska natives, low-income groups, women, aging and homeless populations, and those with disabilities and special health care needs. Limited English proficiency is a barrier to quality health care for many Americans, and many of them lack health insurance. The Health Care for the Homeless (HCH) program primarily provides medical services to the homeless population. The National Healthcare Disparities Report (NHDR) must accelerate progress to ensure improvements in quality and progress. Their primary goal is to reduce disparates in preventive services and access to care in targeted geographic areas and populations. The services and sub-group populations include cancer screening/ management of diabetes, and residents of inner-city and rural geographical areas.

 

The advantages of targeting sub-group populations are that national organizations such as National Cooperative Agreements (NCAs), receive HRSA funding to assist health centers in meeting program requirements and improving performance. Support care developments around sub-populations are inclusive of migratory workers, residents of public housing, school aged children, and lesbian, gay, bisexual and transgender individuals.