The population health determinant is an ongoing discussion with the United States health care system. According to Knickman & Kovner (2015) social determinant of health (SDOH) are the “circumstances in which people are born, grow up, live, work and age, and the system in place to deal with illness” (Knickman & Kovner, 2015, p. 80). The peer-reviewed article I chose is a social determinant of health related to obesity. The ability to understand the realm of population health depends on understanding the environmental connections related to biological, behavioral, physical, access, and social determinant (Knickman & Kovner, 2015).
The Healthy People initiative is a health promotion and disease prevention effort that has an overall goal of a healthier nation. It is a set of goals and objectives that aims at eliminating health diseases and disparities while trying to improve the health over the course of ten years. The Healthy People Initiative has been going on since 1979. Over the course of the ten year increments, there are targets and objectives that are monitored to measure the progress. A main goal for this initiative is to empower individuals to make informed and smart health decisions and measure the impact of prevention activities. Overall, Healthy People 2020 is striving for success by hoping for nationwide health improvement and increasing the public awareness
between a span of 2000 and 2010, the prevalence concerning chronic disease comorbidities have increased from 32.2-42.4% for Hispanics and African American population from 43.8-51.6% in people 65 and older. In order to get these numbers to start decreasing those that work in healthcare must first understand the social determinants of health such as conditions where people are born, grow up and live. One social determinant that affects a population access to health is socioeconomic status. Low socioeconomic status is seemingly the most common cause for health care disparities. Socioeconomic status is characterized by a person’s or group’s social standing, education, income and occupation. People that live in low income communities may not have access to nutritious food, adequate shelter or reliable transportation which can lead to decrease in health. One example of health disparities that plague low income families is lack of oral care reach can lead to a domino effect on medical health. There are over 45 million adults and children who live in an area where there is a shortage of dental care. Over half of the low income children have not been seen by a dentist or have received some form of preventative dental care because a lack in insurance. Also, there is a likely possibility that adults living in these types of areas are not receiving care as well. A correlation between lack of dental care or poor dental care can lead to diabetes, heart disease, premature birth, and or problems with births has been identified (Vanderbilt et al,
Before we look at the different Social/Psychological Determinants of Health it is important firstly to define what a social determinant of health is. According to the World Health Organization (2017) “The social determinants of health are the conditions in which people are born, grow, live, work and age.” These conditions are as a result of a wide range of factors that are ultimately governed by the way in which money, power and specific resources are shared at different levels including those at global, national and local levels. We have all been a part of and will experience different social determinants of health throughout our lives but it is the standard at which we experience these determinants that will ultimately lead onto them affecting our health or ultimately leaving us unaffected.
Strategic planning for retention of nursing staff using SWOT analysis. Strengths and weaknesses are often internal to organization, while opportunities and threats generally relate to external factors. For this reason, SWOT is sometimes called Internal-External Analysis and the SWOT Matrix is sometimes called an IE Matrix. The first step in SWOT is strength of the organization for retention of
Measuring outcomes is a vital element proceeding evidence-based intervention measures because it ensures that the intended purpose of the interventions has been met. To certain that a program is effective requires evaluation, which is supported by the strength and reliability of the proposed intervention. The goal of implementing the intervention: The Beat diabetes and new leaf for AA programs aimed at reducing the incidence rate of diabetes as indicators of positive outcomes that the preventive measures are effective (Ricci-Cabello, et. al., 2013). The principal evaluation measures for AA at risk for T2DM with the new leaf intervention program will be an improvement of hemoglobin (Hg) A.1c measure (below 6.5%),
Prevalence, has risen from 1.3% of the Australian population diagnosed with diabetes in 1990 to 2.4% in 1995 to 4% in 07-08 the rise is mostly due to the increase in type 2, diabetes, but there has also been a rise in those suffering with type 1. In all age groups males suffer higher rates of diabetes than females, male’s rate 5% and females
Well –integrated Screening and Evaluation for Women across the Nation (WISEWOMAN) is a Centers for Disease Control and Prevention funded program which operates out of 22 sites across the United States. WISEWOMAN programs provides screening for heart disease and stroke risk factors and lifestyle programs for many low-income, uninsured, or under-insured women aged 40–64 years ( CDC, 2015). WISEWOMAN is a direct care service program which has increasingly began serving as a National Diabetes Prevention Program “payer”. With its reach into 20 states, WISEWOMAN provides the platform for low-income women who would not otherwise have access to the National DPP, to participate in the yearlong CDC recognized lifestyle change program. According to the CDC, 16% of WISEWOMAN clients have diabetes, and 14% have prediabetes. This high ratio of diabetic and prediabetes clients, provides an excellent opportunity for diabetes self-management and National DPP programs to partner with WISEWOMAN, to increase access to DSME and lifestyle change programs. This presentation will provide an overview about the WISEWOMAN program, share an update on WISEWOMAN and diabetes partnerships across the country, and suggest best practices for diabetes educators to use to leverage federal resources to pay for the National DPP.
Health is the foremost need of every human being and there are various factors influencing it. Social determinants of health are the emerging topic in present scenario where they have to be considered to ensure good health to everyone. This essay shall focus on this aspect with a detailed description of SDOH in the first section followed by the reasons that exist behind considering income, housing and environment as the major factors. The last section shall deal with real time examples on such factors and their impacts on health conditions.
The Hispanic community is a worldwide growing population, so my interest was to research and learn more about their health disparities; in an effort to inform other people about what’s happening now. Once I did the research to determine what my health and other disparities would be in a certain community I was amazed at the results. Hispanics are a susceptible minority group at a higher risk for diabetes because of lack of resources and proper health care. Today, Hispanics and Latinos are facing a dominant health challenge against diabetes mellitus which we need to get under control. Health studies done on a population of individual’s shows Hispanics to be unfairly affected by diabetes and bad glycemic control; compared to non-Hispanic whites
Health and well-being not only affects individuals it has an impact on society as a whole. Policies that address health are formal guidelines created to enhance health by directing actions of the healthcare delivery. The goal of these policies is to improve the overall health of the community as a whole. With the passage of the Affordable Care Act, healthcare will likely never be the same. Medicare guidelines steer the approaches taken by healthcare organizations. New changes in policy have a focus on prevention and disease management that are designed to decrease hospital readmission and increase community health.
Most of the time, when we learn that we have diabetes, the last thing that comes to our mind is the importance of diabetes self management. We most probably think about this disease as the worst thing that could have happened to us, a heavy burden, an injustice of the universe, and all we want is eat without having to think about it, without needles, without medication.
Claim: Per the article, for over a decade, Bronx Health REACH, a community health initiative funded by the Centers for Disease Control and Prevention and led by the Institute for Family Health, had been implementing a far-reaching program focused on eliminating disparities in access to high quality health care and on improving the health-related behaviors that are risk factors for diabetes and related cardiovascular disease in the
Lifestyle intervention have proved to reduce incidence of diabetes, whether or not exist an impaired glucose tolerance (1, 2). Moreover, changes in diet and exercise have shown a positive impact on HbA1c in patients with Diabetes Type 2, as was found in a meta analysis of Chen et al where a significant standardize difference in means of HbA1c (-0.37 P=0.0001)was evident(3).Furthermore, lifestyle interventions have a well known effect over lipid profile, markers of inflammation and a positive impact on body composition, that is, an increase in lean mass and a reduction of fat mass(1).