Homelessness: Disparity in Health Care delivery
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Teaching plan to affect change and create awareness of the homeless families in hospital setting to the realities of health disparities and the barriers to health care that challenge wellness interventions. The goal is to identify barriers in the workplace that impede understanding of vulnerable populations and thus impact the disparity in promotion of health care delivery.
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Solution Summary
This solution provides examples to use as exemplars for a training plan to identify barriers in the workplace that impede understanding of vulnerable populations and thus impact the disparity in promotion of health care delivery. It also provides definitions and a discussion on the concept of homelessness and disparities in health care access when compared to the average population.
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1. Teaching plan to affect change and create awareness of the homeless families in hospital setting to the realities of health disparities and the barriers to health care that challenge wellness interventions. The goal is to identify barriers in the workplace that impede understanding of vulnerable populations and thus impact the disparity in promotion of health care delivery.
Health disparity can be defined "as a marked difference or inequality between two or more population groups defined on the basis of race or ethnicity, gender, educational level, homelessness or other criteria" (Pearcy and Keppel, 2002: 274). Produced by the inequitable access to health determinants such as income, social support, good quality housing and clean environments, and the stresses imposed by structural forces, multiple roles and discrimination, health disparities reflect a slope in socioeconomic status and power (Amaratunga, 2000; Hayes, 1999). To eliminate health disparities and improve functional and clinical outcomes, therefore, health care organizations must change the way they deliver care. The Health Disparities Collaboratives call for such a change -- a transformation in the delivery of care (see http://www.nhchc.org/collaboratives.html, which is discussed below and is attached as Health Disparities Collaboratives.doc, which has links to numerous sources).
When health disparities are examined in terms of homeless families and individuals, Plumb (2000), points out that in the developed world homelessness and poverty are inextricably linked:
"The working poor live on a precipice that can tumble them into homelessness any time. An illness, or an unexpected layoff, brings missed ...
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