Population Health: Part I
Transients are one of the frail populations that battle with admittance to quality health care and experience disparities in health status and health results, including the administration of chronic conditions like diabetes and hypertension. The shortfall of enduring residences, inability to visit the doctors, and various socioeconomic issues dump these health issues. This assignment rotates around analyzing the rate of chronic diseases among transients and describing regions to determine the motivation behind why they experience health inequality. In addition, it describes the interventionist approaches to dealing with dealing with optimizing the population’s health status, including the involvement of electronic health data simultaneously. To improve the general health status of transients, it is imperative to address these disparities.
Description of At-Risk Population and Associated Health Conditions
DNP 825 Topic 3 Assignment Population Health Part I individuals imply a high-peril group, facing population-based health conditions that include chronic diseases like diabetes and hypertension. The prevalence of chronic diseases, for instance, diabetes and hypertension is significantly higher among destitute individuals diverged from everybody. While approximately 40% of destitute individuals experience the ill impacts of these conditions, everyone has a lower prevalence rate, typically around 10-15% (Ayano et al., 2020). This disparity highlights the impact of socioeconomic factors and admittance to healthcare on health results.
High-Risk Group and Population-Based Health Condition
The high-risk group is DNP 825 Topic 3 Assignment Population Health Part I individuals, and the population-based health conditions they face include chronic diseases like diabetes and hypertension. Transients are defined as a high-risk category given their flimsy housing status, poor health, and various social and economic issues (Arum et al., 2021). This population is impoverished, has restricted healthful food, and has highly stringent environmental circumstances, which expands and initiates chronic diseases. Likewise, the meaning of vagrancy involves instability of residence, and this is not suitable for the remainder of health treatment or health issues solution. Emotional well-being disorders and substance misuse that are normal to this group of patients likewise provide the additional trial of managing chronic diseases.
Comparison of Prevalence Rates
The regions took a gander at are Los Angeles District, California, and Maricopa Province, Arizona. A vagrancy health review in the Los Angeles Region reveals that 42% of transients have some chronic health condition, including diabetes and hypertension (Dickins et al., 2020). A review done and published in Maricopa District showed that the prevalence rate of similar chronic conditions in the destitute population was a line up around 35% (Medicine et al., 2021).
The variations in these rates might be attributed to the presence or otherwise, the proximity of health facilities within the transients’ available safe houses, the age distribution of individuals experiencing vagrancy, and the economic status of the regions where destitute individuals hail from. It can, therefore, be argued that given the bigger population of transients, Los Angeles Province is in a worse-off state than Maricopa District, in light of everything.
Evaluation of Social Determinants
Destitute individuals face incredible economic instability, seriously limiting their ability to afford healthcare, nutritious food, and different necessities. Lower educational attainment and health literacy impede their ability to understand and manage their health conditions effectively. Limited admittance to healthcare services is a significant barrier, with destitute individuals often experiencing longer wait times and less comprehensive care (Berggreen-Clausen et al., 2021). Social support networks and community resources are crucial for health results, yet various destitute individuals miss the imprint of support. Additionally, unsanitary living conditions and receptiveness to violence are normal, leading to higher rates of infectious diseases and injuries.
Health Disparities Among Homeless and Low-Income Populations
Apart from low-income individuals in the Los Angeles District and Maricopa Region, the destitute population experiences more significant health disparities. While the two groups face economic difficulties, housed individuals have better admittance to healthcare and social support networks, resulting in lower rates of chronic diseases (Cole et al., 2023). In the Los Angeles Region, the high expense for a few standard items influences the two groups, yet the housed population benefits from more consistent living conditions, reducing the risk of infectious diseases and injuries.
In the Maricopa Region, the lower cost for a few normal items and better-coordinated community resources improve health results for the housed population diverged from individuals experiencing vagrancy. The stability of exceptionally insane housing significantly mitigates a portion of the unfavorable health impacts tracked down in the destitute population.
Evidence-Based Interventions
Mobile Health Clinics
According to Heaslip et al. (2021), the two counties have taken on mobile health clinic services for individuals experiencing vagrancy. These clinics provide health appraisal, preventive and diagnostic screening, and emotional well-being services close by to destitute individuals.
Integrated Care Models
According to Hughes et al. (2020), new pursuits that combine the two methodologies, including physical health, emotional well-being, and substance use, have been implemented. These models support the more extensive addressing of the destitute population’s health requirements.
Housing First Initiatives
A Concentrate by Koeman and Mehdipanah (2020) contemplated that when basic requirements are met, especially by offering stable housing as a first step, health status is greatly redesigned. This approach rotates around housing stability, trailed by health and social support services.
Effectiveness
Mobile health clinics have demonstrated effectiveness in increasing the quantity of patients’ admittance to care by utilizing and effectively managing chronic illnesses. For any situation, their work and impact are restricted, and it is often difficult to obtain significant length funding. Additionally, Integrated care models have worked on the clients’ health by offering holistic and timely care. For the situation of Los Angeles Province, the technique has effectively diminished individuals’ reliance on trama focus visits and improved the stability of chronic diseases (Seto et al., 2020). The Housing First initiatives are highly effective in enhancing the desired health and social impacts. The strategies likewise implemented in the Maricopa Region have been effective in those assignments that show fewer hospitalizations and better administration of chronic illnesses.
Electronic or Online Consumer Health Information
Centralized websites like Medicare provide databases of healthcare facilities, enabling comparisons that advocate for appropriate care for destitute individuals. National websites, for instance, the National Health Care for the Destitute Council (NHCHC) likewise offer directories and guides specific to healthcare services for individuals experiencing vagrancy (Orciari et al., 2022). Mobile applications likewise anticipate a crucial part in facilitating admittance to information on neighboring sanctuaries, clinics, and organizations offering free food. For any situation, the impact of these resources is constrained by the destitute population’s admittance to innovation and the Internet. Efforts to redesign mindfulness and utilization of these resources can significantly improve their effectiveness in meeting the healthcare needs of destitute individuals.
Conclusion
The administration of health inequalities, especially among transients, touching on disease the board and their chronic ailments, should be a particularly coordinated framework. Accordingly, the status of these health conditions and the correlation of the social determinants are considered in developing interventions specific to the issue. Best practices like the undertakings and services, including mobile health clinics, care coordination, and Housing First errands, have revealed the opportunity for positive health results.
Besides, this population might benefit from levels of progress in information innovation through the expansion of e-health information. It is critical to ensure that adequate completion and continued funding are important to achieve significant positive change in the destitute population’s health.
References
Arum, C., Fraser, H., Artenie, A. A., Bivegete, S., Trickey, A., Alary, M., Astemborski, J., Iversen, J., Lim, A. G., MacGregor, L., Morris, M., Ong, J. J., Platt, L., Sack-Davis, R., van Santen, D. K., Solomon, S. S., Sypsa, V., Valencia, J., Van Den Boom, W., & Walker, J. G. (2021). Homelessness, unstable housing, and risk of HIV and hepatitis C virus acquisition among people who inject drugs: A systematic review and meta-analysis. The Lancet Public Health, 6(5), e309–e323.
https://doi.org/10.1016/s2468-2667(21)00013-x
Ayano, G., Solomon, M., Tsegay, L., Yohannes, K., & Abraha, M. (2020). A systematic review and meta-analysis of the prevalence of post-traumatic stress disorder among homeless people. Psychiatric Quarterly, p. 91.
https://doi.org/10.1007/s11126-020-09746-1
Berggreen-Clausen, A., Hseing Pha, S., Mölsted Alvesson, H., Andersson, A., & Daivadanam, M. (2021). Food environment interactions after migration: A scoping review of low- and middle-income country immigrants in high-income countries. Public Health Nutrition, 25(1), 1–67.
https://doi.org/10.1017/s1368980021003943
Cole, A., Pethan, J., & Evans, J. (2023). The role of agricultural systems in teaching kitchens: An Integrative review and thoughts for the future. Nutrients, 15(18), 4045.
https://doi.org/10.3390/nu15184045
Dickins, K. A., Philpotts, L. L., Flanagan, J., Bartels, S. J., Baggett, T. P., & Looby, S. E. (2020). Physical and behavioral health characteristics of aging homeless women in the United States: An integrative review. Journal of Women’s Health.
https://doi.org/10.1089/jwh.2020.8557
Heaslip, V., Richer, S., Simkhada, B., Dogan, H., & Green, S. (2021). Use of technology to promote health and wellbeing of people who are homeless: A systematic review. International Journal of Environmental Research and Public Health, 18(13), 6845.
https://doi.org/10.3390/ijerph18136845
Hughes, G., Shaw, S., & Greenhalgh, T. (2020). Rethinking integrated care: A systematic hermeneutic review of the literature on integrated care strategies and concepts. The Milbank Quarterly, 98(2), 446–492.
https://doi.org/10.1111/1468-0009.12459
Medicine, N. A. of S., Engineering, and Education, D. of B. and S. S. and, Justice, C. on L. and, & Facilities, C. on the B. P. for I. D. as a S. to M. the S. of C.-1. in C. (2021). Decarcerating correctional facilities during COVID-19: Advancing health, equity, and safety. In Google Books. National Academies Press.
https://books.google.com/bookshl=en&lr=&id=KucREAAAQBAJ&oi=fnd&pg=PR1&dq=a+study+done+and+published+in+Maricopa+County+showed+that+the+prevalence+rate+of+similar+chronic+conditions+of+the+homeless+population+was+a+parallel+of+about+35%25&ots=KNIoNC6_JS&sig=p9Dyh1Gb3lw_zQ0XSquySiQP6Vg
Orciari, E. A., Perman-Howe, P. R., & Foxcroft, D. R. (2022). Motivational Interviewing-based interventions for reducing substance misuse and increasing treatment engagement, retention, and completion in the homeless populations of high-income countries: An equity-focused systematic review and narrative synthesis. International Journal of Drug Policy, p. 100, 103524.
https://doi.org/10.1016/j.drugpo.2021.103524
Seto, R., Mathias, K., Ward, N. Z., & Panush, R. S. (2020). Challenges of caring for homeless patients with rheumatic and musculoskeletal disorders in Los Angeles. Clinical Rheumatology, 40(1), 413–420.
https://doi.org/10.1007/s10067-020-05505-6
