WEEK 4 INDIVIDUAL WORK ASSIGNMENT
The Health Keeper’s Model
Gloria Panhorst
Park University
HC466 Planning and Organizing Community Health Services
February 4, 2015
Introduction The Health Keepers Model is “based on more than twenty years of experience to explain a model that is capable of significant community penetration, involvement, and development” (Smith, Graham, & Guttmacher, 2005). This model is the method of service delivery that a New York community-based health organization, the Caribbean Women’s Health Association, Inc., used. This organization was established because the mainstream health care delivery system failed to provide the proper services for New York City’s large Caribbean immigrant
…show more content…
Good health or poor health is influenced by a set of interrelated factors and requires a multipronged response.
2. When the community is involved in the participation in the design, implementation, and evaluation of programs and services, there is a greater ownership of the problem and participation in the solution.
3. Effective health care services are not focused on just the disease itself but on the whole person.
A Neighborhood-based Structure The following table, the Caribbean Women’s Health Association Model, consists of the environmental factors they had to deal with as well as the CWHA actions they took and the outcome.
Caribbean’s Women’s Health Association Model
Environmental Causes CWHA Action Outcomes
Majority working class and jobs did not offer health insurance so they often relied on cheaper and more readily available folk medicine Established neighborhood based structures to help new immigrants adjust to their new environment. Also looked at the underlying causes of diseases and perceptions of health care within the community Listening to the people and targeting the diseases that have been identified in this group of people as proven to help decrease these diseases although this is an ongoing process
Not adopting the beliefs and attitudes about health care as US citizens and so their concepts of health and illness are very different Involve the communities in identifying their health care needs and problems to access of health care. Providing
2. Anna’s health could be determined by a range of factors acting in various combinations. These factors include Individual factors, sociocultural factors, socioeconomic factors and environmental factors. Individual factors
Juana Mora in “Acculturation Is Bad for Our Health: Eat More Nopalitos” argues that the United States offers many job and educational opportunities for Latinos, but acculturation in America negatively impacts their health. Mora offers research and statistics, most of which I find compelling, to explain that these illnesses are primarily due to the immigrants’ new “daily habits and environment changes” (Mora 660). After arriving in America, immigrants often live in crime-ridden, low income neighborhoods, rely on fast food, abuse alcohol and tobacco products, and have fewer safe areas for exercise. Additionally, the stress caused “by learning a new language and culture” and “living in new and sometimes dangerous environments” causes illnesses such as post-traumatic
Since 1980, the United States has taken on 10-year plans that outline certain key national health objectives set to be accomplished during a 10-year timeframe (Shi & Singh, 2015). These initiatives are founded on medical care with prevention services, health promotion, education, community health care, and increased access to integrated services. The initiative, Healthy People 2010: Healthy People in Healthy Communities, launched in 2000. The initiative emphasizes the role of community partners such as
For this paper, Ms. Minister Melishia Bansa MPH was interviewed. She is a thirty year old African-American woman. Her occupation is the director of community outreach and provider Relations for “Coordination of Health Care for Complex Kids” (CHECK) Program and Project Coordinator of “Promoting Adolescent Health” (PATH) Study. She was interviewed about her work with the CHECK Program. The Coordination of Health Care for Complex Kids program aims to improve overall health and quality of life for underserved populations. This programs aims to fight the social injustice of unequal health systems for low socioeconomic communities. The CHECK program aims to increase doctor appointments and improve communication between the patient and the patient’s health provider. However, the program is focusing on young individuals with chronic illnesses within low socioeconomic communities.
By looking at what different people say about health, it is clear that each one look at it differently. Therefore, there are many ways to define health. When we look at health, all physical, intellectual, emotional and social aspects should be considered because they all affect our health equally. Health can be defined in many ways, positively, negatively and holistically. It depends on how the individuals look at their health and how concerned they are about it. Our state of healthiness will depend on many things such as where do we live, what job do we do, what do we eat, who are our friends and everything else related to our lifestyle. Our choice about our lifestyle can make a difference to our health. If we are interested enough in ourselves, we can improve our own health. Some people think, that it depends only on the health care we obtain; however, it doesn't only depend on this. It is connected to our lifestyle as well.
I would involve all who concern by starting with the children while understanding the sensitive nature of this group, i.e. their culture, traditions, and values. Increase access to health risk assessments to control high blood pressure and obesity. I would promote, design and plan a program to make eating healthy for the residents who do not have access to affordable options. I would prevent and reduce food insecurities, obesity and diabetes by designing concepts for a healthier and reasonable community.
Centura Health had the opportunity for a workshop presentation by Dominique Morgan-Solomon, a population health expert. Dominique Morgan-Solomon, MPH, works as a consultant in health care delivery, device management, and for health care organizations on population health strategies and program implementation. Prior to consulting, Dominique was the Chief Operating Officer of Steward Medical Group and Vice President of Population Health for Steward Health Care from February 2012 until October of 2015. She was responsible for the strategic planning and execution of its quality performance, clinical integration care management, and population health programs. Last year she was awarded “Young Healthcare Executive of the Year” for her leadership in this promising field by the National Association of Health Service Executives (NAHSE). She has exceeded in her career after receiving a Bachelor of Arts from Cornell University in Biology and Political Science and a Master of Public Health in Health Policy from the University of Michigan.
Health care is one of the most controversial and discussed topics in the United States. This is mainly because of the enormous issues that surround this subject matter, such as the goal of creating a greater diversity in the medical professions, the goal to reduce health care disparities, and mainly to improve health care for all. In my personal experience this issues have affected me and my family very closely. As immigrants, I saw my parents struggle with the language, adapting to a new culture and even seeking healthcare. Health care disparities is an imminent issue that affects many of us, including me. On top of the financial struggle my parents faced as immigrants, they also faced the barrier of not being understood. I witnessed how my
Immigrants not only have to adapt to a new culture, language, and social and economic systems that may be very diverse from their countries of origin, they also have to overcome many prior complications. Some immigrants and refugees arrive with infectious diseases; others with untreated chronic diseases such as vitamin deficiencies, diabetes and or hypertension. The health status of many immigrants in the United States varies upon lifestyle choices and the availability of resources that can be used to receive the appropriate care for these conditions. African and Latin immigrants represent the largest and fastest group of immigrants in the United States. The largest geographic areas of concentration are Washington D.C., New York City, Texas, California and Atlanta. Most public health reports involving theses immigrants have focused on infectious
All people across the globe are entitled to the health attention they require. The World Health Organization has identified five elements to achieve this goal. These include reducing social disparities in health, providing services that meet clients’ expectations, altering public policies to address health, leadership reforms and increasing stakeholder participation (WHO, 2013).
Health and human services policymakers expressed the need to move from single –disease solutions to population health interventions. The need is due to a growing public health concern- almost 1 in 3 Americans is diagnosed with multiple chronic conditions and more than 65% of health care spending is for care given to this group. (Kangovi peer research October 2017).
Health care providers can overcome differing points of view regarding health promotion and disease prevention by creating a learning environment built on mutual trust, respect and acceptance. The goal is to provide education that is built upon the individual or group strengths that empower and engage the group/individual to be an active participant. It should encourage decision-making that positively affects lifestyle and health behavior changes.
Public health nurses should be competent in analyzing community health problems classified in the community nursing diagnoses and established priorities accordingly, set goals and objectives, and identified intervention actions that will be able to accomplish these objectives. Each problem identified as part of the assessment process must be ranked by highest priority to determine its
In public health, as in many fields there are a set of conundrums that practitioners, leaders and law makers have to address in order to provide the most appropriate service to their populations. One of these conundrums is the battle between what is good for the community vs. what is good for the individual. This topic will be broken up to the community vs. the individual, and discussed based on research done by Kass et al, and Oriola, and will be concluded by presenting possible solutions.
• Foster innovative and sustainable activities and interventions that improve the quality and value of health care.