Difference between revisions of "Patient Barriers"
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[[Health Determinants|Health]] | [[Health Determinants|Health]] | ||
| − | * Mental Health – Depression, Anxiety, Stress, grief, trauma, dementia, or other cognitive impairments | + | * Mental Health – patient's Depression, Anxiety, Stress, grief, trauma, dementia, or other cognitive impairments are impacting a care plan |
| − | + | * Functional Limitation – patient's functional limitation are impacting a care plan | |
| + | [[Behavior Determinants|Behavior]] | ||
| + | * Lifestyle - addictions, stress, other behavioral risk factors | ||
| + | * Nutrition – patient understands though is not following good nutrition, addressing an eating disorder or ensuring one good meal is consumed each day. | ||
| + | * Self-Care – patient understand though is not following the care plan, taking prescribe medicines, keeping physician appointments | ||
| − | * Care Options Understanding – patient fully | + | [[Social Determinants|Social]] |
| − | * Caregiver – | + | * Care Options Understanding – patient doesn't fully understand diagnosis, prognosis and treatment options. Patient doesn't understand the potential financial, risk, functional, time and life goals impacts. |
| − | * | + | * Caregiver – does not have a caregiver to offer emotional, physical and administrative support, be there with the patient at physician appointments or in the hospital |
| − | + | * Language - patient requires interpreter | |
| − | * | + | *Patient Activation – does the patient or caregiver understand the conditions, how to take care of them (i.e., self-administer glucose) and when to alert a clinical professional |
| − | + | * Responsibilities - patient has job, family or care giver responsibilities that prevents them from taking care of themselves | |
* Spiritual – ability to do activities that help achieve purpose & meaning. It could be going to church or helping their grandchild with homework. | * Spiritual – ability to do activities that help achieve purpose & meaning. It could be going to church or helping their grandchild with homework. | ||
* Support Network - socially or physically isolated, not in touch with or willing to burden family members | * Support Network - socially or physically isolated, not in touch with or willing to burden family members | ||
| − | [[ | + | [[Environmental Determinants|Environmental]] |
* Access – ability to get same day appointments with physician, coverage after regular hours to prevent ER visits, access to limited services such Psychiatry | * Access – ability to get same day appointments with physician, coverage after regular hours to prevent ER visits, access to limited services such Psychiatry | ||
* Housing – homelessness, temporary housing, lack of A/C, safety issues, wheel chair accessible, equipment available and technical support | * Housing – homelessness, temporary housing, lack of A/C, safety issues, wheel chair accessible, equipment available and technical support | ||
* Logistics – transportation to physician offices, outpatient treatments or therapies.* Medication – is the list of medications optimal, do they understand how to take them and are they taking them. | * Logistics – transportation to physician offices, outpatient treatments or therapies.* Medication – is the list of medications optimal, do they understand how to take them and are they taking them. | ||
| − | [[Socioeconomic | + | [[Socioeconomic Determinants|Socioeconomic]] |
* Financial – financial constraints, debt, | * Financial – financial constraints, debt, | ||
* Health Insurance - lack of a health insurance, possible eligibility for Medicaid, disability or medication assistance | * Health Insurance - lack of a health insurance, possible eligibility for Medicaid, disability or medication assistance | ||
* Income security - unemployed, no source of regular income to support housing, nutrition and care plan | * Income security - unemployed, no source of regular income to support housing, nutrition and care plan | ||
| − | + | * Job skills or employ ability | |
[[Care Management Determinants|Care Management]] | [[Care Management Determinants|Care Management]] | ||
* Care Coordination – make physician appointments, reminders, follow-ups (i.e., after medication changes), help navigate through the process for surgeries or procedures. | * Care Coordination – make physician appointments, reminders, follow-ups (i.e., after medication changes), help navigate through the process for surgeries or procedures. | ||
* Condition Monitoring – how is the patient monitoring blood pressure, weight, pain, wounds, understand what is being done with the information, who and how to contact with a concern. | * Condition Monitoring – how is the patient monitoring blood pressure, weight, pain, wounds, understand what is being done with the information, who and how to contact with a concern. | ||
Latest revision as of 10:38, 3 April 2015
Patient Barriers are unmet patient needs that if left unaddressed, could delay or prevent patient recovery and/or well-being. Recovery is not only from an Acute Care hospital stay, it is getting blood pressure or blood sugar to a safe level. For the United States to lower the cost of healthcare, we will need to understand how to effectively identify and address the following potential unmet patient needs:
- Mental Health – patient's Depression, Anxiety, Stress, grief, trauma, dementia, or other cognitive impairments are impacting a care plan
- Functional Limitation – patient's functional limitation are impacting a care plan
- Lifestyle - addictions, stress, other behavioral risk factors
- Nutrition – patient understands though is not following good nutrition, addressing an eating disorder or ensuring one good meal is consumed each day.
- Self-Care – patient understand though is not following the care plan, taking prescribe medicines, keeping physician appointments
- Care Options Understanding – patient doesn't fully understand diagnosis, prognosis and treatment options. Patient doesn't understand the potential financial, risk, functional, time and life goals impacts.
- Caregiver – does not have a caregiver to offer emotional, physical and administrative support, be there with the patient at physician appointments or in the hospital
- Language - patient requires interpreter
- Patient Activation – does the patient or caregiver understand the conditions, how to take care of them (i.e., self-administer glucose) and when to alert a clinical professional
- Responsibilities - patient has job, family or care giver responsibilities that prevents them from taking care of themselves
- Spiritual – ability to do activities that help achieve purpose & meaning. It could be going to church or helping their grandchild with homework.
- Support Network - socially or physically isolated, not in touch with or willing to burden family members
- Access – ability to get same day appointments with physician, coverage after regular hours to prevent ER visits, access to limited services such Psychiatry
- Housing – homelessness, temporary housing, lack of A/C, safety issues, wheel chair accessible, equipment available and technical support
- Logistics – transportation to physician offices, outpatient treatments or therapies.* Medication – is the list of medications optimal, do they understand how to take them and are they taking them.
- Financial – financial constraints, debt,
- Health Insurance - lack of a health insurance, possible eligibility for Medicaid, disability or medication assistance
- Income security - unemployed, no source of regular income to support housing, nutrition and care plan
- Job skills or employ ability
- Care Coordination – make physician appointments, reminders, follow-ups (i.e., after medication changes), help navigate through the process for surgeries or procedures.
- Condition Monitoring – how is the patient monitoring blood pressure, weight, pain, wounds, understand what is being done with the information, who and how to contact with a concern.
