Difference between revisions of "Patient Barriers"

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[[Psychosocial Determinants|Psychosocial]]
 
[[Psychosocial Determinants|Psychosocial]]
  
* Care Coordination – make physician appointments, reminders, follow-ups (i.e., after medication changes), help navigate through the process for surgeries or procedures.
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* Care Options Understanding – patient fully understands diagnosis, prognosis and treatment options. Patients understand the potential financial, risk, functional, time, life goals impacts.
 
* Care Options Understanding – patient fully understands diagnosis, prognosis and treatment options. Patients understand the potential financial, risk, functional, time, life goals impacts.
 
* Caregiver – do they have someone that can offer emotional, physical and administrative support, be there with the patient at physician appointments or in the hospital
 
* Caregiver – do they have someone that can offer emotional, physical and administrative support, be there with the patient at physician appointments or in the hospital
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[[Care Management Determinants|Care Management]]
 
[[Care Management Determinants|Care Management]]
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* 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.

Revision as of 10:42, 5 March 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:

Health

  • Mental Health – Depression, Anxiety, Stress, grief, trauma, dementia, or other cognitive impairments. Ensure they are getting proper care.

Psychosocial


  • Care Options Understanding – patient fully understands diagnosis, prognosis and treatment options. Patients understand the potential financial, risk, functional, time, life goals impacts.
  • Caregiver – do they have someone that can offer emotional, physical and administrative support, be there with the patient at physician appointments or in the hospital
  • Lifestyle - addictions, stress, other behavioral risk factors
  • Nutrition – ensure the patient understands good nutrition, address an eating disorder or ensure one good meal is delivered each day.
  • Responsibilities - patient has job, family or care giver responsibilities that would prevent them from taking care of themselves
  • Self-Care – 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
  • 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

Patient Environment

  • 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.

Socioeconomic Status

  • 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

Care Management

  • 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.