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CHRONIC DISEASE ROOT CAUSE ANALYSIS
Key Concerns
- Prevention
- Rehabilitation
- Education on Risk Factors
- Wellness / Health Promotion Program
- Elderly - Issues and Myths
- Accessibility
- Expense of Medication and Supplies
- Awareness of low cost/no cost services and screening, treatment,
etc. (incl. faith community)
- Professional education for community health
- Share information among providers / professionals
- Educate for self-help and self-care
- Adequate infrastructure and dedicated public and private resources
to promote individual and family health, fitness, and wellness
- Funding and managed care issues
BIOLOGICAL |
Number |
- Lack of understanding of cause
- Knowledge deficit regarding risk factors
|
3 |
- Resistance to participation in clinical trials due to past research
abuses
|
1 |
|
0 |
ECONOMIC |
Number |
- No access to insurance - too expensive
- Lack of finances for Wellness
- Low income, low paying jobs
- Affordable and easy health food
- $1000/yr for poor vs. $4000/yr for insured
|
11 |
- Lack of funds to make health food choice
|
0 |
- Delay care - primary and urgent because can't pay
|
0 |
- Zero childcare - ability to attend classes, work
|
0 |
|
0 |
HEALTHCARE SYSTEM |
Number |
- Racism, cultural/language barriers, lack of cultural sensitivity
and fatalism
|
7 |
- Lack of finances for wellness
|
2 |
- $1000/yr for poor vs. 4000/yr for the insured; managed care
- available funding
|
2 |
- Lack of necessary services
- Primary health care available evening/weekend
|
1 |
LIFESTYLE CHOICE |
Number |
|
8 |
|
3 |
|
2 |
- Lack of perceived peer support or pressure
|
1 |
- Low priority till crisis hits
|
0 |
|
0 |
- Limited resources for choice
|
0 |
- Lack of nutrition education
|
0 |
|
0 |
|
0 |
PHYSICAL
ENVIRONMENT |
Number |
- Lack of facilities for safe physical activity
|
5 |
- Transportation and lack of transportation
|
2 |
- Lack of wellness infrastructure
|
1 |
- Environmentally safe housing
|
1 |
|
0 |
- PE on only every 3rd day in AISD
|
0 |
|
0 |
|
0 |
|
0 |
- Location of services available
|
0 |
|
0 |
PSYCHO
- SOCIAL |
Number |
- Fear of reality
- Fear of facing illness
- Fear of sign of weakness to seek medical care
- Fear of association
|
7 |
|
0 |
|
0 |
- Placing self needs as low priority
|
0 |
|
0 |
|
0 |
|
0 |
|
0 |
- Under education in schools
|
0 |
- Lack of trust in health care system
|
0 |
|
0 |
SPIRITUAL |
Number |
- No community connectedness
|
4 |
- individualism as a virtue
|
1 |
- stronger ties with health
|
0 |
Root causes this community can change, that have
greatest potential
- Education, lack of
- Healthy choices
- Misinformation / advertising messages
- Intolerance
- Cultural differences, etc.
- Resources, lack of
- Disparities / personal and infrastructure
- Competition
Also discussed Cultural / language barriers; diet, nutrition; communication
barriers
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