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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
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- $1000/yr for poor vs. 4000/yr for the insured; managed care - available funding
|
2
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- 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
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- Limited resources for choice
|
0
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- Lack of nutrition education
|
0
|
|
|
0
|
|
|
0
|
PHYSICAL ENVIRONMENT
|
Number
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- Lack of facilities for safe physical activity
|
5
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- Transportation and lack of transportation
|
2
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- Lack of wellness infrastructure
|
1
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- Environmentally safe housing
|
1
|
|
|
0
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- 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
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- Placing self needs as low priority
|
0
|
|
|
0
|
|
|
0
|
|
|
0
|
|
|
0
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- Under education in schools
|
0
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- Lack of trust in health care system
|
0
|
|
|
0
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SPIRITUAL
|
Number
|
- No community connectedness
|
4
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- individualism as a virtue
|
1
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- stronger ties with health
|
0
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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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