PH-WK4-2-Logic Model Development Micro-view PART 2

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WEEK3UNIT-PART2.docx

Running head: GOALS AND OUTCOMES IN CONTEXT 1

GOALS AND OUTCOMES IN CONTEXT 4

WEEK3 PART 1

Goals and Outcomes in Context

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Goals and Outcomes in Context

The health need identified is the lack of access to healthcare in a systematic and preventive way by Riverbend City citizens. Access to healthcare is a glaring concern in the neighborhood. One qualitative theme from the interview is the problematic access to preventative healthcare. It shows that lack of access to healthcare is a problem since very few people feel like they have access to healthcare, especially preventive healthcare. The problem affects the people who work and those who do not. Some of the top concerns regarding preventive healthcare are the lack of sufficient programs and resources for obesity prevention and chronic disease. The other qualitative theme from the interview is structural barriers that impede individuals' access to long-term medical care. It indicates the need for the city to empower organizations providing mental health services and reduce structural barriers by directing individuals toward existing resources.

Increased access to healthcare services such as long-term medical care and preventive healthcare is crucial in improving the health of populations, and reducing health disparities aids in improving healthcare outcomes. For instance, increased access to preventative healthcare supports individuals' behavioral change by reducing risks and providing protective factors cutting across social and environmental contexts that help individuals and communities achieve the highest level of health (Brown et al., 2019). For instance, in the case of obesity disparities, community-based interventions will help to improve nutrition and physical activity at the individual level by ensuring the food and social environments support healthy diets and active lifestyles (Brown et al., 2019). Hence, increased access to healthcare in Riverbend City will support community-based interventions that promote population health. Reducing service inequalities in mental health is essential to effectively addressing individuals' mental health needs (Alegria et al., 2018). Treated mental health and substance use disorders are connected to decreased premature deaths, low rates of disability, and decreased risk for chronic disease. Thus, it is essential to close existing gaps in long-term medical care in Riverbend City to improve the health outcomes of patients with mental health conditions, chronic illnesses, and other long-term health conditions.

References

Alegria, M., Nakash, O., & Nemoyer, A. (2018). Increasing equity in access to mental health care: a critical first step in improving service quality. World Psychiatry, 17(1), 43-44. https://doi.org/10.1002%2Fwps.20486

Brown, A. F., Ma, G. X., Miranda, J., Eng, E., Castille, D., Brockie, T., Jones, P. ...& Trinh-Shevrin, C. (2019). Structural Interventions to Reduce and Eliminate Health Disparities. American Journal of Public Health, 109(Suppl 1), S72-S78. https://doi.org/10.2105/ajph.2018.304844

WEEK3 PART 2

Putting Theory into Practice

The health need identified is clinic interventions, particularly medical care. Medical care falls under the top tier of the public health pyramid. An example of intervention under medical care is the provision of cancer screening to patients to help in the early detection of cancer such as breast, cervical, and other cancer types and early prevention programs. This intervention seeks to create an environment where individuals are more likely to adapt to healthy behaviors (Movsisyan et al., 2021). Evidence-based interventions entail strategies that have proven effective. The interventions enhance the quality of cancer screening and increase the number of individuals screened within a particular area or region. Increased screening ensures early detection of cancer cases and subsequent prevention and management before the disease reaches uncontrollable and unmanageable levels.

This evidence-based intervention has been used to impact a specific health outcome. Increased screening for cervical, colorectal, and breast cancers includes actions to reach patients and those devised to reach healthcare providers. Evidence has shown that merging two or more approaches raises community demand for and access o cancer screening at no or little cost (CDC, 2021). These approaches are added to the clinic’s daily work process to ensure they are a long time and work effectively for different cancer programs.

Cancer screening-evidence-based interventions are patient/client-oriented. They include patient/client reminders that include scheduling cancer screenings for a patient during a clinic visit. Patient reminders help contact patients over their scheduled screenings, appointments, and tests. This kind of intervention has proven effective in enhancing positive health outcomes. They achieve this by decreasing paperwork, helping patients schedule appointments, offering screening at more locations, and expanding clinic and screening hours (Jin et al., 2018). Part of the client-oriented interventions may entail the application of small media such as brochures, videos, or newsletters and one-on-one group education to encourage more individuals to get screened. Implementing evidence-based interventions at the health system level is helpful in substantial reduction of health care costs and increasing the number of lives saved.

References

Centers for Disease Control and Prevention (2021, November 10). ScreenOutCancer: Evidence-based Interventions. https://www.cdc.gov/screenoutcancer/interventions/index.htm

Jin, J. (2018). Screening for Cervical Cancer. JAMA, 320(7), 732-733. http://doi.org/10.1001/jama.2018.11365

Movsisyan, A., Arnold, L., Copeland, R., Evans, H., Littlecott, G., Moore, G. A., O’ Cathian, A., Pfadenhauer, J., Segrott, J., Rehfuess, E. (2021). Adapting evidence-informed population health interventions for new contexts: a scoping review of current practice. Health Research Policy and Systems, 19, 13. http://doi.org/10.1186/s12961-020-00668-9