Difference between revisions of "Environmental Determinants"
From PatientRecovery
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− | These are the [[Environmental Determinants]] that | + | These are the [[Environmental Determinants|Environment]] [[Determinants]] that are that can decisively affect [[Patient Well-Being|patient well-being]] and [[Patient Recovery|patient recovery]]. The top unmet basic needs that effect clinical outcomes are: housing, food, finances, transportation and literacy. (See: [http://www.health3-0.com/reimbursement/addressing-social-and-basic-needs/ ''Improving Clinical Outcomes By Addressing Social And Basic Needs'']) |
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==[[Socioeconomic Status Factors|Socioeconomic Status]]== | ==[[Socioeconomic Status Factors|Socioeconomic Status]]== |
Revision as of 09:49, 5 March 2015
These are the Environment Determinants that are that can decisively affect patient well-being and patient recovery. The top unmet basic needs that effect clinical outcomes are: housing, food, finances, transportation and literacy. (See: Improving Clinical Outcomes By Addressing Social And Basic Needs)
Contents
Socioeconomic Status
Socioeconomic status factors are elements of the Patient environment factors in patient recovery.
Financial Health
- Income
- Wealth
- Patient Contributions Capabilities
- Financial Constraints (Debt, family commitments) -
Job Status
- Sick Days/Leave Availability
- Occupation
Education
- Completed levels of formal education
- Literacy
Medical Insurance Status
- Employer plan, Medicare, Medicaid, VA, etc.)
- Deductibles, Co-payments, monthly premiums
Socioeconomic - History
- Credit Rating & History
Home
Home factors are elements of the Patient environment factors in patient recovery.
Home
- Environmental (Heat, Air conditioner, Mold-Asthma, Noise-levels)
- Safety - banisters, Throw rugs (recent hip replacements), home safety checklist
- Household members (disruptive/supportive family member)
- Accessibility (Wheel Chair accessible)
- Therapy Equipment (Oxygen equipment)
- Passive Sensors (wifi enabled weight scale, blue tooth enabled blood pressure cuff)
- Internet connection - wifi router
- Onsite Care Giver Support (i.e., family member)
Location
- Proximity to services, schools, grocery, etc.
- Neighborhood - supportive (neighbors friendly), side walks, parks
- Safety - for walks, security, quiet at night (able to get restful sleep)
- Transportation Access
Facility - Supportive
- Facility type (Nursing home, senior living center, etc.)
- Onsite staff (match needs of patients)
- Onsite resources (food, outdoors, etc.)
- Accessible (Wheel Chair ramps)
- Safety (Safety Bathrooms, smoke alarms)
- Environmental (Heat, A/C, Mould)
- Therapy Equipment (Oxygen equipment)
- Passive Sensors (wifi enabled weight scale, blue tooth enabled blood pressure cuff)
- Internet connection - wifi router
Temporary Housing
- Homelessness
- Homeless Shelters
- Family or Friends House
- Halfway House - after recent prison term
- Victim Shelters - domestic and sexual violence, disaster relief
Access & Logistics
Access & logistics factors are elements of the Patient environment factors in patient recovery.
Necessities Access
(via delivery or going to the store)
- Medicines
- Food (via delivery or going to the store)
- Other
Transportation
- Physician Offices
- Special Transportation Needs (Wheel Chair Vehicle)
Clinical Services Access
- Same day access to Physicians
- Nights & Weekend Access to providers
- Clinical Care in area, region (i.e., dialysis)