Difference between revisions of "Environmental Determinants"

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These are the [[Environmental Determinants]] that, if not addressed, may delay or prevent 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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These are the [[Environmental Determinants|Environmental]] [[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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These are the [[Patient Environment Factors]] that are a component of the [[Patient Recovery Factors]].
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==[[Socioeconomic Status Factors|Socioeconomic Status]]==
 
==[[Socioeconomic Status Factors|Socioeconomic Status]]==

Latest revision as of 09:50, 5 March 2015

These are the Environmental 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)

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)