1. Define vulnerable populations: Populations that experience a
convergence of health risks and exhibit poorer health status
2. Vulnerable populations include: Racial and ethnic minorities,
uninsured, groups of low socioeco-nomic status
3. In terms of the health: Vulnerability can be defined as the convergence
of health risks
4. Health risks occur along the following
dimensions: Physical mental
social
5. Health needs: Increase with compounding of risks along multiple
dimensions
6. Health risk characteristics-predisposing characteristics:
Demographic characteristics, social structure variables, health beliefs
7. Health risk characteristics- enabling characteristics:
Resources available for the use of service ,Attributes of the surroundings
that ettect the availability of healthcare services
8. Health risk characteristics- need factors: Specific illnesses or health
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,needs that drive the search for healthcare
9. Why are targeted policies necessary?: Vulnerable populations have
greater health needs
10. What influences vulnerability according to the
justification for targeted policy?: Vulnerability is influenced by
social forces
11. How is vulnerability linked with national resources?:
Vulnerability is fundamentally linked with national resources
12. What is the relationship between vulnerability and total
equity?: Vulnerability and total equity cannot coexist
13. What is the trend in the prevalence of vulnerability in the
US?: The prevalence of vulnerability in the US is increasing
14. What percentage of the US population is made up
of racial and ethnic minorities?: More than 34 percent
15. What disparities do racial and ethnic minorities
experience in healthcare?-
: Disparities in access to/quality of healthcare and in health status
16. Concerns for racial and ethnic minorities- general
characteristics: health-care access: Lack of regular source of care (RSC)
as a result of: absence of health insurance coverage, low family income, language
other than English spoken in the home, disengagement (may not value health as
highly)
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, 17. Concerns for racial and ethnic minorities: healthcare
quality: More likely to report dissatisfaction with quality of care, More
likely to report dissatisfaction with patient-provider interactions, commonly perceive
discrimination in quality of treatment
18. Concerns for racial and ethnic minorities: health status:
Health status perception:
national children's health survey, cause of death: high rates of preventable causes of
death, health risk behaviors: environmental quality
19. Policies/ programs to eliminate disparities: federal
initiatives: Oflce of minority
health(OMH), public housing primary care program, head start
20. Policies/ programs to eliminate disparities: state and
local initiatives: Minneso-ta's eliminating health disparities initiative,
California departments of public health strategic plan, south Carolina's welvista
program, telekidcare- kansas
21. Policies/ programs to eliminate disparities: private
initiatives: Association of
schools of public health, California endowment's building health communities
initiative, project health design
22. Socioeconomic status (SES) is determined by factors
such as:: Income level, educational attainment, occupational status
23. What challenges do populations with low SES face in
healthcare?: Greater barriers to healthcare access, lower quality of
care, lower health status
24. Issues for those with low income and healthcare access::
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