Low socioeconomic status
Low socioeconomic status is an obstacle to obtaining adequate medical care for low-income populations. Braveman and Gottlieb report that some patients lack transportation and miss their outpatient appointments (2014). Another problem is inadequate or low-quality food consumption. Insufficient space for exercise can lead to a passive lifestyle, since several generations can live in one household. Lack or inadequate health insurance can prevent people from managing their chronic diseases.
Healthy People 2030 offers prevention as one of the strategies to reduce health care disparities and promote disease prevention for all. Community RNs can offer assistance with colorectal, breast, cervical and other screenings. To eliminate food insecurity nurses can assist local communities with participation in National School Lunch Program, Supplemental Nutrition Assistance Program, and Women, and Infants and Children Program.
Sample Solution
Low socioeconomic status (SES) is a major obstacle to obtaining adequate medical care for low-income populations. People with low SES are more likely to experience a variety of health disparities, including higher rates of chronic diseases, premature death, and infant mortality.
One of the biggest challenges that people with low SES face is accessing healthcare services. This can be due to a number of factors, including:
- Lack of transportation: Many people with low SES do not have reliable transportation, which can make it difficult to get to and from doctor's appointments.
- Lack of health insurance: Many people with low SES do not have health insurance, or they have inadequate health insurance that does not cover all of their needs.
- Cost of care: The cost of healthcare is a major barrier for many people with low SES, even those with health insurance.
- Discrimination: People with low SES may experience discrimination from healthcare providers, which can make them feel uncomfortable or unwelcome seeking care.
- Poverty: Poverty can lead to stress, poor nutrition, and lack of access to quality healthcare.
- Education: People with lower levels of education are more likely to have poor health outcomes.
- Housing: People who live in overcrowded or substandard housing are more likely to have health problems.
- Food security: People who are food insecure are more likely to experience chronic diseases such as obesity, diabetes, and heart disease.
- Neighborhood violence: People who live in neighborhoods with high levels of violence are more likely to experience stress-related health problems such as anxiety and depression.
- Provide education and outreach: Community RNs can educate people about the importance of preventive care and help them to access the services they need. For example, they can provide information about screenings for colorectal, breast, and cervical cancer. They can also help people to enroll in health insurance programs and to find affordable healthcare providers.
- Address SDOH: Community RNs can work with other healthcare professionals and community partners to address SDOH. For example, they can work to improve access to healthy food and affordable housing. They can also work to reduce violence in their communities.
- Advocate for policy change: Community RNs can advocate for policies that support health equity, such as expanding access to affordable healthcare and addressing SDOH.
- Community health screenings: Community RNs can organize and conduct health screenings for colorectal, breast, cervical, and other cancers. They can also provide screenings for chronic diseases such as diabetes and high blood pressure.
- Health education programs: Community RNs can teach health education programs on topics such as nutrition, exercise, and stress management. They can also teach programs on specific diseases and conditions, such as diabetes and heart disease.
- Case management: Community RNs can provide case management services to people with chronic diseases. This can involve helping people to manage their medications, coordinate their care with other healthcare providers, and access resources in the community.
- Advocacy: Community RNs can advocate for policies that support health equity, such as expanding access to affordable healthcare and addressing SDOH. They can also advocate for increased funding for programs that serve low-income populations.