1) Vulnerable Populations refer to populations that are discriminated against and deprived of certain rights or services. The populations are also known as minority groups. These groups face a lot of discrimination in all sectors especially the healthcare sector. One of the most affected minority groups is the Hispanic group. The health of any population in the United States is determined by both its economic and social circumstances which correspond to the healthcare it receives. The social and economic status of Hispanics in America is much lower than that of whites which is responsible for the racial disparities they face in health care (Colen et al., 2018). The most affected are the Hispanic women especially those suffering from Urinary Tract Infections (UTIs).
Hispanic women are more likely to be infected with Urinary Tract Infections than any other ethnic group. Research has shown that among the infected population 52% is made up of Hispanic women, 40% comprise other minority women with white women only being less than 8%. The stereotype behind the majority of Hispanic women being the most affected is that they have a shorter urethra and located closer to their anus (Colen et al., 2018). The majority of health care providers tend to discriminate against these women claiming that the level of understanding is low because they lack quality education. Hence they will not follow the doctor’s direction on how to take their medications. Additionally, they claim that these women are over sexually active hence causing them to contract these infections.
The health care providers discriminate against Hispanic women because they lack proper medical insurance covers hence preferring to serve the whites since their insurance is heavily loaded. Therefore, they do not receive any of the 16 most performed hospital procedures compared to the whites (Patel & Rushefsky, 2015). It makes it difficult for their infections to be discovered which makes them infectious to continue growing leading to death or cervical cancers. Studies have shown that the majority of women suffering from cervical cancer is due to unattended UTIs.
The Structure to Use
The program should use a structure that answers the following questions; what is the problem being addressed? What are the major factors leading to this problem? What data is available to shed more light on the problem? Finally, what is their expected impact and outcomes at the end of the program? (Colen et al., 2018) Such a structure will make it very easy for the program to follow the right process hence reaching the desired outcomes.
The Process and Outcomes
After the program has followed the above structure it will be possible for it to now begin the process of solving the problem. By identifying the problem which is racial discrimination facing Hispanics and especially the women in accessing healthcare, collecting data, and the program will be in a position to identify the solutions hence achieving good outcomes. However, for the issue to be completely eliminated the affected Hispanic population must be involved in the discussion.
On the other hand, the program should incorporate and increase the number of minority physicians as an effective way to eliminate racial disparities. Involving minority physicians will make it easy for them to interact with their fellow people, identify the issues they are facings, and table them to a committee leading the program (Colen et al., 2018). The expected outcomes include; equal education to all communities in America, equal insurance coverage, and terminating contracts of those healthcare providers discriminating Hispanic population and other minorities group in general.
In conclusion, racial disparity in healthcare is one of the major issues affecting the Hispanic population and especially Hispanic women. The majority of Hispanic women are at great risk of contracting UTIs and due to the racial disparities, they do not receive treatment. The main reason they are discriminated against is due to their low level of social and economic status which deprives them of having insurance coverage and proper education. Therefore, the American Medical Association program should come up with structures and process which produce good outcomes in eliminating racial disparities in health care.
2)The percentage of people living in Poverty in Olympia Heights, Miami is 14.2% with a majority being from minority races (Data USA, 2020). This population is vulnerable to socioeconomic disparities such as accessibility to quality health care, quality education, employment, drug addiction, homelessness, and preventable deaths. People living with disabilities are also categorized under vulnerable populations. Despite the wanting state of the vulnerable population in Olympia Heights, government and privately-sponsored programs have been put in place to ensure that the vulnerable population in the area improve their health and live healthy lifestyles. One of the most pressing issues among the vulnerable population is accessibility to quality healthcare. According to Thornton et al (2016), the economic conditions within which people leave affect their health outcomes. Some of the determinants that affect health include poverty, poor education, deplorable housing, and neighboring violence (Thornton et al., 2016). Having noted these challenges, the County has established centers from where vulnerable populations can be assisted. These programs empower individuals, families, and communities by providing social services. While there is a need for improvement, the available resources are utilized effectively to manage the pressing needs of the vulnerable.
Among some of the health programs designed for the vulnerable populations include guardianship programs that offer guardianship to adults with developmental disabilities, neighborhood health centers for counseling and screening of people for preventable illnesses, feeding and educational programs for the low-income people, children homes to foster child safety, domestic violence counseling centers, healthy foster care programs to offer medical care programs, and parent education programs to minimize cases of child abuse and neglect in the society. Additionally, community centers to cater for emergencies and other social problems such as homelessness have been set up to offer help to the needy in times of emergency.
Areas for Improvement
Although quite a lot is being done to improve the health of the vulnerable population in Olympia Heights, there is a need to allocate resources to deal with the problem of homelessness. The growing city camps on private properties in towns are a situation that needs to be addressed as soon as possible. Therefore, there is a need for the allocation of more resources to promote housing projects in the area to deal with the homelessness problem. According to D’Sa et al. (2020), childhood homelessness can lead to aggression, violence, and poor academic learning outcomes. Given the close link to education outcomes and future economic well-being, failure to address the current situation may lead to an increase in the poverty index and strain the resources allocated for the vulnerable populations. As Fowler et al. (2019) note, many existing policies are ineffective in ending homelessness because they focus on the present. In their opinion, sustainable solutions to homelessness can be achieved by focusing on homeless prevention. Prevention should involve integrating preventive measures into current service networks. Ensuring that children in low-income areas access education in appropriate environments can be helpful towards mitigating future homelessness. Nonetheless, the needy people living in the streets and on other people’s property needs urgent solutions. To this end, new initiatives must be put in place to offer temporary structures to the homeless while plans for permanent solutions are developed. Besides the homelessness issue, the vulnerable population in Olympia Heights is accessible to many essential services that they need to live healthily.
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