COMPLETE SOLUTIONS VERIFIED
Perspectives on "disease"
•Ex: When does being overweight change from a "bad choice" to a "disease"?
•Are people with a disease always a victim? - contributory negligence?
•Authors conclude - everyone who is ill is a victim
•Others - focus on bad choices and criticize the ill as "guilty"
•I will try to do neither. I will point out those considered "vulnerable", how they can be
left out and how they might contribute to the problem
•Let me apologize in advance if you get offended by the discussion - BUT, is that you or
me?
Vulnerable Populations
•Populations that experience a convergence of health risks and exhibit poorer health
status
•Vulnerable populations include:
•Racial and ethnic minorities
•Uninsured
•Groups of low socioeconomic status
Vulnerability
, ---In terms of health, vulnerability can be defined as the convergence of health risks
---Health risks occur along the following dimensions:
-Physical
-Mental
-Social
---Health needs increase with compounding of risks along multiple dimensions
Health Risk Characteristics
•---Predisposing characteristics:
•Demographic characteristics
•Social structure variables
•Health beliefs
•---Enabling characteristics:
•Resources available for the use of services
•Attributes of the surroundings that affect the availability of healthcare services
•---Need factors:
•Specific illnesses or health needs that drive the search for healthcare
Justification for Targeted Policy
•Vulnerable populations have greater health needs
•The prevalence of vulnerability in the United States is increasing
•Vulnerability is influenced by and therefore should be improved by social forces
(completely remedied?)
•Vulnerability is fundamentally linked with national resources
•Vulnerability and total equity cannot coexist.