Unmet healthcare needs and community health center utilization among the low-income population based on a nationwide community health survey

BackgroundDiabetes self-management education (DSME) programs utilize a multidisciplinary, skills-based approach allowing participants to make self-management choices and follow a comprehensive plan of care, improving their glycemic control.ObjectiveThe purpose of this quality improvement project was to evaluate the effectiveness of DSME on the reduction of hemoglobin A1c (HgbA1c) and body mass index (BMI) in overweight/obese community health center patients.MethodsThe free program met 2 hours weekly for 6 consecutive weeks. A retrospective chart review was conducted to compare baseline to post-session HgbA1c and BMI 12 weeks after completion of the program. Pre- and post-session surveys were also conducted to assess improved diabetes knowledge and confidence.ResultsMean HgbA1c decreased by 1.6% (p = .003) 12 weeks after completion of the program; however, BMI remained unchanged (p = .582). Diabetes knowledge and confidence also improved significantly following DSME (p = .000 and p = .001, respectively).ConclusionsThe study demonstrated that a reduction in HgbA1c levels and an increase in diabetes knowledge and confidence can occur in low income, community health center patients following participation in DSME.Implications for NursingCommunity health center patients who have access to free DSME can improve their health, self-efficacy, and diabetes self-management practices.

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Health Status of a Low-income Vulnerable Population in a Community Health Center

Journal of Ambulatory Care Management ◽

10.1097/00004479-200501000-00008 ◽

2005 ◽

Vol 28 (1) ◽

pp. 60-72 ◽

Cited By ~ 6

Author(s):

Suzanne Cashman ◽

Judith Savageau ◽

Maureen McMullen ◽

Rebecca Kinney ◽

Celeste Lemay ◽

...

Keyword(s):

Health Status ◽

Community Health ◽

Health Center ◽

Low Income ◽

Community Health Center ◽

Vulnerable Population

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Ambulatory health services provided to low-income and homeless adult patients in a major community health center

Journal of General Internal Medicine ◽

10.1007/bf02600268 ◽

1996 ◽

Vol 11 (3) ◽

pp. 156-162 ◽

Cited By ~ 18

Author(s):

Lillian Gelberg ◽

Bruce H. Doblin ◽

Barbara D. Leake

Keyword(s):

Health Services ◽

Community Health ◽

Health Center ◽

Low Income ◽

Community Health Center ◽

Adult Patients ◽

Homeless Adult

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POSTPARTUM EDUCATION IN THE WORKING AREA OF THE TEBING COMMUNITY HEALTH CENTER

Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam ◽

10.37776/zked.v10i3.520 ◽

2021 ◽

Vol 10 (3) ◽

pp. 24

Author(s):

Nur Zahara Siddik ◽

Ronny Sutanto

Keyword(s):

Community Health ◽

Health Center ◽

Univariate Analysis ◽

Community Health Center ◽

Sampling Technique ◽

Population Based ◽

Postpartum Visit ◽

Postpartum Family Planning ◽

Asking Questions ◽

Postpartum Mothers

Background : For early detection of complications in postpartum mothers, it is necessary to monitor the examination of postpartum mothers and increase the coverage of postpartum family planning by making at least 3 postpartum visits with time requirements, namely: the first postpartum visit during the period of 6 hours to 3 days after delivery, the second postpartum visit. within the 4th day to the 28th day after delivery, the third postpartum visit within the 29th to 42nd day after delivery. (MOH, 2012). The purpose of this study was to determine the education of postpartum mothers in the Tebing Community Health Center. Method : This study used a descriptive research design. The research was conducted in the working area of the Tebing Community Health Center. In the study, the population was postpartum mothers who were in the working area of the Tebing Community Health Center. In this study, researchers used purposive sampling technique, which is to determine a sample of the population based on specific objectives or according to the criteria desired by the researcher. The samples taken in this study were postpartum mothers in the working area of the Tebing Community Health Center. The method / technique of data collection was carried out by means of direct communication, namely by asking questions through written questionnaires with postpartum mothers who were in the working area of the Tebing Community Health Center. Univariate analysis is used to explain or describe the characteristics of each variable under study by presenting a description of the frequency distribution. Result : It is known that the majority of respondents' education is low as many as 31 respondents (70.5%) of 44 respondents Conclusion : It is known that the majority of respondents' education is low as many as 31 respondents (70.5%) of 44 respondents

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General exposures to prescription medications by race/ethnicity in a population-based sample: results from the Boston Area Community Health Survey

Pharmacoepidemiology and Drug Safety ◽

10.1002/pds.1920 ◽

2010 ◽

Vol 19 (4) ◽

pp. 384-392 ◽

Cited By ~ 6

Author(s):

Susan A. Hall ◽

Gretchen R. Chiu ◽

David W. Kaufman ◽

Judith P. Kelly ◽

Carol L. Link ◽

...

Keyword(s):

Community Health ◽

Health Survey ◽

Population Based ◽

Prescription Medications ◽

Community Health Survey ◽

Race Ethnicity

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CHARACTERISTICS OF PREGNANT WOMEN WITH THE CHRONIC ENERGY DEFICIENCY AT THE PHC OF PASUNDAN GARUT

Journal of Maternity Care and Reproductive Health ◽

10.36780/jmcrh.v2i1.67 ◽

2019 ◽

Vol 2 (1) ◽

Author(s):

Rohiman . ◽

Imas Rafiyah ◽

Sukmawati .

Keyword(s):

Pregnant Women ◽

Community Health ◽

Health Center ◽

Low Income ◽

Family Income ◽

Community Health Center ◽

Energy Deficiency ◽

Chronic Energy Deficiency ◽

Risk Parity ◽

Identity Card

In 2016, community health center of Pasundan Garut was the first rank in terms of the total number of chronic deficiency energy for pregnant women in Garut. The characteristics of pregnant women with chronic energy deficiency (abbreviated as CED) are not definitely identified. This research is aimed to identify the characteristics of pregnant women with CED. This descriptive research used quantitative approach. The population of this study was 61 pregnant women with CED and the whole population was taken as samples. The research instrument was developed from the Child Identity Card book and the data was collected by using interview and documentation study. The result of the documentation study showed that most pregnant women with CED were at not risk age (62.3%), not educated women (59%), unemployed women (68.9%), at not risk parity (98.4%), birth spacing ≥ years (54.1%), no pregnant complication found (78.7%), no history of infectious diseases and allergies (85.2%), consuming Fe tablets (68.9%). The data collected through interview revealed that the respondents had low income (85.2%) and no diverse diet (59%) because they hardly to consume fruits, ate lack portion, had dietary restrictions and processed the food with the wrong manner. This research concludes that the main cause of CED in the community health center of Pasundan Garut is generally described based on the characteristics of family income and dietary pattern. Therefore, it is considered necessary to do counseling and guidelines to exploit and take full advantage of potential such as a vertical garden for self-sufficiency.Keywords: Chronic Energy Deficiency, Characteristic, Pregnant Women.

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A large-scale health survey for a pilot project to reduce the health disparity in Samho-dong, Ulsan Metropolitan City: Results and implications

Public Health Affairs ◽

10.29339/pha.21.7 ◽

2021 ◽

Vol 5 (1) ◽

pp. e7

Author(s):

Haneul Lee ◽

Minsu Ock

Keyword(s):

Community Health ◽

Health Survey ◽

Health Surveys ◽

Large Scale ◽

Diabetes Diagnosis ◽

Metropolitan City ◽

Healthcare Needs ◽

Unmet Healthcare Needs ◽

Survey Results ◽

Hypertension Diagnosis

Introduction: This study conducted a large-scale health survey in Namg-gu, Ulsan Metropolitan City. In specific, the survey results of Samho-dong, one of the 14 dongs in Nam-gu, and the rest of Nam-gu were compared. Also, the results were compared with the Community Health Survey results for implications.Methods: A total of 2,036 people participated in the large-scale survey. Descriptive analysis was performed to examine the socio-demographic characteristics of these two participant groups. The Chi-Square test or Fisher’s exact test was executed to identify differences between the two groups and the results were compared to the 2014-2019 Community Health Surveys results.Results: The exposure rate of secondhand smoke in public areas and the subjective obesity awareness rate were statistically significantly higher in Samho-dong residents than non-Samho-dong residents in Nam-gu. The same patterns of statistical significance were also observed in the rate of high mental stress, the rate of hypertension diagnosis (≥30), and the annual rate of unmet healthcare needs. Compared with the six-year cumulative data of Community Health Surveys, the rate of hypertension diagnosis (≥30) and the rate of diabetes diagnosis (≥30) of Samho-dong residents were lower than that of Community Health Surveys.Conclusions: It is suggested to prioritize designating smoking zones, strengthening mental health services, and operating chronic disease management programs in Samho-dong. The findings of this study support the need for large-scale surveys on the health status of local areas to reduce health disparities and serve as a foundation to reduce them.

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