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November 01, Vulnerable Populations: Despite efforts and goals in the United States to reduce or eliminate disparities in healthcare bysignificant disparities, including risk factors, access to healthcare, morbidity, and mortality, continue in vulnerable populations.
For example, studies find that Americans living in poverty are much more likely to be in fair or poor health and have disabling conditions, and are less likely to have used many types of healthcare.
Those with multiple problems also face more significant comorbidities and cumulative risks of their illness than those experiencing a single illness. For instance, the number of individuals with chronic medical conditions has risen from million in to million in This number continues to increase as the baby boom generation ages.
Additionally, the impact of these illnesses is more severe among the unemployed, uninsured, and less educated. For example, patients with a chronic illness who have less than a high school education are 3 times more likely to report being in poor health than those with the same illness who hold a college degree.
They found that those without insurance were 7 times odds ratio [OR], 7. Meanwhile, adults with low incomes were more likely to delay or not receive necessary medical, dental, and mental healthcare and to not fill prescriptions. Although certain chronic conditions, such as dyslipidemia, may not presently be disabling to the patient, they have potentially disabling effects in the future.
In addition, although some individuals with chronic conditions live full, productive, and rewarding lives, others live with isolation, depression, and physical pain resulting from their illness.
The most common chronic conditions among those 65 years and older are hypertension, arthritis, heart disease, and eye disorders. Among those 18 to 64 years, the most common chronic conditions are hypertension, respiratory disease, arthritis, and mental health diseases. When comparing the insured versus those without healthcare coverage, the cost of healthcare delivery is disproportionately greater for the uninsured.
Patients with multiple chronic illnesses are at an increased risk for hospitalization and require more prescriptions. As seen in Figure 2, those with 3 chronic conditions fill an average of The majority of out-of-pocket expenses for patients with chronic conditions is for prescription drugs, whereas patients without chronic conditions spend the most on dental care.
Employers and Chronic Healthcare Coverage Employees with chronic health conditions, or those with a close family member with 1 or more chronic conditions, put tremendous strain on employers, with the impact extending beyond direct medical costs.
In comparison to the general population, decreased productivity resulting from required absenteeism to care for those with chronic conditions is a direct cost to employers.
As seen in the Table, the chronically ill are twice as likely as those in the general population to report poor health days. It also affects employer costs related to presenteeism, which is defined as the impact of a health condition on work performance.
There is some evidence that presenteeism may be underreported and may represent a larger percentage of overall indirect workplace costs for medical conditions than previously thought.Vulnerable populations Despite efforts and goals in the United States to reduce or eliminate disparities in healthcare by , significant disparities, including risk factors, access to healthcare, morbidity, and mortality, continues in vulnerable populations.
The publication focused on people who were poor, uninsured, homeless, elderly and frail, and suffering from a range of chronic diseases, or special populations in need such as Native.
Attention to vulnerable populations should be integrated within general quality measurement strategies, recognizing that quality measures and measurement methods tailored to vulnerable groups will, in some cases, be required.
Health Care of Vulnerable Populations Covered by Medicare and Medicaid Marilyn B. Hirsch, Ph.D. Review is on issues related to the health care of vulnerable populations. There is Vulnerable populations include groups across the age spectrum.
The elderly are. Jun 17, · Other groups may be considered vulnerable populations based on regulatory criteria, state law or other factors. These include, but are not limited to: wards of the state, emancipated minors, fetuses, individuals receiving mental health services, individuals with impaired decision-making capacity and .
Vulnerable population and methods for their safeguard. Preethi Shivayogi Author information The vulnerable populations refers to but not limited to children, minors, pregnant women, fetuses, human in both from the regulatory and patient groups.
The cornerstones of vulnerable participant safeguard ubiquitously comprises of.