Evidence-Based Population Health Improvement Strategy, Research Paper Example

One of the largest public health worries in Texas, Dallas, at this time is Hypertension is a major risk factor for heart disease and stroke. It is the fifth- leading cause of death. 410,000 Americans in 2014 have died due to Hypertension and 1,100 deaths each day. People with high blood pressure do not have any symptoms or signs, even if the readings of the blood pressure reach to a riskily high level. Until the pressure has got a life-threatening stage, a few people will start showing signs of nosebleeds, breath shortness, or headaches, but they are not specific. A 2017-2018 survey in the United States showed that 45.5% of adults have hypertension and its high among men (51.0%) than women (39.7%). And according to age 18-39 (22.4%), 40-59 (54.5%) and 60 and over 74.5%. This plan will help to progress the health of the public of Dallas, Texas (Victor et al, 2008).

Community Demographics, Epidemiological, and Environmental Data

In the United States, Texas is the second with the highest number of approximately 26 million people in 2012. People who live in metropolitan countries in Texas are over 88% of its population. There has been a current increase in the proportion of specific subpopulations, such as people who are over 65 years and Hispanics (Victor et al, 2008).

Heart diseases and stroke is the leading cause of deaths in Texas. And it is generally characterized by multiple risk factors, long development period, prolonged cause of illness, and low curability. In 2012, 38,987 deaths in Texas had been caused by heart diseases. And in people aged 65 years and above, 61% of them have Hypertension (Victor et al, 2008).

Within this community, there are many barriers to healthcare. Healthcare access is one of the main reasons and health care and insurance costs too. Knowing where to get health service and transportation was also a blockade in the community. To get care, obstacles brought up cared for the elderly, one waits for a long time, failure to complete paperwork and culturally unsuitable paperwork.

Environmental factors such as chronic stress, obesity, alcohol, and salt intake are the leading cause of Hypertension in people living in Texas. Physical inactivity is another reason. Genetic factors are also another reason individual who inherited are at the risk of developing Hypertension.

Criteria for Evaluating People Health Improvement Strategy

The collaborative Chronic Care Model (CCM) is the measure that will be used. The six elements essential to the model are; health system, planned delivery system, clinical information system, resources of community and policies, support that is self-managed, and decision support. CCM will be followed built on certain norms about the strategy. These norms are the project requirements to be continued for a long period, conform with evidence-based rules for patient maintenance, focus on education of patient and routine improvement, provide reasonable and profitable care, and be sensitive about people’s culture underprivileged community members (Vargas et al., 2007).

CCM is designated over other representations because the suggestion supporting this model originates from control trials that are randomized, meta-analyses, and systemic evaluations of traineeships on the CCM in healthcare organizations. One of the systemic reviews on CCM claim discovered better plans for managing hypertension in several health organizations (Vargas et al., 2007).

Communication is essential and plays a central role in achieving this plan. Distrust and misunderstanding because of language differences are the most significant communication barriers expected in care conditions. Lacking cultural competence, inappropriate education methods, and a low level of interaction between the patient and the person providing care will also be a communication barrier.

The best strategy to solve this issue is to train the health care professionals, especially nurses who will be the primary caregivers., in linguistic and cultural competence. The strategy will involve using expert interpreters and hiring staff from all backgrounds to succeed in language concordance. A peer specialist will be affected because this is a person who connects with patients through shared experience, and they belong to the same community. Another strategy is the cultural tailoring of resources and facilities. For example, patients’ education materials and content-based resources can depict actual graphic content to avoid ambiguity instead of plain text (Kilbourne et al., 2017).

Another strategy is the health care provider and patient interaction. This can be achieved through; contacting patients regularly through telephone and emails, holding seminars at community places, arranging for home clinic services by visiting them at home. A set up for face-to-face patient follow-up can be of everyday, weekly, or monthly to determine my patient’s conditions (Dombrowski et al., 2014).

Despite following tactics, there are some communication challenges one may face. For instance, community members may be found far from each other in rural areas. These people could not get access to healthcare, or healthcare workers may not reach them. The solution for this case will be using community leaders and medical midpoints to help connect the communication breach and implement communication tactics (Dombrowski et al., 2014).

References

Dombrowski, J. J., Snelling, A. M., & Kalicki, M. (2014). Health promotion overview: Evidence-based strategies for occupational health nursing practice. Workplace Health & Safety, 62(8), 342–9,350.

Kilbourne, A. M., Neumann, M. S., Pincus, H. A., Bauer, M. S., & Stall, R. (2007). Implementing evidence-based interventions in health care: application of the replicating effective programs framework. Implementation Science, 2(1), 1-10.

Vargas, R. B., Mangione, C. M., Asch, S., Keesey, J., Rosen, M., Schonlau, M., & Keeler, E. B. (2007). Can a chronic care model collaborative reduce heart disease risk in patients with diabetes?. Journal of general internal medicine, 22(2), 215.

Victor, R. G., Leonard, D., Hess, P., Bhat, D. G., Jones, J., Vaeth, P. A., … & Haley, R. W. (2008). Factors associated with hypertension awareness, treatment, and control in Dallas County, Texas. Archives of Internal Medicine, 168(12), 1285-1293.