Download Healthy People 20/20

Katie Collins
Annette Fernandez
Brittany Frame
Sarah Manik
Taylor Rozycki
AHS- 6.1
Baseline:
10.0 percent of all persons were
unable to obtain or delayed in
obtaining necessary medical care,
dental care, or prescription
medicines in 2007
Target:
9.0 percent
Target-Setting Method:
10 percent improvement
Data Source:
Medical Expenditure Panel Survey
(MEPS), AHRQ
What do you think is a barrier to
the homeless population obtaining
health care?
• 1 out of 10 U.S. citizens
were not able/delayed
in getting health care
(including prescriptions)
in 2007
• Some indicators
• Race
• Family income
• States offer different
programs
• Rochester, NY
• Newport News, VA
National
• 1990
•
14.1% uninsured
• 2000
•
13.1 uninsured
• Now:
• 16.3% uninsured
• About 50 million people
Local
• Virginia’s uninsured
nonelderly ages 0-64
population
• 15%
• Newport News, Virginia
uninsured nonelderly ages
0-64 population
• 16%
• Newport News, VA
• Uninsured
• 24,063
• 16%
• Access to care
• Employer based-coverage
• Part-time jobs
• Adverse outcomes
• Less likely to receive
treatment
• PICH
• PORT
• Successful International Pharmaceutical Strategies
• Founded 1993
• Emergency winter sheltering program for homeless population
in Newport News, Virginia
• Provides:
• Hygiene items
• Birth certificates, IDs
• Referrals for medical assistance
• Peninsula Institute for
Community Health
• private, nonprofit community
health center that provides
primary care service for
homeless
• PICH operates Health
Care for Homeless
Program
• Provides direct medical care
and case management
services
• Article in Issues in International Health Policy
• Countries involved in study are:
• US,UK, Canada, New Zealand, Netherlands, Germany, Canada, and Austrailia
• In other countries, focus on health and drug benefit policy designed to provide
universal access to provide affordable access at the patient and population level
• Gaps in service
• Health Seeking Challenges Among Homeless Youth Ages 1825
• Program improvement
• Volunteer physicians
• Cheaper medications
• Generic
• Additional research needed
• More specific on Newport News, VA
• Studies done like the one described in other areas
• Chevarley, F. (2010, April). Statistical brief.
http://meps.ahrq.gov/mepsweb/data_files/publications/st282/stat282.pdf
• Getzoff, D., Greengold, B., Hudson, A.L., Khalilifard, F., Koniak-Griffin, D., Slagle,
A. & Nyamathi, A (2010) Health-seeking challenges among homeless youth. NIH
Public Access, (59)3. Doi: 10.1097/NNR.0b13e3181d1a8a9
• Morgan, S., & Kennedy, J. (2010). Prescription drug accessibility and
affordability in the United States and abroad. Retrieved from The
Commonwealth Fund website:
http://www.commonwealthfund.org/~/media/Files/Publications/Issue%20Brief/
2010/Jun/1408_Morgan_Prescription_drug_accessibility_US_intl_ib.pdf
• Singularity University (2012, July 2). Healthcare 5, 10, 20 years in the past and
future. Retrieved from
http://www.forbes.com/sites/singularity/2012/07/02/healthcare-5-10-20years-in-the-past-and-future/
• www.city-data.com/city/newport-news-virginia
• www.pich.org