Community/Organization of Interest:
Health and medical services in Bella Vista, PA, a South Philadelphia neighborhood
The cultural perspective
Bella Vista, PA, a South Philadelphia neighborhood, is a largely Italian-American ethnic enclave dominated by white, working-class residents. Although recent scholarly literature has focused upon the deficit of healthcare knowledge and services in lower-income nonwhite populations, deficits in knowledge and willingness and ability to access vital resources to improve their health still persist across population groups. For example, one study of non-Hispanic and Hispanics found that there were high levels of systemic barriers to obtain colorectal screening, including: scheduling and financial barriers; fear of diagnosis and pain; and lack of motivation amongst all study participants (Green et al. 2008). Culturally and psychologically in many communities, there is often an unwillingness to seek medical treatment in the form of screening. Even though Bella Vista is not a poor community cultural attitudes towards healthcare can still be significant.
Politics and economy: Effects upon healthcare
Enhanced physical and economic access to healthcare is critical to enhancing residents' ability to fully enjoy healthcare services: "one of the most important community determinants of access is the magnitude of the geographic area's population that tends to rely on the health care safety net, such as community clinics, public hospitals and clinics, and teaching hospitals" (Brown et al. 2004). Bella Vista currently boasts access to a number of large community hospitals, including Greater Philadelphia Action which can enhance usage of critical services.
Institutional perspectives
One health topic which has received considerable scrutiny in recent years is the issue of obesity: once again, although a great deal of media attention has specifically been focused upon this issue in low-income nonwhite communities, it is still endemic within a wide number of communities suffering from a lack of access to healthy foods and a deficit of nearby places (and available time) to engage in physical activities. "In health research, there is a long history and supporting evidence for the influence of place...
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