Heather Baker
The community of Park Slope is an affluent, cohesive neighborhood in Brooklyn, NY. Although relatively healthy, a significant number of individuals who have access to health insurance do not utilize it. Additionally, Park Slope residents have a higher than average rate of tobacco product usage. This report describes two initiatives to address both problems, using community nurses to lead and implement community projects and one-on-one counseling and education programs.
Alleviating Health Insurance Under-usage
Assessment of Problem: The assessment process will proceed in the following phases:
Identification of Population: Approximately 8% of Park Slope residents (~7,900 individuals) have health insurance, but do not use it. These individuals can be identified in the following ways:
a. Emergency Department Reports: According to a recent study, patients with insurance who do not regularly use their plans form a significant subset of emergency department visits (Ginde, 2012). Identifying these individuals while they are being treated in the ED will be important to the success of this initiative.
b. Community Surveys: Door-to-door surveys of Park Slope may yield the most complete and effective results in identifying those individuals who under-utilize their health insurance. This may be coordinated through the Park Slope Civic Council as a potential volunteer effort.
c. Self-Reporting: One of Park Slope's strengths, it's cohesive and connected community, will help community nurses publicize the need to report health insurance under-usage. Community events, public advertising, and social media can all be utilized to encourage individuals who under-utilize their health insurance, to seek out the organizers of this initiative.
2. Defining the Reasons: Once the population is identified, each individual be surveyed to determined why they do not utilize their health insurance. These reasons can be categorized in the following ways:
a. Administrative: The individual does not...
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