know what works in health care: prevention, early identification, efficient treatment.
We know how to prevent chronic diseases: stop smoking, eat well: a balance of food groups, exercise (FITT- flexibility, endurance, strength), relax, socialize, monitor your blood pressure, live well, and listen to your body.
The Canadian Institute for Health Information published a report: Reducing Gaps in Health: A Focus on Socio-Economic Status in Urban Canada. In it Low Socio-Economic Status (SES) is identified as a barrier to good health.
WHAT IS A BARRIER?
Within the Ontarians with Disabilities Act (ODA), a barrier is defined as “anything that prevents a person with a disability from fully participating in all aspects of society because of his or her disability, including a physical barrier, an architectural barrier, information or communications barrier, an attitudinal barrier, a technological barrier, a policy or a practice” (ODA, 2001).
• Family issues - dysfunctional families
• Communication deficiencies or disorders: language barriers, auditory, visual, cognitive disorders
• Pregrieving issues: anger, denial, bargaining, caregiver issues,
• Bias or prejudice - i.e., inaccurate statistics: women die of stroke and heart disease, fears, = mistakes in diagnosis or treatment
• Language barriers, expressive or receptive language disorders
• Poor or ineffective treatment plans
• Cognitive disorders - delirium, dementia,
• Mental health issues
• Attitudes: i.e., discrimination, being treated as incompetent, Primary Care workers who speak down to patients, or use acronyms, or complicated language
• ACCESS: Wait times, lack of staffing, crowded hospitals
• Socioeconomics, e.g., lack of awareness of dental hygiene, undiagnosed diseases
The RN Association of Ontario has created a learning experience: