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nromstadt's avatar

Any ideas for a creating a public health project at a clinic for underserved populations?

Asked by nromstadt (626points) September 13th, 2011

I know this is an oddly specific question, so I’ll clarify.

I’m a pharmacy student assigned to work for a semester at a community health clinic. As a part of our class, we are required to come up with some sort of public health project that would benefit the patients at our clinic. Past projects included making pamphlets outlining what tax forms patients need to bring in, doing blood pressure screenings, or making diabetes/obesity education pamphlets.

So, my question is – has anyone ever been at a doctor’s office, or clinic and thought – “It would be really helpful if….?” Or “I wish (this) information was more accessible and easy to understand…” I know medical forms, insurance and all that fun stuff can be incredibly confusing… but I need a specific area to work on, and suggestions on how we could make this information more accessible and easy to find.

Any ideas? I’d like to do something that would actually be of use to people.

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6 Answers

CaptainHarley's avatar

Immunization surveys.

Kayak8's avatar

I am in public health and have found a very simple graphic that can be used to explain Medicare Part D was an extremely helpful tool. It is directly related to pharmacy. Feel free to PM me for more information.

6rant6's avatar

“Are those bed bug bites? How to determine what’s eating you up.”

Kardamom's avatar

A few ideas:

Making a set of forms with LARGE print so that older people or people with low vision can actually read and fill out the forms.

Having a person on staff that can actually sit down with a patient and help them fill out the form (one of my friends has low vision and she can’t see to read the forms or write in the answers). It would be helpful if there was someone on staff (or maybe everyone at the front desk should be trained to do this, so one person doesn’t just sit there all day waiting for the one or two patients who need this service) that could sit with the patient and read the questions and fill in the forms for those who cannot see or cannot write for whatever medical condition they might have (like arthritis or MS).

Clear out the clutter in the front office and make the signage BIG and OBVIOUS. It can be very scary and confusing for people when they’re not sure which line they’re supposed to be in, where the forms are located or even where the bathroom is, or where the exit (from inside the examination area) is located. Arrows or foot prints on the floor is another helpful way to let people know where they are supposed to stand in line, or go when they’re in the examining area.

Have paper towels and hand sanitizer and wet wipes for your private parts inside the restroom where you go to make a urine sample. The last few times I went to give a sample, there was a sign (with super small lettering) saying that the women needed to use a wet wipe to clean themselves first, before they started collecting the sample, but there were no wet wipes available and then there was no paper towels or hand sanitizer. Also, the cups were not labeled with my name ahead of time and there were no writing implements available. There should also be some sort of innoffensive picture showing what to do, instead of just handing someone a cup and saying , “Here you go.” And they should tell you exactly where to put the sample after you’re done instead of making people stand in the hall way with their cup of urine and have to ask (which is quite humiliating for most people).

It would be nice to install some recliner types of chairs that are specifically reserved for people that need them. Some people come into the clinic and are very sick or frail and they are forced to sit (sometimes for a long time) on a hard chair. One of the hospitals that my Dad was in for his heart surgery installed a bunch of these chairs in the waiting rooms of the emergency room and others in the waiting rooms for surgery patient’s families. It made all the difference. If you have to stay there for a long time, a hard chair will take it’s toll on you.

Maybe come up with a small receptacle or fold down shelf that is specifically for women to set their purses on (like they used to have in restrooms). It’s kind of a disgusting idea for people to put their purse on the ground when they have to go in for treatment.

The place where I go for my mammograms has the right idea. Instead of a cold, clinical looking exam room, they have added lovely artwork, painted the walls to a soft warm nuetral color, changed the lighting to something soft and warm and used attractive lighting fixtures like wall sconces (instead of overhead fluorescent lighting), used pretty fabric on the curtains for where you have to take off your clothes. Getting screened for cancer is scary enough without having to be in a cold, ugly room.

Here is something that I made myself for my Dad when he got out of the hospital, and for my mother who has been plagued by severe allergic reactions with an unknown cause (making them both have to be taken to the hospital of having to call 911). I made up a form for both of them (which your clinic could create a template and then your staff could help the patients fill in the forms, which they would then put on their refrigerator for quick access for themselves or any emergency personnel that may have to come to their house, and the patient is incapacitated) It lists: Full name, birthdate, then there is a list of current medications and dosages and how often the med is taken, then there is a list of meds, foods or other things that the patient is allergic to, then there is a list for the patient to write down as many operations, conditions or ailments that they have (with an approximate date of when the procedures occurred, or when they had the ailment. Then there is a spot for the patient’s physician’s name and phone number and any medical insurance company and ID number they might have. I designed my forms so they were written in fairly large type and the categories were clear and obvious. We keep one form on the fridge and one form in the purse or wallet. The reason these forms are helpful is because if a paramedic comes to your home in an emergency, they will ask you or the caregiver a million questions about all of these categories and when you are under stress you will likely not be able to even remember your own mother’s birthday and certainly not be able to rattle off the names and dosages of the meds. I’ve tried to get all of my friends and relatives to keep one of these forms on their fridge. Maybe you can help to promote this idea.

marinelife's avatar

What about giving people forms to fill out all of their prescription drugs and dosages and a magnet to hang it on their refrigerator.

Cupcake's avatar

Survey clinic patients in the waiting room to discern what public health information/interventions would be helpful to them. If you have some ideas already, you can provide check boxes.

The worst public health intervention is one without buy-in or interest from the target population.

Who is the primary population who seeks care at this clinic? Elderly? Young parents? Children? Are there deaf people? People who primarily speak a language other than English? How does the clinic population compare to the population of the neighborhood the clinic is in? Is there a subset of people who are not being reached?

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