low health literacy poor relationships with providers historical racism in medical care...
TRANSCRIPT
•Low Health Literacy•Poor Relationships with Providers•Historical Racism in Medical Care•Socioeconomic Status•Insurance Coverage•Religious Beliefs•Poor Diet•Lack of Exercise•Substance Use•Housing Instability
•Religious & Cultural Norms•Satisfaction w/ Dialysis•Health Probs with Family & Friends•Providers’ Beliefs•Biologic Factors•Low Number of Minority Organ Donors•Political Will•Staffing
Determinants
•Lack of Self-advocacy•Not Completing Evaluation•Poor Medical Compliance•Refusal of Evaluation•Comorbid Health Problems
•Community Beliefs•Lack of Live Donors•Nephrologists Lower Referral Rates•Lack of Compatible Donors•Inadequate Insurance•Lack of Education at Dialysis
Behavior Causes
Environmental Causes
Lower Access to Kidney
Transplantation for African American Adults with Low
SES
•Higher morbidity•Decrease Longevity•Dialysis•Difficulty working, vacation, etc.
Health Problem Quality of Life
Step 1
Andrea Kelley
Increase Access to
Transplantation by Black Adults with Low SES
Patient Self-Advocacy
Complete Transplant Evaluation
Seek Live Donors
Maintain Health
Adequate Insurance Coverage
Education at Dialysis Centers
Equal Referrals Across
DemographicsScientific
Advances in TransplantationIncrease Organ
Donation by Black Population
Community Support of
Transplantation
Contact Transplant Center
Question Providers About Treatments
Follow-up on referral
Attend all medical appointments
Solicit Potential Donors
Identify Potential Donors
Comply with all Medication/ Treatment
Maintain Healthy Lifestyle
Government Policy Changes
Dialysis Staff Inform patients of options
Nephrologists refer all eligible patients
Scientists Research New Immunosuppressants
Providers Educate Patients About Organ
DonationCommunity Leaders Advocate for Organ
Transplantation
•Lack of knowledge•Low Literacy/ Health Literacy•Perception of Poor Relationships with Providers•Historic Racism in Medical Field•Lack of Insurance Coverage•Limited Finances•Religious Beliefs•Poor Diet•Lack of Exercise•Housing Instability•Satisfaction with Dialysis
• Political Will• Staffing shortages• Health Problems of
Family & Friends• Providers Beliefs• Biologic
Determinants in Donors• Religious & Cultural
Norms
Understand Treatment
Options
Discuss Transplant Eval with Providers
Gain Confidence in Discussing
Medical Treatment
Ask & Inform Potential Live
Donors
Dialysis Staff Provide
Education to Patients
Nephrologists assess their
referral practices
Nephrologists educated about racial disparities
Change Objectives Determinants
Performance ObjectivesOutcomes
Understand Treatment
Options
Discuss Transplant Eval with ProvidersGain Confidence
in Discussing Medical
TreatmentAsk & Inform Potential Live
Donors
Dialysis Staff Provide
Education to Patients
Nephrologists assess their
referral practices
Nephrologists educated about racial disparities
Change Objectives
Education
Skill Building
Goal Setting
Social Networking/ Skill Training
Skill Building
Facilitation
Education
Method
One-on-one information sessions to dialysis patients
Communication techniques
Individual planning
Review methods for discussing difficult topics
Staff trained in presenting
options to pts
Material provided to review current
practices
Training session about racial disparities
Strategy