Committee

Partners

Our Goal

Connecting with the community to listen to their health concerns and healthcare needs to understand how to improve the health of the Homewood Community.

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Summary of Community Outreach

Population at each event

Map of Homewood

Resident Health Survey

160 Participants

Ages: 18-40 (14%) 41-60 (25%) 61-75 (28%) 75-96 (15%)

Sex: Female (67%) Male (27%)

Marital Status: Married (8%) Never Married (38%) Divorced (26%) Widowed (16%)

Race: Black (85%) White (2%) Multiracial/American Indian (7%)

Employment: Working (21%) Retired/Disabled (46%) Not Working (19%)

Education: <High School (12%) High School (34%) Some College (21%) Bachelor’s (5%) Associate (11%) Master’s/Professional (4%)

Weight (BMI): Underweight (2%) Normal (24%) Overweight (25%) Obese (33%)

Resident Health Survey Conditions and Diseases

Top 10 of 20 answers

133 participants

PROMIS Measures: Physical Function

Patient-reported Outcomes Measurement Information System

PROMIS Measures: Mental Health

Patient-reported Outcomes Measurement Information System

PROMIS Measures: Fatigue

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Patient-reported Outcomes Measurement Information System

Question 1:

Responses from the Youth Population:

• Gun violence/stabbings
• Secondhand smoke
• Bus pollution
• Education on health
• Alcohol
• Mental Health
• Lack of recreational activities
• Lack of space for youth to craft their own activities
• Many bars and corner stores - counterintuitive

What do you think are the major health concerns for residents of Homewood?

Question 2:

Responses from the Senior Residents:

• Transportation to healthcare centers
• Adequate healthcare facility in the neighborhood
• Exercise/weight management programs
• Insurance/affordable healthcare
• Mental health care a real problem
• Good dental care is difficult to find and expensive

Responses from the Youth Population:

• Free Clinics
• Sex Education
• Contraceptives
• CPR training
• More black healthcare providers
• Pharmacies

What healthcare resources do you think would make the biggest difference in improving the health of the Homewood community?

Question 3:

Residents attended various healthcare facilities including:

• Shadyside, West Penn Hospital, East Liberty, UPMC, Mercy Hospital, Edgewood, their own PCP, and more

Alma Illery-local but many concerns

• Some members had negative views of the facility based on care that they or their family received in the past
• Lack of adequate choice of healthcare in the community forces community members to seek care outside of their community

Where do you and your family go for healthcare?

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Question 4:

• Cost
• Don't have insurance so don't want the bill
• Only go when very sick
• Fear
• Afraid to hear diagnosis
• Seen family members die in hospital setting
• Doctor ignores concerns or looks for something unrelated
• Wait times in ED too long
• Hard to get appointments/get on MD's schedule
• History behind black people not going to the hospital sticks with the youth

Can you think of a time when you or a family member was ill and chose not to seek care?

Question 5:

Positive experience when Doctors:

• Care/are attentive
• Ease worry/fear of surgery
• Show respect/are friendly
• Provide the necessary treatment

in a timely fashion

Negative experience when Doctors (and Nurses):

• Lack personable care/are all business
• Patients feel like just a number
• Perceived that all Doctor wants is money
• Lack a sense of immediacy/urgency in care
• Don't Listen
• Rush through appointments/in a hurry
• Show a lack of respect for minorities

Can you describe a situation when you or a family member consulted a healthcare provider and had a positive/negative experience?

Question 6:

• Listening to patient's needs and managing care accordingly
• Advertisement of the healthcare options available in the community
• Get to know the community
• Spend more time getting to know the person and not the symptoms
• Offer affordable healthcare
• Be more solution focused - too quick to treat/ prescribe one thing for all people

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How do you think healthcare providers can better

understand and meet the needs of Homewood residents?

Question 7:

• Good health care, opportunities for exercise, access to healthy food
• More gardens and gardening classes
• More nutrition and cooking program
• Better preventative care
• Health education
• Health fairs and informational sessions

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What is your vision of a healthy community?

Themes: What we can improve

• Lack of transportation
• “Not everyone can get on Access cause they can’t walk, they need someone to help them.”
• Physician Biased Based on Race
• High Cost/ Lack of Insurance
• Lack of awareness of resources
• A critical need to improve advertisement of Homewood resources
• Not feeling heard
• Patient Fear
• Medical Encounter
• Diagnosis

Themes: What we have done well

• Established relationships with medical provider improved perception of care
• Trust and relatability
• “I was so nervous and terrified to have this operation but the doctor, the surgeon that was gonna do my operation would actually call me on the phone personally every day and tell me everything was gonna be okay.”
• Youth vision on healthcare towards the future is positive
• Accessing Preventative Care
• Taking advantage of community resources to improve health

Moving Forward...

What We Think

• The University is applying for grant money to address the problems brought up through these studies

• Students of the University’s Dental school and Physical Therapy school can do their clinicals in Homewood.
• Homewood patients receive free/discounted healthcare and students take care of their clinical hours
• The UPMC buses can pick up the residents and take them to their appointments. The bus can be scheduled when the patient schedules the appointment.
• Free advertising for UPMC and free transportation for patients