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1 | Focus Group Comparisons from Locality Council Meeting - 021022 | ||||||||||||||||||||||||
2 | How would you describe the neighborhoods and physical (built) environments in your locality? What is supportive of health and well-being? What are some concrete examples of how the built environment hinders health and well-being? | How would you describe the health care system in your locality? What is supportive of health and well-being? What are some concrete examples of how the current structure and accessibility hinder health and well-being? | Taking into consideration the data you have just seen and your personal experience, who are the populations most disadvantaged by the current neighborhood and physical (built) environments? Why do you think so? | Who are the populations most disadvantaged by the current health care system structure? Why do you think so? | Based on the data presented and your personal experience what would you consider the top 3-5 policy or practice priorities that would positively impact the neighborhoods and physical (built) environments in your locality? | ||||||||||||||||||||
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4 | Louisa | ||||||||||||||||||||||||
5 | Transportation is an issue | Specialty care is lacking and very limited; Options for providers in general is limited | Low-income | Low-income | Reduce Transportation barriers | ||||||||||||||||||||
6 | Affordable housing is an issue | Geography (Remoteness) is a barrier | Elders | Elders | Improve Digital literacy and access | ||||||||||||||||||||
7 | Geographic distance is barrier to connections (both socially and clinically) | Transportation is a barrier | Children (particularly in COVID) | Children (particularly in COVID) | Improve Healthcare Access - in particular, specialty, behavioral health and mental health services | ||||||||||||||||||||
8 | Growth vs. Sustaining rural life | Technology limitations are a barrier | Improve access to Wraparound and Emergency Services | ||||||||||||||||||||||
9 | Not enough mental health providers | Improve affordable housing options | |||||||||||||||||||||||
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15 | Fluvanna | ||||||||||||||||||||||||
16 | 1. Transportation is an issue | 1. Speciality care is lacking and very limited; Options for providers in general is limited | 1. Low-income | 1. Low-income | 1. Reduce Transportation barriers | ||||||||||||||||||||
17 | 2. Digital access (cell and internet) is limited | 2. Communication / marketing of options is limited | 2. Those without transportation | 2. Those without transportation | 2. Improve affordable housing access | ||||||||||||||||||||
18 | 3. Geographic distance is barrier to connections (both socially and clinically) | Compartmentalized healthcare is barrier to new providers opening up shop | 3. Those without insurance | 3. Those without insurance | 3. Improve Digital access (broadband/phone) | ||||||||||||||||||||
19 | Walkability is an issue | 4. Incarcerated population | 4. Incarcerated population | Improve Water costs | |||||||||||||||||||||
20 | 5. Young adults and school age children | 5. Young adults and school age children | |||||||||||||||||||||||
21 | 6. Those with pre-existing conditions (ie: diabetes) | 6. Those with pre-existing conditions (ie: diabetes) | |||||||||||||||||||||||
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24 | Greene | ||||||||||||||||||||||||
25 | 1. Lack of walkable areas | 1. Referrals help but could be more robust (from within community) | 1. Those with transportation problems | 1. Those with transportation problems | 1. Reduce Transportation barriers | ||||||||||||||||||||
26 | 2. Lack of public transportation; transportation issues | 2. Speciality care is lacking and very limited; Options for providers in general is limited | 2. Those with disabilities | 2. Those with disabilities | 2. Improve Digital literacy and access | ||||||||||||||||||||
27 | Geographic distance is barrier to connections (both socially and clinically) | 3. Geography (Remoteness) is a barrier | 3. Elders | 3. Elders | 3. Improve marketing and communication of health offerings and connections | ||||||||||||||||||||
28 | 4. Transportation is a barrier | 4. Spanish speakers | 4. Spanish speakers | 4. Improve Food Access | |||||||||||||||||||||
29 | 5. Technology limitations are a barrier | 5. Minority populations | 5. Minority populations | 5. Improve greenspace and walkability | |||||||||||||||||||||
30 | Low-income | Low-income | Improve health access - in particular behavioral health and mental health services | ||||||||||||||||||||||
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33 | Nelson | ||||||||||||||||||||||||
34 | 1. Digital access (internet/phone) and literacy | 1. Referrals help but could be more robust (from within community) | 1. Those with transportation problems | 1. Those with transportation problems | 1. Digital Access + Literacy support | ||||||||||||||||||||
35 | 2. Providers and specialists are scarce or far away / transportation issue | 2. Speciality care is lacking and very limited | 2. Elders | 2. Elders | 2. Improve Access with night/weekend hours; hotlines; curbside clinics | ||||||||||||||||||||
36 | Geographic distance is barrier to connections (both socially and clinically) | 3. CHWs or health navigators can help to connect sparse resources and complex health system | 3. Those with disabilities | 3. Those with disabilities | Reduce Transportation barriers | ||||||||||||||||||||
37 | 4. Resources are limited - collaboration is key; ie: Mobile Integrated Health, Transportation (Jaunt) meets care; case managers act as navigators | 4. New mothers/families | 4. New mothers/families | ||||||||||||||||||||||
38 | 5. Need outside of 9-5/M-F hours of service | 5. Low Income | 5. Low Income | ||||||||||||||||||||||
39 | 6. Need support with COVID protocols in place | Children | Children | ||||||||||||||||||||||
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42 | Cville + Albemarle | ||||||||||||||||||||||||
43 | 1. Transportation is an issue; need public transport; need transport that supports those with disabilities | 1. Access to primary care providers is limited due to lack of Medicaid enrolled or transportation issues | 1. Those who don’t have access to public spaces (due to privatized/commercial) | 1. Those who don’t have access to public spaces (due to privatized/commercial) | 1. Reduce Transportation barriers | ||||||||||||||||||||
44 | 2. Interpretation services needed | 2. Access to dentists is limited | 2. Young adults | 2. Young adults | 2. Improve healthcare coordination, collaboration, communication | ||||||||||||||||||||
45 | 3. Greenspace is privately owned, need more general access | Decentralized health care makes it a hassle to access providers | 3. Elders | 3. Elders | 3. Improve digital access and literacy (broadband/phone) particularly for low income communities | ||||||||||||||||||||
46 | 4. Need safe indoor spaces | 4. Black folk | 4. Black folk | 4. Improve access to green areas | |||||||||||||||||||||
47 | Healthy Food access is a problem | 5. Spanish speakers | 5. Spanish speakers | Increase trauma informed care access | |||||||||||||||||||||
48 | 6. Those not identifying with cis gender | 6. Those not identifying with cis gender | |||||||||||||||||||||||
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