Public health, which focuses on the health of populations, encourages early detection/screening and prevention as a cost-effective mechanism to promote health. Low-income populations, in which mortality rates for a variety of diseases are particularly high (e.g., certain cancer sites), can face significant barriers. For example,
1. Structural barriers, such as lack of insurance, affordable options, transportation, time off work, etc.
2. Non-compliance with recommended guidelines
3. Inability to attend follow-up treatment
Questions for Discussion
1. How much of its resources should an organization commit to prevention and early detection of disease in socioeconomically disadvantaged populations? On what considerations should such decisions be made?
2. How should a healthcare organization determine whether a health education program or mass media campaign directed at underserved individuals is acceptable to that target population? What suggestions would you make?
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