Community Health Care Plan: Windshield Survey of Dickinson, Texas

Community Health Care Plan
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Summary
Dickinson, Texas, is a diverse city when conducting a windshield survey. Its high school graduation rate is 86.4%, while 24.1% of the citizens aged 25 and over have bachelor's degrees or higher. Besides, the median income is $77,311, and 79.1% of residents own homes. Predominantly Protestant, the city houses six churches and a Catholic school. Several industries in the area have employment opportunities in management, construction, and sales. The key social determinant in this community is transportation, as no public transportation is available, and the average commute time is 28.4 minutes. This determinant is critical in access to healthcare, and with public transportation, people may be able to get to necessary medical appointments and services. Hence it can significantly impact a population’s health.
Social determinant
According to the World Health Organization (2023), the social determinants of health (SDH) are “the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life.” SDH includes economic stability, education, food insecurity, health care, housing, social environment, and transportation.
Evidence-based practice shows that healthcare providers must consider the patient’s SDH when delivering quality care. For example, providers should assess patients’ access to transportation, housing, healthy food, and education. Healthcare providers must develop interventions to improve access to these SDH (Andermann, 2016). A nurse should ensure that the patient can access quality care and provide information and referrals to help address SDHs.
Healthcare providers should consider how SDH can impact access to health care. The research from the Archives of Public Health (Raghupathi & Raghupathi, 2020) revealed an association between social determinants and access to healthcare. Lower educational attainment, income, and employment levels were linked to reduced access to services, with lack of health insurance, poor health literacy, and geographic and travel barriers being some of the primary limiting factors.
As well the SDH can have an impact on health disparities. For instance, communities with limited resources may have difficulty accessing preventative healthcare services (Andermann, 2016). Individuals from racial and ethnic minority groups are more likely to experience health disparities due to SDH.
Health Impacts of Social determinant
Most residents of Dickinson either walk or drive to their destinations, with no public transportation available. As such, this can impact the population’s health, particularly for those with limited mobility or resources.
The lack of public transportation in Dickinson can primarily limit access to resources and social services, such as health care, educational opportunities, and recreational areas. Residents lacking access to wellness facilities, schools, and recreational areas may suffer from poorer health outcomes. Recreation activities can potentially improve physical, social, and mental well-being.
From a secondary outlook, public transportation deficiency can intensify the chances of delayed diagnosis or treatment and inhibit access to resources for those already suffering from a medical condition. Moreover, restricted access to educational and recreational activities can further reduce the chances of leading a healthy lifestyle, as these happenings can help reduce the risk of chronic conditions.
Finally, from a tertiary standpoint, the dearth of public transportation can increase the cost of care for those already suffering from chronic medical conditions. It can also limit access to resources for those already suffering from chronic illnesses, leading to poorer health outcomes.
Plan of Care Utilizing the Campaign for Action Equity
Community assessment
Dickinson has a diverse population of mainly Caucasians and Hispanics, and the civic is well-maintained without any evidence of degeneration. Housing consists of single and multi-family dwellings, with an impressive homeownership rate of 79.1%. Community services are plentiful, including a food bank, teen school clinic, post office, and urgent care facilities. Additionally, the police and fire departments have enough staff to ensure a high standard of public safety.
The four major industries in the community are construction, manufacturing, health care, and social aid, with most people commuting 28.4 minutes for work, though some have longer journeys. Churches of Protestant and Catholic denominations exist, but the area is afflicted by drug and alcohol abuse and mental illness. Without public transport, people without cars may struggle to access services, and there is a lack of places to socialize and local media.
To address these issues, Dickinson has two upcoming projects the GLO Flood Mitigation Project (CDBG) and the West Gum Bayou Drainage and Improvements. There are also initiatives and plans such as Dickinson by Design Charting Our Course to 2045 | Comprehensive Plan, Downtown Revitalization, Land Use Plan & Unified Development Code, and City's 1st Master Parks & Recreation Plan. These efforts can help the public identify resources and create services for individuals, families, and the community.
Planning: Identifying community Partners
Potential community partners who could be key coalition stakeholders include local government representatives, healthcare providers, local businesses, schools, churches, and service organizations. Local government councils would be ideal partners in forming a coalition, as they are well-informed on the area and can access resources. In addition, local administrations are responsible for supporting their citizens' health and well-being, so this partnership would be mutually beneficial. Healthcare providers would be another critical coalition stakeholder (Estaci...