Poverty Simulation Case Studies: Understanding the Conditions of Poverty as Determinants of Health and their Impact on Access to Health Promotion and Health Care
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Developed by:
School of Nursing Case Western Reserve University |
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Overview:
This Poverty Simulation is a series of four problem-based, interprofessional case studies which detail the health challenges, as well as social context, cultural dimensions, and practical barriers experienced by members of the Cleveland, Ohio community as they endeavor to maintain their health and access health care. They focus on the determinants of health and the most common health conditions in the community. The program is geared to students in the first year of graduate study in nursing, medicine, law, and applied social sciences. The goal is to penetrate the healthcare workforce with professionals who are aware of and motivated to collaboratively mitigate the negative impact of many social determinants of health. These case studies will increase understanding of cultural influences on clinicians’ delivery of health services by increasing awareness of the culture in the community, community entities, provider groups, and patients themselves.
Case studies are taught using a Poverty Simulation model. This approach provides opportunities for students to appreciate the significance of social determinants of health and to engage in collaborative problem solving, in the context of certain roles and restrictions. The result will be a deep first person understanding of the challenges, competing priorities, structural impediments, and frustrations family members experience as they struggle
to meet needs of all family members.
Public Health Core Competencies:
Each case study includes:
This Poverty Simulation is a series of four problem-based, interprofessional case studies which detail the health challenges, as well as social context, cultural dimensions, and practical barriers experienced by members of the Cleveland, Ohio community as they endeavor to maintain their health and access health care. They focus on the determinants of health and the most common health conditions in the community. The program is geared to students in the first year of graduate study in nursing, medicine, law, and applied social sciences. The goal is to penetrate the healthcare workforce with professionals who are aware of and motivated to collaboratively mitigate the negative impact of many social determinants of health. These case studies will increase understanding of cultural influences on clinicians’ delivery of health services by increasing awareness of the culture in the community, community entities, provider groups, and patients themselves.
Case studies are taught using a Poverty Simulation model. This approach provides opportunities for students to appreciate the significance of social determinants of health and to engage in collaborative problem solving, in the context of certain roles and restrictions. The result will be a deep first person understanding of the challenges, competing priorities, structural impediments, and frustrations family members experience as they struggle
to meet needs of all family members.
Public Health Core Competencies:
- Describe factors affecting the health of a community or population (equity, income, education, environment)
- Recognize relationships that are affecting health in a community (e.g., relationships among health departments, hospitals, community health centers, primary care providers, schools, community-based organizations, and other types of organizations)
- Suggest relationships that may be needed to improve health in a community.
- Describe the ways public health, health care, and other organizations can work together or individually to impact the health of the community.
Each case study includes:
- Scenario (8:00 am-8:00 pm)
- Community agencies needed for the scenario
- Family members and identifying information
- Family budget
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This project was made possible through Cooperative Agreement #5 ATPHP120007-05 between the Association for Prevention Teaching and Research (APTR) and the the Office of Disease Prevention and Health Promotion (ODPHP), Office of the Assistant Secretary for Health, U.S. Department of Health and Human Services. The findings and conclusions are those of the author(s) and do not necessarily represent the views of ODPHP and APTR.
