The range of personal, social, economic, and environmental factors that influence health status are known as determinants of health. Determinants of health fall under several broad categories: policymaking, social factors, health services, individual behavior, biology, and genetics. It is the interrelationships among these factors that determine individual and population health (Healthy People 2020, May 2020). Vulnerable populations include social groups with an increased relative risk or predisposition toward adverse health outcomes. Such as those in the Villa Health community; 204 residents are elderly with complex health conditions; 147 are physically disabled and/or use lip-reading or American Sign Language to communicate. According to (Reinhardt, 2011), studies show that persons with pre-existing disabilities are more likely to die in a natural disaster. Obstacles arise, such as impairments that affect one’s ability to escape a situation and their ability to recognize and communicate that a disaster is occurring.
The resources within VCRH’s health system greatly affect the care that can be delivered; both VCRH’s ambulances are aging and in need of an overhaul. Also, much of the hospital’s basic infrastructure and equipment is old and showing wear; the hospital has run at persistent deficits and has been unable to upgrade. According to the director of facilities, supplies are also in short supply, as they run out of essential resources during the disaster.
The city is in the midst of a financial crisis, with bankruptcy looming, and has instituted layoffs at the police and fire departments. Also, maybe look at downsizing nursing staff. Without funding and a proper budget, the hospital and emergency services cannot function effectively.