Issue 1: Patient Not Interested
Facilities reported patient not being interested in VR/EN services as the number one barrier associated with low patient enrollment. The Five Whys Analysis identified these additional reason associated with the high percentage of patient not being interested.
- Patients do not want to return to work
- Patients do not want to lose their disability benefits
- Patients have other obstacles in their life such as limited time, family obligation, and lack of transportation
- Patients feel that employers might think he/she is too sick to work
- Patients have multiple medical issues occurring
Issue 2: Patient Feels Too Ill or Sick
Facilities reported patients feelings too ill or sick for VR/EN services as the number two barrier associated with low patient enrollment. The Five Whys Analysis identified these additional reason associated with the high percentage of patient not being interested.
- Dialysis replaces kidney function, but not perfectly
- Patients feel too overwhelmed with the thought of working and dialysis
- Patients do not feel that they can work in their previous or related occupation due to physical limitations and maintain their dialysis schedule and ancillary appointments
- Patients felt that other medical conditions contribute to not being able to work
- Deterioration of health status due to chronic illness
Issue 3: Lack or Transportation
Facilities reported lack of transportation as the number three barrier associated with low patient enrollment. The Five Whys Analysis identified these additional reasons associated with the high percentage of patients with a lack of transportation.
- Patient does not have access to services to that will allow them to utilize vocational rehabilitation services or work.
- Some patients do not own a car.
- Patients have low income due to disability and limited work history.
- Systemic intersectional poverty.
- Friends and Family are not a reliable source for transportation needs.