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Analysis of the East Hawaii focus group qualitative data identified the following common <br />themes ranked by frequency of occurrence: <br />1. Tie for most important: <br />a. Access to Resources <br />b. Transportation <br />2. Caregiver Shortage/ Workforce Development <br />3. Low -Income Elderly Housing, Assisted Living Facilities <br />4. Policy Change (including elderly issues in County District Plans) <br />5. Medical Access Care Shortage (including Specialty Care) <br />6. Home & Community -Based Services (In -Home Services and Adult Day Care) <br />7. Activity Centers, Recreation, Socialization <br />8. LTC Planning <br />9. Legal Supports <br />10. Chronic Disease Management <br />11. Home Maintenance <br />12. Nutrition /Healthier Foods <br />Evaluation of Community Needs Assessment <br />Discussions held in both focus groups raised similar concerns and issues, although the <br />ranking of importance varied between the groups. Housing and LTC capacity issues <br />ranked highest in West Hawaii, whereas access to resources and transportation ranked <br />highest in East Hawaii. The East Hawaii group felt that the majority of the issues, <br />areas of concern, and unmet needs stemmed from systemic issues that need to be <br />addressed at the policy making level in order to have any impact on the issues our <br />network is currently facing. The West Hawaii group identified gaps in services and how <br />they impact the populations we serve. Both groups, as well as the on-line survey <br />results, identified access to resources, housing, in-home service shortages, <br />transportation, and lack of medical care as common issues and greatest areas of <br />need. NOTE: this data will be used in prioritization table in 2023 Area Plan still under <br />development. <br />