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A Qualitative Study of A Health Center-Based Mobile Produce Market
Rebecca K Rudel1, Elena Byhoff, Sarah B Fielman
1Author Affiliations: Department of Community Health Sciences, Boston University School of Public Health, Boston, Massachusetts (Drs Rudel and Greece); Department of Medicine, Section of Infectious Diseases, Boston University Chobanian Avedisian School of Medicine/Boston Medical Center, Boston, Massachusetts (Drs Rudel and Drainoni); Department of Medicine, University of Massachusetts Chan Medical School, Worcester, Massachusetts (Dr Byhoff); Boston University School of Public Health, Department of Health, Law, Policy and Management, Boston, Massachusetts (Drs Strombotne and Drainoni); and Evans Center for Implementation and Improvement Sciences, Department of Medicine, Boston University Chobanian Avedisian School of Medicine, Boston, Massachusetts, (Dr Drainoni).
Abstract:
Healthcare-based food assistance programs have the potential to improve patients' food security, but are underutilized. We conducted a qualitative study of user and staff perceptions of an on-site mobile market at a federally-qualified health center (FQHC). Five themes were identified: 1) financial need drives the decision to use the market, 2) people attend specifically to receive healthy food, 3) users feel a connection to the FQHC, which increases participation, 4) social networks increase usage of the program, and 5) long lines, inclement weather, inaccessibility, and inconsistent marketing and communication are attendance barriers. Findings should inform implementation of future healthcare-based food assistance programs.
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