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A Community-based Intervention to Improve Health Outcomes for Vietnamese Americans.

Jennifer B Unger, Tiffany Nguyen Budzinski, Thang D Nguyen

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    This study shows that a community health worker program improved healthcare access for Vietnamese Americans. The intervention enhanced perceived health and medical checkups, despite pandemic challenges.

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    Area of Science:

    • Public Health
    • Health Services Research
    • Community Health

    Background:

    • Vietnamese Americans face significant health disparities and underutilize healthcare services.
    • Community-based organizations play a crucial role in addressing these gaps.

    Purpose of the Study:

    • To evaluate the effectiveness of a community health worker and electronic referral system intervention.
    • To improve healthcare utilization and health status among Vietnamese Americans.

    Main Methods:

    • A quasi-experimental design with three intervention sites and one comparison site (Mississippi).
    • Intervention components included community-clinical linkage, culturally appropriate education, advocacy, and capacity building.
    • Data collected on perceived health, medical checkups, and emergency room visits.

    Main Results:

    • Clients in intervention sites reported better overall perceived health post-intervention.
    • Medical checkups declined less in the intervention group during the COVID-19 pandemic.
    • The intervention did not significantly reduce emergency room visits.

    Conclusions:

    • The community health worker and referral system intervention shows promise for improving healthcare utilization.
    • Culturally tailored community-based programs can enhance health status in underserved populations.
    • Further research is needed to address emergency room visit disparities.