一个联盟驱动的组织能力的审查,以解决大休斯顿地区的粮食不安全问题:一个定性研究研究
Jemima C John1, Jennifer Gonzalez2, Sara-Grace Chan1
1Department of Epidemiology, Human Genetics and Environmental Sciences, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX, United States.
Frontiers in public health
|August 31, 2023
概括
解决粮食不安全问题需要提高工作人员的敏感性,并专注于健康的社会决定因素. 休斯顿健康股权集体 (HEC) 可以通过加强网络和共享资源来促进这一点.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 研究 健康 公平 研究
- 健康的社会决定因素
背景情况:
- 经济和社会困难加剧了粮食不安全,不成比例地影响低收入和少数群体.
- 休斯顿健康股权集体 (HEC) 旨在到2025年将粮食不安全性降低5%.
- 本研究探讨了通过护理协调解决粮食不安全问题的组织能力和挑战.
研究的目的:
- 探索休斯顿健康股权集体 (HEC) 成员组织在查和应对粮食不安全方面的能力和挑战.
- 在医疗机构内确定有效的粮食不安全干预措施的关键障碍和促进因素.
- 为HEC制定战略,以实现其减少粮食不安全的目标.
主要方法:
- 一种混合方法的方法,将调查 (n=76) 和焦点小组 (n=22) 与HEC成员组织相结合.
- 用NVivo软件进行主题分析的定性数据,采用一般感应方法.
- 数据收集涉及两次管理的调查和音频记录的焦点小组,严格编码和基于共识的分析.
主要成果:
- 影响粮食不安全查的关键主题包括耻辱,文化障碍,诊所容量,员工态度以及解决上游健康社会决定因素 (SDOH) 的需要.
- COVID-19大流行严重影响了粮食不安全查和应对工作.
- 加强查和覆盖范围的建议强调提高员工文化,文化敏感性,并利用共享技术协调护理.
结论:
- 有效的粮食不安全干预需要提高组织人员的响应能力和患者的敏感性.
- 解决上游影响因素和整合系统级干预措施对于全面解决粮食不安全障碍至关重要.
- 高等教育委员会可以通过网络,共享资源目录和对上游因素的关注来支持这些努力.
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