通过低障碍COVID-19测试诊所与社区组织共同创建的结构性弱势群体接触
David N Ngandu1, Gloria D Sclar1, Ambia Ahmed1
1MaineHealth Institute for Research, Scarborough, ME, USA.
Journal of general internal medicine
|July 17, 2024
概括
社区伙伴关系有效地为弱势群体提供了COVID-19测试. 低障碍步行诊所到达无家可归者,移民和低收入人群,改善了获得重要医疗服务的机会.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 基于社区的研究.
背景情况:
- 随着COVID-19大流行,健康差异显现出来,不成比例地影响结构脆弱的社区.
- 极其需要在这些服务不足的人群中提高COVID-19测试的可访问性,以制病毒传播并促进治疗的准入.
研究的目的:
- 评估学术医疗中心与社区组织 (CBO) 之间的合作伙伴关系在接触结构性弱势群体方面的有效性.
- 评估是否共同创建的,低障碍的COVID-19步行测试诊所成功为缅因州波特兰的目标人口提供服务.
主要方法:
- 从2022年1月到2023年5月,CBO网站每周三次提供COVID-19快速抗原测试.
- 对测试原因进行了简短的调查,然后在自行抽样后进行了人口和感知调查.
- 宣传特别针对无家可归的人,移民以及低收入和/或缺乏保险的人.
主要成果:
- 在完成的246个测试中,7%的测试结果为COVID-19阳性.
- 参与者主要是因为症状 (60%),亲密接触 (29%) 或获得服务 (33%) 而进行测试.
- 这些诊所成功地接触到弱势群体:39%的无家可归者,22%的非英语使用者,23%的无保险者和46%的收入低于20,000美元.
结论:
- 与值得信赖的CBOs合作的协作,低障碍的步行测试诊所有效地接触到结构脆弱的人群.
- 这种模式为难以接触的社区成员提供了COVID-19测试的便利.
- 通过CBO合作建立信任是吸引目标群体的关键.
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