在COVID-19期间通过基于医院的社区卫生工作者计划解决与健康相关的社会需求:一个案例研究
Liana J Petruzzi1, Brenda Garza1,2, Snehal Patel1,2
1Dell Medical School at the University of Texas at Austin, Austin, TX, USA.
Health promotion practice
|January 24, 2025
概括
社区卫生工作者 (CHWs) 在德克萨斯州奥斯改善了拉丁裔COVID-19患者的护理. 该计划解决了社会需求,提高了患者满意度,减少了差距.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
背景情况:
- 在德克萨斯州奥斯,拉丁裔个人不成比例地受到COVID-19的影响.
- 在住院拉丁裔患者中,大量未满足的初级保健需求和未诊断的疾病.
- 不平等凸显了有针对性的干预措施的需要.
研究的目的:
- 描述一个以医院为基础的社区卫生工作者 (CHW) 计划,用于接受COVID-19住院治疗的拉丁裔患者.
- 评估该计划对患者满意度和社会需求的影响.
- 评估医疗保健专业人员对CHW计划的好处的看法.
主要方法:
- 在一个学术医疗中心的CHW计划的混合方法实施研究.
- 包括社会需求评估,护理协调和放学后的后续行动.
- 来自患者人口统计数据,健康的社会决定因素,定性访谈和医疗保健专业关注小组的数据.
主要成果:
- 报告的患者满意度很高,特别是在西班牙语参与者中.
- 在CHW干预后报告的社会需求减少.
- 医疗保健提供者认识到CHW在解决社会需求和确保护理连续性的专业知识.
结论:
- 基于医院的CHW计划可以提供整体护理,并解决与健康相关的社会需求.
- 医疗保健中心建立信任,提高对弱势群体的护理能力.
- 投资CHW计划对于减少COVID-19之外的健康差异至关重要.
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