在出租车,应用程序和其他租车司机的初级保健采用干预措施:海尔集群随机控制试验
Francesca Gany1,2, Bharat Narang3, Anagha Kakade3
1Immigrant Health and Cancer Disparities Service, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA. ganyf@mskcc.org.
Journal of general internal medicine
|May 5, 2025
概括
工作场所健康博览会和导航员病例管理改善了出租车司机获得医疗保健的机会. 这些干预措施显示了初级保健普及的积极趋势,这表明政策考虑.
科学领域:
- 职业健康 职业健康 职业健康
- 医疗保健服务研究 医疗服务研究
- 公共卫生干预 公共卫生干预
背景情况:
- 租车司机面临着严重的健康风险和医疗保健获取障碍.
- "出租车健康接入干预对联系和生活方式 (HAILL) "研究解决了这些差异.
研究的目的:
- 为了比较旨在改善出租车和基于应用程序的司机获得医疗保健的职场干预措施的有效性.
- 评估健康博览会,导航者病例管理和同行支持对初级保健和保险入学的影响.
主要方法:
- 一个三臂集群随机对照试验,涉及纽约市65个出租车车库.
- 735名司机被录取并接受了包括健康博览会,病例管理或短信提醒和同行支持在内的干预措施.
- 主要结局包括12个月后评估的初级保健和保险入学率.
主要成果:
- 对照组 (仅限健康博览会) 的初级保健使用率为44%,而导航组为57%和同行支持组为43%.
- 控制组的医疗保险入学率为63%,而导航组为58%,同行支持组为50%.
- 虽然在统计学上没有显著意义,但在控制和导航手臂之间观察到初级保健使用的积极趋势.
结论:
- 所有测试的干预措施都表明,司机获得医疗保健的机会增加了.
- 健康博览会与Navigator病例管理相结合,显示了改善初级保健利用率的有希望的趋势.
- 政策制定者应该考虑实施健康博览会和导航者计划,以提高这一群体获得医疗保健的机会.
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