对社区健康和繁荣的创新数据驱动方法:从劳德希尔市的参与和改进战略中吸取教训
Farzanna Haffizulla1, Siya Khanna2, Luis F Corona2
1Internal Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.
社会脆弱性对劳德希尔少数群体的医疗保健获得有重大影响. 一个伙伴关系解决了健康的社会决定因素 (SDOH),揭示了高的住房不安全,失业和医疗保健障碍.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 社区健康 社区健康
背景情况:
- 社会脆弱性不成比例地影响少数群体获得医疗保健的机会.
- 劳德希尔市 (CoL) 的社会脆弱性指数很高,人口多样化,出生在国外.
- 随着COVID-19的爆发,人们越来越需要针对健康的社会决定因素 (SDOH) 的干预措施.
研究的目的:
- 量化SDOH和与劳德希尔多元人口相关的健康指标.
- 参与公共和私人伙伴关系,以实现数据驱动的全市改进.
- 为了利用居民的意见来应对社区卫生挑战.
主要方法:
- 使用协作方法:基于集体影响3.0 (CI) 的社区需求评估 (CNA) 和基于资产的社区发展 (ABCD).
- 利用诺瓦东南大学 (NSU) 加勒比海民健康营养宣传项目 (CDHNOP) 进行数据收集和文化定制信息传递.
- 采用了响应和评估患者资产,风险和经验的协议 (PRAPARE) 工具,定性焦点小组和定量调查.
主要成果:
- 发现了显著的社会和经济脆弱性,包括无家可归人口增加了18倍 (2020-2021年).
- 调查结果:44%的住房不安全,22%的失业,16%的粮食不安全.
- 焦点小组强调了医疗保健获取障碍,系统不信任和心理健康差距,与高度的社会脆弱性和喘和高血压等健康负担相关.
结论:
- 基于地方的,以公平为重点的干预措施对多样化的城市社区至关重要.
- 解决SDOH对于改善健康结果和减少健康不平等至关重要.
- 社区-学术伙伴关系可以有效地识别和解决当地卫生需求.
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