农村健康的障碍:州交通政策对弗吉尼亚州农村社区医疗保健获取的影响:2021-2022年
Katherine Y Tossas1, Bianca D Owens1, Michael O'Grady1
1Katherine Y. Tossas is an assistant professor in the School of Public Health, Department of Social and Behavioral Sciences, and the director of the Office of Catchment Area Data Analytics, Massey Comprehensive Cancer Center, Virginia Commonwealth University, Richmond, VA. Bianca D. Owens is a postdoctoral research fellow at Massey Comprehensive Cancer Center. Michael O'Grady is a doctoral candidate with the L. Douglas Wilder School of Government and Public Affairs, Virginia Commonwealth University. Jinlei Zhao is a research specialist in the Office of Catchment Area Data Analytics. Robert A. Winn is the director of Massey Comprehensive Cancer Center.
交通障碍加剧了农村地区的健康差异. 改善联邦资格医疗中心的标志增加了癌症查率,表明需要非传统合作伙伴关系.
科学领域:
- 公共卫生 公共卫生
- 健康差距 研究 研究 研究 研究
- 农村卫生 农村卫生
背景情况:
- 交通障碍显著导致健康差异,特别是在农村环境.
- 获得医疗保健服务,如癌症查,可能会受到后勤挑战的阻碍.
- 联邦合格卫生中心 (FQHCs) 服务于弱势群体,经常面临交通问题.
研究的目的:
- 识别和解决影响农村FQHC癌症查的意外运输障碍.
- 评估改善道路标志对患者进入和查率的影响.
- 证明吸引非传统合作伙伴的价值,例如运输机构.
主要方法:
- 一个基于社区的参与性项目在2021-2022年间在弗吉尼亚州农村进行.
- 确定了交通部关于道路标志的政策,作为可采取行动的障碍.
- 倡导并实施了改善的标志,将患者引导到农村的FQHC.
主要成果:
- 成功的宣传导致了农村FQHC的道路标志的安装.
- 在FQHC的癌症查率显示,在信标改进后,癌症查率有所增加.
- 这次干预突显了监管和基础设施相关障碍的影响.
结论:
- 解决监管层面的运输障碍对于减少健康差异至关重要.
- 吸引非传统合作伙伴,比如运输部门,可以带来显著的公共卫生改善.
- 与基础设施相关的政策变化,例如道路标志,可以改善医疗保健的获取和利用.
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