RCMI@Morgan: Center for Urban Health Disparities Research and Innovation

RCMI@摩根：城市健康差异研究与创新中心

基本信息

批准号：
10193368
负责人：
Hongtao Yu
金额：
$ 18.87万
依托单位：
MORGAN STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-07-31 至 2024-02-29
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10193368
关键词：
Accident and Emergency department Address Affect African American Air Architecture Area Asians Awareness Baltimore COVID-19 Cessation of life Cities Clinic Code Color Communities Community Health Community Healthcare Consult Coronavirus Infections Diabetes Mellitus Disease Outbreaks Engineering Focus Groups Geography Goals Green space Health Health Food Health Personnel Health care facility Healthcare Home environment Housing Hybrids Incidence Infection International Libraries Location Low income Maryland Measurable Methodology Neighborhoods Pain Population Property Psychology Public Health Race Recording of previous events Research Research Personnel Resources Risk Safety Schools Security Surveys Symptoms Testing Time Transportation Underinsured Underrepresented Minority Uninsured Universities Urban Health Vaccination base community clinic cost experience health care availability health care service health disparity innovation member mortality pandemic disease segregation

项目摘要

PROJECT SUMMARY COVID-19 infections are disproportionately higher among communities of color, nationwide (CDC, 2020). In Maryland, where 60% of the population is white and 30% is black, the rate of coronavirus infections is higher among African Americans (AA) at 49.4% compared to 36.9% among whites, and 13.7% among Asians and among other races (MD Department of Health, 2020). Likewise, AAs account for 53% of COVID-19 deaths within Baltimore's Northeast community (i.e. zip code 21215), and, in one of Baltimore's Health Enterprise Zones (HEZ) (i.e., 21216, 21217, 21223, and 21229) four of five infected residents are black (David, P., 2020). Low- income underinsured/uninsured AAs with COVID-19 symptoms often experience transportation barriers. Even when they are able to arrive at an emergency room (ER) they often are turned away (Shamus, K., 2020). Other members of this population elect not to go to the ER and instead deal with the painful COVID-19 symptoms at home. To make matters worse, the long history of segregation nationwide has forced many AAs into housing areas with limited access to local health clinics, healthy food options, clean air, and green space, all of which contribute to higher incidences of pre-existing illnesses, which increases the risk of experiencing more severe COVID- 19 symptoms. To address the aforementioned problems, the Morgan State University (MSU) School of Architecture and Planning (MSU-SAP), MSU Department of Psychology, MSU Department of Geography, AA biomedical company Juxtopia, University of Maryland, and engineering consulting company Contronic LLC, will investigate an innovative concept of rapidly renovating Baltimore's vacant/underused houses/buildings, located in lower-income Baltimore HEZ communities and zip code 21215, into temporary clinics. The goal of the project is to provide target residents with easier accessibility to culturally aware and competent healthcare services (i.e., local/community healthcare facilities and resources (i.e., healthcare providers)) to measurably decrease the health disparity in COVID-19 related infections and mortality rates in Baltimore. The MSU-SAP team hypothesis is that IF some Baltimore City-owned vacant/underused properties in HEZ and 21215 communities are renovated into hybrid clinics, THEN residents in those communities will have access to efficient and more culturally competent healthcare services compared to traditional healthcare facilities (e.g., ERs). To accomplish this research, the investigators will address the following specific aims: Aim 1: Assess the impact of the clinic-desert phenomenon on the COVID-19 outbreak in Baltimore Aim 2: Develop a methodology to identify optimal locations for potential temporary community clinics for testing, vaccination and other related healthcare services during outbreaks and pandemics such as COVID-19 Aim 3: Assess the feasibility of converting a vacant or underused building into a temporary community health clinic during times of public health crisis, such as COVID-19

项目摘要 COVID-19的感染在全国范围（CDC，2020）。在马里兰州，有60％的人口为白色，30％是黑色的，非裔美国人（AA）的冠状病毒感染较高，为49.4％，而36.9％在白人中，亚洲人和其他种族中有13.7％（医学博士卫生部， 2020）。同样，AAS占巴尔的摩东北部死亡的53％社区（即邮政编码21215），在巴尔的摩的健康企业区（HEZ）之一（即 21216、21217、21223和21229）五个受感染居民中有四个是黑人（David，P.，2020）。低的- 收入不足/未投保的AAS具有199症状的AAS经常经历运输障碍。即使他们能够到达急诊室（ER），也经常被拒之门外（Shamus，K.，2020）。该人群的其他成员选择不去急诊室，而是交易伴有痛苦的19次症状。更糟糕的是，悠久的历史全国范围内的种族隔离迫使许多AA进入住房区域，无法获得当地健康诊所，健康食品选择，干净的空气和绿色空间，所有这些都会导致更高现有疾病的发生率，这增加了经历更严重的兴趣的风险 19症状。为了解决上述问题，摩根州立大学（MSU）学校 MSU心理学系MSU部门的建筑与规划（MSU-SAP）地理，AA生物医学公司Juxtopia，马里兰大学和工程咨询公司Contric LLC将调查快速翻新的创新概念巴尔的摩的空置/未经使用的房屋/建筑物，位于巴尔的摩低收入赫兹社区和邮政编码21215进入临时诊所。该项目的目的是提供目标具有更容易获得文化意识和合格医疗服务的居民（即本地/社区医疗保健设施和资源（即医疗保健提供者））减少199年相关感染和死亡率的健康差异巴尔的摩。 MSU-SAP团队假设是，如果某些巴尔的摩市拥有 HEZ和21215个社区的空置/无用物业已翻新到混合诊所，然后，这些社区的居民将获得高效，更文化的机会与传统医疗机构（例如ERS）相比，有能力的医疗服务。到完成这项研究，研究人员将解决以下具体目的： AIM 1：评估诊所 - 塞特现象对COVID-19中爆发的影响巴尔的摩目标2：开发一种方法来确定潜在临时社区的最佳位置暴发期间的测试，疫苗接种和其他相关医疗服务的诊所诸如COVID-19 AIM 3：评估将空置或未充分利用建筑物转换为临时建筑物的可行性公共卫生危机时期的社区健康诊所，例如Covid-19