Involving Communities in Multicultural Network: From Screening to Access to Care

让社区参与多元文化网络：从筛查到获得护理

• 批准号: 7268061
• 负责人: Maria Rosa WATSON
• 金额: $ 17.33万
• 依托单位: PRIMARY CARE COALITION/MONTGOMERY COUNTY
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-07-15 至 2009-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7268061
• 关键词: Accounting; Address; African American; Appointment; Area; Asian Americans; Awareness; Biological Preservation; Cardiovascular Diseases; Cardiovascular system; Caring; Clinic; Collaborations; Communities; Computerized Medical Record; Counseling; County; Data; Databases; Development; Education and Outreach; Elements; Eligibility Determination; Ethnic group; Evaluation; Exhibits; Future; Goals; Health; Health Personnel; Health Services; Health Services Accessibility; Health Status; Healthcare Systems; Hispanics; Intervention; Latino; Low income; Medical; Medical Surveillance; Minority; Mission; Modeling; Needs Assessment; Nonprofit Organizations; Participant; Phase; Pilot Projects; Placement; Play; Population; Preventive; Primary Health Care; Process; Process Assessment; Program Evaluation; Public Health; Public Health Schools; Quality of Care; Research; Research Project Grants; Resources; Risk; Risk Assessment; Risk Factors; Role; Screening procedure; Services; Shapes; Site; Structure; Support Groups; Target Populations; Translations; Uninsured; United States Dept. of Health and Human Services; United States National Institutes of Health; Universities; Washington; Work; base; cardiovascular risk factor; care systems; community based participatory research; cost; diagnosis evaluation; improved; innovation; member; minority health; outreach; programs; racial and ethnic; social

DESCRIPTION (provided by applicant): The proposed community based participatory research (CBPR) project will promote the involvement and input of community members to improve an established multicultural network/system of care. Specifically, this project will focus on improving outreach and access to care in the area of cardiovascular risk factors, using culturally-appropriate approaches suggested by the community via the CBPR process. This project supports the missions of both the NIH and the NHLBI by working to develop an innovative, community-based model for enhancing access to medical care for low-income, uninsured, minority populations. This project will serve as a pilot to embed CBPR into the developing care network of a large multicultural community, integrating baseline and post-process implementation evaluation components to permit continuous enhancement to the developed strategies for outreach and increased access to care. The multicultural network/system of care, provided by a collaboration of nonprofit organizations coordinated by Primary Care Coalition (PCC) of Montgomery County, MD, currently offers multiple care sites, has successfully implemented shared electronic medical records, and includes minority health initiatives for African American, Asian American, and Latino populations. This project will build on these initiatives, as well as the county-supported Montgomery Cares program, and will incorporate participation from different levels of the community to determine the most appropriate outreach and access to care strategies for each of the represented cultures. Implementation of the project will be guided by the PRECEDE-PROCEED model, with community members making key decisions. Anticipated interventions for participants who exhibit risk factors for cardiovascular disease include: providing an appointment for further evaluation at the network clinics, offering translation services, counseling participants about preventive approaches to health preservation and costs/eligibility for health care services, and supplying information about community support groups. Anticipated additional efforts for the community-at-large will include education and outreach campaigns to inform community members of opportunities for screening. Further, this project anticipates establishing a baseline and surveillance database to support program evaluation and future expansion of the project. This project is relevant to public health because CBPR has the potential to address challenging gaps in the health care system related to social and cultural issues pertinent to each racial/ethnic group represented, and, that if addressed, can facilitate outreach, health awareness, screening participation of those most at risk, and ultimately access to care. With community buy-in and support from community partners and local health clinics, the project team plans to reduce disparities and improve health in a multicultural community.

描述（由申请人提供）：拟议的基于社区的参与研究（CBPR）项目将促进社区成员的参与和投入，以改善已建立的多元文化网络/护理系统。具体而言，该项目将使用社区通过CBPR程序提出的具有文化的适当方法来改善心血管危险因素领域的外展和获得护理。该项目通过努力开发一种创新的，基于社区的模型来增强对低收入，无保险，少数群体的医疗服务的机会，从而支持NIH和NHLBI的任务。该项目将作为试点，将CBPR嵌入大型多元文化社区的发展护理网络，集成基线和后处理的实施评估组件，以允许对开发的外展策略的持续增强和增加的护理机会。由马里兰州蒙哥马利县的非营利组织（PCC）协调的非营利组织的合作提供的多元文化网络/护理系统，目前提供多个护理网站，已成功实施了共享的电子病历，并包括针对非裔美国人，亚裔美国人和拉丁裔人口的少数民族健康计划。该项目将以这些举措以及县支持的蒙哥马利护理计划为基础，并将纳入社区不同层次的参与，以确定每种代表的文化的最合适的外展和获得护理策略。该项目的实施将以先前的模型为指导，社区成员做出关键决策。针对表现出心血管疾病风险因素的参与者的预期干预措施包括：在网络诊所提供进一步评估，提供翻译服务，为参与者提供有关保健保存的预防方法和卫生保健服务的成本/资格的咨询以及提供有关社区支持小组的信息。预计对整个社区的额外努力将包括教育和外展运动，以告知社区成员进行筛查的机会。此外，该项目预计建立一个基线和监视数据库，以支持项目评估和未来扩展项目。该项目与公共卫生有关，因为CBPR有可能解决与与所代表的每个种族/族裔有关的社会和文化问题有关的挑战性差距，并且，如果解决的话，可以促进外展，健康意识，筛查最大风险的人的参与，并最终获得护理。在社区合作伙伴和当地卫生诊所的社区买入和支持下，该项目团队计划减少差异并改善多元文化社区的健康。