Asian Community-Led Health Equity Structural Intervention (Asian CHESI)

亚洲社区主导的健康公平结构干预（亚洲 CHESI）

基本信息

批准号：
10778519
负责人：
Dunli Wu
金额：
$ 112.5万
依托单位：
ASIAN COMMUNITY HEALTH COALITION
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-18 至 2028-09-17
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10778519
关键词：
Address Adoption Adult Area Asian Asian Americans Black race COVID-19 COVID-19 mortality COVID-19 pandemic Chronic Chronic Care Chronic Disease Clinical Collaborations Communities Community Health Community Health Aides Crowding Data Data Aggregation Data Analyses Data Collection Development Diabetes Mellitus Diet Discrimination Disease Disparity District of Columbia Education Ethnic Origin Ethnic Population Evidence based intervention Exclusion Face Faith-based organization Fright Funding Goals Government Guidelines HIV/AIDS Hate Health Health Care Rationing Health Disparities Research Health Insurance Health Services Accessibility Health behavior Healthcare Heart Diseases Height Hepatitis Home Hypertension Immigrant Incidence Individual Industry Infection Intervention Language Latinx Laws Legal Level of Evidence Long COVID Low income Malignant Neoplasms Maryland Masks Medical Mental Health Mental Health Services Metabolic Diseases Minority Misinformation Modeling Monitor Multilingualism Native Americans Neighborhood Health Center Neighborhoods New Jersey Outcome Pacific Islander Phase Philadelphia Police Policies Population Prevention Preventive care Preventive screening Process Provider Public Health Public Health Schools Reach, Effectiveness, Adoption, Implementation, and Maintenance Recording of previous events Research Resources Restaurants SARS-CoV-2 infection Services Shapes Smoking Subgroup Universities access disparities anti-Asian barrier to care collaborative approach community organizations comorbidity coronavirus disease disease disparity experience food security health care availability health care service health disparity health equity implementation intervention improved innovation low health literacy member outcome disparities pandemic disease prevent racial population racism screening social social health determinants success systemic barrier urban area

项目摘要

Project Summary/Abstract Title: Asian Community-Led Health Equity Structural Intervention (Asian CHESI) Asian Community Health Coalition (ACHC) is requesting funding for Asian CHESI, a community- led, multisectoral partnership initiative to address structural barriers in healthcare access and health disparities experienced by underserved diverse Asian Americans. The project will engage ACHC coalition member organizations: over 35 Asian ethnic community/faith-based organizations; 8 clinical providers/community health centers; 3 academic research partners with long history of collaboration (e.g. Temple University Center for Asian Health and University of Maryland School of Public Health); 4 health department and government affiliated agencies, and Asian language media and legal law firm partners to plan, implement and disseminate Asian- community-led structural interventions across U.S. Eastern region of metro Philadelphia, NJ, NYC and DC/MD/VA. We engage this large multisectoral team of partners in a 10-year 3-Phase process that includes intentional assessment of structural barriers, development of targeted interventions to break-down systemic barriers, and data collection and analysis efforts to evaluate adoption and implementation. Structural interventions will address financial, physical, language, and cultural barriers experienced by Asian Americans and those compounded by limited healthcare access policies, language resources, food security, community policing against anti- Asian hate and capacity building for multilingual community health workers. Asian CHESI specifically addresses barriers faced by Asian Americans that impact screening, monitoring, and care of chronic health conditions (hypertension, diabetes, heart disease, and cancer), treatment of long COVID, and access to mental health care services. After conclusion of this 10-year project, we will have a blueprint for a multi-factor model that can be replicated in other areas with large Asian Americans.

项目概要/摘要标题：亚洲社区主导的健康公平结构干预（亚洲 CHESI）亚洲社区健康联盟 (ACHC) 正在为亚洲 CHESI 申请资金，这是一个社区 - 主导的多部门伙伴关系倡议，旨在解决医疗保健获取和服务方面的结构性障碍服务不足的多元化亚裔美国人所经历的健康差异。该项目将吸引 ACHC 联盟成员组织：超过 35 个亚洲族裔社区/基于信仰组织； 8个临床提供者/社区卫生中心； 3个学术研究合作伙伴悠久的合作历史（例如天普大学亚洲健康中心和美国大学马里兰公共卫生学院）； 4 卫生部门和政府附属机构，以及亚洲语言媒体和法律律师事务所合作伙伴策划、实施和传播亚洲语言美国东部地区费城、新泽西州、纽约市都会区的社区主导的结构性干预措施和 DC/MD/VA。我们让这个庞大的多部门合作伙伴团队参与为期 10 年的 3 阶段过程包括有意评估结构性障碍、制定有针对性的打破系统性障碍的干预措施以及评估数据收集和分析工作通过和实施。结构性干预措施将解决财务、身体、语言、亚裔美国人所经历的文化障碍以及有限的文化障碍医疗保健获取政策、语言资源、粮食安全、针对反腐败行为的社区治安亚洲仇恨和多语言社区卫生工作者的能力建设。亚洲CHESI 专门解决亚裔美国人面临的影响筛查、监测和治疗的障碍慢性健康状况（高血压、糖尿病、心脏病和癌症）的护理、治疗长期新冠疫情以及获得精神卫生保健服务的机会。在这个为期 10 年的项目结束后，我们将有一个多因素模型的蓝图，可以在其他拥有大量资源的领域进行复制亚裔美国人。