A Framework for Mobilizing Health Care to Respond to the Community Within the COVID-19 Pandemic.
A Framework for Mobilizing Health Care to Respond to the Community Within the COVID-19 Pandemic.
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DOI：
10.5888/pcd18.200572
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发表时间：
2021-04-01
影响因子：
5.5
通讯作者：
Franks N
中科院分区：
文献类型：
--
作者：
Epps F;Wiley Z;Teunis LJ;Johnson TM 2nd;Patzer RE;Ofotokun I;Franks N
在卫生问题上对政府的文化不信任，迫使有必要让受信任的社区领导人参与，在受影响不成比例的社区具有影响力和影响力，以确保与新冠肺炎相关的基本公共卫生活动发生在受到疫情影响不成比例的人群中。2020年4月，一个总部位于佐治亚州的综合学术医疗保健系统创建了一个社区外联和健康差距合作组织，以团结来自信仰组织、公民组织和卫生部门组织的值得信赖的社区领导人，与卫生系统和埃默里大学合作，根据社区的文化和个人需求制定量身定制的方法，并动员支持，以减轻新冠肺炎的负担。我们描述了用于联合医疗保健和学术合作者与社区合作伙伴的框架，以动员努力解决新冠肺炎对种族、民族和社会经济少数群体的不成比例的影响。该框架概述了为促成社区主导的协作而采取的一系列步骤，旨在让当地有影响力的社区领导人作为合作伙伴，改善受不成比例影响的社区获得护理的机会，这种协作可以被其他大型医疗保健系统复制。这一框架还可以应用于其他慢性病或未来的突发公共卫生事件，以改善受到不成比例影响的社区的通信、教育和医疗保健机会。
Cultural mistrust of government with regard to health issues has pressed the need to engage trusted community leaders with influence and reach in disproportionately affected communities to ensure that essential public health activities related to COVID-19 occur among populations experiencing disproportionate impact from the pandemic. In April of 2020, a Georgia-based integrated academic health care system created a Community Outreach and Health Disparities Collaborative to unite trusted community leaders from faith-based, civic, and health-sector organizations to work with the health system and Emory University to develop tailored approaches and mobilize support within the context of the communities’ cultural and individual needs to reduce the burden of COVID-19. We describe the framework used to join health care and academic collaborators with community partners to mobilize efforts to address the disproportionate impact of COVID-19 on racial, ethnic, and socioeconomic minority groups. The framework outlines a series of steps taken that led to a community-driven collaboration designed to engage local influential community leaders as partners in improving access to care for disproportionately affected communities, collaborations that could be replicated by other large health care systems. This framework can also be applied to other chronic diseases or future public health emergencies to improve communication, education, and health care access for communities experiencing disproportionate impact.
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