Responding to the Disproportionate Impact of COVID-19 Among Latinx Patients in Baltimore: The JHM Latinx Anchor Strategy.
Responding to the Disproportionate Impact of COVID-19 Among Latinx Patients in Baltimore: The JHM Latinx Anchor Strategy.
复制标题
应对巴尔的摩拉丁裔患者中 COVID-19 的不成比例的影响：JHM 拉丁裔锚定策略。
DOI：
10.1089/hs.2021.0203
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发表时间：
2022
期刊：
影响因子：
3.3
通讯作者：
Ste
中科院分区：
文献类型：
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作者：
Page,KathleenR;Wilson,Alicia;Phillips,KatherineHartmann;Flores-Miller,Alejandra;Vazquez,MonicaGuerrero;Bigelow,BenjaminF;Bryan,JacquelineN;Moore,Adrianna;Tolson,Tina;McCann,Nicki;Sisson,StephenD;Parker,Ann;Brigham,Emily;Ste
拉丁裔移民深受COVID-19影响。由于约翰霍普金斯卫生系统面临着英语能力有限的COVID-19患者入院人数激增的情况，很明显，需要一个机构战略来解决这一患者群体的需求。约翰霍普金斯医学（JHM）拉丁锚策略于2020年4月成立，由不同持份者参与，以识别最迫切的社区需求并制定及时的解决方案。JHM Latinx锚策略为信息共享提供了一个平台，以促进受COVID-19影响的英语水平有限的Latinx公平获得资源。JHM Latinx锚战略利用机构、社区和政府的资源和专业知识，帮助制定干预措施，改善没有初级保健医生的低收入移民获得COVID-19检测和护理的机会，并通过向2，677人分发食物和向446个家庭和95人分发现金，帮助减轻经济脆弱性（2020年5月至8月）。通过网络研讨会和直播活动扩大了语言和文化交流，接触了10 000多名社区成员和合作伙伴。超过7,500名英语能力有限的患者通过埃斯佩兰萨中心双语热线、社区测试和住院咨询获得了语言一致的直接患者服务。JHM拉丁锚战略的第一阶段主要依靠志愿者的努力。为满足持续的COVID-19需求，需要为可持续应对提供资金，包括扩大双语/双文化医疗保健工作人员队伍，扩大初级保健的可及性，以及投资于解决健康社会决定因素的人口健康战略。
Latinx immigrants have been profoundly impacted by COVID-19. As the Johns Hopkins Health System faced a surge in admissions of limited English proficiency patients with COVID-19, it became evident that an institutional strategy to address the needs of this patient population was needed. The Johns Hopkins Medicine (JHM) Latinx Anchor Strategy was established in April 2020 with diverse stakeholder engagement to identify the most urgent community needs and develop timely solutions. The JHM Latinx Anchor Strategy provided a platform for information sharing to promote equitable access to resources for Latinxs with limited English proficiency who were impacted by COVID-19. Leveraging institutional, community, and government resources and expertise, the JHM Latinx Anchor Strategy helped establish interventions to improve access to COVID-19 testing and care for low-income immigrants without a primary care doctor and helped mitigate economic vulnerability through the distribution of food for 2,677 individuals and cash to 446 families and 95 individuals (May to August 2020). Expanded linguistic and culturally competent communication through webinars and livestream events reached more than 10,000 community members and partners. Over 7,500 limited English proficiency patients received linguistically congruent direct patient services through the Esperanza Center bilingual hotline, community testing resulting efforts, and inpatient consultations. The first stage of the JHM Latinx Anchor Strategy relied heavily on volunteer efforts. Funding for a sustainable response will be required to address ongoing COVID-19 needs, including expansion of the bilingual/bicultural healthcare workforce, expanded access to primary care, and investments in population health strategies addressing social determinants of health.