Reach, effectiveness, and connections: the case for partnering with 2-1-1 to eliminate health disparities.
Reach, effectiveness, and connections: the case for partnering with 2-1-1 to eliminate health disparities.
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DOI：
10.1016/j.amepre.2012.09.024
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发表时间：
2012-12
影响因子：
5.5
通讯作者：
Kreuter, Matthew W.
中科院分区：
文献类型：
--
作者：
Kreuter, Matthew W.
在美国，社会经济地位的健康状况差异是普遍存在的，信息和通信本身并不能解决问题，但两者都是任何认真的公共卫生努力，以消除健康差距的重要组成部分。它们的影响至少可以从三个方面来看待和衡量：（1）将信息的范围扩大到弱势群体和信息贫乏的社区;（2）通过使信息对人们的生活有意义来提高信息的效力;（3）建立联系，将人们与他们所需要的有形服务联系起来。很少有（如果有的话）卫生或社会服务组织比2-1-1系统更适合实现“接触-有效性-联系”的三重目标。正因为如此，2-1-1将成为我国解决健康差距战略的一个组成部分。2-1-1系统是一个3位数的电话信息和转诊结构，将人们与所在社区的健康和社会服务联系起来。2-1-1的吸引力在于其独特的数字组合（每年1600万至1700万次互动）;地点（在50个州可用）;和人（呼叫者不成比例地低收入，低教育，失业，无保险）。虽然许多研究人员，医疗保健提供者和预防专家抱怨难以接触和接触我们社区中最脆弱的患者和人群，但2-1-1专家正忙碌倾听，交谈和帮助他们。不仅仅是少数人，而是数以百万计的人，而且是在受影响者发起的互动中，而不是在外联专家的要求下。这些都是来自社区的求助电话。
Disparities in health status by socioeconomic position are pervasive in the US Information and communication alone will not solve the problem, yet both are essential parts of any serious public health effort to eliminate health disparities. Their impact can be seen and measured in at least three ways:(1) expanding the reach of information into vulnerable populations and information-poor communities;(2) increasing the effectiveness of information by making it meaningful in the context of people’s lives; and (3) making connections that link people with tangible services they need. Few, if any, health or social service organizations are better suited to deliver on the triad goals of reach–effectiveness–connections than the 2-1-1 system. Because of that, 2-1-1 is poised to be an integral part of our nation’s strategy to address health disparities.The 2-1-1 system is a 3-digit telephone information and referral structure that connects people to health and social services available in their community. The attraction of 2-1-1’s reach lies in its unique mix of numbers (16–17 million interactions per year); places (available in 50 states); and people (callers are disproportionately low-income, loweducation, unemployed, uninsured). While many researchers, healthcare providers, and prevention specialists grouse about the difficulty of reaching and engaging the most vulnerable patients and populations in our communities, 2-1-1 specialists are busy listening to, talking with, and helping them. Not just a few, but by the millions, and in interactions that are initiated by those affected, not solicited by outreach specialists. These are literally calls for help, rising from the community.
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