RCMI@Morgan: Center for Urban Health Disparities Research and Innovation

项目摘要 COVID-19感染在全国有色人种社区中不成比例地高 (CDC，2020年）。在马里兰州，60%的人口是白色，30%是黑人， 非裔美国人（AA）的冠状病毒感染率较高，为49.4%，而非裔美国人为36.9%。 在白人中，13.7%在亚洲人和其他种族中（MD卫生部， 2020年）。同样，在巴尔的摩东北部，AA占COVID-19死亡人数的53 社区（即邮政编码21215），以及，在巴尔的摩的健康企业区（HEZ）之一（即， 21216、21217、21223和21229）五分之四的受感染居民是黑人（大卫，P.，2020年）。低- 有COVID-19症状的入职保险不足/未投保的AA通常会经历交通运输 隔栏.即使他们能够到达急诊室（ER），他们也经常被拒绝 （Shamus，K.，2020年）。这一人群的其他成员选择不去急诊室，而是处理 在家里有痛苦的COVID-19症状更糟糕的是， 全国范围内的隔离迫使许多AA进入住房地区，限制了当地的健康 诊所、健康食品选择、清洁空气和绿色空间，所有这些都有助于提高 既存疾病的发病率，这增加了经历更严重的COVID的风险， 19症状 为了解决上述问题，摩根州立大学（MSU）的 建筑与规划（MSU-SAP），MSU心理学系，MSU 地理，AA生物医学公司Juxtopia，马里兰州大学和工程 咨询公司康特龙有限责任公司，将调查一个创新的概念，迅速翻新 位于低收入巴尔的摩HEZ的巴尔的摩空置/未充分利用的房屋/建筑 社区和邮政编码为21215的临时诊所。该项目的目标是提供目标 居民更容易获得文化意识和合格的医疗保健服务（即， 当地/社区卫生保健设施和资源（即，医疗保健提供者）， 减少与COVID-19相关的感染和死亡率的健康差距， 巴尔的摩。MSU-SAP团队的假设是，如果一些巴尔的摩市拥有的 HEZ和21215个社区的空置/未充分利用的房产被改造成混合诊所， 然后，这些社区的居民将有机会获得更有效和更有文化的 与传统的医疗保健设施相比，ER）。到 完成这项研究，研究人员将解决以下具体目标： 目标1：评估临床沙漠现象对2019冠状病毒病疫情的影响， Baltimore 目标2：制定一种方法，以确定潜在临时社区的最佳地点 在疫情爆发期间提供检测、疫苗接种和其他相关医疗服务的诊所， 2019冠状病毒病 目标3：评估将空置或未充分利用的建筑物改建为临时建筑物的可行性 在公共卫生危机时期，如COVID-19，

PROJECT SUMMARY COVID-19 infections are disproportionately higher among communities of color, nationwide (CDC, 2020). In Maryland, where 60% of the population is white and 30% is black, the rate of coronavirus infections is higher among African Americans (AA) at 49.4% compared to 36.9% among whites, and 13.7% among Asians and among other races (MD Department of Health, 2020). Likewise, AAs account for 53% of COVID-19 deaths within Baltimore's Northeast community (i.e. zip code 21215), and, in one of Baltimore's Health Enterprise Zones (HEZ) (i.e., 21216, 21217, 21223, and 21229) four of five infected residents are black (David, P., 2020). Low- income underinsured/uninsured AAs with COVID-19 symptoms often experience transportation barriers. Even when they are able to arrive at an emergency room (ER) they often are turned away (Shamus, K., 2020). Other members of this population elect not to go to the ER and instead deal with the painful COVID-19 symptoms at home. To make matters worse, the long history of segregation nationwide has forced many AAs into housing areas with limited access to local health clinics, healthy food options, clean air, and green space, all of which contribute to higher incidences of pre-existing illnesses, which increases the risk of experiencing more severe COVID- 19 symptoms. To address the aforementioned problems, the Morgan State University (MSU) School of Architecture and Planning (MSU-SAP), MSU Department of Psychology, MSU Department of Geography, AA biomedical company Juxtopia, University of Maryland, and engineering consulting company Contronic LLC, will investigate an innovative concept of rapidly renovating Baltimore's vacant/underused houses/buildings, located in lower-income Baltimore HEZ communities and zip code 21215, into temporary clinics. The goal of the project is to provide target residents with easier accessibility to culturally aware and competent healthcare services (i.e., local/community healthcare facilities and resources (i.e., healthcare providers)) to measurably decrease the health disparity in COVID-19 related infections and mortality rates in Baltimore. The MSU-SAP team hypothesis is that IF some Baltimore City-owned vacant/underused properties in HEZ and 21215 communities are renovated into hybrid clinics, THEN residents in those communities will have access to efficient and more culturally competent healthcare services compared to traditional healthcare facilities (e.g., ERs). To accomplish this research, the investigators will address the following specific aims: Aim 1: Assess the impact of the clinic-desert phenomenon on the COVID-19 outbreak in Baltimore Aim 2: Develop a methodology to identify optimal locations for potential temporary community clinics for testing, vaccination and other related healthcare services during outbreaks and pandemics such as COVID-19 Aim 3: Assess the feasibility of converting a vacant or underused building into a temporary community health clinic during times of public health crisis, such as COVID-19