Reducing Health Disparities through Enhanced Mobility Support and Access

通过增强流动性支持和访问来减少健康差距

• 批准号: 10781510
• 负责人: Valerie Lefler
• 金额: $ 112.5万
• 依托单位: FEONIX - MOBILITY RISING
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-22 至 2028-09-21
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10781510
• 关键词: Advocate; Budgets; Caring; Communities; Electronics; Health; Health Resources; Individual; Intervention; Justice; Michigan; Personal Satisfaction; Poverty; Preventive; Reduce health disparities; Research; Resources; Safety; Services; Socioeconomic Status; System; Texas; Transportation; United States; Work; ethnic minority population; experience; follow-up; health care availability; health care service; improved; improved mobility; inner city; neighborhood disadvantage; nutrition; programs; racial minority population; social health determinants; transportation access

Abstract Transportation is a major factor impacting the upstream social determinants of health, yet the system in the United States is fragmented and inefficient for those seeking healthcare services within the inner-city and who depend on public transit. This includes individuals who are unable to drive, afford a personal vehicle and are forced to rely on public transit, which is often unreliable and poses health or safety concerns. The result is a lack of access to health resources including preventive and routine followup care. Research demonstrates a lack of transportation has negative consequences on access to healthcare. However, research examining the effect of a comprehensive transportation intervention on overall health is missing. To fill this gap Feonix - Mobility Rising, and its partners, advocate for the implementation of Transportation Assistance Hubs (TAH) in Dallas, Texas and Detroit, Michigan. A TAH includes the deployment of Mobility as a Service, a mobility wallet, and debit card, which will work similarly to the Electronic Benefit Transfer (EBT) card that is used for the Supplemental Nutrition Assistance Program (SNAP). The TAH also includes a Mobility Navigator who provides riders assistance to optimize their transportation budget and support using new modes of transportation. The aim of the project is to show that by providing access to transportation and support in navigating resources, riders will experience improvements in health and well-being. This project will focus on individuals with less privileged socioeconomic status and racial and ethnic minority groups in communities of persistent poverty and Justice40-identified disadvantaged communities.

抽象的 运输是影响上游社会决定因素的主要因素，但是对于那些在城市内寻求医疗服务并依赖公共交通的人来说，美国的系统却是分散且效率低下的。这包括无法开车，负担得起私人车辆并被迫依靠公共交通的个人，这通常是不可靠的，并带来了健康或安全问题。结果是无法获得卫生资源，包括预防和常规后续护理。研究表明，缺乏运输对获得医疗保健的负面影响。但是，缺少研究全面运输干预对整体健康的影响的研究。为了填补这一差距 - 流动性上升及其合作伙伴，倡导在得克萨斯州达拉斯和密歇根州底特律实施运输援助中心（TAH）。 TAH包括移动性作为服务，移动性钱包和借记卡的部署，该卡将与用于补充营养援助计划（SNAP）的电子福利转移（EBT）卡相似。 TAH还包括一个移动性导航员，该导航员为骑手提供帮助，以优化其运输预算和使用新的运输方式的支持。该项目的目的是表明，通过在资源中提供运输和支持的访问，骑手将经历健康和福祉的改善。该项目将集中于在持续贫困和正义的社区中具有特权社会经济地位以及种族和少数民族群体的个人和少数族裔。