Humanitarian Health Care Network: Bringing the Most Vulnerable to Care

人道主义医疗保健网络：为最弱势群体提供护理

• 批准号: 10781553
• 负责人: Deliana Garcia
• 金额: $ 112.5万
• 依托单位: MIGRANT CLINICIANS NETWORK, INC.
• 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/10781553
• 关键词: Address; Attention; Birth; Caring; Case Management; Child; Child Health; Chronic Disease; Collaborations; Communities; Community Health; Complex; Data; Databases; Destinations; Electronics; Enrollment; Epilepsy; Face; Familiarity; Fostering; Health; Health Services Accessibility; Healthcare; Home; Immigrant; Immigration; Influentials; Injury; Intervention; Limited English Proficiency; Managed Care; Medical; Migrant; Modeling; Occupations; Outcome; Patients; Pharmaceutical Preparations; Policies; Population; Pregnant Women; Prenatal care; Privatization; Process; Refugees; Reporting; Research; Research Project Grants; Resources; Risk; Schools; Services; Shelter facility; System; Third Pregnancy Trimester; United States; Work; barrier to care; community engaged research; community organizations; health care availability; health disparity; health disparity populations; health equity; health inequalities; high risk population; improved; innovation; longitudinal care; medical vulnerability; novel; participant enrollment; policy implication; programs; service providers; volunteer

ABSTRACT Thousands of migrants arrive yearly at the southern US border. While most are healthy, some require urgent medical care due to emerging health conditions, exacerbated pre-existing illnesses, injuries acquired during their treacherous journey, or undertreated, undiagnosed, unrecognized chronic diseases. These conditions may receive attention along the border through the assistance of a community-based organization working in isolation, relying on volunteers. More often, medical needs remain unattended until care is obtained at the migrant’s destination. This could include a child with a seizure disorder that is out of medications or a pregnant woman in her third trimester who needs prenatal care to optimize her birth outcome and her child's health. These newly arrived migrants may be among the most vulnerable with cascading health disparities including limited financial resources, Limited English Proficiency (LEP), and limited familiarity with our complex medical system that will make accessing timely medical care extraordinarily difficult. With lives dominated by other pressing needs such as establishing a home, finding a job, or enrolling in school, establishing care is a challenge. Comprehensive data is limited on community health outcomes; however, considerable health inequities are reported anecdotally. In collaboration with public and private partners, we aim to foster a community-engaged research project to develop and coordinate a system that will allow us to identify and connect to care for pregnant women and children with complex medical needs. We believe we can structural changes that will improve health inequities in collaboration with the many partners engaged in receiving arriving migrants.

摘要 每年有成千上万的移民抵达美国南部边境。虽然大多数人都很健康，但有些人 由于新出现的健康状况需要紧急医疗护理， 疾病，在他们危险的旅程中受伤，或者治疗不足，未确诊， 未被发现的慢性病。这些情况可能会引起沿着边界的注意 通过一个孤立工作的社区组织的援助， 志愿者更经常的情况是，医疗需求得不到照顾，直到移徙者在医院得到照顾。 目的地这可能包括一个孩子与癫痫发作的障碍，是出于药物或 处于妊娠晚期的孕妇，需要产前护理以优化其分娩结果 和她孩子的健康这些新来的移民可能是最脆弱的， 级联健康差距，包括有限的财政资源，有限的英语能力 (LEP)，以及对我们复杂的医疗系统的有限熟悉， 医疗护理非常困难。生活被其他紧迫的需求所支配， 建立家庭、找工作或入学、建立护理都是一项挑战。 关于社区健康成果的全面数据有限;然而， 不平等现象的报道是零星的。通过与公共和私人合作伙伴合作，我们的目标是 促进社区参与的研究项目，以开发和协调一个系统， 我们识别和连接到照顾孕妇和儿童与复杂的医疗 需求我们相信，我们可以通过合作进行结构性变革， 与许多参与接收抵达的移民的伙伴合作。