Asian Community-Led Health Equity Structural Intervention (Asian CHESI)

亚洲社区主导的健康公平结构干预（亚洲 CHESI）

• 批准号: 10778519
• 负责人: Dunli Wu
• 金额: $ 112.5万
• 依托单位: ASIAN COMMUNITY HEALTH COALITION
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-18 至 2028-09-17
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10778519
• 关键词: Address; Adoption; Adult; Area; Asian; Asian Americans; Black race; COVID-19; COVID-19 mortality; COVID-19 pandemic; Chronic; Chronic Care; Chronic Disease; Clinical; Collaborations; Communities; Community Health; Community Health Aides; Crowding; Data; Data Aggregation; Data Analyses; Data Collection; Development; Diabetes Mellitus; Diet; Discrimination; Disease; Disparity; District of Columbia; Education; Ethnic Origin; Ethnic Population; Evidence based intervention; Exclusion; Face; Faith-based organization; Fright; Funding; Goals; Government; Guidelines; HIV/AIDS; Hate; Health; Health Care Rationing; Health Disparities Research; Health Insurance; Health Services Accessibility; Health behavior; Healthcare; Heart Diseases; Height; Hepatitis; Home; Hypertension; Immigrant; Incidence; Individual; Industry; Infection; Intervention; Language; Latinx; Laws; Legal; Level of Evidence; Long COVID; Low income; Malignant Neoplasms; Maryland; Masks; Medical; Mental Health; Mental Health Services; Metabolic Diseases; Minority; Misinformation; Modeling; Monitor; Multilingualism; Native Americans; Neighborhood Health Center; Neighborhoods; New Jersey; Outcome; Pacific Islander; Phase; Philadelphia; Police; Policies; Population; Prevention; Preventive care; Preventive screening; Process; Provider; Public Health; Public Health Schools; Reach, Effectiveness, Adoption, Implementation, and Maintenance; Recording of previous events; Research; Resources; Restaurants; SARS-CoV-2 infection; Services; Shapes; Smoking; Subgroup; Universities; access disparities; anti-Asian; barrier to care; collaborative approach; community organizations; comorbidity; coronavirus disease; disease disparity; experience; food security; health care availability; health care service; health disparity; health equity; implementation intervention; improved; innovation; low health literacy; member; outcome disparities; pandemic disease; prevent; racial population; racism; screening; social; social health determinants; success; systemic barrier; urban area

Project Summary/Abstract Title: Asian Community-Led Health Equity Structural Intervention (Asian CHESI) Asian Community Health Coalition (ACHC) is requesting funding for Asian CHESI, a community- led, multisectoral partnership initiative to address structural barriers in healthcare access and health disparities experienced by underserved diverse Asian Americans. The project will engage ACHC coalition member organizations: over 35 Asian ethnic community/faith-based organizations; 8 clinical providers/community health centers; 3 academic research partners with long history of collaboration (e.g. Temple University Center for Asian Health and University of Maryland School of Public Health); 4 health department and government affiliated agencies, and Asian language media and legal law firm partners to plan, implement and disseminate Asian- community-led structural interventions across U.S. Eastern region of metro Philadelphia, NJ, NYC and DC/MD/VA. We engage this large multisectoral team of partners in a 10-year 3-Phase process that includes intentional assessment of structural barriers, development of targeted interventions to break-down systemic barriers, and data collection and analysis efforts to evaluate adoption and implementation. Structural interventions will address financial, physical, language, and cultural barriers experienced by Asian Americans and those compounded by limited healthcare access policies, language resources, food security, community policing against anti- Asian hate and capacity building for multilingual community health workers. Asian CHESI specifically addresses barriers faced by Asian Americans that impact screening, monitoring, and care of chronic health conditions (hypertension, diabetes, heart disease, and cancer), treatment of long COVID, and access to mental health care services. After conclusion of this 10-year project, we will have a blueprint for a multi-factor model that can be replicated in other areas with large Asian Americans.

项目总结/摘要 亚洲社区主导的健康公平结构干预（亚洲CHESI） 亚洲社区卫生联盟（ACHC）正在申请资助亚洲CHESI，一个社区- 牵头的多部门伙伴关系倡议，以解决获得保健服务方面的结构性障碍， 健康差距经历了服务不足的不同亚裔美国人。该项目将参与 ACHC联盟成员组织：超过35个亚洲族裔社区/信仰 组织; 8个临床提供者/社区卫生中心; 3个学术研究合作伙伴， 长期的合作历史（例如坦普尔大学亚洲健康中心和 马里兰州公共卫生学院）; 4个卫生部门和政府附属机构，以及 亚洲语言媒体和法律的律师事务所的合作伙伴，以计划，实施和传播亚洲- 在美国东部地区的费城、新泽西州、纽约市进行社区主导的结构性干预 DC/MD/VA我们让这个大型多部门合作伙伴团队参与为期10年的3阶段 这一过程包括对结构性障碍的有意评估、制定有针对性的 采取干预措施，打破系统性障碍，并努力收集和分析数据， 通过和执行。结构性干预措施将解决财政、身体、语言、 亚裔美国人所经历的文化障碍， 医疗保健获取政策、语言资源、食品安全、社区警务， 多语言社区卫生工作者的亚洲仇恨和能力建设。亚洲CHESI 具体解决亚裔美国人面临的障碍，这些障碍影响了筛查、监测和 慢性健康状况（高血压、糖尿病、心脏病和癌症）的护理，治疗 以及获得精神卫生保健服务。在这个为期10年的项目结束后， 我们将有一个多因素模型的蓝图，可以在其他地区复制， 亚裔美国人。