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

项目摘要/摘要 标题：亚洲共同体主导的卫生公平结构性干预(Asian CHESI) 亚洲社区健康联盟(ACHC)要求为亚洲切西社区提供资金- 主导的多部门伙伴关系倡议，以解决医疗保健获取和管理方面的结构性障碍 未得到充分服务的多样化亚裔美国人的健康差距。该项目将与 ACHC联盟成员组织：超过35个亚裔社区/基于信仰的社区 组织；8个临床提供者/社区卫生中心；3个学术研究伙伴 长期的合作历史(例如坦普尔大学亚洲健康中心和华盛顿大学 马里兰州公共卫生学院)；4个卫生部和政府附属机构；以及 亚洲语言媒体和律师事务所合作伙伴规划、实施和传播亚洲- 社区主导的结构性干预遍及美国东部地区新泽西州费城和纽约市 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个阶段 这一进程包括有意评估结构性障碍、制定有针对性的 打破系统性障碍的干预措施，以及数据收集和分析工作以评价 通过和实施。结构性干预将涉及金融、物质、语言、 亚裔美国人所经历的文化障碍以及有限的 医疗保健准入政策、语言资源、食品安全、社区治安 亚洲人对多语种社区卫生工作者的仇恨和能力建设。亚洲切斯 具体解决亚裔美国人面临的影响筛查、监测和 护理慢性健康状况(高血压、糖尿病、心脏病和癌症)、治疗 长期COVID，以及获得精神卫生保健服务。在这个为期十年的项目结束后， 我们将有一个多因素模型的蓝图，可以在其他领域复制 亚裔美国人。

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.