Humanitarian Health Care Network: Bringing the Most Vulnerable to Care

摘要 每年有数以千计的移民抵达美国南部边境。虽然大多数人都很健康，但也有一些人 由于新出现的健康状况而需要紧急医疗护理，加剧了先前存在的 疾病，在危险的旅程中获得的伤害，或未得到充分治疗，未得到诊断， 未被认识到的慢性病。这些情况可能会在边境沿线受到关注 通过独立工作的社区组织的帮助，依赖于 志愿者。更常见的情况是，在移民得到治疗之前，医疗需求一直无人照顾 目的地。这可能包括患有癫痫障碍的儿童，这些儿童已经用完了药物或 需要产前护理以优化其分娩结局的妊娠晚期妇女 以及她孩子的健康。这些新到的移民可能是最脆弱的移民之一 级联的健康差距，包括有限的经济资源，有限的英语水平 (LEP)，以及对我们复杂的医疗系统的有限熟悉，这将使访问 医疗护理异常困难。随着生活被其他紧迫的需求所主导，比如 建立一个家，找到一份工作，或入学，建立照顾是一个挑战。 关于社区健康结果的综合数据有限；然而，相当大的健康 人们对不平等现象的报道不绝于耳。通过与公共和私人合作伙伴的合作，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，使 美国将识别并连接到患有复杂医疗疾病的孕妇和儿童的护理 需要。我们相信，我们可以进行结构性改革，以改善合作中的卫生不平等现象 许多合作伙伴参与接收抵达的移民。

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.