Addressing Food Insecurity in Underserved Communities

摘要 解决代表不足的少数群体的粮食不安全问题(AFIRM)是一项拟议的合作 包括健康选择网络(HCN)、杰西·特里斯社区卫生系统、布罗沃德 社区和家庭健康中心及其他经佛罗里达州联邦认证的健康中心 迈阿密大学临床与转化科学研究所(CTSI)，以及 以社区为基础的组织，包括为南佛罗里达州提供食物。我们打算催化， 部署和评估利用多部门伙伴关系的社区主导的结构性干预措施 以解决粮食不安全问题，并最终减少佛罗里达州各地HCN FQHC的健康差距。 头两年将涉及规划、能力和伙伴关系建设，以制定/试点 采取结构性干预措施，解决粮食不安全问题。结构性干预将解决社会、 造成粮食不安全的物质、经济或政治环境。干预措施 包括使用SIMPLE为FQHC患者开发普遍食品不安全筛查 经过验证的粮食不安全措施纳入了《电子健康记录》。然后，我们将利用现有的和新的 发展结构性干预措施的关系，旨在帮助所有认为 粮食不安全。在第3至第8年，我们将实施社区主导的结构性干预措施 解决粮食不安全问题，并最终评估这些干预措施对健康的影响 结果。干预措施包括帮助符合条件的患者申请州和联邦 方案，与粮食不安全资源的联系，如设在附近的粮食银行/食品储藏室 最需要的领域(包括在FQHC内)和开发要解决的系统 交通障碍。更广泛地说，将有州和地方政策制定者的参与， 领导和健康计划制定计划和政策以及社区计划，以 解决粮食不安全问题。

ABSTRACT Addressing Food Insecurity in under-Represented Minorities (AFIRM) is a proposed collaboration including Health Choice Network (HCN), Jessie Trice Community Health System, Broward Community and Family Health Centers and other Florida Federally Qualified Health Centers (FQHCs), University of Miami’s Clinical and Translational Science Institute (CTSI), and Community Based Organizations including Feeding South Florida. We propose to catalyze, deploy, and evaluate community-led structural interventions leveraging multisectoral partnerships to address food insecurity and ultimately reduce health disparities at HCN FQHCs across Florida. The first two years will involve planning, capacity and partnership building to develop/pilot structural interventions to address food insecurity. Structural interventions will address the social, physical, economic, or political environments that result in food insecurity. The interventions include developing universal screening for food insecurity for FQHC patients using simple validated measures of food insecurity built into the EHR. We will then leverage existing and new relationships to develop structural interventions designed to help all persons who identify as having food insecurity. In years 3-8 we will implement community-led structural interventions addressing food insecurity and ultimately assess the impact of these interventions on health outcomes. Interventions include assisting eligbile patients in applying for state and Federal programs, linkages to food insecurity resources such as food banks/pantries located proximal to areas of greatest need (including within the FQHCs) and developing systems to address transportation barriers. More broadly there will be engagement of state and local policy-makers, leaders, and health plans in developing programs and policies and community programs to address food insecurity.