Abstract：
The Ventanillas de Salud (VDS - \"Health Windows\") are a culturally sensitive outreach program within the 49 Mexican Consulates in the United States that provides information and health care navigation support to underserved and uninsured Mexican immigrants. During the COVID-19 pandemic the VDS rapidly transitioned to remote operations adding new services. Based on the EquIR implementation framework, this qualitative study investigates how adaptations to improve emergency preparedness were performed. We conducted motivational interviews with three actors - six VDS coordinators, eight partner organizations, and ten VDS users- in two VDS, Los Angeles and New York, to document specific needs of the target population and identify implementation processes to adapt and continue operating. The VDS adapted their model by adding new services for emerging needs, by switching service provision modalities, and by expanding the network of partner organizations. According to the VDS staff, these adaptations increased their topics, depth, reach, and diversified their users. Users had mostly positive opinions about the VDS adaptation, although they highlighted some heterogeneity across service provision. The VDS is a public health intervention able to serve a marginalized population and its implementation offers valuable lessons to complement health systems and to improve preparedness and resiliency for future crises.
摘要：
VentanillasdeSalud（VDS-“健康窗口”）是美国49个墨西哥领事馆内的文化敏感外展计划，为服务不足和未投保的墨西哥移民提供信息和医疗保健导航支持。在COVID-19大流行期间，VDS迅速过渡到远程运营，增加了新的服务。基于EquIR实现框架，这项定性研究调查了如何进行适应以改善应急准备.我们对三名演员进行了动机性采访-六名VDS协调员，八个伙伴组织，和十个VDS用户-在两个VDS中，洛杉矶和纽约,记录目标人群的具体需求，并确定适应和继续运营的实施过程。VDS通过为新兴需求添加新服务来调整他们的模型，通过转换服务提供模式，并通过扩大合作伙伴组织网络。根据VDS工作人员的说法，这些改编增加了他们的话题，深度,reach,多样化的用户。用户对VDS适应大多有积极的看法，尽管他们强调了服务提供之间的一些异质性。VDS是一种能够为边缘化人口服务的公共卫生干预措施，其实施为补充卫生系统和提高对未来危机的准备和弹性提供了宝贵的经验教训。
