PDF(Pubmed)
Abstract：
BACKGROUND: To facilitate safety-net healthcare system partnerships with community social service providers, the Los Angeles County Department of Health Services (LAC DHS) created a new collaboration team to spur cross-agency social and medical referral networks and engage communities affected by health disparities as part of a Sect. 1115 Medicaid waiver in Los Angeles County entitled Whole Person Care-Los Angeles (WPC-LA).
METHODS: This observational research reviews three years of collaboration team implementation (2018-2020) through Medicaid-reportable engagement reports, a collaboration team qualitative survey on challenges, facilitators, and recommendations for community engagement. Member reflections for survey findings were conducted with the collaboration team and LAC DHS WPC-LA leadership.
RESULTS: Collaboration team Medicaid engagement reports (n = 144) reported > 2,700 events, reaching > 70,000 individuals through cross-agency and community-partnered meetings. The collaboration team survey (n = 9) and member reflection sessions portrayed engagement processes through outreach, service assessments, and facilitation of service partnerships. The collaboration team facilitated community engagement processes through countywide workgroups on justice-system diversion and African American infant and maternal health. Recommendations for future safety net health system engagement processes included assessing health system readiness for community engagement and identifying strategies to build mutually beneficial social service partnerships.
CONCLUSIONS: A dedicated collaboration team allowed for bi-directional knowledge exchange between county services, populations with lived experience, and social services, identifying service gaps and recommendations. Engagement with communities affected by health disparities resulted in health system policy recommendations and changes.
METHODS: This observational research reviews three years of collaboration team implementation (2018-2020) through Medicaid-reportable engagement reports, a collaboration team qualitative survey on challenges, facilitators, and recommendations for community engagement. Member reflections for survey findings were conducted with the collaboration team and LAC DHS WPC-LA leadership.
RESULTS: Collaboration team Medicaid engagement reports (n = 144) reported > 2,700 events, reaching > 70,000 individuals through cross-agency and community-partnered meetings. The collaboration team survey (n = 9) and member reflection sessions portrayed engagement processes through outreach, service assessments, and facilitation of service partnerships. The collaboration team facilitated community engagement processes through countywide workgroups on justice-system diversion and African American infant and maternal health. Recommendations for future safety net health system engagement processes included assessing health system readiness for community engagement and identifying strategies to build mutually beneficial social service partnerships.
CONCLUSIONS: A dedicated collaboration team allowed for bi-directional knowledge exchange between county services, populations with lived experience, and social services, identifying service gaps and recommendations. Engagement with communities affected by health disparities resulted in health system policy recommendations and changes.
摘要：
背景：为了促进与社区社会服务提供商的安全网医疗保健系统伙伴关系，洛杉矶县卫生服务部（LACDHS）创建了一个新的合作团队，以刺激跨机构的社会和医疗转诊网络，并参与受健康差异影响的社区作为教派的一部分。1115洛杉矶县的医疗补助豁免，名为全人护理-洛杉矶（WPC-LA）。
方法：这项观察性研究通过Medicaid可报告的参与报告回顾了三年的合作团队实施（2018-2020）。合作团队对挑战的定性调查，主持人，以及社区参与的建议。与合作团队和LACDHSWPC-LA领导一起对调查结果进行了成员反思。
结果：合作团队医疗补助参与报告（n=144）报告了>2,700个事件，通过跨机构和社区合作会议，接触到超过7万人。合作团队调查(n=9)和成员反思会议通过外展描绘了参与过程，服务评估,和促进服务伙伴关系。合作小组通过全国范围的司法系统转移和非裔美国人婴儿和孕产妇健康工作组，促进了社区参与进程。对未来安全网卫生系统参与过程的建议包括评估卫生系统对社区参与的准备情况，并确定建立互利的社会服务伙伴关系的战略。
结论：一个专门的协作团队允许在县级服务之间进行双向知识交流，有生活经验的人群，社会服务,确定服务差距和建议。与受健康差异影响的社区的接触导致了卫生系统政策建议和变化。
方法：这项观察性研究通过Medicaid可报告的参与报告回顾了三年的合作团队实施（2018-2020）。合作团队对挑战的定性调查，主持人，以及社区参与的建议。与合作团队和LACDHSWPC-LA领导一起对调查结果进行了成员反思。
结果：合作团队医疗补助参与报告（n=144）报告了>2,700个事件，通过跨机构和社区合作会议，接触到超过7万人。合作团队调查(n=9)和成员反思会议通过外展描绘了参与过程，服务评估,和促进服务伙伴关系。合作小组通过全国范围的司法系统转移和非裔美国人婴儿和孕产妇健康工作组，促进了社区参与进程。对未来安全网卫生系统参与过程的建议包括评估卫生系统对社区参与的准备情况，并确定建立互利的社会服务伙伴关系的战略。
结论：一个专门的协作团队允许在县级服务之间进行双向知识交流，有生活经验的人群，社会服务,确定服务差距和建议。与受健康差异影响的社区的接触导致了卫生系统政策建议和变化。
