Outreach

外展
  • 文章类型: Journal Article
    讲故事吸引观众,传承传统和历史,教育,并帮助人们理解和解释他们的环境。许多从事农业工作的人从小就成为讲故事传统的一部分。研究证明了个人故事的情感影响,以及如何通过这种沟通方式有效地传达“农民对农民”的预防信息。
    自2016年以来,“讲故事项目”为那些直接或间接参与农业事件的人提供了一个空间,让他们分享他们的故事和关于如何避免类似事件的独特观点。
    这个合作项目,在国家职业安全与健康研究所(NIOSH)农业安全中心之间开发,在一个专门的网站上产生了11个故事,安全和卫生资源,和教育指南。这些故事和教育指南已经通过传统和社交媒体来源进行了广泛的营销,受雇于安全培训,并受到农业项目教育工作者的欢迎。该网站提供了超过35,000次访问的国家和国际范围。
    对故事的定性主题分析提供了有关导致每个事件的情况的数据,关于讲故事的人如何解释后果的有价值的信息,以及关于安全专业人员如何创建消息的新颖观点,这些消息将引起农业社区的共鸣。
    UNASSIGNED: Storytelling engages audiences, passes down traditions and history, educates, and helps people understand and interpret their environment. Many of those who work in agriculture have been part of the storytelling tradition since childhood. Research has demonstrated the emotional impact of personal stories and how prevention information is conveyed effectively \"farmer to farmer\" through this method of communication.
    UNASSIGNED: Since 2016, the Telling the Story Project has provided a space for those directly or indirectly involved in an agricultural incident to share their story and unique perspectives on how similar incidents can be avoided.
    UNASSIGNED: This collaborative project, developed between the National Institute for Occupational Safety and Health (NIOSH) Agriculture Safety Centers, has resulted in 11 stories on a dedicated website, safety and health resources, and educational guides. The stories and educational guidelines have been marketed extensively through traditional and social media sources, employed in safety training, and embraced by educators in agricultural programs. The website has provided a national and international reach with more than 35,000 visits.
    UNASSIGNED: Qualitative thematic analysis of the stories provided data on the circumstances leading up to each incident, valuable information on how the storytellers interpreted the aftermath, and a novel perspective on how safety professionals can create messaging that will resonate with the farming community.
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  • 文章类型: Journal Article
    2020年9月,美国国立卫生研究院采取行动应对COVID-19大流行,认识到打击错误信息的迫切需要,特别是在受危机影响特别严重的社区。社区参与联盟(CEAL)是一项致力于培养可靠、基于科学的信息,多样性,和包容性;旨在实施有效的战略,以减轻COVID-19在全国范围内的传播。参与该计划的团队之一是波多黎各-CEAL(PR-CEAL)。我们的目标是提高人们对冠状病毒疾病的认识并推进研究,主要关注弱势和服务不足的人群。本概念文件旨在概述PR-CEAL在最初两个周期中的基础设施,提供旨在加强预防的研究和社区参与活动的见解,计数器错误信息,并提高对COVID-19疫苗的认识和吸收。最终,我们的目标是反思我们在努力维持这一强大的基础设施时遇到的优势和挑战,以前瞻性方法解决持续存在的公共卫生问题。
    In September 2020, the National Institutes of Health acted in response to the COVID-19 pandemic, recognizing the critical need to combat misinformation, particularly in communities disproportionately affected by the crisis. The Community Engagement Alliance (CEAL) emerged as an initiative dedicated to fostering reliable, science-based information, diversity, and inclusion; aiming to implement effective strategies to mitigate the spread of COVID-19 nationwide. One of the teams participating in this initiative is Puerto Rico-CEAL (PR-CEAL). Our whose goal was to raise awareness about the coronavirus disease and advance research, mainly focusing on vulnerable and underserved populations. This concept paper seeks to outline PR-CEAL\'s infrastructure during its initial two cycles, providing insights into the research and community engagement activities designed to enhance prevention, counter misinformation, and foster awareness and uptake of COVID-19 vaccines. Ultimately, our objective is to reflect on the strengths and challenges encountered thus far as we endeavor to sustain this robust infrastructure, addressing ongoing public health issues with a forward-looking approach.
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  • 文章类型: Journal Article
    目的:可以通过社区外展计划来解决不公平的医疗服务。合作,共同设计的学生主导的弹出式健康检查诊所在维多利亚州的三个低社会经济区域社区进行,澳大利亚。受监督的本科护生进行免费健康检查,练习评估和沟通技巧,并提供健康教育。
    方法:使用混合方法评估影响,结果,和用于在三个不同的社区环境中提供健康检查的过程。数据包括检查后调查和对社区参与者的后续访谈,采用描述性统计和专题分析进行分析。
    结果:总共收集了166项调查,并对位于三个不同社区的社区参与者进行了30次访谈。参与者对诊所和分娩过程中提供的信息非常满意。进一步的分析还确定了三个主要主题:(1)定义需求,(2)到达社区,和(3)健康促进福利。
    结论:社区外展计划有效地覆盖了弱势群体,改善社区获得风险筛查的机会,减少需求,支持现有服务,并为社区内未来的卫生保健人员提供极好的培训机会。所以呢?:需要进一步的计划和财务投资来支持提供疾病预防和风险筛查的社区外展计划。需要更多的投资来促进弱势群体的外展服务,社会决定因素导致不良健康结果,获得医疗保健的机会有限。合作计划,如学生主导的弹出式诊所,是外展可以改变社区健康的一种方式。
    OBJECTIVE: Inequitable health care access can be addressed by using community outreach programs. A collaborative, codesigned student-led pop-up health check clinic was conducted in three low-socioeconomic regional communities in Victoria, Australia. Supervised undergraduate nursing students conducted free health checks, practiced assessment and communication skills, and provided health education.
    METHODS: A mixed-method approach was used to evaluate the impact, outcome, and processes used to deliver health checks in three different community settings. Data included post-check surveys and follow-up interviews with community participants, which were analysed using descriptive statistics and thematic analysis.
    RESULTS: A total of 166 surveys were collected and 30 interviews conducted from community participants located in three different communities. Participants were very satisfied with the information provided in the clinics and the delivery process. Further analysis also identified three major themes: (1) Defining a need, (2) Reaching the Community, and (3) Health promotion benefits.
    CONCLUSIONS: Community outreach programs are effective in reaching vulnerable populations, improving community access to risk screening, reducing demands, supporting existing services, and providing excellent training opportunities for the future health care workforce within communities. SO WHAT?: Further planning and financial investment are required to support community outreach programs that provide disease prevention and risk screening. More investment is needed in promoting outreach services within vulnerable populations, where social determinants contribute to poor health outcomes and access to health care is limited. Collaborative programs such as student-led pop-up clinics, are one way outreach can make a difference to community health.
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  • 文章类型: Journal Article
    解剖学外展是许多学术机构有据可查的做法,此处定义为向外部社区提供与解剖学相关的服务。然而,目前关于这个主题的大多数文献都是描述性的,专注于解剖学相关外展的“什么”,而不是可概括的\'为什么\'或\'如何\'。从“外达人”的角度来看,没有关于解剖学外展试图实现的共享概念模型,以及解剖学家如何支持这些目标。因此,本研究旨在探讨解剖学外展作为解剖学教育界一种社会现象的理解。这项定性研究使用建构主义扎根理论来探索具有促进解剖学外展经验的解剖学家的观点。共有18名参与者完成了半结构化访谈。分析结果构建了与解剖学外展有关的九大类主题:外展类型,具体活动,外展的目标,主题利益(为什么是解剖学?),启用者,挑战,评估,动机/驱动程序,和来自直接解剖学社区和更广泛领域的社区观点(科学,技术,Engineering,数学(STEM)和卫生专业教育(HPE))。这些结果被构建成解剖外展的概念模型。研究结果表明,解剖学将主题视为一种社会联系经验,可以吸引各种各样的个人。解剖学的多模态性质,结合教学专业知识,对生产性外展很有帮助。大多数“外达人”对其活动的影响没有深刻的理解,然而,并对活动将支持多样性持乐观态度,属于,和健康/解剖学素养。
    Anatomy outreach is a well-documented practice by many academic institutions, defined here as when anatomy-related services are provided to external communities. However, most of the current literature on this topic is largely descriptive, focusing on the \'what\' of anatomy-related outreach, rather than the generalizable \'why\' or \'how\'. There exists no shared conceptual model of what anatomy outreach tries to achieve from the perspective of \'outreachers\', and how anatomists support these goals. Thus, this study aimed to explore the comprehension of anatomy outreach as a social phenomenon in the anatomy education community. This qualitative research used constructivist grounded theory to explore the perspectives of anatomists with experience facilitating anatomy outreach. A total of 18 participants completed semi-structured interviews. Analysis resulted in the construction of nine broad categories of themes relating to anatomy outreach: types of outreach, specific activities, goals of outreach, subject benefit (why anatomy?), enablers, challenges, appraisal, motivators/drivers, and community perspectives from the immediate anatomy community and wider field (Science, Technology, Engineering, and Mathematics (STEM) and health professions education (HPE)). These results were constructed into a conceptual model of anatomy outreach. The findings suggest that anatomists view the subject matter as a socially connecting experience that can engage a wide variety of individuals. The multimodal nature of anatomy, combined with teaching expertise, lends well to productive outreach. Most \'outreachers\' do not have a strong understanding of the impact of their activities, however, and operate on a level of optimism that activities will support diversity, belonging, and health/anatomical literacy.
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  • 文章类型: Journal Article
    公共图书馆是健康信息的来源,公共和学术健康科学图书馆之间的伙伴关系可以改善社区对健康信息的访问和理解。肯塔基州一所医学院的图书馆员对公共图书馆员进行了采访,以更好地了解他们在健康信息方面的经验,目的是为将来与公共图书馆的联系提供信息。所有参与者都报告至少偶尔收到健康相关信息的请求。大多数参与者使用书籍来回答健康问题,虽然也使用了广泛的电子资源。讨论了对学术健康科学图书馆员的影响。
    Public libraries serve as sources of health information, and partnerships between public and academic health sciences libraries may improve a community\'s access to and understanding of health information. Librarians at a medical school in Kentucky conducted interviews with public librarians to better understand their experiences with health information with the goal of informing future outreach to public libraries. All participants reported receiving requests for health-related information at least occasionally. Most participants used books to answer health questions, although a wide range of electronic resources were also used. Implications for academic health sciences librarians are discussed.
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  • 文章类型: Journal Article
    为了改善农村女性和性别多样化退伍军人的医疗保健服务,我们创建了“提升团队”,“由临床医生驱动的远程健康外展服务,将这些人群与退伍军人健康管理局(VHA)服务联系起来。
    在2021年9月至2022年2月之间,我们在退伍军人综合服务网络(VISN)21中进行了需求评估,并使用这些数据制定了外展干预措施。我们在2022年3月试行了由临床医生主导的外展干预措施,并于2022年9月正式部署了外展团队。
    需求评估发现了教育退伍军人的机会,工作人员,和临床医生关于可用的VHA妇女健康服务,以及需要容易获得对性别问题有敏感认识的服务。在飞行员的时候,58%(7/12)农村顺性女性退伍军人成功联系,所有人都报告了积极的干预经验.正式的外展团队于9/2022成立,由一名执业护士(NP)组成,调度程序,同行支持专家,和医疗主任。从9/2022到12/2022,BoostNP召集了110名农村顺性妇女和性别多样化的退伍军人,并与其中65名(59%)进行了交谈。确定和解决的共同护理需求包括护理协调,新的推荐,药物管理,和诊断。
    来自Boost的数据显示,由临床医生主导的外展活动可以让农村女性和性别多样化的退伍军人参与VHA服务,希望提供对性别问题更敏感的服务,并且需要进行系统级的改进,以改善护理协调并减少VHA外部的泄漏。使用以实施科学为基础的强大策略,我们将继续进行计划评估,以研究Boost的影响和规模并扩大计划。
    UNASSIGNED: To improve healthcare access for rural cisgender women and gender diverse Veterans, we created the \"Boost Team,\" a clinician-driven telehealth outreach service to connect this population to Veterans Health Administration (VHA) services.
    UNASSIGNED: Between 9/2021 and 2/2022, we conducted a needs assessment in the Veterans Integrated Service Network (VISN) 21 and used those data to develop an outreach intervention. We piloted a clinician-led outreach intervention in 3/2022, and formally deployed an outreach team in 9/2022.
    UNASSIGNED: The needs assessment uncovered opportunities to educate Veterans, staff, and clinicians about available VHA women\'s health services, and a need for easily-accessible gender-sensitive services. During the pilot, 58% (7/12) rural cisgender women Veterans were successfully contacted, all reported positive experiences with the intervention. The formal outreach team launched in 9/2022 and consists of a nurse practitioner (NP), scheduler, Peer Support Specialist, and medical director. From 9/2022 to 12/2022 the Boost NP called 110 rural cisgender women and gender diverse Veterans and spoke to 65 (59%) of them. Common care needs identified and addressed included care coordination, new referrals, medication management, and diagnostics.
    UNASSIGNED: Data from Boost show that clinician-led outreach can engage rural cisgender women and gender diverse Veterans in VHA services, there is a desire for more gender-sensitive services, and there is a need for systems-level improvements to allow for improved care coordination and decreased leakage outside of VHA. Using robust strategies grounded in implementation sciences, we will continue conducting a program evaluation to study the impact of Boost and scale and expand the program.
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  • 文章类型: Journal Article
    酿酒酵母的自然生命周期的特征对于其作为实验室实验模型的驯化至关重要。特别是能够保持稳定的单倍体克隆,并通过减数分裂随意杂交以结合等位基因。稳定的单倍体是由HO突变产生的,它编码单倍体特异性交配型转换所需的核酸内切酶。先前的研究发现,在较小的地理区域内,天然分离株之间的HO等位基因存在意想不到的多样性。我们为丹佛的中学生开发了一个动手现场和实验室活动,科罗拉多,美国从橡树树皮中分离野生酵母,通过DNA测序鉴定物种,和来自酿酒酵母分离株的HO序列。我们发现北美橡树分离株的HO多样性有限,指向高效,在整个大陆上不断扩散。相比之下,我们分离了“乳制品酵母”乳酸克鲁维酵母,从<10米远的树上发现,它代表了一个新的种群,不同于相邻州的橡树种群,指向高度的遗传多样性。外展活动与中学合作,高中,和大学生进行科学发现,可以适应其他地点和天然酵母栖息地。的确,德克萨斯州东南部的一项试点采样活动产生了具有新的HO等位基因的酿酒酵母橡树分离株,从附近的刺梨仙人掌,一种耐热的假酵母分离株。
    Features of the natural life cycle of the budding yeast Saccharomyces cerevisiae were crucial to its domestication as a laboratory experimental model, especially the ability to maintain stable haploid clones and cross them at will to combine alleles via meiosis. Stable haploidy results from mutations in HO, which encodes an endonuclease required for haploid-specific mating-type switching. Previous studies found an unexpected diversity of HO alleles among natural isolates within a small geographic area. We developed a hands-on field and laboratory activity for middle school students in Denver, Colorado, USA to isolate wild yeast from oak bark, identify species via DNA sequencing, and sequence HO from S. cerevisiae isolates. We find limited HO diversity in North American oak isolates, pointing to efficient, continuous dispersal across the continent. By contrast, we isolated the \"dairy yeast\", Kluyveromyces lactis, from a tree <10 m away and found that it represents a new population distinct from an oak population in an adjacent state, pointing to high genetic diversity. The outreach activity partnered middle school, high school, and university students in making scientific discoveries and can be adapted to other locations and natural yeast habitats. Indeed, a pilot sampling activity in southeast Texas yielded S. cerevisiae oak isolates with a new allele of HO and, from a nearby prickly pear cactus, a heat-tolerant isolate of Saccharomyces paradoxus.
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  • 文章类型: Journal Article
    物理治疗师应该能够筛查患者影响健康的社会决定因素,并酌情参考社区资源。为了进行适当的转介,理疗师必须具备将患者和客户与各自机构外的社区资源联系起来的技能,从在物理治疗师教育计划中发展这些实践开始。经验丰富的社区建设者建议社区发展方法,居民可以发起并同意决定,外部利益相关者作为合作伙伴来提升社区。应支持社区以增强公平性的方式确定期望的结果,inclusion,和社会正义。社区在健康结果中发挥着重要作用。研究表明,一个人85%的健康与社区和经济资源有关,只有15%受到医疗干预的影响。互联社区是增强健康的有力工具。连接社区是居民培育邻里关系的地方,使他们能够共同努力,创造良好的生活,支持他们的集体福祉。社区建设者的方法使人们及其社区成为基本的卫生领导者;机构可以利用其资源通过将权力重新安置回社区来提升社区。社区的资产和资源基本上没有得到承认,断开连接,而不是由居民动员。机构有能力支持公民及其协会发现,连接,动员这些资产。这种以资产为基础的社区发展(ABCD)方法侧重于5个原则:以地方为基础,公民主导,关系导向,基于资产的,以包容为中心。本文将描述机构可以提升社区的方式;社区发展实践在物理治疗师教育计划中的好处;并探索社区伙伴关系和最佳实践的示例,以与社区居民建立公平的联盟。
    结论:一个人的健康很大一部分与一个人的生活地点直接相关。物理治疗师和物理治疗师助理可以通过社区发展参与当地社区,在改善社会健康方面发挥至关重要的作用。社区发展是一种实践,社区成员和外部利益相关者,比如物理治疗师,走到一起,以满足社区的需求。
    Physical therapists should be able to screen patients for social determinants that impact health and refer to community resources as appropriate. To make appropriate referrals, physical therapists must equip themselves with skills to connect patients and clients to community resources outside the walls of their respective institutions, starting with developing these practices in physical therapist education programs.Experienced community builders recommend a community development approach where residents initiate and agree upon decisions, and outside stakeholders work as partners to elevate the community. The community should be supported to determine the desired outcomes in ways that enhance equity, inclusion, and social justice. Communities play a substantial role in health outcomes. Studies indicate that 85% of one\'s health is connected to community and economic resources, while only 15% is affected by medical interventions. Connected communities are potent tools to enhance health. Connected communities are places where residents nurture neighborhood relationships that enable them to work together to create a good life supporting their collective well-being.The community-builder approach recenters people and their communities as fundamental health leaders; institutions can use their resources to elevate communities by relocating authority back to communities. Communities have assets and resources largely unrecognized, disconnected, and not mobilized by residents. Institutions are positioned to support citizens and their associations in discovering, connecting, and mobilizing these assets. This asset-based community development (ABCD) approach focuses on 5 principles: place-based, citizen-led, relationship-oriented, asset-based, and inclusion-focused.This perspective paper will describe ways institutions can elevate communities; the benefits of community development practices in physical therapist education programs; and explore examples of community partnerships and best practices to develop equitable alliances with residents in the community.
    CONCLUSIONS: A large part of one\'s health is directly related to where one lives. Physical therapists and physical therapist assistants can play a vital role in improving the health of society by engaging in their local communities through community development. Community development is a practice where community members and outside stakeholders, such as physical therapists, come together to meet the needs of a community.
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  • 文章类型: Journal Article
    背景:社交媒体可能是研究中心传递健康信息的有用方法,提高他们在当地社区的知名度,招募研究参与者。分享基于社交媒体的社区外展和教育计划的例子,并在这种情况下评估他们的结果,对于了解这些努力是否具有可衡量的影响很重要。
    目的:本研究的目的是描述一个中心的社交媒体活动,用于社区教育与老龄化有关的主题,记忆丧失,阿尔茨海默病和相关痴呆,并提供与招募临床研究相关的指标。
    方法:使用了几个社交媒体平台,包括Facebook,X(以前的Twitter),和YouTube。每月量化的客观评估,基于每个平台的本机仪表板,包括追随者的数量,帖子数量,后接触和参与,帖子印象,和视频视图。在此期间自愿参加研究的参与者数量还使用安全数据库进行了跟踪。在社交媒体上发布的教育材料最常见的内容是中心工作人员开发的内容,来自合作伙伴组织的内容,以及中心研究人员的新闻文章或资源。制定了多个教育计划,包括社交媒体系列,基于网络的会谈,Twitter聊天,和网络研讨会。近年来,Facebook内容偶尔会增加,以提高在当地地理区域的知名度。
    结果:长达4年的页面指标表明,在社交媒体受众群体中的持续增长,正如Facebook和X/Twitter上的喜欢或关注者数量随着时间的推移而增加以及YouTube视频的观看次数(增长轨迹)所表明的那样。虽然Facebook的影响力和X/Twitter的印象率是合理的,Facebook的参与度更为温和。包括Facebook帖子增加在内的几个月导致页面关注者和页面喜欢的变化更大,和更高的到达率和参与率(所有P≤0.002)。在此期间,中心附属研究研究的参与者人数有所增加,特别是对Facebook帖子增加的回应。
    结论:这些数据表明,社交媒体活动可以提供针对阿尔茨海默病和相关痴呆症的有意义的社区教育机会,并对招募参与者进行研究具有可衡量的影响。此外,这项研究强调了跟踪外展计划结果对评估投资回报的重要性.
    BACKGROUND: Social media may be a useful method for research centers to deliver health messages, increase their visibility in the local community, and recruit study participants. Sharing examples of social media-based community outreach and educational programs, and evaluating their outcomes in this setting, is important for understanding whether these efforts have a measurable impact.
    OBJECTIVE: The aim of this study is to describe one center\'s social media activities for community education on topics related to aging, memory loss, and Alzheimer disease and related dementias, and provide metrics related to recruitment into clinical research studies.
    METHODS: Several social media platforms were used, including Facebook, X (formerly Twitter), and YouTube. Objective assessments quantified monthly, based on each platform\'s native dashboard, included the number of followers, number of posts, post reach and engagement, post impressions, and video views. The number of participants volunteering for research during this period was additionally tracked using a secure database. Educational material posted to social media most frequently included content developed by center staff, content from partner organizations, and news articles or resources featuring center researchers. Multiple educational programs were developed, including social media series, web-based talks, Twitter chats, and webinars. In more recent years, Facebook content was occasionally boosted to increase visibility in the local geographical region.
    RESULTS: Up to 4 years of page metrics demonstrated continuing growth in reaching social media audiences, as indicated by increases over time in the numbers of likes or followers on Facebook and X/Twitter and views of YouTube videos (growth trajectories). While Facebook reach and X/Twitter impression rates were reasonable, Facebook engagement rates were more modest. Months that included boosted Facebook posts resulted in a greater change in page followers and page likes, and higher reach and engagement rates (all P≤.002). Recruitment of participants into center-affiliated research studies increased during this time frame, particularly in response to boosted Facebook posts.
    CONCLUSIONS: These data demonstrate that social media activities can provide meaningful community educational opportunities focused on Alzheimer disease and related dementias and have a measurable impact on the recruitment of participants into research studies. Additionally, this study highlights the importance of tracking outreach program outcomes for evaluating return on investment.
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  • 文章类型: Journal Article
    阿片类药物过量死亡在美国继续增加。最近的数据显示,黑人的过量死亡率过高,而且不断增加,拉丁,土著个人,和无家可归的人。阿片类药物使用障碍(MOUD)可以挽救生命;然而,只有一小部分符合条件的人收到他们。我们的目标是描述我们使用移动交付模式促进公平的MOUD访问的经验。我们实施了一个移动MOUD单元,旨在改善布罗克顿的公平访问,种族多样化,马萨诸塞州的中型城市。布罗克顿的阿片类药物过量死亡率相对较高,黑人居民的死亡率越来越不成比例。布罗克顿邻里健康中心(BNHC),社区卫生中心,提供实体MOUD访问。通过作为治疗社区研究(HCS)一部分的治疗社区干预,布罗克顿召集了一个社区联盟,旨在选择基于证据的做法来减少过量死亡。BNHC领导层和联盟成员认识到,边缘化人群无法进入传统的实体治疗地点,移动程序可以增加MOUD访问。2021年9月,在HCS联盟的支持下,BNHC启动了其移动计划-社区护理-Reach®-带来低门槛的丁丙诺啡,减少危害,以及对高危人群的预防性护理。在实施过程中,该团队遇到了几个挑战,包括:确保当地的买入;导航复杂的许可流程;在整个COVID-19大流行期间维持运营;最后,可持续发展规划。在两年的运营中,流动小组在1,286次总访视中照顾了297名独特患者。超过三分之一(36%)的患者接受丁丙诺啡处方。与BNHC的实体诊所相反,在移动单元上看到的OUD患者更能代表历史上被边缘化的种族和族裔群体,和无家可归的人,证据改进,为这些历史上处于不利地位的人群提供公平的成瘾护理。在移动设备上提供各种服务,比如伤口护理,注射器和更安全的吸烟用品,纳洛酮,和其他基本医疗服务,是一个关键的参与战略。这种按需移动模式有助于纠正在获得成瘾治疗和减少伤害服务方面的系统弊端,在过量死亡人数不公平增加的时候,向不同的人提供救生穆德。
    Opioid overdose deaths continue to increase in the US. Recent data show disproportionately high and increasing overdose death rates among Black, Latine, and Indigenous individuals, and people experiencing homelessness. Medications for opioid use disorder (MOUD) can be lifesaving; however, only a fraction of eligible individuals receive them. Our goal was to describe our experience promoting equitable MOUD access using a mobile delivery model. We implemented a mobile MOUD unit aiming to improve equitable access in Brockton, a racially diverse, medium-sized city in Massachusetts. Brockton has a relatively high opioid overdose death rate with increasingly disproportionate death rates among Black residents. Brockton Neighborhood Health Center (BNHC), a community health center, provides brick-and-mortar MOUD access. Through the Communities That HEAL intervention as part of the HEALing Communities Study (HCS), Brockton convened a community coalition with the aim of selecting evidence-based practices to decrease overdose deaths. BNHC leadership and coalition members recognized that traditional brick-and-mortar treatment locations were inaccessible to marginalized populations, and that a mobile program could increase MOUD access. In September 2021, with support from the HCS coalition, BNHC launched its mobile initiative - Community Care-in-Reach® - to bring low-threshold buprenorphine, harm reduction, and preventive care to high-risk populations. During implementation, the team encountered several challenges including: securing local buy-in; navigating a complex licensure process; maintaining operations throughout the COVID-19 pandemic; and finally, planning for sustainability. In two years of operation, the mobile team cared for 297 unique patients during 1,286 total visits. More than one-third (36%) of patients received buprenorphine prescriptions. In contrast to BNHC\'s brick-and-mortar clinics, patients with OUD seen on the mobile unit were more representative of historically marginalized racial and ethnic groups, and people experiencing homelessness, evidencing improved, equitable addiction care access for these historically disadvantaged populations. Offering varied services on the mobile unit, such as wound care, syringe and safer smoking supplies, naloxone, and other basic medical care, was a key engagement strategy. This on-demand mobile model helped redress systemic disadvantages in access to addiction treatment and harm reduction services, reaching diverse individuals to offer lifesaving MOUD at a time of inequitable increases in overdose deaths.
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