Dugas N
St. Mary Hospital, Port Arthur, TX.
Health Prog. 1993 Oct;74(8):38-41.
In December 1991 St. Mary Hospital, Port Arthur, TX, began a three-phase procedure to provide underserved persons in the community better access to care. The process began with a community needs assessment, after which St. Mary developed a hospital-community coalition to plan and implement programs to address identified needs. The needs assessment revealed two underserved populations: racial and ethnic minorities, and youth in two separate categories (below five years old, and from five to the teen years). The top needs were for greater access to healthcare and an increase in primary care services. Having determined that St. Mary Hospital was better equipped to address the lack of primary care, the needs assessment team forged a coalition with community leaders and providers. Collaborative efforts led to the opening of three primary care clinics for children in 1993. The hospital also participated in a task force that identified and alerted the parents of more than 3,800 Port Arthur children in need of Early and Periodic Screening and Developmental Testing. St. Mary is currently working on a plan to contact the family of every Port Arthur child at the age of three months to ensure immunizations are current and a relationship has been established with a healthcare provider.
1991年12月，得克萨斯州阿瑟港的圣玛丽医院启动了一个分三个阶段的项目，旨在让社区中未得到充分服务的人群能更容易获得医疗服务。这个过程始于一次社区需求评估，之后圣玛丽医院成立了一个医院 - 社区联盟，以规划和实施项目来满足已确定的需求。需求评估揭示了两类未得到充分服务的人群：少数种族和少数民族，以及分属两个不同类别的青少年（五岁以下和五至青少年期）。最主要的需求是有更多机会获得医疗保健以及增加初级保健服务。在确定圣玛丽医院更有能力解决初级保健缺乏的问题后，需求评估团队与社区领袖和医疗服务提供者结成了联盟。通过合作努力，1993年为儿童开设了三家初级保健诊所。该医院还参与了一个特别工作组，该工作组识别并提醒了阿瑟港3800多名需要进行早期定期筛查和发育测试的儿童的家长。圣玛丽医院目前正在制定一项计划，要联系阿瑟港每一个三个月大儿童的家庭，以确保他们及时接种疫苗，并与医疗服务提供者建立联系。
