Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, USA.
Am J Public Health. 2011 Jul;101(7):1163-7. doi: 10.2105/AJPH.2010.300003. Epub 2011 May 12.
Ensuring health care services for populations outside the mainstream health care system is challenging for all providers. But developing the health care infrastructure to better serve such unconnected individuals is critical to their health care status, to third-party payers, to overall cost savings in public health, and to reducing health disparities. Our increasingly sophisticated electronic technologies offer promising ways to more effectively engage this difficult to reach group and increase its access to health care resources. This process requires developing not only newer technologies but also collaboration between community leaders and health care providers to bring unconnected individuals into formal health care systems. We present three strategies to reach vulnerable groups, outline benefits and challenges, and provide examples of successful programs.
为非主流医疗体系中的人群提供医疗保健服务对所有提供者来说都是一项挑战。但是,为了更好地服务于这些未连接的个体,建立医疗基础设施对于他们的医疗保健状况、第三方支付者、公共卫生整体成本节约以及减少健康差距至关重要。我们日益复杂的电子技术为更有效地接触这一难以接触的群体并增加其获得医疗保健资源的机会提供了有希望的途径。这一过程不仅需要开发新技术,还需要社区领导和医疗保健提供者之间的合作,将未连接的个体纳入正式的医疗保健系统。我们提出了三种接触弱势群体的策略,概述了其益处和挑战,并提供了成功项目的例子。