University of Maryland School of Pharmacy, Department of Pharmaceutical Health Services Research, Saratoga Building, 12th Floor, 220 Arch St, Baltimore, MD 21201, USA.
J Natl Med Assoc. 2012 Jan-Feb;104(1-2):53-60. doi: 10.1016/s0027-9684(15)30124-3.
While there have been numerous community-based programs in Baltimore, Maryland, aimed at helping patients access medical treatments and services, they historically were underutilized and did not operate synergistically. For that reason, sanofi-aventis, along with key stakeholders in Baltimore, developed the Community Health Partnership (CHP) to educate, empower, and connect patients to community health resources to enable patients to be more proactive about their health. The CHP utilizes a community health liaison (CHL) and a community health action team (CHAT) consisting of community health leaders who are hands-on activists and health care workers who coordinate activities and provide guidance for the CHP. The goal of the program is to foster community collaboration to raise awareness of the need to improve health in the community and to identify and connect patients to existing resources and services that can help. A qualitative evaluation of the Baltimore CHP was conducted through focus group and key informant interviews with members of the CHAT and CHP. Results suggest that the CHP program has enhanced patient-provider relationships, brought together a wealth of resources, and made people more aware of health information. The CHP facilitated providers' ability to help patients find resources and empowered patients in the community to better manage their health conditions. In parallel, physicians requested additional culturally sensitive resources on medical conditions that addressed the health literacy of their diverse patients. Through stakeholder engagement, many more communities beyond Baltimore can become better networked to help patients navigate the health care system and improve their health.
虽然马里兰州巴尔的摩市有许多以帮助患者获得医疗治疗和服务为目的的社区项目，但这些项目在历史上并未得到充分利用，也没有协同运作。出于这个原因，赛诺菲-安万特与巴尔的摩的主要利益相关者一起开发了社区健康伙伴关系（CHP），以教育、授权和将患者与社区健康资源联系起来，使患者能够更积极主动地关注自己的健康。CHP 利用社区健康联络人（CHL）和社区健康行动小组（CHAT），由社区健康领袖组成，他们是积极主动的活动家和医疗保健工作者，协调活动并为 CHP 提供指导。该计划的目标是促进社区合作，提高社区改善健康的意识，并确定和联系患者现有资源和服务，以帮助他们。通过对巴尔的摩 CHP 的焦点小组和关键知情人访谈进行定性评估，对 CHAT 和 CHP 的成员进行了评估。结果表明，CHP 计划增强了医患关系，汇集了丰富的资源，并使人们更加了解健康信息。CHP 促进了提供者帮助患者寻找资源的能力，并授权社区中的患者更好地管理自己的健康状况。与此同时，医生要求提供更多针对其多样化患者健康素养的医疗条件的文化敏感资源。通过利益相关者的参与，巴尔的摩以外的许多社区都可以更好地联网，帮助患者驾驭医疗保健系统并改善他们的健康状况。
