Biomedical Informatics Program, College of Health Solutions, 7864Arizona State University, Phoenix, AZ, USA.
Equality Health, Phoenix, AZ, USA.
Hisp Health Care Int. 2022 Mar;20(1):10-14. doi: 10.1177/15404153211005403. Epub 2021 Apr 26.
Health disparities among Hispanics are associated with poorer health status across multiple health conditions, greater use of high-acuity services, and lower use of care continuity and preventive services. A new integrated delivery organization (IDO) designed around culturally responsive care aims to reduce health disparities and improve health outcomes among the Hispanic community by deploying a multifeatured approach. The IDO combines the universal administration of a culturally sensitive health risk screening tool, the delivery of culturally appropriate medical, behavioral and spiritual health, and creative support of provider practices with training and informational resources, financial incentives, actionable data, technology, and cultural sensitivity training for providers and staff. The IDO further distinguishes its unique approach by partnering with a university informatics program to establish a local learning health care system destined to enrich the evidence base for culturally appropriate interventions that reduce health disparities. Longitudinal research is currently underway that focuses on the impact of culturally motivated interventions on resource utilization, retention, and quality.
西班牙裔人群中的健康差异与多种健康状况下较差的健康状况、更多地使用高敏服务以及较少使用连续性护理和预防服务有关。一个新的以文化响应护理为设计理念的综合交付组织（IDO）旨在通过采用多特征方法来减少西班牙裔人群中的健康差异并改善他们的健康结果。IDO 将普遍实施文化敏感健康风险筛查工具、提供文化适宜的医疗、行为和精神健康以及创造性地支持提供者实践相结合，为提供者和员工提供培训和信息资源、经济激励、可操作数据、技术和文化敏感性培训。IDO 通过与一个大学信息学计划合作，进一步区分其独特的方法，以建立一个当地的学习医疗保健系统，旨在丰富文化适宜干预措施减少健康差异的证据基础。目前正在进行纵向研究，重点关注文化驱动干预对资源利用、保留和质量的影响。
