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凯撒永久医疗集团的“健康秀发计划”:与马里兰州巴尔的摩市西部的理发店和美容院合作,推进健康公平。

Kaiser Permanente's Good Health & Great Hair Program: Partnering With Barbershops and Beauty Salons to Advance Health Equity in West Baltimore, Maryland.

机构信息

Kaiser Permanente of the Mid-Atlantic States, Community Health, Rockville, Maryland (Dr Nadison and Mss Flamm and Roberts); More Than a Shop, Baltimore, Maryland (Mr Staton); Kaiser Permanente of the Mid-Atlantic States, Mid-Atlantic Permanente Medical Group, Rockville, Maryland (Mss Wiener and Locke and Drs Bullock, Loftus, and Horberg); Shattuck & Associates, Incorporated, Middletown, Maryland (Drs Carpenter and Sadler); and Mid-Atlantic Permanente Research Medical Group, Mid-Atlantic Permanente Research Institute, Rockville, Maryland (Dr Horberg).

出版信息

J Public Health Manag Pract. 2022;28(2):E369-E379. doi: 10.1097/PHH.0000000000001381.

DOI:10.1097/PHH.0000000000001381
PMID:34016902
Abstract

CONTEXT

The Good Health & Great Hair program was developed by Kaiser Permanente in partnership with a network of trusted neighborhood barbershops and beauty salons in West Baltimore, Maryland.

PROGRAM

The initiative aimed to increase health awareness and knowledge and reduce health disparities by making no-cost health care services available beyond traditional health care settings in predominantly Black, historically redlined neighborhoods in West Baltimore.

IMPLEMENTATION

This initiative, established by an integrated health care system, is the first to utilize mobile health clinics into a holistic community health outreach program in partnership with barbershops and beauty salons to provide medical and social services to underserved populations. In addition to the mobile health clinics, key features of this program included lay first responder trainings on topics of physical and behavioral health, on-site medical and social services offered by community partners, and culturally relevant mental health programming. The majority of participants (n = 1823) were male (58%), Black (86%), and between the ages of 45 and 64 years (51%).

EVALUATION

Data presented include the number of clinical and social services provided. More than 8000 clinical and social services were provided between September 2016 and March 2020. Blood pressure (n = 2317), diabetes (n = 469), tobacco (n = 448), and cholesterol (n = 443) were the most accessed clinical screening services. The median number of clinical services provided per client was 2. Fitness (n = 1496), job search support (n = 1123), mental health (n = 603), and health insurance (n = 455) were the most accessed social services.

DISCUSSION

The initiative delivered critical health and social support services through a partnership with an established integrated health care system, community barbershops and beauty salons, a mobile health team, and social supports. This novel program utilized a mobile health clinic to provide extensive clinical services complemented by on-site social services. Patterns of service utilization and lessons learned could inform the design of similar programs.

摘要

背景

“健康秀发计划”由 Kaiser Permanente 与马里兰州巴尔的摩西部的一个信誉良好的邻里理发店和美容院网络合作开发。

计划

该倡议旨在通过在巴尔的摩西部以黑人为主要人口、历史上被划分为红线的社区提供传统医疗保健以外的免费医疗保健服务,提高健康意识和知识,减少健康差距。

实施

这一倡议由一个综合医疗保健系统设立,是第一个利用流动医疗诊所与理发店和美容院合作,将医疗和社会服务纳入整体社区健康推广计划,为服务不足的人群提供医疗和社会服务的项目。除了流动医疗诊所,该计划的主要特点还包括对身体和行为健康主题的非专业急救人员培训、社区合作伙伴提供的现场医疗和社会服务以及与文化相关的心理健康项目。大多数参与者(n=1823)为男性(58%)、黑人(86%),年龄在 45 至 64 岁之间(51%)。

评估

提供的数据包括提供的临床和社会服务数量。2016 年 9 月至 2020 年 3 月期间提供了 8000 多次临床和社会服务。接受最多临床筛查服务的是血压(n=2317)、糖尿病(n=469)、烟草(n=448)和胆固醇(n=443)。每位客户提供的平均临床服务数量为 2 项。健身(n=1496)、求职支持(n=1123)、心理健康(n=603)和健康保险(n=455)是最受欢迎的社会服务。

讨论

该倡议通过与成熟的综合医疗保健系统、社区理发店和美容院、流动医疗团队和社会支持建立伙伴关系,提供了重要的健康和社会支持服务。该新颖计划利用流动医疗诊所提供广泛的临床服务,辅以现场社会服务。服务利用模式和经验教训可为类似计划的设计提供信息。

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