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我们的同伴赋权与导航支持(OP-ENS):开发一种同伴健康导航干预措施以支持身体残疾的医疗补助受益人群。

Our Peers-Empowerment and Navigational Support (OP-ENS): Development of a Peer Health Navigator Intervention to Support Medicaid Beneficiaries With Physical Disabilities.

作者信息

Magasi Susan, Papadimitriou Christina, Panko Reis Judy, The Kimberly, Thomas Jennifer, VanPuymbrouck Laura, Wilson Tom

机构信息

Departments of Occupational Therapy and Disability Studies, The University of Illinois at Chicago, Chicago, IL, USA.

Departments of Interdisciplinary Health Sciences and Sociology, Oakland University, Rochester, MI, USA.

出版信息

Rehabil Process Outcome. 2019 Apr 26;8:1179572719844759. doi: 10.1177/1179572719844759. eCollection 2019.

Abstract

People with disabilities (PWD) are a health disparities population who experience well-documented physical, structural, attitudinal, and financial barriers to health care. The disability rights community is deeply engaged in advocacy to promote health care justice for all PWD. As the community continues to work toward systems change, there is a critical need for community-directed interventions that ensure individuals with disabilities are able to access the health care services they need and are entitled to. Peer health navigator (PHN) programs have been shown to help people from diverse underserved communities break down barriers to health care. The PHN model has not been systematically adapted to meet the needs of PWD. In this article, we describe the collaborative process of developing , an evidence-informed PHN intervention for Medicaid beneficiaries with physical disabilities in Chicago, IL, USA. is a 12-month community-based PHN intervention that pairs Medicaid beneficiaries with physical disabilities (peers) with disability PHNs who use a structured recursive process of barrier identification and asset mapping, goal setting, and action planning to help peers meet their health care needs. was developed by a collaborative team that included disability rights leaders, representatives from a Medicaid managed care organization, and academic disability health care justice researchers. We highlight both the conceptual and empirical evidence that informed as well as the lessons learned that can assist future developers.

摘要

残疾人是一个存在健康差异的群体,他们在医疗保健方面面临着有充分记录的身体、结构、态度和经济障碍。残疾人权利团体积极参与倡导活动,以促进为所有残疾人提供医疗保健公正。随着该团体继续努力推动系统变革,迫切需要以社区为导向的干预措施,以确保残疾人能够获得他们需要且有权享受的医疗保健服务。同伴健康导航员(PHN)项目已被证明有助于来自不同服务不足社区的人们消除医疗保健障碍。PHN模式尚未系统地调整以满足残疾人的需求。在本文中,我们描述了为美国伊利诺伊州芝加哥市有身体残疾的医疗补助受益人开发一种基于证据的PHN干预措施的协作过程。[具体名称]是一项为期12个月的基于社区的PHN干预措施,将有身体残疾的医疗补助受益人(同伴)与残疾PHN配对,后者使用结构化的递归过程进行障碍识别和资产映射、目标设定及行动计划,以帮助同伴满足其医疗保健需求。[具体名称]由一个协作团队开发,该团队包括残疾人权利领袖、医疗补助管理式医疗组织的代表以及学术性残疾医疗保健公正研究人员。我们强调了为[具体名称]提供依据的概念性和实证性证据,以及可帮助未来开发者的经验教训。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17f6/8282170/a57c8820a516/10.1177_1179572719844759-fig1.jpg

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