Mohagheghi Salman, Gharipour Mohammad, DeClercq Caitlin, Bui Andrew, Tyne Intisar Ameen
Electrical Engineering Department, Colorado School of Mines, Golden, CO, USA.
Architecture Program, University of Maryland, College Park, MD, USA.
HERD. 2023 Jan;16(1):113-130. doi: 10.1177/19375867221124234. Epub 2022 Sep 7.
This article argues that community healthcare clinics managed by dedicated medical professionals who are familiar with the special needs of the local community may serve as effective alternatives to centralized hospitals and medical facilities, which may be disconnected from these local communities.
The literature indicates that socioeconomic factors that affect an individual's ability to seek medical help when needed can cause vulnerability to public health emergencies. These factors include belonging to lower income populations, being African American, being dependent due to age (below 18 or above 65) or disability, being an immigrant, English-language ability, access to transportation means, and the strength of an individual's social network.
This study aims at developing a multifaceted methodology to identify optimal locations for deployment of temporary healthcare clinics to address health disparity issues among socially vulnerable populations, especially during pandemics and public health crises. This case study looks at the Health Enterprise Zone (HEZ) in Baltimore and ranks Census tracts based on their vulnerability, using two novel health vulnerability indices and considering their locations.
Using the proposed methodology, the optimal tracts within the HEZ are identified as potential locations for deploying temporary healthcare clinics.
The analysis of vulnerabilities to public health emergencies based on socioeconomic factors can assist in identifying potential locations for setting up temporary healthcare clinics with the goal of assisting socially vulnerable populations during outbreaks and pandemics.
本文认为,由熟悉当地社区特殊需求的专业医疗人员管理的社区医疗诊所,可能是集中式医院和医疗设施的有效替代方案,因为后者可能与当地社区脱节。
文献表明,影响个人在需要时寻求医疗帮助能力的社会经济因素,可能导致在突发公共卫生事件中处于脆弱地位。这些因素包括属于低收入人群、非裔美国人、因年龄(18岁以下或65岁以上)或残疾而依赖他人、移民、英语能力、交通方式的可及性以及个人社交网络的强度。
本研究旨在开发一种多方面的方法,以确定临时医疗诊所的最佳部署地点,以解决社会弱势群体中的健康差距问题,特别是在大流行和公共卫生危机期间。本案例研究考察了巴尔的摩的健康企业区(HEZ),并使用两个新的健康脆弱性指数并考虑其位置,根据人口普查区的脆弱性进行排名。
使用所提出的方法,确定了HEZ内的最佳区域作为部署临时医疗诊所的潜在地点。
基于社会经济因素对突发公共卫生事件脆弱性的分析,有助于确定设立临时医疗诊所的潜在地点,目标是在疫情爆发和大流行期间帮助社会弱势群体。