Ojeda Victoria D, Parker Tamara, Lyles Maurice, Edwards Todd M, Jimenez Cielo, Hiller-Venegas Sarah, Berliant Emily, Lister Zephon
University of California, San Diego, La Jolla, USA.
University of California, San Diego School of Medicine, La Jolla, USA.
Int J Offender Ther Comp Criminol. 2024 Mar 25:306624X241240700. doi: 10.1177/0306624X241240700.
Justice-involved adults experience disparities in healthcare access. This pilot study examines healthcare access among young adult probationers ( = 66) receiving 6-months of Service Navigation and Health Coaching support implemented between 2017 and 2021. Data are from baseline, 6-month follow-up and satisfaction surveys. Between baseline and follow-up, the proportion of insured young adult participants (66%-88%; < .001) and those using healthcare services (36%-71%; < .001) increased significantly; report of unmet physical healthcare needs decreased significantly (44%-26%; = .003). Satisfaction data revealed increased self-efficacy, motivation, focus, and improved organizational, goal setting, and communication skills. The program improved healthcare access by increasing health insurance and recent use of healthcare services. Longitudinal studies are needed to assess maintenance of these outcomes and potential impacts on disparities in health status and access to care indicators. Integrating navigation and coaching supports to advance the well-being of justice-involved young adults is a promising mechanism to facilitate healthcare access.
涉法成年人在医疗保健获取方面存在差异。这项试点研究调查了2017年至2021年期间接受为期6个月的服务导航和健康指导支持的年轻成年缓刑人员（n = 66）的医疗保健获取情况。数据来自基线、6个月随访和满意度调查。在基线和随访之间，参保的年轻成年参与者比例（66% - 88%；P < .001）和使用医疗服务的参与者比例（36% - 71%；P < .001）显著增加；未满足的身体医疗需求报告显著减少（44% - 26%；P = .003）。满意度数据显示自我效能感、动力、专注力有所提高，组织、目标设定和沟通技能也有所改善。该项目通过增加医疗保险和近期医疗服务的使用改善了医疗保健获取情况。需要进行纵向研究来评估这些结果的持续性以及对健康状况差异和医疗服务获取指标的潜在影响。整合导航和指导支持以促进涉法年轻成年人的福祉是改善医疗保健获取的一个有前景的机制。
