Porter Joanne, Coombs Nicole, Barbagallo Michael
Collaborative Evaluation and Research Centre, Federation University Australia, Gippsland, Victoria, Australia.
Health Promot J Austr. 2025 Jan;36(1):e909. doi: 10.1002/hpja.909. Epub 2024 Jul 31.
Inequitable health care access can be addressed by using community outreach programs. A collaborative, codesigned student-led pop-up health check clinic was conducted in three low-socioeconomic regional communities in Victoria, Australia. Supervised undergraduate nursing students conducted free health checks, practiced assessment and communication skills, and provided health education.
A mixed-method approach was used to evaluate the impact, outcome, and processes used to deliver health checks in three different community settings. Data included post-check surveys and follow-up interviews with community participants, which were analysed using descriptive statistics and thematic analysis.
A total of 166 surveys were collected and 30 interviews conducted from community participants located in three different communities. Participants were very satisfied with the information provided in the clinics and the delivery process. Further analysis also identified three major themes: (1) Defining a need, (2) Reaching the Community, and (3) Health promotion benefits.
Community outreach programs are effective in reaching vulnerable populations, improving community access to risk screening, reducing demands, supporting existing services, and providing excellent training opportunities for the future health care workforce within communities. SO WHAT?: Further planning and financial investment are required to support community outreach programs that provide disease prevention and risk screening. More investment is needed in promoting outreach services within vulnerable populations, where social determinants contribute to poor health outcomes and access to health care is limited. Collaborative programs such as student-led pop-up clinics, are one way outreach can make a difference to community health.
不公平的医疗保健可通过社区外展项目来解决。在澳大利亚维多利亚州的三个低社会经济水平的地区社区开展了一项由学生主导、多方合作且共同设计的临时健康检查诊所活动。本科护理专业学生在监督下进行免费健康检查、练习评估和沟通技巧并提供健康教育。
采用混合方法评估在三种不同社区环境中进行健康检查所使用的影响、结果和过程。数据包括对社区参与者的检查后调查和后续访谈,使用描述性统计和主题分析进行分析。
共收集了166份调查问卷,并对来自三个不同社区的社区参与者进行了30次访谈。参与者对诊所提供的信息和服务过程非常满意。进一步分析还确定了三个主要主题:(1)确定需求,(2)接触社区,(3)健康促进益处。
社区外展项目在接触弱势群体、改善社区风险筛查机会、减少需求、支持现有服务以及为社区未来医疗保健劳动力提供优质培训机会方面是有效的。那又如何?:需要进一步规划和财政投资来支持提供疾病预防和风险筛查的社区外展项目。在弱势群体中推广外展服务需要更多投资,在这些群体中,社会决定因素导致健康结果不佳且获得医疗保健的机会有限。像学生主导的临时诊所这样的合作项目是外展活动对社区健康产生影响的一种方式。