Han Hae-Ra, Lee Yoon-Jae, Lee Jennifer J, Sun Chun-An, Dapaah-Gyimah Ophelia, Wilson Patty, Ling Catherine, Slade Eric
Johns Hopkins University School of Nursing, Baltimore, MD, United States.
Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, United States.
Front Public Health. 2025 Jan 8;12:1477436. doi: 10.3389/fpubh.2024.1477436. eCollection 2024.
Despite increased insurance coverage since 2010, racial and ethnic minorities in the United States still receive less medical care than White counterparts. The Johns Hopkins School of Nursing's Center for Community Programs, Innovation, and Scholarship (COMPASS Center) provides free wellness services, aiming to address healthcare disparities in the neighborhoods.
To delineate the types and cost of wellness services provided by the COMPASS Center.
The study employed a secondary analysis design, utilizing Qualtrics surveys to assess wellness service data from 2017 to 2022 at two main program sites-Wald center and House of Ruth, Maryland.
The analysis covered 2,194 encounters (826 at Wald center and 1,368 at House of Ruth, Maryland). Most encounters at both sites served African American/African/Black and low-income individuals. Examples of wellness services included pre-employment exams and immunizations, health literacy and self-care management education, health insurance advice, parenting support, and referrals to community resources. Cost analysis revealed varying expenses per encounter, with medium costs ranging from $5.45 to $14.91 across sites, considering service type and duration, including staff salaries, encounter numbers, and service hours.
The COMPASS Center delivers essential wellness services supplementing traditional healthcare to disadvantaged community members through student engagement and academic support. The next generation of healthcare teams is learning with and from the community creating a holistic educational experience in building skills outside of institutional bedsides. Future plans involve structured training for students and center staff to provide wellness services, while expanding social service referrals. More work is needed to evaluate the impact of our wellness services on client satisfaction and wellness improvements.
尽管自2010年以来保险覆盖范围有所扩大，但美国的少数族裔获得的医疗护理仍比白人少。约翰霍普金斯大学护理学院的社区项目、创新与奖学金中心（COMPASS中心）提供免费的健康服务，旨在解决社区中的医疗保健差距问题。
描述COMPASS中心提供的健康服务的类型和成本。
该研究采用二次分析设计，利用Qualtrics调查评估2017年至2022年在两个主要项目地点——马里兰州的沃尔德中心和露丝之家——的健康服务数据。
分析涵盖了2194次服务（沃尔德中心826次，马里兰州露丝之家1368次）。两个地点的大多数服务对象是非裔美国人/非洲人/黑人以及低收入人群。健康服务的例子包括入职前检查和免疫接种、健康素养和自我护理管理教育、健康保险建议、育儿支持以及转介到社区资源。成本分析显示每次服务的费用各不相同，考虑到服务类型和时长，包括员工工资、服务次数和服务时长，各地点的中等成本从5.45美元到14.91美元不等。
COMPASS中心通过学生参与和学术支持，为弱势社区成员提供补充传统医疗保健的基本健康服务。下一代医疗团队正在与社区共同学习并向社区学习，在机构病床之外的地方创造一种全面的技能培养教育体验。未来计划包括对学生和中心工作人员进行结构化培训以提供健康服务，同时扩大社会服务转介。还需要开展更多工作来评估我们的健康服务对客户满意度和健康改善的影响。
