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首页> 外文学位 >Improving access to cardiovascular preventive health care for the uninsured Polish population in the greater Chicago area- Experience from the Polish American Atherosclerosis Risk Factor Modification (POLAARIS) project.
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Improving access to cardiovascular preventive health care for the uninsured Polish population in the greater Chicago area- Experience from the Polish American Atherosclerosis Risk Factor Modification (POLAARIS) project.

机译：在大芝加哥地区为没有保险的波兰人增加获得心血管预防保健服务的机会-波兰美国动脉粥样硬化风险因子修正（POLAARIS）项目的经验。

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摘要

Background. Healthcare system in United States is faced with a unique challenge of catering to a population that is racially, culturally and linguistically diverse. Efforts to provide health care appropriate to each of such populations are a part of the national health care agenda. Yet, certain locally diverse minorities might be neglected due to their confined location in a part of the country. The Polish community is one such linguistically and culturally unique population in the Chicago area, within the county of Cook in the state of Illinois. The Cook County Health System provides health care for the un- and under insured population in the county, but specific language and cultural barriers exist for the uninsured Polish population.;Objective. To improve access to cardiovascular preventive health-care for the uninsured Polish population in Chicago area by analyzing barriers and devising effective and sustainable solutions.;Methods. Efforts were made to establish community collaboration in order to assess needs and devise effective solutions towards breaking the barriers to provide health care to the Polish population. Care was provided at a geographically proximate health center. Screening using a non-lab based cardiovascular risk assessment tool identified individuals at high risk of adverse cardiovascular outcomes. Such screening was offered in health fairs at community gatherings (a Polish cultural festival and a local community church). Individuals with no access to health care providers were given follow-up appointments at a nearby county health clinic. As needed, all these individuals received continuity care with primary care physician and/or a cardiologist.;Results. Strong collaboration was established between the health care facility and a community organization named Polish American Association. Apart from providing insight into the barriers faced by the Polish population in accessing health care facilities, this organization identified effective venues for health screening, created necessary publicity and also facilitated Polish translation services at the local health clinic, the Logan square health center.;A total of 125 patients were screened. 63 of them were identified as high risk and not having access to a provider. All these individuals were given appointments for a clinic visit at the Logan square health center, a geographically proximate health clinic. 54% of those screened had >20% risk of a 5 year adverse cardiovascular outcome. 34 of the 68 have been seen in follow-up clinic till date. 56% of them had a new medication prescribed in their first clinic visit while 38% had an investigation ordered. All were provided with a primary care physician while 38% needed follow-up with a cardiologist.;Discussion. Health care organizations need to be aware of any linguistically and culturally unique populations being served. Collaboration with established community organizations and reallocation of resources within the health system could be an effective way to cater to the needs of such populations.
机译：背景。在美国，医疗保健系统面临着一个独特的挑战，那就是要迎合种族，文化和语言多样性的人口。努力为每个此类人群提供适当的保健服务是国家保健议程的一部分。但是，由于某些局部少数民族在该国部分地区的局限性，因此可能会被忽略。在伊利诺伊州库克县的芝加哥地区，波兰人就是这样一种在语言和文化上独特的人口。库克郡卫生系统为该县未保险和未保险的人口提供医疗保健，但未保险的波兰人口存在特定的语言和文化障碍。通过分析障碍并制定有效和可持续的解决方案，为芝加哥地区未保险的波兰人提供更多的心血管预防保健服务。努力建立社区合作，以评估需求并制定有效的解决方案，以克服为波兰人民提供医疗保健的障碍。在地理位置邻近的保健中心提供了护理。使用基于非实验室的心血管疾病风险评估工具进行筛查，可以确定处于不良心血管结果高风险的人群。在社区集会（波兰文化节和当地社区教堂）的健康展览会上提供了这种检查。无法获得医疗保健提供者的个人在附近的县医疗诊所接受了随访。根据需要，所有这些人都接受了初级保健医生和/或心脏病专家的连续性护理。卫生保健机构与一个名为“波兰美国协会”的社区组织之间建立了强有力的合作关系。该组织除了深入了解波兰民众在获得医疗保健设施方面面临的障碍外，还确定了有效的健康检查场所，进行了必要的宣传，并在当地的洛根广场健康中心的诊所为波兰语翻译服务提供了便利。总共筛选了125名患者。其中63位被确认为高风险且无法与提供者联系。所有这些人都被任命在地理上最接近的卫生诊所洛根广场卫生中心进行诊所访问。接受筛查的人中有54％的人有5年以上的不良心血管事件风险> 20％。迄今为止，在随访诊所中已发现68例中的34例。他们中有56％的人在第一次就诊时就开了新药，而38％的人下令进行了调查。全部都由初级保健医生提供，而38％的人需要心脏病专家的随访。卫生保健组织需要意识到所服务的任何语言和文化独特人群。与已建立的社区组织合作以及在卫生系统内重新分配资源可能是满足此类人群需求的有效途径。

著录项

  • 作者

    Bhimaraj, Arvind.;

  • 作者单位

    University of Kansas.;

  • 授予单位 University of Kansas.;
  • 学科 Public health.
  • 学位 M.P.H.
  • 年度 2010
  • 页码 77 p.
  • 总页数 77
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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