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Step On It! Impact of a Workplace New York City Taxi Driver Health Intervention to Increase Necessary Health Care Access

机译:踩在上面!工作场所纽约市出租车司机健康干预对增加必要的医疗保健服务的影响

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摘要

Objectives. We describe the impact of the Step On It! intervention to link taxi drivers, particularly South Asians, to health insurance enrollment and navigate them into care when necessary.Methods. Step On It! was a worksite initiative held for 5 consecutive days from September 28 to October 2, 2011, at John F. Kennedy International Airport in New York City. Data collected included sociodemographics, employment, health care access and use, height, weight, blood pressure, and random plasma glucose. Participants were given their results, counseled by a medical professional, and invited to participate in free workshops provided by partner organizations.Results. Of the 466 drivers participated, 52% were uninsured, and 49% did not have a primary care provider. Of 384 drivers who had blood pressure, glucose, or both measured, 242 (63%) required urgent or regular follow-up. Of the 77 (32%) requiring urgent follow-up, 50 (65%) sought medical care at least once, of whom 13 (26%) received a new diagnosis. Of the 165 (68%) requiring regular follow-up, 68 (41%) sought medical care at least once, of whom 5 (7%) received a new diagnosis.Conclusions. This study provides encouraging results about the potential impact of an easy-to-deliver, easily scalable workplace intervention with a large, vulnerable population.
机译:目标。我们描述了“踩踏它”的影响!采取干预措施,以使出租车司机(特别是南亚人)与参加健康保险的人联系起来,并在必要时将他们引导到护理中。踩在上面!是2011年9月28日至10月2日连续5天在纽约市约翰·肯尼迪国际机场举行的工作场所倡议。收集的数据包括社会人口统计学,就业,医疗保健获取和使用,身高,体重,血压和随机血糖。在医学专家的指导下为参与者提供了结果,并邀请他们参加合作伙伴组织提供的免费研讨会。在466名驾驶员中,有52%没有保险,还有49%没有初级保健提供者。在384位血压,血糖或两者同时测量的驾驶员中,有242位(63%)需要紧急或定期随访。在需要紧急跟进的77名(32%)中,有50名(65%)至少接受过一次医疗护理,其中13名(26%)获得了新的诊断。在需要定期随访的165名患者中(68%),至少有68名患者(41%)寻求过一次医疗护理,其中5名(7%)得到了新的诊断。这项研究提供了令人鼓舞的结果,说明了易于交付,易于扩展的工作场所干预措施对大量弱势人群的潜在影响。

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