2.50
Hdl Handle:
http://hdl.handle.net/10755/165977
Category:
Abstract
Type:
Presentation
Title:
Employing a wellmobile to provide services to Hispanic adults in Maryland
Author(s):
Green, Sheila
Author Details:
Sheila Green, University of Maryland-Baltimore School of Nursing, Baltimore, Maryland, USA, email: green@son.umaryland.edu
Abstract:
Background: Despite increasing insurance coverage for underserved populations, children and adults who were not born in the U.S. continue to fall outside of the health care system. In Maryland, many of these individuals are Hispanic. The Medical Care for Communities Partnership is a program where the University of Maryland School of Nursing brings vital primary and preventive health care services to the uninsured. Activities include mobile treatment services and care management. Other partners include key stakeholders in the community that are involved in adult primary care in order to initiate a planning process that will result in recommendations for systemic change related to improved services for uninsured adults in the County. Approach: While these partnerships are innovative, the conduct of both a formative and summative evaluation is critical to the establishment of a sustainable system of care. A needs assessment was conducted and sites within the community that are appropriate for targeting the uninsured adult population were identified. Documentation systems have been defined to capture crucial demographic and clinical characteristics. Program outcomes focus on identification and prevention of disease that may require acute treatment. Findings: To date, 227 adults have been identified for eligibility in the Adult Health Program and 27 have been officially enrolled. Ages ranged from 19 to 52 with a mean of 33 years. Nearly three-fourths of the enrollees are female. The majority (65%) of enrollees are of Hispanic origin and a third (30%) are African American. None had medical insurance although a fourth reported some type of employment. More than half of the enrolled participants are at 201% or greater of the Federal poverty level. Clinical problems include both chronic conditions (diabetes and hypertension) and acute, newly diagnosed problems (hepatitis, sexually transmitted disease, and pneumonia). Care management for these individuals has included obtaining pharmacy assistance, making home visits, and patient education. Conclusions: Innovative partnerships such as the one described provide immediate care to many adults currently receiving no services in Maryland.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Host:
Southern Nursing Research Society
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleEmploying a wellmobile to provide services to Hispanic adults in Marylanden_GB
dc.contributor.authorGreen, Sheilaen_US
dc.author.detailsSheila Green, University of Maryland-Baltimore School of Nursing, Baltimore, Maryland, USA, email: green@son.umaryland.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/165977-
dc.description.abstractBackground: Despite increasing insurance coverage for underserved populations, children and adults who were not born in the U.S. continue to fall outside of the health care system. In Maryland, many of these individuals are Hispanic. The Medical Care for Communities Partnership is a program where the University of Maryland School of Nursing brings vital primary and preventive health care services to the uninsured. Activities include mobile treatment services and care management. Other partners include key stakeholders in the community that are involved in adult primary care in order to initiate a planning process that will result in recommendations for systemic change related to improved services for uninsured adults in the County. Approach: While these partnerships are innovative, the conduct of both a formative and summative evaluation is critical to the establishment of a sustainable system of care. A needs assessment was conducted and sites within the community that are appropriate for targeting the uninsured adult population were identified. Documentation systems have been defined to capture crucial demographic and clinical characteristics. Program outcomes focus on identification and prevention of disease that may require acute treatment. Findings: To date, 227 adults have been identified for eligibility in the Adult Health Program and 27 have been officially enrolled. Ages ranged from 19 to 52 with a mean of 33 years. Nearly three-fourths of the enrollees are female. The majority (65%) of enrollees are of Hispanic origin and a third (30%) are African American. None had medical insurance although a fourth reported some type of employment. More than half of the enrolled participants are at 201% or greater of the Federal poverty level. Clinical problems include both chronic conditions (diabetes and hypertension) and acute, newly diagnosed problems (hepatitis, sexually transmitted disease, and pneumonia). Care management for these individuals has included obtaining pharmacy assistance, making home visits, and patient education. Conclusions: Innovative partnerships such as the one described provide immediate care to many adults currently receiving no services in Maryland.en_GB
dc.date.available2011-10-27T14:37:41Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T14:37:41Z-
dc.conference.hostSouthern Nursing Research Societyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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