Anti-racist approaches to increase access to general and oral health care during a pandemic in the Pacific Islander community

IF 1.8 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of public health dentistry Pub Date : 2022-06-21 DOI:10.1111/jphd.12519
Matthew M. Oishi DMD, MPH, MS, Rachelle Robley BS, Megan K. Inada DrPH, Jason Hiramoto DDS
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Abstract

Limited data exists on Pacific Islander (PI) health, but a growing body of literature reports the existence of racial discrimination and inequities and mistrust of the healthcare system, leading to poor health outcomes. When COVID-19 restricted health services, such inequities and mistrust due to historical trauma were magnified. This report describes one federally qualified health center's dental department's response utilizing culture-based approaches, community relationships, and the social determinants of health (SDOH) to dispel the stigma of COVID and restrictions on in-person care in order to lower barriers to accessing care. When the dental department transitioned to emergency-only care, staff were redeployed to address significant inequities facing the PI community. Redeployment activities included building relationships with the most vulnerable patients, delivering healthy foods, supplies, oral hygiene kits to households, and canvasing neighborhood businesses with public health education. The mobile dental clinic, a trusted symbol in the community, also brought public health education to community testing events and food distributions. From March 2020 to July 2020, staff conducted over 800 outreach calls for health and food security, delivered over 2000 care packages and oral hygiene kits. Also, frequent community outreach by the mobile dental clinic led to a 10-fold increase in COVID testing. Investing in relationship building can maintain access to health care and build trust in the health care system for PI communities. This approach may be relevant to others serving other communities experiencing racism.

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采取反种族主义措施,在大流行病期间增加太平洋岛民社区获得一般保健和口腔保健的机会
关于太平洋岛民健康的数据有限,但越来越多的文献报道存在种族歧视和不平等以及对医疗保健系统的不信任,导致健康结果不佳。当COVID-19限制卫生服务时,由于历史创伤造成的这种不平等和不信任被放大了。本报告描述了一家获得联邦政府资格的医疗中心的牙科部门如何利用基于文化的方法、社区关系和健康的社会决定因素(SDOH)来消除对COVID的耻辱感和对面对面护理的限制,以降低获得医疗服务的障碍。当牙科部门过渡到只提供紧急护理时,工作人员被重新部署,以解决PI社区面临的严重不平等问题。重新部署活动包括与最脆弱的病人建立关系,向家庭提供健康食品、用品、口腔卫生包,并通过公共卫生教育游说社区企业。流动牙科诊所在社区中是一个值得信赖的象征,它还为社区检测活动和食品分发带来了公共卫生教育。从2020年3月至2020年7月,工作人员开展了800多次关于卫生和粮食安全的外展呼吁,提供了2000多个护理包和口腔卫生包。此外,流动牙科诊所频繁的社区外展活动导致COVID检测增加了10倍。投资于关系建设可以保持获得卫生保健的机会,并为PI社区建立对卫生保健系统的信任。这种方法可能与其他服务于其他遭受种族主义的社区的人有关。
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来源期刊
Journal of public health dentistry
Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.80
自引率
4.30%
发文量
69
审稿时长
6-12 weeks
期刊介绍: The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.
期刊最新文献
Issue Information Associations between disability type and untreated dental decay among community dwelling US adults Evaluating the harmonization potential of oral health-related questionnaires in national longitudinal birth and child cohort surveys Educating long-term care staff on older adult oral health: Maine's oral team-based initiative vital access to education (MOTIVATE) program Integration of dental therapists in safety net practice increases access to oral health care in Minnesota
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