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Journal of general internal medicine · 2026

The Neighborhood Health Hub Model: Extending Primary Care into Medically Underserved Neighborhoods to Improve Health Equity.

СтатьяНазвание и аннотация: Перевод в очереди
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Bailey James E, Ogunsanmi Deborah O, Mahmud Sultan, Kabir Umar Y, Boykins Alexandria M, Butterworth Susan W, Mahmood Asos, Hayes Burton L, Ozdenerol Esra, Ballenger F Maury, Surbhi Satya

Аннотация

BACKGROUND: Limited research documents feasibility of deploying health coaches to extend primary care into medically underserved neighborhoods.

AIM: To assess early experience implementing the Neighborhood Health Hub Model, an innovative, person-centered, place-based, neighborhood-level approach for providing convenient access to essential preventive services.

SETTING: Memphis/Shelby County, Tennessee PARTICIPANTS: Adults seeking care from January 2022-June 2024 at Neighborhood Health Hub facilities.

PROGRAM DESCRIPTION: Hubs are staffed by lay health coaches recruited from the community, trained in motivational interviewing, and supervised by a telehealth-connected health professional. Services include: 1) screening for obesity, hypertension, diabetes, and social determinants; 2) individual/group health coaching for chronic disease management; 3) referrals for medical, behavioral, and social needs.

PROGRAM EVALUATION: A total of 1,252 clients were served, 1,151 received health coaching, and 383 (31%) participated in ≥ 2 coaching sessions, for a total of 3367 coaching sessions and 2,951 group visits. Average weight change with obesity was - 3.32 pounds (95% confidence interval [CI] - 5.72, - 0.92) and systolic blood pressure change with hypertension was - 15.17 mmHg (CI - 19.64, - 10.69). Higher number of health coaching sessions was significantly associated with greater weight loss.

DISCUSSION: Dissemination of the Neighborhood Health Hub Model could improve health equity nationwide.

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

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