Decreasing Influenza Vaccination Disparity Rates by Utilization of Hotspot Deployments of a Mobile Health Vehicle

Practice Problem: Influenza vaccination for Black/African American patients is historically lower than White patients across all healthcare organizations (Quinn, 2018). In the organization’s 2022 performance, only 13.98% of Black/African American patients ages 19 and older were vaccinated compared to 27.81% of White/Caucasian patients. PICOT: The PICOT question that guided this project was for Black/African American patients ages 19 and older receiving care from primary care clinics in Southeast San Diego (P), what is the impact of adding access to influenza vaccinations through hotspot-driven MHV deployments (I) compared to usual vaccination delivery in the medical office building (MOB) (C) on influenza vaccine disparity rates (O) in 8 weeks (T)? Evidence: Gaining rapport and trust from the patients, engaging the community, and improving access to care aided in the increased uptake of vaccinations for patients. Intervention: Hot spot-driven deployments of the organization’s mobile health vehicle was leveraged to improve Black/African American patient influenza vaccination rates. Outcome: The overall disparity rate between Black/African American and White/Caucasian patients in the target zip codes decreased in 2023. The successful vaccination percentage increased for the 91977-zip code and the MHV. Conclusion: The project’s practice change plan assisted a large Southern California healthcare organization improve influenza vaccination rates by leveraging the MHV’s hotspot-driven deployments. Despite the lack of statistical significance, the project increased the percentage of patients receiving their vaccinations from the MHV and established a new community partnership for vaccination access

Consumo problemático de sustancias en feminidades trans/travestis de la ciudad de Córdoba Capital

Este trabajo radica en contribuir al estudio y la indagación referente al uso de sustancias psicoactivas en feminidades trans/travesti de la ciudad de Córdoba. El sector trans/travesti conforma una población en situación de vulnerabilidad en Argentina. Diversos informes como el del ministerio de salud (2015) dan cuenta de que el 80% de las mismas no tiene cobertura de obra social y que el 91% señala haber sufrido situaciones de violencia en escuelas, hospitales y transportes. Además se establece que la expectativa de vida se encuentra entre los 30 y 40.El uso/consumo de sustancias psicoactivas se abordará desde una perspectiva socio-psico-biológica, entendiendo que “la droga” no existe como algo independiente de las variadas y diferenciadas formas de su uso, las cuales no siempre responden al estereotipo que circula tanto en los discursos formales como en los del sentido común. Los usos aprobados de las sustancias psicoactivas se han definido siempre en el marco de cada cultura, y en consecuencia, difieren de una cultura a otra y tienden a cambiar a largo del tiempo. Lo determinante no es el producto, sino la relación con el producto y el modo de vida en que se inscribe. Por ello los consumos que son considerados problemáticos tienen que ver con una instancia de vinculación con las drogas que plantea un deterioro progresivo a nivel biológico, psicológico y social, y que a su vez presenta dificultades en no poder dejar de consumir sustancia de forma permanente. Esta investigación tiene como objetivo visibilizar y caracterizar socio-demográficamente a la población seleccionada, estimar las prevalencias de vida, año y mes de consumo de sustancias psicoactivas en la población seleccionada, caracterizar las modalidades y formas de consumo de sustancias psicoactivas y evaluar la demanda y acceso a servicios de orientación, tratamiento y rehabilitación del consumo de drogas existentes

SCIPP: An Expanded Community of Practice - Community Publishing

SCIPP redefines and expands the existing notions about what makes for a vibrant and robust community of practice by partnering CSUSB students and professors with K-12 students, parents, and educators, along with committed community partners. SCIPP encourages curiosity in ways that leads to critical thinking, exploration, risk taking , confidence building, open-mindedness, and other personal traits that equip them with the softskills to be active, critical, and creative contributors to our communities. SCIPP pedagogy embraces our students\u27 collective wisdom and focuses on relational building where multi-directional communication is promoted and students are viewed as equal stakeholders in their own educations. SCIPP puts collaboration into action which in turn fosters community-based lifelong learning. SCIPP provides the open intellectual space for future university students (our K-12 students) to engage with existing university students in meaningful ways so as to sustain interconnected partnerships facilitating community engagement. It supports parents as experts in the education of their children and acknowledges parents as the first conduits to spark their children’s imagination while they actively participate in education enriching activities and programs. Everyone involved is committed to creating a secure and open atmosphere for dreaming, sharing, and learning. Together we explore the aspects of community publishing through collaborative learning in formal and informal settings relating to digital and printed medias