Inclusion of People With Disabilities in Community Health Needs Assessments in Florida, United States.

IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Practice Pub Date : 2025-03-01 Epub Date: 2024-01-18 DOI:10.1177/15248399231225642

Logan S Roberts, Tyler G James

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引用次数: 0

Abstract

Community health needs assessments (CHNAs) play a crucial role in identifying health needs of communities. Yet, unique health needs of people with disabilities (PWDs) are often underrecognized in public health practice. In 2010, the Patient Protection and Affordable Care Act (ACA) required the implementation of standardized data collection guidelines, including disability status, among federal agencies. The extent to which guidance from ACA and the U.S. Centers for Disease Control and Prevention has impacted disability inclusion in CHNAs is unknown. This study used a content analysis approach to review CHNAs conducted by local health councils and the top 11 nonprofit hospitals in Florida (n = 77). We coded CHNAs based on mentioning disability in CHNA reports, involving disability-related stakeholders, and incorporating data on disability indicators. Findings indicate that PWDs are widely not included in CHNAs in Florida, emphasizing the need for equitable representation and comprehensive understanding of PWDs in community health planning.

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美国佛罗里达州将残疾人纳入社区健康需求评估。

社区健康需求评估（CHNA）在确定社区健康需求方面发挥着至关重要的作用。然而，在公共卫生实践中，残疾人（PWDs）的独特健康需求往往未得到充分认识。2010 年，《患者保护与平价医疗法案》（ACA）要求联邦机构实施标准化数据收集指南，包括残疾状况。ACA 和美国疾病控制与预防中心的指导在多大程度上影响了将残疾纳入 CHNA，目前尚不得而知。本研究采用内容分析法对佛罗里达州地方卫生委员会和前 11 家非营利性医院（n = 77）开展的 CHNA 进行了审查。我们根据 CHNA 报告中是否提及残疾、是否有残疾相关利益方参与以及是否纳入残疾指标数据对 CHNA 进行了编码。研究结果表明，在佛罗里达州，残疾人普遍未被纳入 CHNA，这强调了在社区卫生规划中公平代表和全面了解残疾人的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Promotion Practice PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.80

自引率

5.30%

发文量

126

期刊介绍： Health Promotion Practice (HPP) publishes authoritative articles devoted to the practical application of health promotion and education. It publishes information of strategic importance to a broad base of professionals engaged in the practice of developing, implementing, and evaluating health promotion and disease prevention programs. The journal"s editorial board is committed to focusing on the applications of health promotion and public health education interventions, programs and best practice strategies in various settings, including but not limited to, community, health care, worksite, educational, and international settings. Additionally, the journal focuses on the development and application of public policy conducive to the promotion of health and prevention of disease.