Key Stakeholder Perspectives of Community Engagement Efforts and the Impact of the Covid-19 Pandemic
Introduction: The COVID-19 pandemic has disproportionally affected historically marginalized populations and their access to resources and healthcare. In times of crisis, authentic community engagement is more important than ever. This study was Phase 1 of a larger 3-phase study to conduct timely co...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2022-11-01
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| Series: | Journal of Primary Care & Community Health |
| Online Access: | https://doi.org/10.1177/21501319221133076 |
| _version_ | 1797984432801447936 |
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| author | Lily Huang Tiera Cleveland Kristin Clift Jason S. Egginton Laura Pacheco-Spann Matthew G. Johnson Monica Albertie Lilliana D. Cardenas Sean M. Phelan Megan A. Allyse Amelia K. Barwise |
| author_facet | Lily Huang Tiera Cleveland Kristin Clift Jason S. Egginton Laura Pacheco-Spann Matthew G. Johnson Monica Albertie Lilliana D. Cardenas Sean M. Phelan Megan A. Allyse Amelia K. Barwise |
| author_sort | Lily Huang |
| collection | DOAJ |
| description | Introduction: The COVID-19 pandemic has disproportionally affected historically marginalized populations and their access to resources and healthcare. In times of crisis, authentic community engagement is more important than ever. This study was Phase 1 of a larger 3-phase study to conduct timely community-engaged research with community members to understand the disproportionate impact of COVID-19 on historically underserved communities. The objective of this work was to conduct key informant (KI) interviews (1) to understand community organizations perspectives about the role that large academic health centers play as they interface with community organizations to support their work, (2) to leverage KI’s expertise to identify needs and assets within the community, and (3) to inform both Phase 2 (focus group qualitative research) and Phase 3 (survey) of the broader study. Methods: A total of 24 key informants were identified through purposeful sampling and one-on-one semi-structured interviews were conducted across 4 states using video conferencing. Results: Barriers to access and lack of transparency were highlighted as major issues requiring reform—in particular, aggressive billing practices and insurance barriers exacerbated local distrust of medical institutions. KIs recognized the health institution’s support for testing and vaccination during the COVID-19 pandemic, but noted other significant gaps in care, especially regarding mental health support. Although communication with the health institution was consistent for some KIs, others experienced unsustained communication efforts that hindered cooperation and relationship building. Conclusions: Leaders in the community as key stakeholders can provide unique insights into the challenges and potential solutions required to promote health equity, and foster understanding between local communities and healthcare institutions. |
| first_indexed | 2024-04-11T07:02:44Z |
| format | Article |
| id | doaj.art-c00423a554824e2f9a5c012d7998903a |
| institution | Directory Open Access Journal |
| issn | 2150-1327 |
| language | English |
| last_indexed | 2024-04-11T07:02:44Z |
| publishDate | 2022-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Primary Care & Community Health |
| spelling | doaj.art-c00423a554824e2f9a5c012d7998903a2022-12-22T04:38:36ZengSAGE PublishingJournal of Primary Care & Community Health2150-13272022-11-011310.1177/21501319221133076Key Stakeholder Perspectives of Community Engagement Efforts and the Impact of the Covid-19 PandemicLily Huang0Tiera Cleveland1Kristin Clift2Jason S. Egginton3Laura Pacheco-Spann4Matthew G. Johnson5Monica Albertie6Lilliana D. Cardenas7Sean M. Phelan8Megan A. Allyse9Amelia K. Barwise10Mayo Clinic, Jacksonville, FL, USAMayo Clinic, Jacksonville, FL, USAMayo Clinic, Jacksonville, FL, USAMayo Clinic, Rochester, MN, USAMayo Clinic, Rochester, MN, USAMayo Clinic, Rochester, MN, USAMayo Clinic, Jacksonville, FL, USAMaricopa County Department of Public Health, Phoenix, AZ, USAMayo Clinic, Rochester, MN, USAMayo Clinic, Rochester, MN, USAMayo Clinic, Rochester, MN, USAIntroduction: The COVID-19 pandemic has disproportionally affected historically marginalized populations and their access to resources and healthcare. In times of crisis, authentic community engagement is more important than ever. This study was Phase 1 of a larger 3-phase study to conduct timely community-engaged research with community members to understand the disproportionate impact of COVID-19 on historically underserved communities. The objective of this work was to conduct key informant (KI) interviews (1) to understand community organizations perspectives about the role that large academic health centers play as they interface with community organizations to support their work, (2) to leverage KI’s expertise to identify needs and assets within the community, and (3) to inform both Phase 2 (focus group qualitative research) and Phase 3 (survey) of the broader study. Methods: A total of 24 key informants were identified through purposeful sampling and one-on-one semi-structured interviews were conducted across 4 states using video conferencing. Results: Barriers to access and lack of transparency were highlighted as major issues requiring reform—in particular, aggressive billing practices and insurance barriers exacerbated local distrust of medical institutions. KIs recognized the health institution’s support for testing and vaccination during the COVID-19 pandemic, but noted other significant gaps in care, especially regarding mental health support. Although communication with the health institution was consistent for some KIs, others experienced unsustained communication efforts that hindered cooperation and relationship building. Conclusions: Leaders in the community as key stakeholders can provide unique insights into the challenges and potential solutions required to promote health equity, and foster understanding between local communities and healthcare institutions.https://doi.org/10.1177/21501319221133076 |
| spellingShingle | Lily Huang Tiera Cleveland Kristin Clift Jason S. Egginton Laura Pacheco-Spann Matthew G. Johnson Monica Albertie Lilliana D. Cardenas Sean M. Phelan Megan A. Allyse Amelia K. Barwise Key Stakeholder Perspectives of Community Engagement Efforts and the Impact of the Covid-19 Pandemic Journal of Primary Care & Community Health |
| title | Key Stakeholder Perspectives of Community Engagement Efforts and the Impact of the Covid-19 Pandemic |
| title_full | Key Stakeholder Perspectives of Community Engagement Efforts and the Impact of the Covid-19 Pandemic |
| title_fullStr | Key Stakeholder Perspectives of Community Engagement Efforts and the Impact of the Covid-19 Pandemic |
| title_full_unstemmed | Key Stakeholder Perspectives of Community Engagement Efforts and the Impact of the Covid-19 Pandemic |
| title_short | Key Stakeholder Perspectives of Community Engagement Efforts and the Impact of the Covid-19 Pandemic |
| title_sort | key stakeholder perspectives of community engagement efforts and the impact of the covid 19 pandemic |
| url | https://doi.org/10.1177/21501319221133076 |
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