Trained barbers provide ongoing blood pressure monitoring, education, and referral support to African-American male patrons, leading to improved treatment rates and blood pressure control in hypertensive patrons.
An inner-city breast examination center serving low-income, minority women educates patients about colorectal cancer screening and assists them in getting a colonoscopy screening test, leading to enhanced interest in and access to such screening.
A large multispecialty clinic launched a multidimensional campaign to increase influenza immunizations of pregnant patients, with key elements including educating providers and nurses about the safety and effectiveness of immunizations, publicizing the immunization rates of individual obstetricians' patients, and making vaccinations a part of standing orders; the program led to a dramatic increase in the immunization rate over a 10-year period.
A care “pathway” helps pregnant substance abusers obtain health insurance, obstetrics care, substance abuse counseling, and other services, allowing the vast majority of these women to give birth to babies with viable birth weight who are free of illicit substances.
With the support of the Ministerial Alliance and local churches, a collaboration between an integrated health system and the YMCA offered a 6-month program combining exercise classes, nutrition and wellness programs, incentives, and case management support, leading to improved exercise and eating habits and lower blood pressure and body mass index among overweight and obese African-American women.
A 10-week, hospital-based support group offers information, education, and support to women suffering from postpartum depression, leading to reduced incidence of depression and increased life satisfaction.
Decision aids and one-on-one counseling sessions help newly diagnosed breast cancer patients evaluate their treatment options and preferences before the initial surgeon visit, leading to high levels of patient satisfaction and knowledge, less conflict about and greater comfort with decisions made, many changes in treatment preferences, and better patient–surgeon interactions.
A high school–based clinic added an obstetrics care coordination program to provide pregnant Hmong and African-American students with comprehensive and culturally sensitive prenatal care, education, support, and referrals to community resources. The program has led to increased knowledge and confidence among teens and good birth outcomes.
Nursing students provide free doula care to underserved women, leading to fewer preterm births, low birthweight babies, and cesarean sections, and generating high levels of patient satisfaction.
A monthly clinic provides culturally competent cancer screening and educational information to rural, low-income Hispanic women over the age of 40 years, leading to enhanced access to such screenings and to increased use of primary care.