The Neighborhood Health Hub Model: Extending Primary Care into Medically Underserved Neighborhoods to Improve Health Equity - Summary - MDSpire
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The Community Health Center Approach: Enhancing Primary Care Access in Underserved Areas to Foster Health Equity

  • By

  • James E. Bailey

  • Deborah O. Ogunsanmi

  • Sultan Mahmud

  • Umar Y. Kabir

  • Alexandria M. Boykins

  • Susan W. Butterworth

  • Asos Mahmood

  • Burton L. Hayes

  • Esra Ozdenerol

  • F. Maury Ballenger

  • Satya Surbhi

  • September 8, 2026

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Objective:

To assess the implementation of the Neighborhood Health Hub (NHH) Model in medically underserved areas (MUAs) to improve access to essential preventive services.

Approach:
  • NHH Model Description: The NHH Model provides convenient access to preventive services through neighborhood-level health and wellness hubs, utilizing trained lay health coaches to promote behavioral change and chronic disease self-management.
  • Community Engagement: The model leverages community health workers (CHWs) who share cultural backgrounds with the populations served, enhancing the delivery of culturally appropriate care.
Key Findings:
  • Health coaches and CHWs can effectively reduce health disparities and improve obesity-related health behaviors, as evidenced by various studies.
  • The NHH Model addresses social determinants of health and connects community-based self-management services with primary care.
  • Health hubs serve as accessible points of contact for populations, promoting coordination and continuity of care.
Interpretation:

The NHH Model emphasizes community-based strategies and health coaching in improving health outcomes in MUAs.

Limitations:
  • Limited data on the effectiveness of decentralized health coaching programs in MUAs exists, which may affect the generalizability of findings.
  • Challenges in ensuring participation due to social barriers such as transportation and childcare were noted.
Conclusion:

The NHH Model aims to enhance access to health services within communities, addressing both access and social determinants of health.

Sources:

Original Source(s)

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