Door-to-Door Community

Access Program
Eduardo Alegria, SN
Application Plan

Introduction and Purpose

To better promote equitable and high quality

healthcare, education, financial and
hardship assistance to all populations
regardless of socioeconomic or citizenship
status.
To assist transient or unstable populations
such as immigrants, tourists, and migrant
workers through a Door-to-Door Community
Outreach twelve month initiative

Background

Due to the transient nature of the immigrant,

tourist, and migrant populations, in addition
potential language barriers, social isolation,
or financial instability, these populations may
experience difficulties seeking out
appropriate resources for healthcare,
financial, or other critical needs.
Florida is the gateway to both Central
America and the Caribbean. 19.4% of the
states population is comprised of
immigrants. Florida saw a 39% increase in its
foreign-born population between 2000-2013
(European, Canadian, South-American) [6].
30% of Sarasotas small business owners
are of Hispanic descent, many of whom
immigrated and then earned their green
cards while working to become citizens [7].

Promote awareness of existing resources such

as healthcare, financial assistance, education,
and hardship needs to immigrant, tourist, and
migrant working populations.
Model the Healthy People 2020 initiative
Access to Health Services: Health
Communication and Health Information
Technology to follow Marylands efforts to
address the goals of eliminating disparities and
achieving equality amongst all individuals [9].
Collaborate with stakeholders (team members)
to implement a 3-phase, 12-month Community
Outreach program incorporating baseline
survey measures, Door-to-Door program
implementation of education, healthcare
screenings, establishing Primary Care
Physician management, assistance with legal,
financial or other hardship needs.

Model the Healthy People 2020 initiative

Access to Health Services: Health
Communication and Health Information
Technology to follow Marylands efforts to
address the goals of eliminating disparities
and achieving equality amongst all
individuals [9].
Tracking method sample below is an example of data analysis
tracking method for use with three-phase intervention program.

Maryland Door-to-Door program

Sarasota, FL., demographics are comprised of

diverse populations, including tourists, migrant
working families, and immigrants. The Healthy
People 2020 initiative encourages national efforts to
ensure quality healthcare and community resources
are available equitably for all people residing within
the United States. Due to the intricate needs of a
transient or unstable population, Sarasota, FL.
community members would do well to offer
community outreach programs distributing
necessary information and healthcare options,
especially to more isolated communities heavily
laced with tourists, migrant families, and immigrants.

71.6

References
Population Demographics

Sarasota Immigrants 2014; 11%

Sarasota-Manatee Population, 2014; 24%
Sarasota Tourist Population, 2014; 64%

Sarasota Tourist Population, 2014

Intervention/ Practice Plan

Stakeholders listed below are a potential means

for attaining assistance with this community
outreach support endeavor.
Specific initiative tasks: 1-month baseline surveys
on issues such as healthcare needs and existing
knowledge of hardship resources (English,
Spanish, and French), 10-month implementation of
team member Door-to-Door healthcare screenings
and educational efforts to distribute information in
venues such as local churches, food banks,
healthcare clinics, hospital emergency rooms,
community tourist locations, and schools (with
emphasis on tutoring resources), and 1-month
program evaluation with data analysis.

Conclusions

Measure/Tracking

Sarasota-Manatee Population, 2014

Sarasota Immigrants 2014

Team Members

Church of the Palms (2016) [2]

Florida Department of Health [3]
Sarasota County (Programs and Services 2016) [12]
Gulfcoast Legal (2016) [5]
Sarasota City Hall SCAT (Public Transportation
Sarasota County2016) [10]
VFW Sarasota Chapter (Myvfw.org. 2016) [8]
Sarasota Memorial Hospital Financial Assistance
for Patients (Sarasota City 2016) [11]

Barriers and Opportunities

Barriers:
Overall time commitment of Volunteers.
Organization of Volunteer efforts for Doorto-Door canvassing.
Development of standardized survey and
educational materials.
Development of standardized health
screenings.
Coordination and establishment of
Primary Care Physician services.
Opportunities:
Getting to know people in the community.
Promote awareness of existing resources.
Better promote education in healthcare.
Model the Healthy People 2020 initiative

University of South Florida, College of Nursing

1 Anderson, E. & McFarlane, J. (2008). Community as partner: Theory and

practicenursing. Philadelphia: Lippincott Williams & Wilkins.
2. Church of the Palms. (2016). Sarasota County. Retrieved from
http://www.churchofthepalms.org/ourmission.html
3. Florida Department of Health, Sarasota County. (2016). Programs and
Services. Retrieved from
http://sarasota.floridahealth.gov/programs-andservices/clinicaland-nutrition-services/eligibilityrequirements/index.html
4. Galarneau, C. (2011). Still Missing: Undocumented Immigrants in Health
Care Reform. Journal of Health Care for the Poor and
Underserved.2011
May;22(2):422-8. doi: 10.1353/hpu.2011.0040.
5. Gulfcoast Legal. (2016). Retrieved from http://www.gulfcoastlegal.org
6. Maptheimpact.org. (2016). Retrieved from
http://www.maptheimpact.org/state/florida/
7. Zong, J., & Batalova, J. (2015). Frequently requested statistics on
immigrants and immigration in the United States. Migration
Policy Institute.
Retrieved from http://www.migrationpolicy.org/article/frequentlyrequested-statistics-immigrants-and-immigration-unitedstates-4
8. Myvfw.org. (2016). Retrieved from http://myvfw.org/fl/post3233/
9. Office of Disease Prevention and Health Promotion. (2013). Healthy People
2020 at work in the community: Door-to-Door Program. Healthy.
People.org. Retrieved from
https://www.healthypeople.gov/2020/healthypeople-inaction/story/healthy-people-2020-work-communitydoor-doorprogram
10. Sarasota City Hall Scat, Public Transportation. (2016). Sarasota County.
Retrieved from https://www.scgov.net/scat/Pages/default.aspx
11. Sarasota Memorial Hospital Financial Assistance for Patients. (2016).
12. Sarasota City. Retrieved from http://www.smh.com/Home/PatientsVisitors/Financial-Assistance
13. The City of Sarasota. 2016. Retrieved from http://www.sarasotagov.org/#2
14. Viladrich, A. (2012) Beyond welfare reform: reframing undocumented
immigrants' entitlement to health care in the United States, a critical review.
Social Science & Medicine. Soc Sci Med. 2012
Mar;74(6):822-9. doi:
10.1016/j.socscimed.2011.05.050. Epub
2011 Jun 25

Tampa,