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Characteris*cs

of Customers at Medical Center Farmers' Markets: A Mul*-Site Survey


Daniel R. George, Ph.D, M.Sc, Jennifer Kraschnewski, MD, MPH Liza Rovniak, Ph.D, MPH, Penn State College of Medicine Diana Monroe, MS, CHES, RHEd, Duke University Elizabeth Fiordalis, MA, Cleveland Clinic

National growth of markets in the US

Trend towards farmers markets at medical centers & hospitals

George, DR. Kraschnewski JL. Rovniak LS. (2011). Public health potenEal of farmers markets on medical center campuses: A case study from Penn State Hershey Medical Center. American Journal of Public Health 101(12): 2226-2236.

Value added by medical venues


Promote wellness and benefit communities
IRS requirement

Increase access to range of experts Provide sustainable supply of volunteers for health screenings and other programming

Duke Hospital Farmers Market

Farmers Market at The Cleveland Clinic


Community Farmers Market

Penn State Hershey Medical Center: Farmers Market in Hershey

Collaborative research
Undertaken in 2010-2011 Goals: Learn demographics Guide refinements and translation Inform interventions that promote employee/community health

Demographic data

Customer prole
100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%

Community members PaEents/families Hospital employees

Duke University Hospital

Cleveland Clinic

Penn State Hershey

TransportaEon to market
100% 90% 80%

70%

60%

Shu[le Cyclling Walking Driving

50%

40%

30%

20%

10%

0%

Duke University Hospital

Cleveland Clinic

Penn State Hershey

Overall health raEng


100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%

-Fair/poor -Good -Very good -Excellent

Duke University Hospital

Cleveland Clinic

Penn State Hershey

Body Mass Index


Penn State Hershey

Cleveland Clinic

Mean BMI, m/kg2

Duke University Hospital

24.5

25

25.5

26

26.5

27

Reported medical condiEons


25 20

15

10

Duke University Hospital Cleveland Clinic Penn State Hershey

Fruit and vegetable intake


70 60

50

40

>=2 fruit servings/day


30

>=3 veggie servings/day >=5 total servings/day

20

10

Duke University Cleveland Clinic Hospital

Penn State Hershey

Price percepEon compared to grocery store


100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%

-less expensive -appropriate more expensive

Duke University Hospital

Cleveland Clinic

Penn State Hershey

Desired services
80 70 60 50 40 30 20 10 0

Duke University Hospital Cleveland Clinic Penn State Hershey

Conclusions
SimilariEes were found across markets and customers Markets may be an ideal place to engage customers in nutriEonal counseling that PCPs may not address EducaEonal focus on guideline-concordant fruit and vegetable intake would be appropriate to address Be[er strategies needed to promote acEve transport Be[er strategies needed to reach medical center paEents, families, & underserved community members

Next steps?

Community collaboraEon
Local Farms, Urban
gardens

Neighborhoods, CDCs,
faith-based organizaEons, housing developments families)
Urban gardens

Visitors (paEents, Employees


Boys & Girls clubs

PrevenEon Produce

PrevenEon Produce

Prescription produce

Farm Fresh menu

Community gardens

Contact
Daniel George: Drg21@psu.edu Elizabeth Fiordalis: ordae@ccf.org

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