实施改善健康的患者与公众参与:来自加纳三个社区计划的经验教训
Samuel E Ankomah1,2, Adam Fusheini1, Sarah Derrett1,2
1Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.
概括
患者与公众的参与 (PPE) 对加纳的社区健康计划至关重要. 在所有计划维度中更广泛地实施个人防护设备可以提高健康结果.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 社区健康 社区健康
背景情况:
- 基于社区的卫生干预措施对于改善加纳的健康结果至关重要.
- 患者与公众的参与 (PPE) 对于这些干预措施的有效性至关重要.
- 关于个人防护设备在加纳社区卫生计划中的具体作用的研究有限.
研究的目的:
- 检查加纳三个选定的社区卫生计划中PPE实施的程度.
- 了解个人防护设备在这些计划中对健康结果的具体影响.
- 确定哪些领域的PPE实施是广泛的,哪些领域的实施是有限的.
主要方法:
- 使用三个焦点小组进行的定性研究,其中包括加纳阿尚蒂地区的26名参与者.
- 参与者包括卫生服务用户,社区卫生委员会成员/志愿者,居民和卫生专业人员.
- 数据使用NVIVO 12 Plus进行了描述性分析,重点关注Rifkin的蜘蛛图组件.
主要成果:
- 在三个项目中,在组织和资源调动等领域,PPE的实施是广泛的.
- 在社区需求评估,领导和管理方面,个人防护设备更受限制,特别是在基于社区的健康规划和服务 (CHPS) 和Buruli Ulcer计划中.
- 在不同的社区健康计划中观察到个人防护设备实施的差异.
结论:
- 调查结果表明,在蜘蛛图框架的所有维度中更广泛地实施个人防护设备可能会从社区健康干预中获得更大的好处.
- 在需求评估和领导等领域提高个人防护设备对于最大限度地提高卫生计划的影响至关重要.
- 需要进一步的研究,以探索在多种社区卫生环境中全面实施个人防护设备的战略.
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