作为社区力量组成部分的纵向政策和系统变化
Claire Devine1, Ritu Ghosal, Maggie Weller
1Center for Outcomes Research & Education, Providence St Joseph Health, Portland, Oregon.
Family & community health
|September 11, 2023
概括
评估社区力量是一项挑战. 这项研究表明,如何将政策和系统与时间的变化联系起来,使用加利福尼亚州的局部控制融资公式 (LCFF),可以可视化社区力量动态并推进健康公平努力.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 研究 健康 公平 研究
- 社区能力建设
背景情况:
- 社区力量对于解决健康不平等至关重要,由于其多方面的和纵向性质,它是复杂的和难以衡量的.
- 现有的方法难以捕捉社区系统变化能力的动态演变.
- 加利福尼亚州的本地控制融资公式 (LCFF) 提供了一个独特的案例研究,用于检查政策在促进社区权力的作用.
研究的目的:
- 检查纵向政策和系统变化的相互联系,作为理解和可视化社区权力的方法.
- 为了说明政策实施,特别是LCFF如何能够推动和维持社区驱动的变化.
- 通过连接社区和国家层面的变化来探索社区权力的动态.
主要方法:
- 对政策和系统变化的专题分析数据是在10年倡议期间收集的.
- 连接和可视化社区和国家层面之间的相互连接和重叠的变化.
- 利用加利福尼亚州LCFF的实施作为一个具体案例来展示这种方法.
主要成果:
- 大约45%的观察到的变化是相互关联的,在社区中创造了级联的势头.
- 显著的68%的全州变化与社区层面的变化重叠,表明强大的双向影响.
- 国家层面的LCFF政策促进了许多基于社区的变化,受到不同社区团体持续参与的支持.
结论:
- 连接社区驱动的政策和系统随着时间的推移而变化,提供了一种有价值的方法来探索社区权力的动态.
- 这种方法有助于解决评估社区力量的局限性,通过可视化其演变和影响.
- 了解这些纵向动态对于推进健康平等和加强社区对系统变革的能力至关重要.
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