与毛利社区实施卫生计划的促进者和障碍
John Oetzel1, Renei Ngawati2, Darrio Penetito-Hemara2
1University of Waikato, Private Bag 3105, Hamilton, 3240, New Zealand. john.oetzel@waikato.ac.nz.
对毛利社区的有效卫生计划需要强有力的领导力,文化一致性和社区参与. 解决系统和资金障碍对于成功实施和可持续性至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 研究 健康 公平 研究
- 土著健康土著健康
背景情况:
- 在新西兰,毛利 (土著人民) 的健康不平等仍然存在.
- 对毛利社区的卫生计划实施过程和结果的理解有限.
- 需要确定影响这些社区卫生计划有效性的因素.
研究的目的:
- 确定毛利社区卫生计划中实施结果的相关性.
- 识别这些计划有效实施的促进者和障碍.
主要方法:
- 同时的混合方法方法整合了定量和定性数据.
- 在线调查79名参与者关于计划成果和流程.
- 与9名毛利社区提供者进行了深入采访,讨论了促进者和障碍.
主要成果:
- 健康影响的积极相关性:文化一致性,社区参与,个人技能.
- 基于证据的方法与可持续性相关.
- 关键的促进者:领导力, whanaungatanga (关系),信息共享.
- 主要障碍:系统限制,资金,文化问题,缺乏参与.
结论:
- 领导力,文化调整和 whanaungatanga 是支持实施的核心.
- 金融资源和系统支持是必不可少的.
- 有效实施需要解决已识别的促进者和障碍.
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