检查全球土著社区健康工作者模型:快速审查
Kayla M Fitzpatrick1, Erynne Sjoblom1, Giulia Puinean1
1School of Public Health, University of Alberta, 3-300 Eddmonton Clinic Health Academy, Edmonton, AB, T6G 1C9, Canada.
原住民社区健康工作者模式显示出改善医疗保健获取和结果的前景. 关键主题包括工人角色,培训,非殖民化方法和结构性支持,尽管存在持续的实施障碍.
科学领域:
- 公共卫生 公共卫生
- 土著健康土著健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 越来越多的兴趣在社区健康工作者模型为土著人口解决医疗保健不平等.
- 需要解决卫生和心理健康资源的短缺以及慢性疾病的负担.
- 全球范围内缺乏对土著社区健康工作者模型的全面审查.
研究的目的:
- 概述全球土著社区健康工作者模型的特征.
- 确定影响实施挑战和成功的因素.
- 为未来的研究和程序开发提供基础.
主要方法:
- 国际同行评审和灰色文献的快速审查 (2022年1月至6月).
- 搜索了OVID Medline,全球指数Medicus,谷歌和谷歌学者相关的模型.
- 使用描述和模式编码进行数据提取和合成.
主要成果:
- 确定了四个关键主题:工人的角色/责任,培训/教育/经验,非殖民化的方法和结构性支持.
- 审查了20篇学术和8篇灰色文学文章.
- 强调了这些主题在模型有效性方面的相互联系性.
结论:
- 社区健康工作者模型提供了一个有希望的方法来满足全球土著社区的心理健康需求.
- 这些工人作为社区和主流服务之间的重要联系,利用文化知识.
- 诸如权力不平衡和角色缺乏明确性等挑战仍然存在,需要创新的解决方案.
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