随着时间的推移,追踪社区参与的发展:现实的定性研究
Esther de Weger1,2, Hanneke Drewes3, Katrien Luijkx1
1Department of Tranzo, Tilburg School of Social and Behavioural Sciences, Tilburg University, Tilburg, Netherlands.
Journal of participatory medicine
|May 15, 2024
概括
社区在医疗保健中的参与 (CE) 已经转向了更加以社区为中心的实际举措. 成功的CE需要对参与环境进行投资,并有一个共同的愿景,以便更好地融入组织文化.
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
- 社区参与研究 社区参与研究
背景情况:
- 越来越多的人对社区参与 (CE) 医疗保健发展的兴趣并没有转化为明确的成功战略.
- 已知基于证据的CE的推动者和障碍者,但实际应用仍然是一个挑战.
研究的目的:
- 在荷兰六个地区,在四年内调查社区参与 (CE) 方法的变化.
- 了解公民和专业人士的经验,推动这些变化.
主要方法:
- 一个现实的定性案例研究分析了四年的数据 (文件,采访,观察).
- 为了探索经验,进行了新的采访,结果由小组验证.
主要成果:
- 欧洲经济共同体的方法演变为以社区为中心,建立关系和实践健康促进活动.
- 关键的挑战包括缺乏参与环境,领导力和共同的愿景.
- 发现了公民和专业人士之间的观点不一致,以及对倡议的长期支持不足.
结论:
- 社区参与 (CE) 尚未完全嵌入组织文化,导致较小规模的方法.
- 对参与环境和共同愿景的投资对于推进CE至关重要.
- 克服这些障碍可以帮助CE超越小规模的实施.
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