解决系统性不平等问题:对公共卫生计划中的弹性催化剂的评估
Wendy Ellis1, Kristen Hayes, Esmeralda Salas
1Author Affiliations: Department of Global Health (Drs Ellis and Chen), Resilience Catalysts in Public Health (Ms Hayes), Center for Community Resilience, George Washington University School of Public Health, Washington, District of Columbia; Population Health Innovation Lab (Ms Salas and Dr Bultema), Public Health Institute, Oakland, California; and National Association of County and City Health Officials (Ms Gousse), Washington, District of Columbia.
弹性催化剂 (RC) 过程为当地卫生部门提供了设备,以解决健康不平等问题并建立社区的弹性. 这次评估突出了RCRC的重点.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 社区性 社区的性
背景情况:
- 弹性催化剂 (RC) 是一项支持当地卫生部门 (LHDs) 运营社区卫生战略家 (CHS) 角色的计划.
- 通过多部门的政策,实践和计划变化,RC旨在促进公平性和社区性.
- 该计划为LHDs提供了一个结构化的流程和技术援助 (TA).
研究的目的:
- 确定RC过程和TA的基本要素,使LHD能够解决逆境和不平等的系统驱动因素.
- 扩大对RC在后COVID时代对理论,实践和资金的初步影响的理解.
主要方法:
- 一个混合方法的评估,利用在线调查和半结构面试.
- 框架分析,常量比较分析和描述性统计数据用于数据分析.
- 该研究包括12个不同的美国城市和县,29名调查和33名采访参与者.
主要成果:
- 评估结果显示,社区参与度增强,LHDs在系统层面思考的扩展.
- RC在推进健康和种族平等方面取得了成功,澄清了RC过程,并为CHS角色建立了能力.
- 参与者报告说,他们获得了更多的知识和技能,以解决逆境和不平等的根本原因.
结论:
- 该RC过程有效地准备LHDs通过建立必要的知识和技能来运行CHS角色.
- RC促进了解逆境的根本原因,解决公共卫生中的结构性种族主义,并支持协作行动规划.
- 这些发现对公共卫生实践,理论和融资策略有影响.
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