社区主导的转型原则:通过集中与社区组织的真实合作,改变公共卫生学习系统
Reba Meigs1, Amina Sheik Mohamed1, Adriana Bearse1
1University of California San Diego, Center for Community Health, Altman Clinical and Translational Research Institute La Jolla California USA.
社区主导转型 (CLT) 原则通过集中社区组织 (CBOs) 来加强公共卫生系统. 这种方法促进文化能力和公平的权力分配,以改善健康公平.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 社区参与 社区参与
背景情况:
- 学习卫生系统 (LHS) 面临着新出现的疾病和健康差异等挑战.
- 传统的LHS模型往往将基于社区的组织 (CBOs) 排除在平等合作伙伴之外.
- 真正的社区参与对于有效的公共卫生倡议至关重要.
研究的目的:
- 提出9个社区主导的转型 (CLT) 原则,将CBOs纳入LHS框架.
- 重新构想LHS以真正的中心CBOs,包括以种族为主导和基于信仰的组织.
- 展示以CBO为中心的LHS如何改善公共卫生结果.
主要方法:
- 一个评论提出九个CLT原则.
- 通过支持阿富汗难民的举措的两个案例研究来说明原则.
- 分析以CBO为中心的伙伴关系对文化能力和权力动态的影响.
主要成果:
- 在公共卫生中,CLT原则提高了文化能力,有效性和公平的权力分配.
- 集中CBOs提供了宝贵的文化见解,并加强了社区纽带.
- 社区主导的倡议赋予民众力量,推动可持续的健康改善.
结论:
- CLT原则为包容性,共同领导的公共卫生范式提供了一个蓝图.
- 与包括BIPOC领导人在内的CBO建立基于信任的联盟是必不可少的.
- 采用CLT原则使公共卫生系统变得更具响应性和可持续性,促进健康公平.
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