一个多领域预防性健康计划的感知和经验:一种定性研究,为新加坡未来的社区健康干预提供信息
Jesslyn Hwei Sing Chong1, Jia Yi Chee2, Zack Zhong Sheng Goh3
1Department of Dietetic and Nutrition, Ng Teng Fong General Hospital, National University Health System, 1 Jurong East Street 21, 609606, Singapore, Singapore. jesslyn_chong@nuhs.edu.sg.
在新加坡,基于社区的健康干预措施 (CBHI) 是有前途的. 社区卫生工作者 (CHWs) 有效地促进健康素养和行为改变,他们的人际交往技能是成功的关键.
科学领域:
- 公共卫生 公共卫生
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 基于社区的健康干预 (CBHI) 在全球范围内很受欢迎,但在新加坡的公共卫生保健中未得到充分利用.
- 现有的新加坡倡议往往针对特定疾病,限制了整体预防性护理.
- 老年人对多领域预防性健康计划的看法对于整合至关重要.
研究的目的:
- 评估老年人对"康复,生活良好"CBHI计划的看法.
- 评估社区卫生工作者 (CHWs) 在提高健康素养和改变行为方面的有效性.
- 检查CHW提供的CBHI计划中的参与者经验.
主要方法:
- 用有目的的抽样来招募参与者的定性研究.
- 与40岁及以上的参与者进行了深入的半结构化电话采访.
- 由三个训练有素的评估员进行的采访记录的专题分析.
主要成果:
- 包括19名参与者 (平均年龄64岁,84%是女性,95%是中国人).
- 关键主题:计划价值,CHW互动,以及卫生服务/行为便利化.
- 参与者报告了改善的身体/情绪支持,健康素养和社会互动.
结论:
- 医疗保健工作的有效性取决于个人素质,服务质量,参与者联系和主动促进.
- 在CHW中,强大的人际交往技能对于成功实施CBHI至关重要.
- 新加坡未来的CBHI计划应该优先考虑具有优秀人才技能的医疗保健工作者.
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