在健康促进项目中实施社区参与方法的促进者和障碍:西班牙13个项目的定性研究
Viola Cassetti1, María Victoria López-Ruiz2, Ana Egea-Ronda3
1Valencian International University (VIU), Faculty of Health Science, 46002, Valencia, Spain.
Public health in practice (Oxford, England)
|March 11, 2025
概括
社区健康促进需要参与式方法,但组织因素显著影响项目成功和社区参与. 优先考虑组织结构是有效促进健康和持续社区参与的关键.
科学领域:
- 公共卫生 公共卫生
- 促进社区健康 促进社区健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 社区健康促进项目从参与式方法中受益.
- 背景因素对这些项目的设计和实施产生重大影响.
- 了解障碍物和促进者对于有效的社区参与至关重要.
研究的目的:
- 确定影响实施基于证据的指导方针的障碍和促进者,以促进社区参与健康促进项目的社区参与.
- 分析这些因素如何影响项目设计和执行.
主要方法:
- 质量探索性研究涉及13个社区健康促进项目在西班牙.
- 与68名参与者 (核心工作组和关键利益相关者) 进行半结构化访谈和互动研讨会.
- 描述性主题分析和内容分析,以识别和分类障碍和促进者.
主要成果:
- 确定了14名促进者,主要与内部组织和有效的工作策略有关.
- 确定了七个障碍,包括缺乏资源,外部依赖和评估方面的挑战.
- 大多数确定的因素与项目组织有关,而不是直接与社区参与有关.
结论:
- 组织结构对于社区健康促进项目的质量和连续性至关重要.
- 优先考虑组织方面可以在整个项目中加强社区成员的参与.
- 有效的项目组织是成功社区卫生计划的基础.
更多相关视频
相关概念视频
Community Based Intervention
27
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
27
Barriers to Effective Communication II
3.6K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.6K
Models of Health Promotion and Illness Prevention I
2.0K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.0K
Models of Health Promotion and Illness Prevention II
1.5K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
1.5K
Methods Of Healthcare Delivery System
3.1K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.1K
Levels of Health Promotion and Illness Prevention
11.4K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
11.4K


