弥合差距:提供者关于整合卫生公平体系的观点
Brittany R Schuler1, Stacey L Shipe2, Astrid Uhl1
1School of Social Work, College of Public Health, Temple University, 1301 Cecil B. Moore Ave., Ritter Annex 549, Philadelphia, PA 19122, USA.
社区组织 (CBOs) 面临着影响儿童和家庭健康平等的系统障碍. 解决政策,社区和组织支持等多层次因素对于公平的服务提供至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 研究 健康 公平 研究
- 社区卫生系统 社区卫生系统
背景情况:
- 卫生公平受社区组织 (CBO) 内部交叉因素的影响.
- 服务不足地区的提供者是儿童发展,心理健康和行为支持的关键接入点.
- 系统层面的障碍阻碍了服务提供和弱势家庭的获取.
研究的目的:
- 探索提供者对CBOs服务提供障碍的观点.
- 确定阻碍儿童和家庭健康平等的因素.
- 为系统层面的变化提供信息,促进公平的儿童和家庭健康结果.
主要方法:
- 采用了一种叙述性的定性设计.
- 从儿童和家庭服务的CBOs中对21名健康和心理健康专业人员进行了深入采访.
- 基于生态和优势的框架指导了对提供商见解的审查.
主要成果:
- 在宏观 (政策,种族主义),社区 (环境,凝聚力),组织 (压力,碎片化) 和家庭 (需求,获取) 层面出现了关键主题.
- 系统碎片化和缺乏供应商支持是重要的组织障碍.
- 在家庭层面确定了与基本需求,育儿支持和服务获取相关的障碍.
结论:
- 一个多层次的方法是必不可少的,优先考虑基于权利的政策和社区凝聚力.
- 加强CBO能力可以解决健康的社会决定因素.
- 系统整合和加强CBO支持对于减轻结构性障碍和促进健康公平至关重要.
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