社区卫生工作者的咨询是基于行为改变的赤字模型
Micah B Goldwater1, Faiz A Hashmi2, Sudipta Mondal3
1School of Psychology, The University of Sydney, Sydney, New South Wales, Australia.
PLOS global public health
|July 23, 2025
概括
印度 印度 印度
科学领域:
- 公共卫生 公共卫生
- 健康 行为 健康行为
- 卫生社会学 卫生社会学
背景情况:
- 印度的认可社会卫生活动家 (ASHA) 计划旨在改善农村地区的医疗保健服务.
- 尽管有计划的努力,医疗服务的采用仍然低于目标水平,这表明存在持续的障碍.
研究的目的:
- 调查ASHA计划客户不遵守医疗建议的原因.
- 为认可的社会卫生活动家 (ASHAs) 确定有效的策略,以鼓励医疗服务的采用.
主要方法:
- 质量研究涉及与ASHA及其客户的采访.
- 分析医疗建议的感知障碍和建议的说服技巧.
主要成果:
- 鉴定到的障碍与为增加医疗服务采用提出的解决方案之间存在显著的不匹配.
- 关键的障碍包括对医疗福利缺乏理解以及社会/家庭压力.
- 建议的解决方案主要集中在信息传播上,忽视了社会动态.
结论:
- 阿沙计划可能运行在一个'赤字模型'上,假设仅仅是教育才能推动行为变化.
- 有效的说服需要解决社会动态和个人动机,而不仅仅是知识差距.
- 建议在行为改变科学中培训ASHA,以提高健康计划的有效性.
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