让社区参与共同设计学习健康系统:讲故事的经验教训和Design Jam,加拿大不列颠哥伦比亚省的一个社区案例研究
Margaret Chen-Mei Lin1,2, Krisztina Vasarhelyi3, Karen Lok Yi Wong2
1School of Nursing, University of British Columbia, Vancouver, BC, Canada.
Frontiers in health services
|August 13, 2025
概括
学习健康系统 (LHS) 通过优先考虑社区参与,可以促进健康公平. 本案例研究表明,如何与多方合作伙伴共同设计一个公平的LHS愿景,改善了所有社区的医疗保健服务.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 基于社区的参与式研究
- 卫生公平研究 卫生公平研究
背景情况:
- 医疗保健系统产生了大量的数据,但未能充分利用它来改善护理,特别是对应得到公平待遇的人群.
- 学习健康系统 (LHS) 旨在改善健康,患者/提供者体验,并降低成本,以健康公平为关键的第五个目标.
- 推进健康公平是加拿大LHS发展的核心驱动力,强调与边缘化社区的包容性,可访问性和共同创造.
研究的目的:
- 用设计思维和参与行动研究来描述以社区为中心的学习健康系统 (LHS) 愿景的共同发展.
- 为研究人员和政策制定者确定实际考虑,以促进LHS的公平性和社区驱动的方法.
- 展示LHS如何被设计为包容性和响应多样化的社区需求.
主要方法:
- 一个大规模的不列颠哥伦比亚省卫生机构整合了设计思维和参与行动研究.
- 包括患者,临床医生,管理人员和研究人员在内的50个不同的合作伙伴参加了共同设计会议.
- 方法包括欣赏性调查,设计思维,讲故事和设计,以加拿大LHS框架为指导.
主要成果:
- 参与者共同设计了六个关键领域的公平LHS的愿景:法律/道德,科学/研究,数据/技术,政策/流程/资源,土著领导力和社会/社区/公平.
- 生活经验揭示了关键的障碍和社区优先事项,强调了多样化的视角的重要性.
- 提出了实用考虑 (INSPIRE) 建议,以加强参与,促进公平,并确保社区驱动的LHS.
结论:
- 社区参与是发展公平和包容性的学习健康系统的基础.
- INSPIRE框架为研究人员和政策制定者提供了可行的策略,以在LHS中嵌入公平性.
- 未来的研究应侧重于克服参与障碍,并将参与式设计纳入卫生系统转型中.
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