从头开始构建股权:堪萨斯州西沃德县的一个社区学术模式
Kara Knapp1, Clarissa Carrillo Martinez2,3, Sarah Foreman3
1Department of Family Medicine and Community Health, University of Kansas Medical Center, Kansas City, KS, United States.
Frontiers in public health
|September 11, 2025
概括
学术界与社区之间的伙伴关系有效地解决了不同地区的健康差异. 堪萨斯州西沃德县的一项合作通过授权当地领导和利用社区优势,成功改善了健康结果.
科学领域:
- 基于社区的参与式研究
- 卫生公平研究 卫生公平研究
- 公共卫生干预措施 公共卫生干预措施
背景情况:
- 学术-社区伙伴关系对于解决农村和多元化人口的健康差异至关重要.
- 社区组织促进公平 (COPE) 倡议促进了自由地区家庭联盟 (LACF) 和堪萨斯大学医学中心 (KUMC) 之间的合作.
- 堪萨斯州西沃德县因其文化多样性,语言复杂性和高度社会脆弱性而面临独特的挑战.
研究的目的:
- 要突出一个学术社区伙伴关系的案例研究,重点是共同开发和实施以公平为导向的健康战略.
- 展示如何利用社区的优势和学术资源可以解决健康差异.
- 展示一种模式,以培养复原力和改善代表性不足的社区的健康结果.
主要方法:
- 建立一个由社区成员,利益相关者和公共卫生专业人员组成的当地健康公平行动小组 (LHEAT).
- 区域社区领导者 (RCL) 和社区卫生工作者 (CHW) 参与支持LHEAT活动.
- 实施包容的双语参与模式,文化相关的服务,以及以数据为基础的规划,以解决确定的健康需求.
主要成果:
- 在两年内,LHEAT的成员数量扩大到50多人.
- 启动了33个健康倡议,解决了食品获取,COVID-19测试/接种疫苗和公共卫生服务方面的障碍.
- 在647个确定的客户健康需求中,近90%的需求得到了满足.
结论:
- 伙伴关系应优先考虑当地资产,环境适应和建立信任.
- 由社区领导的联盟,在学术机构的支持下,可以推动上游系统的变化.
- 持续投资于地方领导和参与性评估对于促进健康公平至关重要.
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