参与社区,建模系统:德克萨斯州对孕产妇健康的系统动态建模的教训
Kyrah K Brown1, Michael K Lemke2, Deneen Robinson3
1Department of Kinesiology, The University of Texas at Arlington, Arlington, TX>, United States.
Frontiers in global women's health
|October 13, 2025
概括
基于社区的参与式研究和系统思维研讨会改善了黑人妇女的孕产妇健康平等. 这些方法培养了信任,提高了声音,并产生了可操作的见解,使参与者从怀疑转向行动.
科学领域:
- 公共卫生 公共卫生
- 系统科学 系统科学
- 健康 公平 卫生 公平
背景情况:
- 非西班牙裔黑人妇女在母亲健康结果中的差异是复杂的,受临床,社会和结构因素的影响.
- 传统的方法往往无法解决这些多方面的问题,强调需要创新的,以社区为中心的战略.
研究的目的:
- 用基于社区的参与性研究 (CBPR) 原则,描述实施系统动态组建模型 (SD GMB) 研讨会所吸取的经验教训.
- 通过社区驱动的系统思维方法,解决黑人妇女之间的孕产妇健康差异.
主要方法:
- 与31个不同的利益相关者进行了SD GMB研讨会,包括有实践经验的个人.
- 员工创伤信息化便利化,包裹式支持和结构化系统建模.
- 完成了车间数据的描述性分析.
主要成果:
- 报告显示,利益相关者满意度高,系统思维能力提高,从怀疑转向行动.
- 利益相关者重视包容性设计,经历了有意义的学习,并对未来的参与表示了兴趣.
- 研讨会产生了基于社区经验的可操作系统见解.
结论:
- 将SD GMB与CBPR整合起来可以建立信任,提升边缘化的声音,并创建反映孕产妇健康结构现实的模型.
- 未来的工作包括模型量化,通过学习实验室进行干预测试,并开发政策模拟仪表板.
- 研究结果支持开发更具吸引力的,社区知情的方法来研究和实践孕产妇健康.
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