与使用毒品的人共同创建卫生系统创新
Renée McBeth1, Colton Sandberg2, Veronica Varewny3
1Department of Family Medicine, University of Alberta, 5-16 University Terrace, Edmonton, AB, T6G 2T4, Canada.
Harm reduction journal
|October 22, 2025
概括
这项研究使用了基于社区的参与性研究,以将使用/使用过毒品的人 (PWUD) 集中在医疗服务规划中. 研究结果强调了需要适应性,关系式方法来解决PWUD所经历的健康不平等问题.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 基于社区的研究.
背景情况:
- 毒品毒性,无家可归和气候灾害的多重危机加剧了使用/曾使用毒品的人 (PWUD) 的健康不平等.
- 复杂的护理系统需要社区驱动的适应性创新,以解决交叉的健康,社会政治和环境问题.
- 这项研究旨在通过将PWUD集中在内城社会服务中心的健康服务规划中,为服务创新提供信息.
研究的目的:
- 共同创建一个将PWUD置于卫生服务规划和优先级的过程.
- 在复杂的护理系统中提供适应性创新信息.
- 解决由社会和环境问题的多重危机加剧的健康不平等问题.
主要方法:
- 基于社区的参与式研究方法,以复杂性理论为基础.
- 使用PWUD利用SenseMaker的微型叙述和基于艺术的资产映射.
- 采用了一种代的四阶段研究方法:预数据收集,正式数据收集,再调整和问责制.
主要成果:
- 一个四阶段的框架促进了一种动态的,负责任的方法,将PWUD集中在卫生系统创新中.
- 215名PWUD参与者分享了关于获得医疗保健,减少伤害和社区支持的叙述.
- 代分析允许实时调整,确保以股权为导向的参与结构性脆弱群体.
结论:
- 有意义的参与PWUD需要关系和适应的方法来实现卫生系统的创新.
- 基于社区的参与性研究,由复杂性理论为基础,使得负责任的医疗创新成为可能.
- 为共同创造和以同行为中心的方法提供建议,优先考虑PWUD在卫生服务发展中的声音.
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