重新想象波里瓦的健康:社区主导的健康方法
Nethmi Kearns1, Jennifer Randle1, Anita Taggart2
1Public Health Medicine Registrar, Te Wāhi Tiaki Tātou, Te Rūnanga o Toa Rangatira, Porirua.
The New Zealand medical journal
|October 23, 2025
概括
通过"重新想象会议"进行社区参与,使 whānau 成为医疗服务设计专家. 这种协作式的方法转移了权力,导致了社区知情的卫生服务和倡议.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 基于社区的参与式研究
背景情况:
- 有意义的社区参与对于有效的卫生服务和倡议设计至关重要.
- 根据"2022年Pae Ora法"设立的Te Wāhi Tiaki Tātou,支持波里瓦的基于地方的健康 (福祉) 方法.
- "重新想象会"是利用生活经验作为卫生服务设计中的基本证据.
研究的目的:
- 描述"重新想象会议"的方法和影响,以促进社区参与卫生服务设计.
- 突出从传统商转向协作,社区主导的方法.
- 展示家庭主导的健康服务变革的潜力.
主要方法:
- "重新想象会议"结合了参与行动研究 (PAR) 和服务设计的原则,以Te Tiriti o Waitangi为基础.
- 关键原则包括尊重生活经验作为专业知识,以社区为中心的方法,以及与 whānau 作为共同创造者或共同研究者的权力共享.
- 会议涉及到 whānau 和提供者绘制当前经验和设想未来的状态,以关系参与和反思性实践为指导.
主要成果:
- "重新想象会议"的功能超出了协商范围,积极分享权力并放大社区的声音.
- 输出被综合成验证的,以行动为导向的报告.
- 有效的参与依赖于信任的关系,文化安全的环境和情感定,以培养有抱负的思维.
结论:
- 当社区被视为自己生活的专家时,Whānau领导的卫生服务变革是可以实现的.
- 这种方法意味着从协商过渡到合作.
- 这种模式从以系统为中心的转变为以 whānau为中心的,并从通用到社区为基础的卫生服务.
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