建立社区信任:农村卫生部门的健康公平之旅
Lisa A Campbell1, Mary K Canales2, Keely Spiser3
1Population Health Consultants, LLC, San Antonio, Texas, USA.
Public health nursing (Boston, Mass.)
|March 9, 2026
概括
农村卫生部门可以通过解决政治障碍和系统不平等来促进健康公平. 这个社区健康评估 (CHA) 突出了建立信任和提升公共卫生中边缘化的声音的战略.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 农村卫生 农村卫生
背景情况:
- 农村卫生部门在推进健康公平方面面临着独特的挑战,政治两极分化和COVID-19大流行加剧了这一挑战.
- 疫情强调了公共卫生,政治动态和社区信任之间的复杂关系.
研究的目的:
- 记录一个农村地方县卫生部门 (LCHD) 如何克服政治障碍和系统不平等.
- 评估在COVID-19大流行期间和之后进行社区健康评估 (CHA) 的过程.
主要方法:
- 混合方法数据收集 (2021-2023):双语社区调查,听力会 (英语/西班牙语),非正式采访.
- 卫生公平镜头用于分析权力动态,系统障碍和社区健康视角.
主要成果:
- 调查数据显示,西班牙裔和非西班牙裔受访者之间的健康问题和感知障碍存在差异.
- 获得医疗保健的机会是西班牙裔受访者面临的重大障碍.
- 从CHA过程中学到的教训是详细的.
结论:
- 在CHA中使用的策略展示了农村卫生部门如何在政治挑战中促进健康公平.
- 关键的成功因素包括语言考虑,战略联盟建设和放大边缘化的声音.
- 通过调整语言和形成战略联盟,LCHD成功地建立了社区信任,尽管存在政治阻力.
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