了解危机,以告知危机应对:从定性民族学案例研究的社区观点
Polly Ford-Jones1, Chiemela Iheanacho2, Simon Adam3
1Faculty of Health & Life Sciences, Humber Polytechnic, Toronto, ON, Canada.
Community health equity research & policy
|March 11, 2026
概括
社区应对危机必须解决结构性问题,而不仅仅是医疗保健. 广泛理解危机,考虑生活经验和系统性障碍,是为所有个人提供有效,公平的支持的关键.
科学领域:
- 社区健康 社区健康
- 心理健康服务研究 心理健康服务研究
- 卫生社会学 卫生社会学
背景情况:
- 社区应对危机至关重要,特别是对于边缘化群体.
- 当前的危机概念化往往是医疗化的,忽视了结构因素.
- 加拿大安大略省作为案例研究背景.
研究的目的:
- 探索社区对危机的描述.
- 检查危机理解与社区应对之间的一致性.
- 挑战危机护理的医疗化和监狱化的方法.
主要方法:
- 批判性的定性民族学案例研究方法.
- 半结构面试 (n=53) 和开放式调查 (n=60).
- 文件分析涉及社区成员,组织和急性护理机构.
主要成果:
- 危机被描述为广泛的,包容性的和自我定义的.
- 结构性生活条件对危机经历产生重大影响.
- 进入障碍和服务需求不匹配造成危机.
- 护理条件有助于危机情况.
结论:
- 需要更广泛的危机概念化,包括上下文,结构和系统因素.
- 超越生物医学缩小主义对于有效的危机护理至关重要.
- 挑战医疗和监狱系统可以改善危机应对和预防.
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