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A qualitative exploration of alternative strategies for building community health partnerships: Collaboration-versus issue-oriented approaches

机译:对建立社区卫生伙伴关系的替代策略的定性探索:协作与面向问题的方法

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摘要

Broad-based community partnerships are seen as an effective way of addressing many community, health issues, but the partnership approach has had relatively limited success in producing measurable improvements in long-term health outcomes. One potential reason, among many, for this lack of success is a mismatch between the goals of the partnership, and its structure/membership. This article reports on an exploratory, empirical analysis relating the structure of partnerships to the types of issues they address. A qualitative analysis of 34 “successful” community health partnerships, produced two relatively clear patterns relating partnership goals to structurel membership: (1) “collaboration-oriented” partnerships that included substantial resident involvement and focused on broader determinants of health with interventions aimed at producing immediate, concrete community improvements; and (2) “issueoriented” partnerships that focused on a single, typically health-related issue with multilevel interventions that included a focus on higher-level systems and policy change. Issue-oriented partnerships tended to have larger organizations governing the partnership with resident input obtained in other ways. The implication of these results, if confirmed by further research, is that funders and organizers of community health partnerships may need to pay closer attention to the alignment between, the membership/structure of a community partnership and its goals particularly with respect to the involvement of community residents.
机译:广泛的社区伙伴关系被视为解决许多社区健康问题的有效方法,但是伙伴关系方法在取得可衡量的长期健康成果改善方面取得的成功相对有限。许多这种失败的潜在原因之一是伙伴关系的目标与其结构/成员资格之间不匹配。本文报告了一项探索性,实证分析,将伙伴关系的结构与它们所解决的问题类型相关联。对34个“成功”社区卫生伙伴关系的定性分析产生了两种相对清晰的模式,将伙伴关系目标与结构性成员联系起来:(1)“面向合作”伙伴关系,包括居民的大量参与,并侧重于更广泛的健康决定因素,其干预措施旨在立即,具体的社区改善; (2)“问题导向”的伙伴关系,重点放在一个单一的,通常与健康有关的问题上,并采用多层次的干预措施,其中包括对高层系统和政策变化的关注。以问题为导向的伙伴关系倾向于让更大的组织通过其他方式获得居民的意见来管理伙伴关系。这些结果的含义,如果得到进一步研究的证实,那就是社区卫生合作伙伴关系的出资者和组织者可能需要更加关注社区合作伙伴关系的成员/结构与其目标之间的一致性,特别是在社区参与方面社区居民。

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