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首页> 美国卫生研究院文献>Health Expectations : An International Journal of Public Participation in Health Care and Health Policy >Minority ethnic community participation in needs assessment and service development in primary care: perceptions of Pakistani and Bangladeshi people about psychological distress
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Minority ethnic community participation in needs assessment and service development in primary care: perceptions of Pakistani and Bangladeshi people about psychological distress

机译：少数民族社区参与初级保健的需求评估和服务开发：巴基斯坦和孟加拉国民众对心理困扰的看法

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>Objectives To promote community participation in exploring perceptions of psychological distress amongst Pakistani and Bangladeshi people, in order to develop appropriate services. >Design Training and facilitation of resident community members (as community project workers), to define and conduct qualitative research involving semistructured interviews in their own communities, informing primary care led commissioning and service decision making. >Setting A socio‐economically disadvantaged inner‐city locality in the UK. >Participants One‐hundred and four South Asian people (49 of Pakistani and 55 of Bangladeshi origin), interviewed by 13 resident community members. >Results All community project workers completed training leading to a National Vocational Qualification, and successfully executed the research. Most study respondents located their main sources of stress within pervasive experience of racism and socio‐economic disadvantage. They were positive about `talking' and neutral listening as helpful, but sought strategies beyond non‐directive counselling services that embraced practical welfare advice and social support. The roles of primary health care professionals were believed to be restricted to physical ill health rather than personal distress. The importance of professionals' sex, age, ethnicity and social status were emphasized as affecting open communication. Practical recommendations for the re‐orientation and provision of services were generated and implemented in response to the findings, through dialogue with a primary care commissioning group, Health and Local Authority, and voluntary agencies. >Conclusions The work illustrates the feasibility and value of a community participation approach to research and service development in addressing a challenging and neglected area of minority ethnic health need. It offers one model for generating responsive service change in the context of current health policy in the UK, whilst also imparting skills and empowering community members. The study findings emphasize the need to recognize the social contexts in which distress is experienced and have implications for effective responses.
机译：>目标为了促进社区参与，探索巴基斯坦和孟加拉国人民对心理困扰的看法，以便发展适当的服务。 >设计居民社区成员（作为社区项目工作人员）的培训和便利，以定义和进行定性研究，包括在他们自己的社区中进行半结构化访谈，告知初级保健领导的调试和服务决策。 >设置英国的一个在社会经济上处于不利地位的市中心地区。 >参与者：一百三十四名南亚人（来自巴基斯坦的49人和来自孟加拉国的55人）接受了13位常驻社区成员的采访。 >结果所有社区项目工作人员均完成了培训，获得了国家职业资格证书，并成功进行了研究。大多数研究受访者将主要压力源定位于种族主义和社会经济劣势的普遍经历中。他们对“交谈”和中立聆听很有帮助持积极态度，但他们寻求非指导性咨询服务之外的策略，这些服务包括实用的福利建议和社会支持。初级保健专业人员的作用被认为仅限于身体不适而不是个人痛苦。强调了专业人员的性别，年龄，种族和社会地位的重要性，这影响了开放式交流。通过与初级保健委托小组，卫生和地方当局以及志愿机构进行对话，根据调查结果制定并实施了关于重新定位和提供服务的实用建议。 >结论这项工作说明了社区参与方法在研究和服务开发方面的可行性和价值，以解决充满挑战和被忽视的少数民族健康需求。它提供了一种模式，可以在英国当前的卫生政策范围内产生响应性的服务变化，同时还可以传授技能并增强社区成员的权能。研究结果强调必须认识到经历痛苦的​​社会环境并影响有效应对。

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