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Transforming community well-being through patients' lived experiences

机译：通过患者的生活经历改变社区福祉

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The purpose of this article is to (1) explicate micro-to-meso linkages of well-being, (2) provide a theoretical framework to guide research on connecting patient experiences to community well-being, and (3) offer guidelines to policymakers. We develop a conceptual framework establishing connections between micro and meso levels through the expansion of patients' lived ecosystems. We introduce the concept of patient ecosystem management (PEM), an organizational process that focuses on treating patients differently in terms of assessing, managing, and expanding resources to achieve patient health and well-being goals. This process establishes a foundational perspective that is necessary to connect patients' ecosystems and to facilitate community well-being. Theoretically, this research creates ties between micro-level interactions and a collective measure (community well-being). Policymakers and healthcare professionals should take a PEM perspective, which will require new roles and behaviors, and leverage technology to expand and overlap patients' individual service ecosystems (intra-alignment), thus enlarging community well-being (inter-alignment).
机译：本文的目的是（1）阐明幸福感的微观与微观之间的联系；（2）提供理论框架以指导有关将患者体验与社区幸福感联系起来的研究；（3）为决策者提供指导。我们建立了一个概念框架，通过扩大患者生活的生态系统，在微观和中观水平之间建立联系。我们介绍了患者生态系统管理（PEM）的概念，该过程旨在在评估，管理和扩展资源以实现患者健康和福祉目标方面着眼于不同地对待患者。这个过程建立了一个基础的观点，对于连接患者的生态系统和促进社区福祉是必不可少的。从理论上讲，这项研究在微观互动与集体测量（社区幸福）之间建立了联系。决策者和医疗保健专业人员应采取PEM观点，这将要求新的角色和行为，并利用技术来扩展和重叠患者的个体服务生态系统（内部联盟），从而扩大社区福祉（内部联盟）。

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