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首页> 外文期刊>The International journal of health planning and management >Evaluating community participation: A comparison of participatory approaches in the planning and implementation of new primary health‐care services in northern Australia
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Evaluating community participation: A comparison of participatory approaches in the planning and implementation of new primary health‐care services in northern Australia

机译：评估社区参与：在澳大利亚北部的新初级卫生保健服务方面的参与式方法比较

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Summary Community participation is increasingly seen as a prerequisite for more acceptable and sustainable health services. It is difficult to evaluate the extent of participation in health planning and implementation of services, and there are limited tools available to assist in evaluating such processes. Our paper reports on community participation as part of the implementation of 2 primary health programs in regional north Queensland, Australia. We define community participation as collective involvement of people, including consultation, from a community of place or interest in aspects of health service development. We pragmatically evaluate and compare the extent of participation by using a framework developed by Rifkin and colleagues in 1988 and subsequently refined. Data collected from the implementation of each program were analyzed and ranked on a spidergram against 5 process indicators: needs assessment, leadership, resource mobilization, management, and organization. Community participation was found to vary across the programs but was most extensive in both programs in identifying need and potential solutions. Both programs demonstrated high levels of integration of the implementation of health programs with preexisting community structures. Involving local communities in genuine opportunities in managing the programs and mobilizing resources was more challenging. Key differences emerged in the people involved in the programs, the settings and frameworks used to facilitate implementation. We conclude that Rifkin's process indicators are a useful starting point for assessing community participation, particularly for health planners who are required to include participatory approaches when planning and implementing services. We suggest areas that require further consideration.
机译：摘要社区参与越来越被视为更可接受和可持续的保健服务的先决条件。很难评估参与健康规划和实施服务的程度，有限的工具可有助于评估此类流程。我们的论文参与作为澳大利亚地区北昆士兰2个初级健康计划的一部分。我们将社区参与定义为人民的集体参与，包括咨询，从一个地方或卫生服务发展方面的兴趣。我们通过使用1988年的Rifkin及其同事开发的框架并随后改造，务实评估和比较参与程度。从每个程序的实施收集的数据进行了分析，并在蜘蛛图上排名为5个过程指标：需求评估，领导，资源调动，管理和组织。发现社区参与在这些方案中各不相同，但在识别需要和潜在解决方案方面最广泛地广泛。这两个方案都表现出高水平的卫生计划实施与预先存在的社区结构。涉及当地社区在管理计划和动员资源的真正机会中更具挑战性。参与程序的人员中出现的主要差异，用于促进实施的设置和框架。我们得出结论，RIFPIN的流程指标是评估社区参与的有用起点，特别是对于在规划和实施服务时需要包括参与方式的卫生规划人员。我们建议需要进一步考虑的领域。

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