Stronger Together: A Successful Model of Health System-Community Collective Action During the COVID-19 Pandemic.

IF 0.8 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Progress in Community Health Partnerships-Research Education and Action Pub Date : 2024-01-01
Yihui Yang, Christine M Gunn, Barbara Farnsworth, Gregory Norman, Sally Kraft
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Abstract

Background: Discontinuity between health care delivery systems and community-based organizations is a significant barrier to improving population health.

Objective: To describe the facilitators and barriers experienced by a health system-community partnership 15 months after implementation.

Methods: Coalition members who led committees within the coalition or had active, sustained participation in coalition activities were invited to participate. Qualitative interviews used a semi-structured interview guide that elicited information on coalition functioning. A content analysis used inductive and deductive codes which were reviewed using a consensus process. Final themes centered on factors that facilitated or impeded the coalition's success in supporting community needs during the COVID-19 pandemic.

Lessons learned: Coalition stakeholder perspectives identified several critical factors: defined governance, a culture of trust that accelerates learning, reliable resources, and a health-care anchor organization committed to shared investment.

Conclusions: Lessons from this endeavor contribute to a deeper understanding of successful practices for health system-community partnerships.

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强强联手:在 COVID-19 大流行期间卫生系统-社区集体行动的成功模式。
背景:医疗保健服务系统与社区组织之间的不连续性是改善人口健康的一大障碍:描述医疗系统与社区合作实施 15 个月后所遇到的促进因素和障碍:方法:邀请在联盟内领导委员会或积极、持续参与联盟活动的联盟成员参加。定性访谈采用了半结构化访谈指南,以获取有关联盟运作的信息。内容分析使用了归纳和演绎代码,并通过协商一致的程序对代码进行了审查。最终的主题集中在 COVID-19 大流行期间促进或阻碍联盟成功支持社区需求的因素上:联盟利益相关者的观点确定了几个关键因素:明确的管理、可加速学习的信任文化、可靠的资源以及致力于共同投资的医疗保健支柱组织:从这项工作中汲取的经验教训有助于加深对医疗系统与社区合作成功实践的理解。
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CiteScore
1.30
自引率
0.00%
发文量
65
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