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糖尿病控制综合社区项目的形成:从DIRECT项目案例研究中汲取的经验教训。

The formation of a complex community program for diabetes control: lessons learned from a case study of Project DIRECT.

作者信息

Goodman R M, Liburd L C, Green-Phillips A

机构信息

Department of Community Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana, USA.

出版信息

J Public Health Manag Pract. 2001 May;7(3):19-29. doi: 10.1097/00124784-200107030-00006.

DOI:10.1097/00124784-200107030-00006
PMID:11338083
Abstract

A case study was conducted of the formation of a diabetes initiative in a largely African American urban community. The study focused on how confluent the original project model was with actual formation, what benefits were produced, what areas of needed improvement surfaced, and how different stakeholder groups characterized one another's involvement. The project produced several benefits but also experienced needed improvements in its formation, which suffered from a lack of communication, cooperation, and coordination; unclear goals and personnel roles; and early delays. Lessons include treating project formation as an important developmental stage and reducing bureaucratic management approaches not suited for community partnerships.

摘要

对一个主要由非裔美国人组成的城市社区中糖尿病倡议的形成进行了一项案例研究。该研究聚焦于原始项目模型与实际形成过程的契合程度、产生了哪些益处、出现了哪些需要改进的领域,以及不同利益相关者群体如何描述彼此的参与情况。该项目产生了若干益处,但在其形成过程中也经历了需要改进之处,存在沟通、合作与协调不足;目标和人员角色不明确;以及早期延误等问题。经验教训包括将项目形成视为一个重要的发展阶段,并减少不适用于社区伙伴关系的官僚管理方法。

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