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发展基于农村社区的残疾服务:(一)服务框架与实施策略。

Developing a rural community-based disability service: (I) service framework and implementation strategy.

作者信息

Kuipers P, Kendall E, Hancock T

机构信息

Centre For Human Services, Griffith University, Brisbane, Queensland, Australia.

出版信息

Aust J Rural Health. 2001 Feb;9(1):22-8. doi: 10.1046/j.1440-1584.2001.00333.x.

DOI:10.1046/j.1440-1584.2001.00333.x
PMID:11703263
Abstract

In response to widely recognised dilemmas associated with rehabilitation and disability service provision in remote and rural areas of Australia, a community-based, participatory approach to service development was adapted for a disability service project in central Queensland. The service framework, known as Community Based Rehabilitation (CBR), fosters the involvement of community members in disability service provision. Although this framework has been described previously, few guidelines exist regarding appropriate implementation of such an approach. Consequently, the implementation strategy known as Participatory Rural Appraisal (PRA) was adopted. Participatory Rural Appraisal has been reported to foster the participation and decision-making of community members in community projects. The present article describes the application of this implementation strategy to disability service provision in a relatively under-resourced rural shire. The rationale, framework and process of the pilot are described. A subsequent publication will document the service component, detail evaluation findings and describe the long-term outcomes of this research.

摘要

针对澳大利亚偏远和农村地区康复及残疾服务提供方面广泛认可的困境,一种基于社区的参与式服务发展方法被应用于昆士兰州中部的一个残疾服务项目。这个被称为社区康复(CBR)的服务框架,促进社区成员参与残疾服务的提供。尽管此前已对该框架进行过描述,但关于如何适当实施这种方法的指导方针却很少。因此,采用了被称为参与式农村评估(PRA)的实施策略。据报道,参与式农村评估能促进社区成员参与社区项目并进行决策。本文描述了这种实施策略在资源相对匮乏的农村郡残疾服务提供中的应用。阐述了该试点项目的基本原理、框架和过程。后续的一篇出版物将记录服务内容、详细的评估结果并描述本研究的长期成果。

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