Kuipers P, Kendall E, Hancock T
Level 3 Mayne Medical School, The University of Queensland, Herston, Queensland, Australia.
Rural Remote Health. 2003 Jan-Jun;3(1):186. Epub 2003 Jun 3.
The article outlines the evaluation framework devised for a semi-formal disability service project in central Queensland, Australia, which was implemented using a community-based, participatory model. Utilising a service framework known as Community-Based Rehabilitation and an implementation strategy adapted from Participatory Rural Appraisal, this model is presented as a potential alternative for rehabilitation and disability services in the light of concerns that such services are poorly tailored and inadequate in remote and rural areas of Australia.
In recognition of the difficulty of evaluating such participatory and community-based initiatives, this evaluation was based on the analysis of large amounts of qualitative data from multiple sources, which were categorised against key themes drawn from the literature, using a SWOT analysis (strengths, weaknesses, opportunities and threats). It is suggested that this innovative and multifaceted evaluation methodology may have broader application.
Findings of the service evaluation indicated positive informal, community and social outcomes. Formal structural and organisational outcomes were found to be limited with a possibility of compromising the long-term viability of the initiative. Suggestions are made regarding the process of implementing similar research initiatives. The model may have application in similar rural community-based initiatives internationally.
本文概述了为澳大利亚昆士兰州中部一个半正式残疾服务项目设计的评估框架，该项目采用基于社区的参与式模式实施。鉴于人们担心澳大利亚偏远和农村地区的康复和残疾服务针对性差且不足，该模式利用一种名为社区康复的服务框架以及借鉴参与式农村评估的实施策略，被视为康复和残疾服务的一种潜在替代方案。
由于认识到评估此类参与式和基于社区的举措存在困难，本次评估基于对来自多个来源的大量定性数据的分析，这些数据根据从文献中提取的关键主题进行分类，并采用SWOT分析（优势、劣势、机会和威胁）。有人认为这种创新的多方面评估方法可能有更广泛的应用。
服务评估结果表明产生了积极的非正式、社区和社会成果。发现正式的结构和组织成果有限，这可能会损害该举措的长期可行性。针对实施类似研究举措的过程提出了建议。该模式可能在国际上类似的农村社区举措中具有应用价值。
