Oandasan Ivy F
Family Health Centre, University Health Network-Toronto Western Hospital, 399 Bathurst Street, 2W 404, Toronto, Ontario, Canada M5T 2S8.
Acad Med. 2005 Oct;80(10 Suppl):S38-41. doi: 10.1097/00001888-200510001-00013.
Although advocacy is a value that is acknowledged among care providers, the definition of advocacy and the competencies associated with it vary among those who teach it.
Grounded theory analysis was used on case studies of eight physicians identified as being responsive to community needs.
Community-responsive physicians were found to engage in health advocacy by working with, or on behalf of, their patients/communities through being either (a) informants-providing information to those who can enact change, or (b) change agents-initiating, mobilizing, and organizing ways to systematically modify policies or procedures that negatively effect patients/communities. Issues of health advocacy as they relate to the determinants of health and health promotion are highlighted.
This article provides an enhanced understanding of health advocacy and proposes an operational definition of health advocacy that may allow for an enhanced method of teaching health advocacy to learners.
尽管倡导是护理人员所认可的一种价值观，但倡导的定义以及与之相关的能力在教授倡导的人群中各不相同。
对八名被认定为响应社区需求的医生的案例研究采用扎根理论分析。
发现响应社区需求的医生通过以下方式参与健康倡导：与患者/社区合作或代表他们行事，具体表现为（a）信息提供者——向能够促成变革的人提供信息，或（b）变革推动者——发起、动员和组织各种方式，以系统地修改对患者/社区产生负面影响的政策或程序。强调了与健康决定因素和健康促进相关的健康倡导问题。
本文增进了对健康倡导的理解，并提出了健康倡导的操作性定义，这可能为向学习者教授健康倡导提供一种更好的方法。
