Brown David Richard, Hernández Agueda, Saint-Jean Gilbert, Evans Siân, Tafari Ida, Brewster Luther G, Celestin Michel J, Gómez-Estefan Carlos, Regalado Fernando, Akal Siri, Nierenberg Barry, Kauschinger Elaine D, Schwartz Robert, Page J Bryan
Department of Family Medicine and Community Health, Leonard M. Miller School of Medicine, University of Miami, PO Box 016700, Miami, FL 33101, USA.
Am J Public Health. 2008 Jan;98(1):28-38. doi: 10.2105/AJPH.2006.091363. Epub 2007 Nov 29.
Healthy People 2010 made it a priority to eliminate health disparities. We used a rapid assessment response and evaluation (RARE) to launch a program of participatory action research focused on health disparities in an urban, disadvantaged Black community serviced by a major south Florida health center. We formed partnerships with community members, identified local health disparities, and guided interventions targeting health disparities. We describe the RARE structure used to triangulate data sources and guide intervention plans as well as findings and conclusions drawn from scientific literature and epidemiological, historic, planning, clinical, and ethnographic data. Disenfranchisement and socioeconomic deprivation emerged as the principal determinants of local health disparities and the most appropriate targets for intervention.
“健康人民2010”将消除健康差距作为优先事项。我们采用快速评估反应与评价（RARE）方法，在佛罗里达州南部一家大型健康中心服务的城市弱势黑人社区开展了一项以健康差距为重点的参与式行动研究计划。我们与社区成员建立了伙伴关系，确定了当地的健康差距，并指导针对健康差距的干预措施。我们描述了用于三角测量数据源并指导干预计划的RARE结构，以及从科学文献、流行病学、历史、规划、临床和人种学数据中得出的结果和结论。被剥夺公民权和社会经济剥夺成为当地健康差距的主要决定因素以及最适当的干预目标。
