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从古巴经验中汲取的教训能否改善洛杉矶南部的健康差距?

Can lessons learned from a Cuban experience improve health disparities in south Los Angeles?

作者信息

Dominguez Fred, Ortega Alex N

机构信息

Department of Family Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, California, USA.

出版信息

Ethn Dis. 2008 Spring;18(2 Suppl 2):S2-141-5.

Abstract

The purpose of this study is to observe Cuba's working healthcare models in an effort to improve ethnic health disparities in south Los Angeles through generating a new level of synergy by mobilizing resources to create academic-community partnerships and apply lessons learned. During a three-year period beginning in 2005, a team of 12-14 Charles R. Drew University and UCLA faculty, south Los Angeles community leaders, and health providers completed three one-week visits to Cuba to survey the country's approach to various health problems and ascertain their potential to improve health conditions in south Los Angeles. Various methods such as opinion surveys, evaluations, and team meetings were used to measure the direction and progress of translating lessons learned into creating a working relationship with community leaders. After two visits, opinion surveys demonstrated an increase in the response to acknowledging that there were lessons learned. However, respondents acknowledged that they encountered difficulty in attempting to make these changes. One outcome from these visits resulted in a community forum at which community leaders and residents from south Los Angeles heard various speakers present on lessons learned in Cuba. In conclusion, after observing Cuba's approach to health problems that are also encountered in south Los Angeles, the team has begun to plan research projects and next steps to incorporate lessons learned into current programs with the community.

摘要

本研究的目的是观察古巴有效的医疗模式,通过调动资源建立学术-社区伙伴关系并应用所学经验,在南洛杉矶产生新的协同效应,以改善种族健康差异。从2005年开始的三年时间里,由12至14名查尔斯·R·德鲁大学和加州大学洛杉矶分校的教员、南洛杉矶社区领袖以及医疗服务提供者组成的团队,对古巴进行了三次为期一周的访问,以调研该国应对各种健康问题的方法,并确定其改善南洛杉矶健康状况的潜力。采用了意见调查、评估和团队会议等多种方法来衡量将所学经验转化为与社区领袖建立合作关系的方向和进展。两次访问后,意见调查显示,认可学到经验的回应有所增加。然而,受访者承认他们在尝试做出这些改变时遇到了困难。这些访问的一个成果是举办了一次社区论坛,南洛杉矶的社区领袖和居民听取了多位演讲者介绍在古巴学到的经验。总之,在观察了古巴应对南洛杉矶也存在的健康问题的方法后,该团队已开始规划研究项目和后续步骤,以便将所学经验纳入与社区的现有项目中。

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