Department of Public Health, University of Oxford, Oxford, UK.
Health Soc Care Community. 2009 Nov;17(6):659-65. doi: 10.1111/j.1365-2524.2009.00870.x. Epub 2009 Jul 22.
The aim of this study is to explore some of the issues of service user participation in the planning and delivery of public services from a community development perspective. It draws on an action research evaluation study of a local Sure Start programme, which was introduced into an area without a tradition of community involvement in decisions about local services. The study describes and analyses the challenges of parent participation in the organisation and delivery of the Sure Start programme at an operational and strategic level, using findings from semi-structured interviews, observations and critical conversations with Sure Start parents, staff and members of the Sure Start management board. The main substantive findings are that there was a lack of shared understanding of the nature of parent participation in all its facets and this undermined the efforts of parents and staff in the development of the programme. These findings also raise broader issues about participation, the place of parental partnerships with professionals and ways in which collaboration between the two may be interpreted and evolve.
本研究旨在从社区发展的角度探讨一些服务使用者参与公共服务规划和提供的问题。它借鉴了对当地“肯定开端”计划的一项行动研究评估研究,该计划被引入一个没有社区参与当地服务决策传统的地区。该研究通过对肯定开端计划家长、工作人员和肯定开端管理委员会成员的半结构化访谈、观察和批判性对话的调查结果,描述和分析了家长在组织和提供肯定开端计划方面在运作和战略层面上面临的挑战。主要实质性发现是,对家长参与的各个方面的性质缺乏共同理解,这削弱了家长和工作人员在计划发展方面的努力。这些发现还提出了关于参与、家长与专业人员伙伴关系的地位以及如何解释和发展两者之间合作的更广泛问题。