Wendel Monica L, Prochaska John D, Clark Heather R, Sackett Shawta, Perkins Keith
Center for Community Health Development, School of Rural Public Health, Texas A&M Health Science Center, 1266 TAMU, College Station, TX 77843-1266, USA.
J Prim Prev. 2010 Apr;31(1-2):59-68. doi: 10.1007/s10935-010-0203-y.
Community health development is a process by which a community identifies factors influencing population health, assesses available resources to build the capacity to plan and take action, and implement interventions to address identified needs. At its core, community health development targets structural change and infrastructure development to facilitate more efficient and effective health service delivery systems and environmental changes to support improvements in community health. One indicator of structural change and common measure of community capacity is the relationships among the network of organizations that comprise that system. The Brazos Valley has employed a community health development approach to population health improvement in partnership with the Center for Community Health Development. Changes in interorganizational networks illustrate progress in the Brazos Valley. Contextual factors provide some insight into how the process has unfolded.
社区健康发展是一个社区识别影响人群健康的因素、评估可用资源以建立规划和采取行动的能力,并实施干预措施以满足已识别需求的过程。从核心来看,社区健康发展旨在实现结构变革和基础设施发展,以促进更高效和有效的卫生服务提供系统,并实现环境变革以支持社区健康的改善。结构变革的一个指标和社区能力的常用衡量标准是构成该系统的组织网络之间的关系。布拉索斯谷与社区健康发展中心合作,采用了社区健康发展方法来改善人群健康。组织间网络的变化说明了布拉索斯谷的进展情况。背景因素为该过程的展开方式提供了一些见解。