Prevention Research Center of Michigan, School of Public Health, University of Michigan, 1420 Washington Heights, Ann Arbor, Michigan 48109-2029, USA.
J Public Health Policy. 2010 Jul;31(2):199-211. doi: 10.1057/jphp.2010.8.
Community-Based Participatory Research (CBPR) has the twin goals of generating data and shaping policy decisions, yet examples that combine these goals are scarce in the literature. We describe how a community-based survey was created and used to help develop a county health plan. The Genesee Health Plan (GHP), a community-initiated non-profit organization, provides primary care, prescription drugs, and specialty care to uninsured, low-income adults through a network of independent physicians, clinics, and hospital systems. As part of an advocacy effort, GHP supporters used results from the Speak to Your Health! Community Survey to gain financial and political support for GHP. Our study, which used CBPR principles, was created by the community, local health department, and university partners. As a result, Genesee County became one of the first counties in the United States to make basic health care available to nearly all of its uninsured, low-income adults.
社区参与式研究（CBPR）有两个目标，即生成数据和影响政策决策，然而文献中很少有同时实现这两个目标的例子。我们描述了如何创建一个基于社区的调查，并将其用于帮助制定县卫生计划。 Genesee 健康计划（GHP）是一个社区发起的非营利组织，通过独立医生、诊所和医院系统网络，为没有保险的低收入成年人提供初级保健、处方药和专科护理。作为倡导工作的一部分，GHP 的支持者利用“对您的健康说话！社区调查”的结果，为 GHP 争取财务和政治支持。我们的研究使用了 CBPR 原则，由社区、当地卫生部门和大学合作伙伴共同创建。因此，Genesee 县成为美国首批为几乎所有无保险的低收入成年人提供基本医疗保健的县之一。
