Bailey E J
Department of Anthropology, Indiana University, Indianapolis 46202-5140.
Soc Sci Med. 1991;32(11):1269-74. doi: 10.1016/0277-9536(91)90042-b.
Community health screening programs were originally designed: to stimulate change in family and community knowledge and behavior relating to the prevention of disease; to inform the use of available health resources; and to improve the environmental, economic, and educational factors related to health. Since their inception, however, community health screening programs have primarily used conventional approaches to health improvement for the African-American community. That is, the need is not merely for the provision of more preventative and curative health services or the distribution of services to passive recipients, but for the active involvement of local populations in ways which will preserve or repattern their knowledge, attitudes and motivation concerning major health care issues. Health care professionals such as the clinicians need to expand their biopsychosocial model to include specific sociocultural data concerning African-American health care seeking pattern. Collaborative efforts of this type will therefore enable health care professionals to design future community health screening programs for the African-American community that are practical and culturally-oriented.
激发家庭和社区在疾病预防方面的知识和行为改变；告知可用健康资源的使用方法；改善与健康相关的环境、经济和教育因素。然而，自项目启动以来，社区健康筛查项目主要采用传统方法来改善非裔美国人社区的健康状况。也就是说，需求不仅仅是提供更多的预防和治疗性健康服务，或将服务分配给被动接受者，而是让当地居民积极参与，以保持或重塑他们对主要医疗保健问题的知识、态度和动机。临床医生等医疗保健专业人员需要扩展他们的生物心理社会模型，以纳入有关非裔美国人寻求医疗保健模式的特定社会文化数据。因此，这种合作努力将使医疗保健专业人员能够为非裔美国人社区设计出实用且具有文化导向性的未来社区健康筛查项目。
