Patel Kavita K, Frausto Kenneth A, Staunton Anne D, Souffront Janine, Derose Kathryn Pitkin
Brookings Institution, Washington, DC, USA.
J Health Care Poor Underserved. 2013 Feb;24(1):262-74. doi: 10.1353/hpu.2013.0016.
Community health centers (CHCs) play a critical role in the primary care safety net. Partnerships between CHCs and faith-based organizations are promoted as a way to increase outreach to underserved populations and support health-promoting behaviors and effective disease management. Through six focus groups (totaling 58 participants), we explored low-income residents' perspectives (African American, Latino, and White) of their communities, the meaning of health, the role of spirituality, and their experiences with and preferences for congregation-based health programming to inform future outreach efforts of a CHC. We found that community perspectives varied based on race/ethnicity and neighborhood, but health concerns tended to cluster by race/ethnicity alone. We also found that spirituality was deemed important for health by all racial-ethnic groups, but attendance at religious services, religious affiliation, and preferences for congregation-based health programming varied across and within groups. Community health center-faith based partnerships could facilitate health care access in underserved communities but may have limited reach among certain subgroups and individuals.
社区卫生中心（CHC）在基层医疗安全网中发挥着关键作用。社区卫生中心与基于信仰的组织之间的伙伴关系得到了推动，以此作为一种增加对服务不足人群的外展服务，并支持促进健康行为和有效疾病管理的方式。通过六个焦点小组（共58名参与者），我们探讨了低收入居民（非裔美国人、拉丁裔和白人）对其社区的看法、健康的意义、灵性的作用，以及他们参与基于教会的健康项目的经历和偏好，以便为社区卫生中心未来的外展工作提供信息。我们发现，社区观点因种族/族裔和社区而异，但健康问题往往仅按种族/族裔聚类。我们还发现，所有种族/族裔群体都认为灵性对健康很重要，但宗教仪式的出席情况、宗教归属以及对基于教会的健康项目的偏好，在不同群体之间以及群体内部都有所不同。基于信仰的社区卫生中心伙伴关系可以促进服务不足社区的医疗服务可及性，但在某些亚群体和个人中的覆盖范围可能有限。
