Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN 37212, USA.
Acad Pediatr. 2013 Mar-Apr;13(2):93-7. doi: 10.1016/j.acap.2012.12.006.
To fully appreciate the health of an individual, it is necessary to understand the effect of a person's attitudes, beliefs, and behaviors within their social, environmental, and cultural context. The medical model, although extremely useful, has its limitations when it comes to understanding the health of people as they live in the world. Wellness does not happen in the doctor's office alone, akin to the fact that scientific discovery is not limited to a laboratory. In this perspectives article, we posit that by using a community-engaged research approach, we not only allow for the translation of scientific discovery into clinical practice and public health initiatives, but we also create a new way of generating and integrating knowledge to improve health outcomes. In short, community-engaged research is not only a tool for translation, it is unique method for scientific discovery bringing transdisciplinary teams together that study health problems in real-world contexts and consider sustainability at the front end of asking the research question.
要全面了解个体的健康状况,就必须了解个人在其社会、环境和文化背景下的态度、信念和行为对其健康的影响。医学模式虽然非常有用,但在理解人们在现实世界中的健康状况时,它也有其局限性。健康并不仅仅发生在医生的办公室里,就像科学发现并不仅限于实验室一样。在这篇观点文章中,我们认为,通过采用社区参与式研究方法,我们不仅可以将科学发现转化为临床实践和公共卫生举措,而且还可以创造一种新的方法来生成和整合知识,以改善健康结果。简而言之,社区参与式研究不仅是一种翻译工具,它还是一种独特的科学发现方法,它将跨学科团队聚集在一起,在现实环境中研究健康问题,并在提出研究问题时就考虑可持续性。