使用美国疾病控制与预防中心的CHANGE工具对密苏里州东北部一个农村县的社区卫生政策进行评估。
Community Health Policy Assessment of a Rural Northeast Missouri County using the Centers for Disease Control and Prevention's CHANGE Tool.
作者信息
Stewart Mitch, Visker Joseph D, Cox Carolyn C
机构信息
Department of Health Science, Truman State University, Kirksville, Missouri 63501, USA.
出版信息
Health Promot Perspect. 2013 Jun 30;3(1):1-10. doi: 10.5681/hpp.2013.001. eCollection 2013.
BACKGROUND
In order to build a framework to address policy gaps and needs, community's risk factors were identified and the extent to which current policies were in place to address the risk factors were compared.
METHODS
Face-to-face interviews, using the US Centers for Disease Control and Prevention's CHANGE tool were conducted in a rural Northeast Missouri county possessing exceptionally high chronic disease rates to assess the factor(s) had the greatest influence on the rates in each sector of the community.
RESULTS
The Health Care Agency sector possessed the most factors categorized as environmental and policy assets, and the Community-at-Large and Business/Worksite sectors seemed to possess the least environmental and policy factors categorized as assets.
CONCLUSIONS
Because organizational policies can strongly influence community health practices and behaviors, collaborative leadership from the Health Care Agency sector, comprehensive worksite health promotion programs in the Business/Worksite and Community Institutions/Organizations sectors, and tobacco-free school policies are recommended. Multiple community sectors must work together to change not only behaviors but also environments in this county.
背景
为构建一个解决政策差距和需求的框架，确定了社区的风险因素，并比较了当前政策针对这些风险因素的落实程度。
方法
在密苏里州东北部一个慢性病发病率极高的农村县，使用美国疾病控制与预防中心的CHANGE工具进行面对面访谈，以评估对社区各部门发病率影响最大的因素。
结果
医疗保健机构部门拥有最多归类为环境和政策资产的因素，而整个社区和商业/工作场所部门似乎拥有最少归类为资产的环境和政策因素。
结论
由于组织政策可强烈影响社区健康实践和行为，建议医疗保健机构部门发挥协作领导作用，在商业/工作场所和社区机构/组织部门开展全面的工作场所健康促进计划，并实施无烟学校政策。多个社区部门必须共同努力，不仅要改变行为，还要改变该县的环境。
Zotero 插件