Goode Tawara D, Jack Leonard
Georgetown University Medical Center, Washington, DC, USA
Centers for Disease Control and Prevention, Atlanta, GA, USA.
Health Promot Pract. 2014 Nov;15(2 Suppl):6S-10S. doi: 10.1177/1524839914545784.
This supplement provides a comprehensive and in-depth examination of proven clinical-community health strategies employed by the Alliance to Reduce Disparities in Diabetes, across five sites located in diverse geographic regions of the United States, including a tribal community. Alliance projects in these communities focused on African Americans, Hispanics/Latinos, and American Indians as priority populations. Each project was implemented with an understanding that there are cultural norms, community characteristics, and health care system challenges that require sustained multicomponent approaches to ameliorate factors that exacerbate poor disease management and health outcomes. The articles increase understanding of what is required to implement evidence-based approaches shaped by local experiences in order to meet the needs of diverse communities affected by diabetes. Lessons learned have generic elements that can be used in other priority populations and settings.
本增刊全面深入地审视了美国糖尿病差异减少联盟在五个位于不同地理区域（包括一个部落社区）所采用的经过验证的临床-社区健康策略。这些社区的联盟项目将非裔美国人、西班牙裔/拉丁裔和美国印第安人作为重点人群。每个项目的实施都基于这样一种认识，即存在文化规范、社区特征和医疗保健系统挑战，需要持续的多成分方法来改善那些加剧疾病管理不善和健康结果的因素。这些文章增进了人们对实施基于当地经验的循证方法以满足受糖尿病影响的不同社区需求所需条件的理解。所吸取的经验教训具有可用于其他重点人群和环境的通用要素。
