Cain Cindy L, Orionzi Dimpho, O'Brien Mollie, Trahan Lovel
1 University of California, Los Angeles, CA, USA.
2 Allina Health, Minneapolis, MN, USA.
Health Promot Pract. 2017 May;18(3):437-443. doi: 10.1177/1524839916634404. Epub 2016 Apr 18.
As required by the Affordable Care Act, Community Health Needs Assessments (CHNAs) are formalized processes nonprofit hospitals must perform at least every 3 years. CHNAs are designed to help hospitals better tailor health services to the needs of local residents. However, CHNAs most often use quantitative, population-level data, and rarely incorporate the actual voices of local community members. This is particularly a problem for meeting the needs of residents who are also racial or ethnic minorities. This article discusses one model for integrating residents' voices into the CHNA process. In this model, we videotaped interviews with community members and then coded and analyzed interview data to identify underlying themes. We created a short video aimed at starting conversations about community members' concerns. In addition to demonstrating how other nonprofit hospitals may use qualitative data in the CHNA process, this article illustrates how adding qualitative data may change how we think about health promotion. We find that community members requested that health care providers view culture as a health resource, foster community connections, and be present in the community.
根据《平价医疗法案》的要求，社区健康需求评估（CHNAs）是一种正式程序，非营利性医院必须至少每三年进行一次。社区健康需求评估旨在帮助医院更好地根据当地居民的需求调整健康服务。然而，社区健康需求评估大多使用定量的、基于人群层面的数据，很少纳入当地社区成员的真实声音。对于满足同时属于种族或少数族裔的居民的需求而言，这尤其成问题。本文讨论了一种将居民声音纳入社区健康需求评估过程的模式。在该模式中，我们对社区成员的访谈进行了录像，然后对访谈数据进行编码和分析，以确定潜在主题。我们制作了一个短视频，旨在引发关于社区成员关切问题的讨论。除了展示其他非营利性医院如何在社区健康需求评估过程中使用定性数据外，本文还说明了添加定性数据可能如何改变我们对健康促进的看法。我们发现，社区成员要求医疗服务提供者将文化视为一种健康资源，促进社区联系，并深入社区。
