Harris Drew A, Pensa Mellisa A, Redlich Carrie A, Pisani Margaret A, Rosenthal Marjorie S
1 Section of Pulmonary, Critical Care and Sleep Medicine.
2 Occupational and Environmental Medicine Program, and.
Ann Am Thorac Soc. 2016 Aug;13(8):1231-8. doi: 10.1513/AnnalsATS.201601-054PS.
Socioeconomic and racial disparities in the outcomes of medical management remain common across pulmonary diseases in the United States and worldwide. Acknowledging this, the American Thoracic Society recently put forth recommendations to advance respiratory health equity. Through engagement of vulnerable communities in search of collaborative solutions to improve health disparities, community-based participatory research embodies concepts essential to the American Thoracic Society mission for respiratory health equity. The purpose of this commentary is to provide an overview of the principles of community-based participatory research and the application of this approach to addressing inequity in the outcomes of treatment for lung disease. Community-based participatory research aims to decrease health disparities by recognizing the social and ecological paradigms of health care and by partnering community members with academic researchers in all aspects of the research process. Community partners are uniquely poised to offer insight into local culture, circumstances that guide health behaviors, and other challenges to improve their own community's health. Sustainable interventions, either through strengthening existing community assets or through community empowerment and local capacity building throughout the research process, are essential to the success of community-based participatory research. The National Institutes of Health and other funding agencies offer funding opportunities to support specific interventions aimed at engaging community members in the research process. In pulmonary medicine, community-based initiatives have focused primarily on improving pediatric asthma outcomes. Using a community-based approach in adult asthma and other pulmonary diseases could be an ideal manner in which to decrease pulmonary health disparities.
在美国及全球范围内，医疗管理结果方面的社会经济和种族差异在各类肺部疾病中仍然普遍存在。认识到这一点后，美国胸科学会最近提出了推进呼吸健康公平性的建议。通过让弱势群体参与寻找改善健康差异的合作解决方案，基于社区的参与性研究体现了美国胸科学会呼吸健康公平性使命所必需的理念。本评论的目的是概述基于社区的参与性研究的原则，以及该方法在解决肺部疾病治疗结果不平等问题中的应用情况。基于社区的参与性研究旨在通过认识医疗保健的社会和生态范式，并在研究过程的各个方面让社区成员与学术研究人员合作，来减少健康差异。社区合作伙伴具有独特的优势，能够深入了解当地文化、指导健康行为的情况以及改善本社区健康的其他挑战。通过在整个研究过程中加强现有社区资产或通过社区赋权和地方能力建设来实现可持续干预，对于基于社区的参与性研究的成功至关重要。美国国立卫生研究院和其他资助机构提供资助机会，以支持旨在让社区成员参与研究过程的特定干预措施。在肺病学领域，基于社区的倡议主要集中在改善儿童哮喘的治疗结果上。在成人哮喘和其他肺部疾病中采用基于社区的方法可能是减少肺部健康差异的理想方式。
