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为农村少数民族老年人制定可持续社会项目:社区利益相关者的观点

Developing sustainable social programmes for rural ethnic seniors: perspectives of community stakeholders.

作者信息

Winterton Rachel, Hulme Chambers Alana

机构信息

John Richards Initiative, Australian Institute for Primary Care and Ageing, College of Health, Science and Engineering, La Trobe University, Wodonga, Victoria, Australia.

Centre for Excellence in Rural Sexual Health (CERSH), Department of Rural Health, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia.

出版信息

Health Soc Care Community. 2017 May;25(3):868-877. doi: 10.1111/hsc.12373. Epub 2016 Jul 11.

Abstract

This qualitative study explores barriers to delivering sustainable rural community programmes to increase social participation among Australian ethnic seniors. In 2013, in-depth interviews were conducted with 14 stakeholders across eight rural/regional organisations that had received state government funding to provide social participation initiatives for ethnic seniors. Within interviews, participants were asked to outline factors that had enhanced or hindered their capacity to deliver the funded projects, and their plans for sustainability. Data were analysed thematically in accordance with Shediac-Rizkallah and Bone's (1998) tripartite programme sustainability framework (project design and implementation, organisational setting and broader community environment). Findings indicate that in the context of resource and staffing constraints and a lack of ethnic critical mass, programme sustainability reflected the increased capacity of rural ethnic seniors to integrate into existing community groups and maintain their own groups and activities. However, this is dependent on the ability of mainstream government, health and social care services to cater for diverse cultural needs and preferences, the ability of rural organisations to support ethnic seniors to manage their own cultural groups and activities, and the capacity of funding bodies, rural community and policy structures to maintain cultural sensitivity while compensating for the rural premium. In addition to identifying some key learnings for rural governments, health and community organisations, this research highlights the precarious nature of rural programme sustainability for ethnic seniors in the context of wider community, organisational and policy constraints.

摘要

这项定性研究探讨了在澳大利亚农村地区开展可持续社区项目以提高少数族裔老年人社会参与度的障碍。2013年,研究人员对8个农村/地区组织中的14名利益相关者进行了深入访谈,这些组织获得了州政府的资金,为少数族裔老年人提供社会参与倡议。在访谈中,参与者被要求概述增强或阻碍他们实施资助项目能力的因素,以及他们的可持续发展计划。根据谢迪亚克-里兹卡拉和博恩(1998年)的三方项目可持续性框架(项目设计与实施、组织环境和更广泛的社区环境)对数据进行了主题分析。研究结果表明,在资源和人员配备受限以及缺乏少数族裔临界数量的情况下,项目的可持续性反映出农村少数族裔老年人融入现有社区团体以及维持自身团体和活动的能力有所提高。然而,这取决于主流政府、卫生和社会护理服务机构满足不同文化需求和偏好的能力,农村组织支持少数族裔老年人管理自己文化团体和活动的能力,以及资助机构、农村社区和政策结构在补偿农村溢价的同时保持文化敏感性的能力。除了为农村政府、卫生和社区组织确定一些关键经验教训外,这项研究还凸显了在更广泛的社区、组织和政策限制背景下,农村少数族裔老年人项目可持续性的不稳定性质。

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