通过社区参与将证据转化为政策实现健康公平：旧金山健康改善伙伴关系，2010 - 2016年
Achieving Health Equity Through Community Engagement in Translating Evidence to Policy: The San Francisco Health Improvement Partnership, 2010-2016.
作者信息
Grumbach Kevin, Vargas Roberto A, Fleisher Paula, Aragón Tomás J, Chung Lisa, Chawla Colleen, Yant Abbie, Garcia Estela R, Santiago Amor, Lang Perry L, Jones Paula, Liu Wylie, Schmidt Laura A
机构信息
Community Engagement and Health Policy Program, Clinical and Translational Science Institute, University of California, San Francisco, California.
Department of Family and Community Medicine, University of California, San Francisco, California.
出版信息
Prev Chronic Dis. 2017 Mar 23;14:E27. doi: 10.5888/pcd14.160469.
BACKGROUND
The San Francisco Health Improvement Partnership (SFHIP) promotes health equity by using a novel collective impact model that blends community engagement with evidence-to-policy translational science. The model involves diverse stakeholders, including ethnic-based community health equity coalitions, the local public health department, hospitals and health systems, a health sciences university, a school district, the faith community, and others sectors.
COMMUNITY CONTEXT
We report on 3 SFHIP prevention initiatives: reducing consumption of sugar sweetened beverages (SSBs), regulating retail alcohol sales, and eliminating disparities in children's oral health.
METHODS
SFHIP is governed by a steering committee. Partnership working groups for each initiative collaborate to 1) develop and implement action plans emphasizing feasible, scalable, translational-science-informed interventions and 2) consider sustainability early in the planning process by including policy and structural interventions.
OUTCOME
Through SFHIP's efforts, San Francisco enacted ordinances regulating sale and advertising of SSBs and a ballot measure establishing a soda tax. Most San Francisco hospitals implemented or committed to implementing healthy-beverage policies that prohibited serving or selling SSBs. SFHIP helped prevent Starbucks and Taco Bell from receiving alcohol licenses in San Francisco and helped prevent state authorization of sale of powdered alcohol. SFHIP increased the number of primary care clinics providing fluoride varnish at routine well-child visits from 3 to 14 and acquired a state waiver to allow dental clinics to be paid for dental services delivered in schools.
INTERPRETATION
The SFHIP model of collective impact emphasizing community engagement and policy change accomplished many of its intermediate goals to create an environment promoting health and health equity.
背景
旧金山健康改善伙伴关系（SFHIP）通过采用一种新颖的集体影响模式来促进健康公平，该模式将社区参与与循证到政策的转化科学相结合。该模式涉及不同的利益相关者，包括基于种族的社区健康公平联盟、当地公共卫生部门、医院和医疗系统、一所健康科学大学、一个学区、宗教团体以及其他部门。
社区背景
我们报告了SFHIP的三项预防举措：减少含糖饮料（SSB）的消费、规范零售酒精销售以及消除儿童口腔健康方面的差距。
方法
SFHIP由一个指导委员会管理。每个举措的伙伴关系工作组合作，以1）制定和实施强调可行、可扩展、循证科学干预措施的行动计划，以及2）在规划过程早期通过纳入政策和结构性干预措施来考虑可持续性。
结果
通过SFHIP的努力，旧金山颁布了规范SSB销售和广告的条例以及一项设立汽水税的投票措施。旧金山的大多数医院实施或承诺实施禁止提供或销售SSB的健康饮料政策。SFHIP帮助阻止星巴克和塔可钟在旧金山获得酒精许可证，并帮助阻止该州授权销售粉末状酒精。SFHIP将在儿童定期健康检查时提供氟化物漆的初级保健诊所数量从3家增加到14家，并获得了该州的豁免，允许牙科诊所获得为学校提供牙科服务的费用。
解读
强调社区参与和政策变革的SFHIP集体影响模式实现了其许多中间目标，以创造一个促进健康和健康公平的环境。
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