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社区与学术伙伴关系的协同发展程度如何?

How Co-Developed Are Community and Academic Partnerships?

作者信息

Dadwal Viva, Basu Lopa, Weston Christine M, Hwang Sandra, Ibe Chidinma, Bone Lee, Boonyasai Romsai Tony, Gentry Janice, Purnell Leon, Wu Albert W

出版信息

Prog Community Health Partnersh. 2017;11(4):387-395. doi: 10.1353/cpr.2017.0046.

DOI:10.1353/cpr.2017.0046
PMID:29332852
Abstract

BACKGROUND

The world-renowned resources of Johns Hopkins Hospital (JHH) in Baltimore, Maryland, stand in marked contrast with the surrounding impoverished neighborhoods. Community-based organizations (CBOs) are critical frontline responders to residents' needs. Baltimore CONNECT, an academic-community partnership, co-developed an intervention to strengthen connections between CBOs and between CBOs and the health care system.

OBJECTIVES

To understand how members of an academic- community partnership define the act of "co-development" and share perceptions of barriers, facilitators, and ways to measure it.

METHODS

We conducted semistructured interviews with 15 community partners, academic partners, and external stakeholders.

RESULTS

Partners conceptualized co-development as a fluid and evolving process that is the outcome of shared decision making. This exploration revealed nuances within partnership dynamics, including motivations for participation, underlying incentives, partnership equality, balance of power, and trust and relation building.

CONCLUSIONS

We present insights that can be used by academic researchers and community leaders looking to co-develop interventions to improve health in urban communities domestically and internationally.JHH in Baltimore, Maryland, is one of the most highly regarded hospitals in the United States. However, its institutional resources stand in marked contrast with those available to the impoverished neighborhoods that surround it. Many have called for JHH to play a greater role in the surrounding community, where it serves as a leading source of health care.

摘要

背景

位于马里兰州巴尔的摩市的约翰·霍普金斯医院(JHH)拥有举世闻名的资源,这与周边贫困社区形成了鲜明对比。社区组织(CBO)是满足居民需求的关键一线响应者。巴尔的摩CONNECT是一个学术-社区合作伙伴关系,共同开发了一项干预措施,以加强社区组织之间以及社区组织与医疗保健系统之间的联系。

目标

了解学术-社区合作伙伴关系的成员如何定义“共同开发”行为,并分享对障碍、促进因素以及衡量方法的看法。

方法

我们对15名社区合作伙伴、学术合作伙伴和外部利益相关者进行了半结构化访谈。

结果

合作伙伴将共同开发概念化为一个动态且不断发展的过程,是共同决策的结果。这项探索揭示了合作伙伴关系动态中的细微差别,包括参与动机、潜在激励因素、伙伴关系平等、权力平衡以及信任和关系建立。

结论

我们提供的见解可供国内外希望共同开发干预措施以改善城市社区健康状况的学术研究人员和社区领袖使用。位于马里兰州巴尔的摩市的JHH是美国最受推崇(高度评价)的医院之一。然而,其机构资源与周边贫困社区可利用的资源形成了鲜明对比。许多人呼吁JHH在其作为主要医疗保健来源的周边社区发挥更大作用。

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