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社区与公共卫生伙伴关系如何助力灾难恢复与韧性建设。

How Community and Public Health Partnerships Contribute to Disaster Recovery and Resilience.

作者信息

Acosta Joie D, Burgette Lane, Chandra Anita, Eisenman David P, Gonzalez Ingrid, Varda Danielle, Xenakis Lea

机构信息

1RAND Corporation,Santa Monica,California.

2UCLA Fielding School of Public Health,UCLA,Los Angeles,California.

出版信息

Disaster Med Public Health Prep. 2018 Oct;12(5):635-643. doi: 10.1017/dmp.2017.130. Epub 2018 Feb 1.

Abstract

OBJECTIVE

To summarize ways that networks of community-based organizations (CBO), in partnership with public health departments, contribute to community recovery from disaster.

METHODS

The study was conducted using an online survey administered one and 2 years after Hurricane Sandy to the partnership networks of 369 CBO and the New York Department of Health and Mental Hygiene. The survey assessed the structure and durability of networks, how they were influenced by storm damage, and whether more connected networks were associated with better recovery outcomes.

RESULTS

During response and recovery, CBOs provide an array of critical public health services often outside their usual scope. New CBO partnerships were formed to support recovery, particularly in severely impacted areas. CBOs that were more connected to other CBOs and were part of a long-term recovery committee reported greater impacts on the community; however, a partnership with the local health department was not associated with recovery impacts.

CONCLUSION

CBO partners are flexible in their scope of services, and CBO partnerships often emerge in areas with the greatest storm damage, and subsequently the greatest community needs. National policies will advance if they account for the dynamic and emergent nature of these partnerships and their contributions, and clarify the role of government partners. (Disaster Med Public Health Preparedness. 2018;12:635-643).

摘要

目的

总结社区组织(CBO)网络与公共卫生部门合作,助力社区从灾难中恢复的方式。

方法

本研究通过在线调查开展,于桑迪飓风过后1年和2年,对369个社区组织与纽约卫生和精神卫生部门的合作网络进行调查。该调查评估了网络的结构和持久性、风暴破坏对其的影响,以及联系更紧密的网络是否与更好的恢复结果相关。

结果

在应对和恢复过程中,社区组织提供了一系列通常超出其常规范围的关键公共卫生服务。为支持恢复工作,特别是在受严重影响地区,建立了新的社区组织合作伙伴关系。与其他社区组织联系更紧密且属于长期恢复委员会一部分的社区组织,对社区的影响更大;然而,与当地卫生部门的合作关系与恢复影响并无关联。

结论

社区组织合作伙伴在服务范围内具有灵活性,社区组织合作伙伴关系通常出现在风暴破坏最严重、因而社区需求最大的地区。如果国家政策能够考虑到这些合作伙伴关系的动态性和突发性及其贡献,并明确政府合作伙伴的角色,那么国家政策将会取得进展。(《灾难医学与公共卫生防范》。2018年;12:635 - 643)

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