a UN University International Institute for Global Health UNU-IIGH , Federal Territory of Kuala Lumpur , Malaysia.
Health Syst Reform. 2019;5(1):66-77. doi: 10.1080/23288604.2018.1541497.
Community engagement describes a complex political process with dynamic negotiation and renegotiation of power and authority between providers and recipients of health care in order to achieve a shared goal of universal health care coverage. Though examples exist of community engagement projects, there is very little guidance on how to implement and embed community engagement as a concerted, integrated, strategic, and sustained component of health systems. Through a series of case studies, this article explores the factors that enable community engagement particularly with a direct impact on health systems.
社区参与描述了一个复杂的政治过程，在这个过程中，医疗服务的提供者和接受者之间不断进行权力和权威的协商和重新协商，以实现全民医保覆盖的共同目标。虽然有社区参与项目的例子，但关于如何将社区参与作为卫生系统的一个协调、综合、战略和持续的组成部分来实施和嵌入，几乎没有指导。本文通过一系列案例研究，探讨了使社区参与成为可能的因素，特别是对卫生系统产生直接影响的因素。
