Rowe N, Keenan R, Lack L, Malloy N, Strasser R, Lawrenson R
Flinders University, College of Medicine and Public Health, Adelaide, SA 5000, Australia.
University of Waikato, Medical Research Centre, Hamilton 3240, New Zealand.
J Prim Health Care. 2019 Jul;11(2):146-151. doi: 10.1071/HC18092.
BACKGROUND Community engagement is believed to be an important component of quality primary health care. We aimed to capture specific examples of community engagement by general practices, and to understand the barriers that prevent engagement. METHODS We conducted 20 distinct interviews with 31 key informants from general practice and the wider community. The interviews were semi-structured around key relevant topics and were analysed thematically. RESULTS Key themes identified from the interview transcripts included an understanding of 'community', examples of community engagement and the perceived benefits and barriers to community-engaged general practice. We particularly explored aspects of community engagement with Māori. CONCLUSIONS General practices in the study do not think in terms of communities, and they do not have a systematic framework for engagement. Although local champions have generated some great initiatives, most practices seemed to lack a conceptual framework for engagement: who to engage with, how to engage with them, and how to evaluate the results of the engagement.
背景 社区参与被认为是优质初级卫生保健的一个重要组成部分。我们旨在获取全科医疗中社区参与的具体实例，并了解阻碍参与的因素。方法 我们对来自全科医疗及更广泛社区的31名关键信息提供者进行了20次不同的访谈。访谈围绕关键相关主题进行半结构化，并进行了主题分析。结果 从访谈记录中确定的关键主题包括对“社区”的理解、社区参与的实例以及社区参与型全科医疗的感知益处和障碍。我们特别探讨了与毛利人社区参与的各个方面。结论 本研究中的全科医疗机构并非从社区角度进行思考，也没有一个系统的参与框架。尽管当地的倡导者发起了一些很棒的倡议，但大多数机构似乎缺乏一个参与的概念框架：与谁参与、如何与他们参与以及如何评估参与的结果。
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