Associate Professor, Department of Sociology and Anthropology, and Program in Health, Medicine, and Society, Lehigh University, USA.
Executive Director, Promise Neighborhoods of the Lehigh Valley, USA.
J Health Serv Res Policy. 2021 Jul;26(3):215-220. doi: 10.1177/1355819620963501. Epub 2020 Oct 19.
Community-based participatory research holds promise for addressing health inequities. It focuses on issues salient to specific populations, prioritizes community engagement and amplifies the voices of marginalized populations in policy formulation and designing interventions. Although communities are partners, academic hegemony limits their level of influence over the research initiative. Drawing from our own collaborative research experiences, we raise questions for community-engaged health services researchers to reflect upon as a means of interrogating academic hegemony in partnerships that seek to address health inequities. We describe what it means for researchers to acknowledge and relinquish the power they wield in the community-engaged health services research enterprise. We propose three guiding principles for advancing equity: authentic engagement, defining and living values, and embracing accountability.
社区为基础的参与式研究有望解决健康不平等问题。它侧重于特定人群关注的问题，优先考虑社区参与，并在政策制定和干预措施设计中放大边缘化人群的声音。虽然社区是合作伙伴，但学术霸权限制了他们对研究计划的影响力。我们从自己的合作研究经验中提出了一些问题，供社区参与的卫生服务研究人员思考，作为一种在寻求解决健康不平等问题的伙伴关系中质疑学术霸权的手段。我们描述了研究人员承认和放弃他们在社区参与的卫生服务研究企业中所拥有的权力意味着什么。我们提出了推进公平的三个指导原则：真实的参与、定义和践行价值观以及接受问责制。
