Irby Megan B, Moore Keena R, Hamlin DeWanna, Brown Olivia, Trejo Grisel, Summers Phillip, Daniel Stephanie, Skelton Joseph A, Lischke Michael, Rhodes Scott D
Maya Angelou Center for Health Equity, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Program in Community Engagement, Wake Forest School of Medicine, Winston-Salem, NC, USA.
J Clin Transl Sci. 2020 Jan 20;4(4):294-300. doi: 10.1017/cts.2020.7.
Academic medical centers (AMCs) face challenges in conducting research among traditionally marginalized communities due to long-standing community mistrust. Evidence suggests that some AMC faculty and staff lack an understanding of the history of distrust and social determinants of health (SDH) affecting their communities. Wake Forest Clinical and Translational Science Institute Program in Community Engagement (PCE) aims to build bridges between communities and Wake Forest Baptist Health by equipping faculty, clinicians, administrators, and staff (FCAS) with a better understanding of SDH. The PCE collaborated with community partners to develop and implement community tours to improve cross-community AMC understanding and communication, enhance knowledge of SDH, and build awareness of community needs, priorities, and assets. Nine day-long tours have been conducted with 92 FCAS. Tours included routes through under-resourced neighborhoods and visits to community assets. Participant evaluations assessed program quality; 89% reported enhanced understanding of access-to-care barriers and how SDH affect health; 86% acknowledged the experience would improve future interactions with participants and patients; and 96% agreed they would recommend the tour to colleagues. This work supports the use of community tours as a strategy to improve cross-community AMC communication, build trust, and raise awareness of community needs, priorities, and assets.
由于长期存在的社区不信任，学术医疗中心（AMC）在传统边缘化社区开展研究面临挑战。有证据表明，一些AMC的教职员工对影响其所在社区的不信任历史和健康的社会决定因素（SDH）缺乏了解。维克森林临床与转化科学研究所社区参与项目（PCE）旨在通过让教职员工、临床医生、管理人员和工作人员（FCAS）更好地理解SDH，在社区与维克森林浸信会医疗中心之间架起桥梁。PCE与社区合作伙伴合作开发并实施社区参观活动，以增进AMC对跨社区的理解与沟通，增强对SDH的认识，并提高对社区需求、优先事项和资产的认知。已对92名FCAS开展了9次为期一天的参观活动。参观路线包括资源匮乏的社区以及对社区资产的访问。参与者评估对项目质量进行了评估；89%的人表示对获得医疗服务的障碍以及SDH如何影响健康有了更深入的了解；86%的人承认此次经历将改善未来与参与者和患者的互动；96%的人同意他们会向同事推荐此次参观活动。这项工作支持将社区参观作为一种策略，以改善AMC跨社区的沟通、建立信任，并提高对社区需求、优先事项和资产的认识。
