Nemours Children's Health, Washington, DC, USA.
Curr Opin Pediatr. 2022 Feb 1;34(1):27-32. doi: 10.1097/MOP.0000000000001085.
To summarize elements of cross-sector population health networks to support systems and policy change to achieve equitable access to health services and healthy development opportunities for young children and families, allowing everyone to have a fair and just opportunity to be as healthy as possible.
The principles and tactics of Equity and Inclusion, Readiness, Joint Planning, Governance, and Data can guide cross-sector networks in effectively supporting communities in addressing health inequities. These principles are not linear or siloed, but rather, they overlap and reinforce each other. The principles require equity and the participation of community members to be central in all aspects of cross-sector network work.
By building strong relationships among community partners, cross-sector population health networks can ensure the network is not a short-term, transactional one-time project, but rather, a sustained collaboration through enduring processes and infrastructure. Networks can gain a fuller understanding of the needs and assets of a community through engagement and leadership by community members than they could gather from data and surveys alone. This approach to serving a community by making members equal partners in the effort helps to place equity at the center of a network's focus, as does embedding equity-related decision-making tools and processes into daily operations of the network. If cross-sector networks build resilient, inclusive structures and procedures, they can utilize them to quickly pivot and adjust to emerging needs or respond to crisis.
总结跨部门人口健康网络的要素,以支持系统和政策变革,实现公平获得卫生服务和儿童及家庭健康发展机会,使每个人都有公平和公正的机会尽可能健康。
公平包容、准备就绪、联合规划、治理和数据这些原则和策略可以指导跨部门网络有效地支持社区解决健康不平等问题。这些原则不是线性的或孤立的,而是相互重叠和加强的。这些原则要求公平和社区成员的参与在跨部门网络工作的各个方面都处于核心地位。
通过在社区伙伴之间建立牢固的关系,跨部门人口健康网络可以确保网络不是短期的、一次性的交易项目,而是通过持久的流程和基础设施进行持续的合作。通过社区成员的参与和领导,网络可以比仅通过数据和调查更全面地了解社区的需求和资产。通过使成员成为努力的平等伙伴来为社区服务的方法有助于将公平置于网络关注的中心,将与公平相关的决策工具和流程嵌入网络的日常运作也是如此。如果跨部门网络建立了有弹性的、包容的结构和程序,它们就可以利用这些结构和程序快速调整以适应新出现的需求或应对危机。