Carlaw R W, Mittlemark M B, Bracht N, Luepker R
Health Educ Q. 1984 Fall;11(3):243-52. doi: 10.1177/109019818401100303.
The World Health Organization has emphasized the importance of community participation as a keystone of primary health care and in meeting their goal of health for all. This article reports on the first three years of experience in a community-based approach to cardiovascular health. The project involves three communities totaling almost a quarter of a million inhabitants with matched comparison communities. An extensive volunteer structure provides a dynamic partnership with the education research group in bringing learning opportunities and enabling situations for the practice of heart healthy life styles in the total community. The project goal is to demonstrate reduced mortality and morbidity from educational interventions. The participative intervention model suggests a feasible alternative for future public health practice.
世界卫生组织强调了社区参与作为初级卫生保健的基石以及实现全民健康目标的重要性。本文报告了以社区为基础的心血管健康方法的头三年经验。该项目涉及三个社区,居民总数近25万,并设有匹配的对照社区。一个广泛的志愿者结构与教育研究小组建立了动态伙伴关系,为整个社区带来学习机会,并创造促进心脏健康生活方式实践的条件。该项目的目标是证明教育干预可降低死亡率和发病率。参与性干预模式为未来的公共卫生实践提供了一种可行的选择。