Community readiness and health services
Community readiness and health services
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DOI：
10.1081/ja-100104093
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发表时间：
2001-01-01
影响因子：
2
通讯作者：
Edwards, RW
中科院分区：
文献类型：
--
作者：
Oetting, ER;Jumper-Thurman, P;Edwards, RW
社区准备理论是实施社区卫生服务变革的实用工具。该理论提供了评估、诊断和社区变革的方法。首先，向社区关键信息提供者提出半结构化问题，这些问题提供有关社区中正在发生的与特定问题相关的信息。结果从六个维度评估了处理该问题的准备情况；现有的努力、对问题的了解、对替代方法或政策的了解、领导力、资源和社区氛围。最终结果是对社区准备状态总体阶段的诊断。有九个阶段，容忍或无意识、否认、模糊意识、预先计划、准备、启动、制度化或稳定、确认/扩展、专业化。每个阶段都需要不同形式的干预措施，以使社区进入下一阶段，直到最终启动和维持卫生服务计划和政策。
Community readiness theory is a practical tool for implementing changes in community health services. The theory provides methods for assessment, diagnosis, and community change. First, community key informants are asked semistructured questions that provide information about what is occurring in the community in relation to a specific problem. The results evaluate readiness to deal with that problem on six dimensions; existing efforts, knowledge about the problem, knowledge about alternative methods or policies, leadership, resources, and community climate. The eventual result is a diagnosis of the overall stage of community readiness. There are nine stages, tolerance or no awareness, denial, vague awareness, preplanning, preparation, initiation, institutionalization or stabilization, confirmation/expansion, and professionalization. Each stage requires different forms of interventions in order to move the community to the next stage until, eventually, initiation and maintenance of health services programs and policies can be achieved.