Community participation and empowerment in primary health care in Emilia-Romagna: A document analysis study
Community participation and empowerment in primary health care in Emilia-Romagna: A document analysis study
复制标题
DOI：
10.1016/j.healthpol.2020.11.007
复制
发表时间：
2021-01-22
期刊：
影响因子：
3.3
通讯作者：
Hamel, Kerstin
中科院分区：
文献类型：
--
作者：
Luisi, Daniela;Hamel, Kerstin
社区参与和赋予权力被视为实现公平、以人为本的初级保健的根本。埃米利亚-罗马涅地区推出了Casa della Salute，旨在促进全面的初级保健和支持社区参与。自1990年代以来，促进了社区参与，以改善区域卫生系统。强调了第三部门组织作为服务提供者和用户权利倡导者的关键作用。这一贡献探讨了社区参与和赋权政策的意义和概念的演变，解决了卡萨代拉致敬。进行了定性文件分析研究。评估了2006年至2019年期间的三份国家文件和十二份区域文件。这些政策不断涉及社区参与。致敬之家被视为促进参与和赋权的指定场所。这些文件指出需要民主实践和共同决策权;第三部门组织被视为突出的社区代表和调解人。然而，这些政策对如何赋予社区权力只是一个模糊的概念;此外，缺乏促进弱势群体参与的战略。考虑到第三部门的模糊作用、明确赋予社区权力、确定促进赋予社区权力的战略以及与弱势群体合作的政策，可能有助于取得进一步进展。(c)2020年，任作家。由爱思唯尔公司出版
Community participation and empowerment are seen as fundamental for achieving equitable, people centred primary health care. Emilia-Romagna region introduced the Casa della Salute aiming to foster comprehensive primary health care and support community participation. Since the 1990s, community involvement has been promoted to improve the regional health system. The pivotal role of third sector organisations as service providers and advocates for users' rights has been underlined. This contribution explores the evolution of the meaning and conceptualisation of community participation and empowerment in policies addressing the Casa della Salute. A qualitative document analysis study was undertaken. Three national and twelve regional documents dated between 2006 and 2019 were evaluated. The policies continuously address community participation. The Casa della Salute is seen as a designated place to promote participation and empowerment. The documents point to the need for democratic practice and shared decision-making power; third sector organisations are seen as salient community representatives and mediators. However, the policies show only a vague conceptualisation of how to empower communities; moreover, strategies to promote participation of vulnerable groups are lacking. Policies that consider the ambiguous role of the third sector, specify community empowerment, identify strategies to facilitate it and collaborate with vulnerable groups could be beneficial for further progress. (c) 2020 The Authors. Published by Elsevier B.V.