Setting health priorities: Community boards accurately reflect the preferences of the community's residents
Setting health priorities: Community boards accurately reflect the preferences of the community's residents
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DOI：
10.1023/a:1025198924501
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发表时间：
1997-02-01
影响因子：
5.9
通讯作者：
Harrington, T
中科院分区：
文献类型：
--
作者：
Conway, T;Hu, TC;Harrington, T
设置优先级仍然是医疗保健计划和项目管理的重要组成部分。在政府或公共赞助的项目中，经常寻求当地社区的投入。社区政策/咨询委员会是代表社区在项目决策和方向上的利益的常见工具。社区委员会是否准确地代表了他们社区的观点仍然是一个问题。作为伊利诺斯州芝加哥和库克县规划工作的一部分，设立了地方区卫生委员会，以协助和领导本区域卫生状况最差社区的保健系统化和改善工作。我们试图发现DHC成员对卫生优先事项的看法与社区成员的看法有多接近。对来自三个服务欠缺社区的286个家庭进行了随机数字拨号电话采访，采用结构化的李克特五点问卷调查了22种已知影响健康的最常见疾病和状况。对代表这些社区的所有DHC成员（n = 80）重复了相同的访谈。还收集了社会人口统计资料和与健康相关的行为。这次访谈的结果表明，社区成员和DHC成员在优先事项上达成了密切而实质性的一致。两个群体都将暴力和药物滥用等社会心理状况列为最优先考虑的问题。相比之下，DHC成员和社区居民的社会人口统计学和医疗保健行为差异显著。这项研究显示，这些社区政策/谘询委员会能紧密反映其所代表的社区的意见。关注他们在社会人口统计学和社区医疗保健经验方面的差异，可能会进一步加强他们的作用。
Setting priorities remains an important part of healthcare planning and program management. Local community input is often sought in government or publicly sponsored programs. Community policy/advisory boards are a common vehicle to represent the community's interests in program decisions and direction. Questions remain whether community boards accurately represent their communities' views. As part of a planning effort within Chicago and Cook County, Illinois, local District Health Councils (DHCs) have been created to provide assistance and leadership in systemization and improvement of the healthcare in communities with the poorest health status in the region. We sought to discover how closely the perceptions of health priorities of DHC members agreed with those of community members. A structured five-point Likert scale questionnaire of 22 of the most common diseases and conditions known to impact health were used for a random digit dialing telephone interview with a sample of 286 households from three underserved communities. The same interview was repeated with all DHC members (n = 80) representing those communities. Sociodemographic profiles and health-related behaviors were also collected. The results of this interview indicate a close and substantial agreement in priorities between community members and DHC members. Psychosocial conditions such as violence and substance abuse were ranked as the highest priorities by both groups. In contrast, sociodemographics and healthcare behavior differed significantly between DHC members and community's residents.This study demonstrates that these community policy/advisory boards can closely reflect the views of the communities they represent. Attention to their differences in sociodemographics and healthcare experiences with the community may strengthen their role even more.