Community representatives: Representing the "community"?
Community representatives: Representing the "community"?
复制标题
DOI：
10.1016/s0277-9536(97)00209-8
复制
发表时间：
1998-04-01
影响因子：
5.4
通讯作者：
Murcott, A
中科院分区：
文献类型：
--
作者：
Jewkes, R;Murcott, A
本文件的出发点是，在促进社区参与的主要国际宣言和战略中，社区的含义是不言自明的，这一假设与“社区”的含义是社会分析文献中广泛辩论的主题，在某种程度上是健康文献中广泛辩论的主题这一观察结果之间存在明显的脱节。鉴于这个词的含义没有达成一致，那些致力于促进卫生领域“社区参与”的人被迫对相互竞争的含义作出裁决，以便将这一概念付诸实施。这就提出了如何做到这一点的问题，以及特定选择对参与“社区”可能实现的目标有何影响。本文介绍了一项实证研究的结果，该研究在为健康城市项目中的所有指导小组选择健康成员的背景下，探讨了鼓励社区参与健康促进的人们将“社区”理念付诸实施的方式。在英国。IL认为，“社区代表”的角色的要求是这样的，“社区”的特定解释实现优势。本文探讨了将“社区”解释为“志愿部门”的一部分的后果，并认为这可能会损害社区参与的既定预期成果之一，即扩大卫生决策的民主。(C)1998爱思唯尔科技有限公司。保留所有权利。
This paper takes as its starting point the apparent disjunction between the assumptions of the self-evidence of the meaning of community in major international declarations and strategies which promote community participation and the observation that meanings of "community" are a subject of extensive debate in literatures of social analysis and to some extent health. Given that the word's meaning is not agreed, those working to promote "community participation" in health are forced to adjudicate on competing meanings in order to operationalise the notion. This raises questions about how this is done and what are the implications of particular choices for what may be achieved by the participating "community". This paper presents the findings of an empirical study which examined the manner in which ideas of "community" are operationalised by people engaged in encouraging community participation in health promotion in the context of the selection of members for health for all steering groups in healthy cities projects in the United Kingdom. IL argues that the demands of the role of the "community representative" are such that particular interpretations of "community" achieve ascendance. The paper explores the consequences of the interpretation of "community" as part of the "voluntary sector" and argues that this may compromise one of the stated desired outcomes of community participation i.e. extending democracy in health decision-making. (C) 1998 Elsevier Science Ltd. All rights reserved.