Creating the environment for a successful community partnership
Creating the environment for a successful community partnership
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DOI：
10.1002/cncr.22156
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发表时间：
2006-10-15
期刊：
影响因子：
6.2
通讯作者：
Lobell, Michael
中科院分区：
文献类型：
--
作者：
Coe, Kathryn;Wilson, Chariton;Lobell, Michael
本文描述了美国印第安人肿瘤学计划(AIOP)的发展，并介绍了一种参与式研究方法的成就，该方法涉及一个癌症护理和研究的综合网络。AIOP使用参与性进程来开发基础设施、确定研究问题、制定方法、编写补充赠款，并根据社区定义的成功标准评估成就。大学与印度卫生服务机构、私营机构和州立机构之间的伙伴关系改善了合作。通过肿瘤委员会增加提供者在多个机构的参与，改善了卫生服务的提供。通过举办讲习班解决社区特定的癌症问题，提高了社区意识。总体而言，这些措施的结果是形成了一个有利于开展研究活动的环境。AIOP团队通过参与性进程，在每个机构建立了促进互动、社区教育和改善患者护理的基础设施；确定了新的合作伙伴；提高了社区层面的癌症知识和认识；鼓励营造有利于研究的环境和建设研究能力；提高了希望在美洲印第安人社区工作的研究人员的文化能力，并培养了一支未来的美洲印第安人癌症研究人员队伍。试点项目的成功开发和正在进行的研究和资金申请的形成证明，作者创造了一个接受研究的环境，并促进了社区潜在的可持续研究能力。它们的成功在很大程度上是利用参与性模式进行能力建设的结果，这种模式不仅包括社区，还包括机构。
This paper describes the development of the American Indian Oncology Program (AIOP) and presents the accomplishments of a participatory research approach that involved an integrated network for cancer care and research. AIOP used a participatory process to develop infrastructure, identify research questions, develop methodologies, write supplemental grants, and evaluate accomplishments based on community defined measures of success. Partnerships between University and Indian Health Service, private, and state institutions led to improved collaboration. Health services delivery improved by increasing provider involvement at multiple institutions via a Tumor Board. Community awareness improved through workshops addressing community-specific cancer concerns. Collectively, these resulted in an environment receptive to the development of research activities. The AIOP team, through a participatory process, developed infrastructure at each institution that facilitated interaction, community-based education, and improved patient care; identified new partners; raised community-level knowledge and awareness about cancer; encouraged a research-friendly environment and building research capacity; and increased the cultural competency of researchers wishing to work in American Indian communities and created a cadre of future American Indian cancer researchers. As evidenced by successful pilot project development and formation of ongoing research and funding applications, the authors created a research-receptive environment and promoted potentially sustainable research capacity in the community. Much of their success is the result of utilizing a participatory model for capacity building that included not only communities but institutions.