Aligning the goals of community-engaged research: why and how academic health centers can successfully engage with communities to improve health.
Aligning the goals of community-engaged research: why and how academic health centers can successfully engage with communities to improve health.
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DOI：
10.1097/acm.0b013e3182441680
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发表时间：
2012-03
期刊：
影响因子：
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通讯作者：
Aguilar-Gaxiola S
中科院分区：
文献类型：
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作者：
Michener L;Cook J;Ahmed SM;Yonas MA;Coyne-Beasley T;Aguilar-Gaxiola S
社区参与（CE）和社区参与研究（CEnR）越来越被视为转化医学和改善国民健康的基石。在这篇文章中，作者试图帮助学术健康中心（AHCs）学习如何更好地与他们的社区互动，并通过建议五个步骤建立CEnR议程：定义社区并确定合作伙伴;学习社区参与的礼仪;建立CEnR研究人员的可持续网络;认识到CEnR将需要开发新的方法;以及改进翻译和传播计划。如果没有一个能够找到医疗和公共卫生问题答案的CEnR议程，导致获得保健和保健质量不均衡以及费用高昂的健康差距将持续存在。然而，国家CEnR议程的最大障碍之一是AHC的历史结构和流程-包括机构审查委员会如何运作的复杂性，会计惯例和间接资助政策，以及任期和晋升途径。改变机构文化始于机构最高决策者的领导和承诺。通过调整他们的研究人员，临床医生和社区成员的动机和目标到一个更健康的人口的愿景，AHC领导将不仅改善自己的机构，但改善国家的健康-从改善当地社区的健康开始，一次一个社区。
Community engagement (CE) and community-engaged research (CEnR) are increasingly viewed as the keystone to translational medicine and improving the health of the nation. In this article, the authors seek to assist academic health centers (AHCs) in learning how to better engage with their communities and build a CEnR agenda by suggesting five steps: defining community and identify partners; learning the etiquette of community engagement; building a sustainable network of CEnR researchers; recognizing that CEnR will require the development of new methodologies; and improving translation and dissemination plans. Health disparities that lead to uneven access to and quality of care as well as high costs will persist without a CEnR agenda that finds answers to both medical and public health questions. One of the biggest barriers toward a national CEnR agenda, however, are the historical structures and processes of an AHC – including the complexities of how institutional review boards operate, accounting practices and indirect funding policies, and tenure and promotion paths. Changing institutional culture starts with the leadership and commitment of top decision-makers in an institution. By aligning the motivations and goals of their researchers, clinicians, and community members into a vision of a healthier population, AHC leadership will not just improve their own institutions, but improve the health of the nation – starting with improving the health of their local communities, one community at a time.