Adapting, expanding and embedding community and culture into health ecosystems

在我国，富人和穷人以及地区之间的健康状况存在差异，生活在富裕地区的人健康状况更好，寿命更长，而生活在贫困地区的人健康状况更差，在更年轻的时候残疾，更年轻的时候死亡。这种健康差距正在变得越来越大，因此我们需要寻找新的方法来有效地解决这个问题，并改善生活在贫困地区的人们的健康。我们知道，当地的社区组织能够很好地改善这些地区人民的健康和福祉，这可以减少富人和穷人之间的整体健康差异。我们还知道，以艺术为基础的活动在帮助吸引生活在这些地区的人们的兴趣并改善他们的健康和福祉方面有着良好的记录。我们所知甚少的是，这些组织如何与在一个地区运营的所有其他服务和组织联系，以及如何做到这一点，（例如）社区组织可以为有健康或社会护理需要的人确定并获得帮助，其他组织可以支持社区组织并与社区组织合作，提供人们想要和需要的活动，在这个研究项目中，我们希望分析在社会贫困或贫困地区，社区组织（如社区中心）提供文化活动（如艺术或教育课程）或照顾社区或自然资产（如博物馆，图书馆，分配或社区花园）的支持。我们希望这样做，以便系统领导人，特别是地方政府和NHS和社区组织的领导人能够更好地了解他们管理的地方的动态，做出联合决策，以提高生活质量，创造更强大，更具弹性的地方。我们的研究旨在强调通过协作工作支持社区的方法，从而减少处于弱势地位的人，并使社区能够更有效地合作，从而提高他们应对各种社会需求的能力。两个研究小组将在四个社区组织工作，采用参与式方法，并将来自组织的人员聚集在一起，相互分享他们的知识，作为研究期间研讨会的一部分。数据收集的方法将根据每个站点的偏好和活动与每个站点达成一致，但将包括以下部分或全部内容：-基于地点的资产映射-以了解生活在这个社区中的好处-采访在社区组织中工作的人，或在那里提供活动，或照顾社区或自然资产。面试，或午餐学习小组与参加活动的人。随着时间的推移，活动的观察和照片（包括人们聚集在一起的地方空间的观察）。创意方法，如照片或故事板。收集有关活动和参与者的监测数据-会议记录、报告等-社区研究人员开展的研究（在研究团队的培训和支持下），可以使用任何首选的方法，包括简短的调查-与在更广泛的地方系统工作的人进行访谈我们将与社区组织，参与研究的人，其他研究人员以及在政策和实践中工作的人分享我们的研究结果，产生这些结果：（1）四份组织案例研究报告;（2）“调整、扩大和将社区和文化纳入卫生生态系统”工具包;（3）政策圆桌会议;（4）为地方当局、供资者和其他地方机构提出的政策和做法建议。(5)在学术期刊上发表的研究论文（6）

In our country, there is a difference in health between rich and poor people and areas, with people living in richer areas having better health and living longer, and people living in poorer areas having worse health, becoming disabled at a younger age, and dying younger. This health gap is becoming larger and so we need to look at new ways that might work to tackle it effectively and improve the health of people living in poorer areas. We know that locally based community organisations are well placed to make a difference to people's health and wellbeing in these areas, which can reduce the overall difference in health between rich and poor. We also know that art-based activities have a good track record of helping to engage the interest of people living in these areas and improve their health and wellbeing. What we know less about is how these organisations connect to all the other services and organisations that operate in an area, and what are the best ways of doing this, so that (for example) community organisations can identify and get help for people who have health or social care needs, and other organisations can support and work with the community organisations to deliver activities that people want and need, or to access funding to keep them going.In this research project, we want to analyse the support available in areas of social deprivation or poverty for community organisations (such as community centres) that deliver cultural activities (such as art or education classes) or look after community or natural assets (such as museums, libraries, allotments or community gardens). We want to do this so that system leaders particularly in local government and the NHS and community organisations can better understand the dynamics of the places they manage, make joined up decisions to improve quality of life and create stronger, more resilient places. Our research aims to highlight ways to support communities through collaborative working that results in fewer people finding themselves in a vulnerable position, and that enables communities to work together more effectively, potentially increasing their capacity to respond to a range of social needs. Two research teams will work at four community organisations, using a participatory approach, and bringing together people from the organisations to share their knowledge with each other, as part of workshops during the study. The approach to data collection will be agreed with each site, based on their preferences and activities, but will include some or all of: - Place-based asset mapping - to find out what are the good things about living in this community- Interviews with people who work in the community organisation, or deliver activities there, or look after community or natural assets.- Interviews, or lunch learning groups with people who take part in the activities.- Observations and photographs of the activities over time (including observations of local spaces where people come together).- Creative methods such as photographs or storyboards.- Routinely collected monitoring data about activities and who takes part- Meeting minutes, reports etc.- Research carried out by community researchers (with training and support given by research teams) which can use any preferred method, including short surveys- Interviews with people who work in the wider local systemWe will share our findings with the community organisations, people who took part in the research, other researchers and people who work in policy and practice, producing these outputs:(1) Four organisational case study reports (2) "Adapting, Expanding and Embedding Community and Culture into Health Ecosystems" Toolkit(3) Policy round table(4) Policy and practice recommendations for local authorities, funders, and other local agencies.(5) Research papers to be published in academic journals(6) Presentations at conferences