Devon Community Assets Research Collaborative - developing, understanding and linking within integrated care systems

德文郡社区资产研究合作组织 - 开发、理解和联系综合护理系统

• 批准号: AH/X006085/1
• 负责人: Richard Byng
• 金额: $ 25.26万
• 依托单位: Plymouth University
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2022
• 资助国家: 英国
• 起止时间: 2022 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=AH%2FX006085%2F1
• 关键词: Devon; Community; Assets; Research; Collaborative

We know that health disparities vary by geography, that community assets have been proposed as one way to approach health inequalities, and distribution of these assets varies by place. It is also not well understood how formal public organisations can best link with community assets for health, which is particularly important as new organisations form in England. Our proposal brings together academics, three public health teams, primary care networks, Voluntary, Community and Social Enterprise (VCSE), residents and other stakeholders to better understand how we identify, value and support community assets in delivering health and social care in Devon Integrated Care System (ICS), we propose an integrated model of developing community-based approaches to mapping/data linkage and understanding the needs of that locality.We aim to build a research-in-practice consortium with the capability to carry out research to identify and map diverse community assets, understand the conditions which created these assets and develop approaches to more fully integrate such groups and activities into Devon ICS to address health disparities. We will work with three distinct localities, each made of a cluster of Primary Care Networks within Devon ICS. These areas have significant deprivation and represent distinct coastal typologies: Central Plymouth; Paignton; and South Brent. Whilst diverse and multi-method approaches will be employed, our proposal adopts a realist informed approach and we will develop an overarching programme theory for how community assets can contribute to addressing health disparities. We propose three workstreams (WSs). WS1 will build the collaboration, and undertake activities to build trusting relationships, embed researchers within localities and organisations and prepare the ground for work to be undertaken in later stages. Work in WS2 will explore novel ways of mapping groups, people and places where community assets are developed and sustained. We will test methodologies for the identification of population subgroups who would benefit from preventive interventions. WS3 will bring together the insights and intelligence gathered in WS1 and WS2, as well as the literature, and seek to develop theoretical models of both 'currently feasible' (based on current technology and modest investment) as well as 'future oriented' (10 years on) asset hubs. We will examine innovative ways of assessing the value of such assets, their support and mechanisms of linkage.Overall, these activities will create a learning partnership (consortium) between residents, community partners, VCSE, ICS practitioners and researchers, in three localities, which can identify local community assets; develop and evaluate innovative ways of bringing together community health and social care in each locality; and contribute to the evidence base as to how inequalities can be mitigated or addressed. We will work closely with a steering group of local VCSE and ICS leaders and agree how the consortium will both be part of local asset hubs and link to ICS wide commissioning, public health and intelligence functions.

我们知道，健康差距因地理而异，社区资产已被提议作为解决健康不平等的一种方式，这些资产的分布因地而异。人们也不太清楚正式的公共组织如何才能最好地与社区健康资产联系起来，这在英格兰新组织形成时尤为重要。我们的提案汇集了学者，三个公共卫生团队，初级保健网络，志愿，社区和社会企业（VCSE），居民和其他利益相关者，以更好地了解我们如何识别，重视和支持社区资产，在德文郡综合护理系统（ICS）中提供健康和社会护理，我们提出了一个综合模式，发展以社区为基础的方法，以地图/数据连接和了解当地的需求。我们的目标是建立一个研究，实践联盟有能力进行研究，以确定和绘制不同的社区资产，了解创造这些资产的条件，并制定方法，更充分地将这些群体和活动纳入德文郡ICS，以解决健康差距。我们将与三个不同的地区合作，每个地区都由德文郡ICS内的一组初级保健网络组成。这些地区有严重的贫困和代表不同的沿海类型：中央普利茅斯;佩恩顿;和南布伦特。虽然将采用多样化和多方法的方法，我们的建议采用了现实主义的知情方法，我们将制定一个总体方案理论，社区资产如何有助于解决健康差距。我们提出了三个工作流（WS）。WS 1将建立合作，并开展活动，以建立信任关系，将研究人员嵌入地方和组织，并为后期阶段的工作奠定基础。WS 2的工作将探索新的方式来映射社区资产开发和维持的团体、人员和地点。我们将测试用于识别将从预防性干预措施中受益的人群亚组的方法。WS 3将汇集WS 1和WS 2以及文献中收集的见解和情报，并寻求开发“当前可行”（基于当前技术和适度投资）以及“面向未来”（10年后）的资产中心的理论模型。我们将研究评估这些资产价值的创新方法、它们的支持和联系机制。总的来说，这些活动将建立一种学习伙伴关系在三个地方的居民、社区伙伴、VCSE、ICS从业人员和研究人员之间建立了一个（联合体），该联合体可以确定当地社区资产;制定和评估将每个地方的社区卫生和社会护理结合在一起的创新方法;并为如何减轻或解决不平等问题提供证据基础。我们将与当地VCSE和ICS领导人组成的指导小组密切合作，并就该联盟如何既成为当地资产中心的一部分，又与ICS广泛的调试、公共卫生和情报职能联系起来达成一致。