Realities in Health Disparities: Researching Evidence-Based Alternatives in Living, Imaginative, Traumatised, Integrated, Embodied Systems
健康差异的现实:研究生活、想象力、创伤性、综合性、具体化系统中基于证据的替代方案
基本信息
- 批准号:AH/Z505456/1
- 负责人:
- 金额:$ 274.59万
- 依托单位:
- 依托单位国家:英国
- 项目类别:Research Grant
- 财政年份:2024
- 资助国家:英国
- 起止时间:2024 至 无数据
- 项目状态:未结题
- 来源:
- 关键词:
项目摘要
We often hear 'the system' is broken, but what do we mean by this? How can changing the way we think about, define, research, evidence, monitor, evaluate and resource 'the system' lead to meaningful change for deprived communities? How will this change benefit those who have first-hand experience of trauma, homelessness, poverty, unemployment, displacement, poor mental health or imprisonment?REALITIES takes a human-systems approach noting 'health and social care systems' (HSCS) are constructed mental representations of relationships existing in the world to promote health for people.Our Scottish consortium of 57 people has five established asset hubs in Clackmannanshire, Dundee, Easter Ross, Edinburgh and North Lanarkshire with strong relationships uniting conflicting ways of seeing the world. Through phase 2, we co-produced a systems-level model with deprived communities, policymakers, practitioners and researchers collecting and respecting different types of knowledge and alternative evidence-bases (from arts performances to nature walks; words to statistics) as equally important to understand complexities of unjust and avoidable health differences.Foundational funding evidenced REALITIES is able to transcend the challenge for our currently imagined HSCS. The medical model of disease shaping who and what is considered to be part of 'the health system' has brought benefits to human existence, though key actors within these place-based HSCS systems understand the limitations of this systems-framing for human flourishing. At present, they don't have a way to help reimagine them.REALITIES provides exploration and method for this reimagining. A model representing collective pathways producing creative routes for people to get the healthcare they need at the right time of their journeys by co-researching and co-creating with them the "what, whom, how, and why" - leading to successful connections between individuals with health and social needs and community-based opportunities for health and wellbeing improvement.We are a transdisciplinary collective of individuals with lived and felt experience of inequalities working alongside policymakers; local authorities; charities; artists; environmentalists and researchers from policy; health humanities; arts; psychology; human geography; environmental sociology; dentistry; medicine; statistics; economics; counselling; psychotherapy; management; medical anthropology; design and innovation.We will:understand what work is needed to enable places to reimagine and build 'systems' that create equitable health and wellbeing.explore and explain how links between creativity, relationships and nature create healthier and more resilient communities and environments for people in deprived areas.support creative, participatory processes, enabling communities to construct shared mental models (systems) using different ways of knowing (epistemologies) and perceiving reality (ontologies).combine different ways of knowing, enabling a more complete representation of bio-psycho-social-political factors which create 'health' and ways in which these are experienced by marginalised people.support communities to construct place-based versions of systems encompassing all aspects of health and wellbeing, and make purposeful changes in the nature of their relationships with each other and their environment.explore the usefulness of 'standard' Health Economic evaluation tools to assess Social Return of Investment, working with communities to re-conceptualise and re-define measures of 'value' and 'quality of life' in relation to human experience.
我们经常听到“系统”被打破,但这是什么意思呢?如何改变我们思考、定义、研究、证据、监测、评估和为“系统”提供资源的方式,为贫困社区带来有意义的变化?这一变化将如何使那些亲身经历创伤、无家可归、贫困、失业、流离失所、精神健康状况不佳或监禁的人受益?REALITIES采用人类系统的方法,指出“健康和社会护理系统”(HSCS)是构建世界上存在的关系的心理表征,以促进人们的健康。我们的苏格兰财团由57人组成,在克拉克曼南郡,邓迪,复活节罗斯,爱丁堡和北拉纳克郡建立了五个资产中心,这些中心拥有强大的关系,统一了看待世界的冲突方式。在第二阶段,我们与贫困社区、政策制定者、从业者和研究人员共同制作了一个系统级模型,收集并尊重不同类型的知识和替代证据基础(从艺术表演到自然漫步;从文字到统计)同样重要,以了解不公正和可避免的健康差异的复杂性。基金会的资助证明了REALITIES能够超越我们目前想象的HSCS的挑战。疾病塑造谁和什么被认为是“卫生系统”的一部分的医学模型已经给人类的生存带来了好处,虽然这些基于地方的HSCS系统中的关键参与者了解这种系统的局限性-为人类繁荣而构建。目前,他们还没有一种方法来帮助他们重新想象,《现实》为这种重新想象提供了探索和方法。一个代表集体路径的模型,通过与人们共同研究和共同创造“什么、谁、如何”,以及为什么”-从而在有健康和社会需求的个人与社区之间建立成功的联系-我们是一个跨学科的集体,由与政策制定者一起工作的具有不平等生活和感受经验的个人组成;地方当局;慈善机构;艺术家;环保主义者和政策研究人员;健康人文学;艺术;心理学;人文地理学;环境社会学;牙科;医学;统计学;经济学;咨询;心理治疗;管理;医学人类学;设计和创新。我们将:了解需要做什么工作,使地方重新想象和建立'系统',创造公平的健康和福祉。探索和解释创造力,关系和自然为贫困人口创造更健康、更有弹性的社区和环境areas.support创造性的参与过程,使社区能够使用不同的认知方式构建共享的心理模型(系统)。(认识论)和感知现实(本体论)。联合收割机结合不同的认识方式,使创造“健康”的生物-心理-社会-政治因素的更完整的代表性,以及边缘化社区所经历的这些因素的方式people.support以构建地方-基于系统的版本,涵盖健康和福祉的各个方面,并有目的地改变彼此之间的关系和环境的性质。探索“标准”健康经济评估工具的有用性,以评估投资的社会回报,与社区合作,重新概念化和重新定义与人类经验有关的“价值”和“生活质量”的衡量标准。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Marisa De Andrade其他文献
Marisa De Andrade的其他文献
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{{ truncateString('Marisa De Andrade', 18)}}的其他基金
REALITIES in Health Disparities: Researching Evidence-based Alternatives in Living, Imaginative, Traumatised, Integrated, Embodied Systems
健康差异的现实:研究生活、想象力、创伤性、综合性、具体化系统中基于证据的替代方案
- 批准号:
AH/X006131/1 - 财政年份:2022
- 资助金额:
$ 274.59万 - 项目类别:
Research Grant
Active Communities Arts Development: Social Prescribing, Sustainable Strategic Planning And Breaking Down Barriers Across Sectors In North Lanarkshire
活跃的社区艺术发展:社会规定、可持续战略规划和打破北拉纳克郡跨部门障碍
- 批准号:
AH/W008912/1 - 财政年份:2022
- 资助金额:
$ 274.59万 - 项目类别:
Research Grant
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