Adapting, expanding and embedding community and culture into health ecosystems

在我国，富人与穷人、地区之间的健康状况存在差异，生活在较富裕地区的人健康状况较好，寿命更长，而生活在较贫穷地区的人健康状况较差，更早残疾，更早死亡。这一健康差距正在扩大，因此我们需要寻找可能有效解决这一问题并改善贫困地区人民健康的新方法。我们知道，以地方为基础的社区组织有能力改变这些地区人们的健康和福祉，这可以减少富人和穷人之间在健康方面的总体差异。我们也知道，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。我们不太了解的是，这些组织如何与在一个地区运作的所有其他服务和组织联系起来，以及这样做的最佳方式是什么，以便（例如）社区组织可以识别并为有健康或社会护理需求的人提供帮助，其他组织可以支持并与社区组织合作，提供人们想要和需要的活动，或获得资金以维持他们的运作。在这个研究项目中，我们想分析社会剥夺或贫困地区对社区组织（如社区中心）提供的支持，这些组织提供文化活动（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）。我们希望这样做，以便系统领导者，特别是地方政府、NHS和社区组织的领导者，能够更好地了解他们管理的地方的动态，做出联合决策，提高生活质量，创造更强大、更有弹性的地方。我们的研究旨在强调通过协作工作来支持社区的方法，从而减少人们发现自己处于弱势地位，并使社区能够更有效地合作，从而潜在地提高他们应对一系列社会需求的能力。两个研究小组将在四个社区组织工作，采用参与式方法，并将这些组织的人员聚集在一起，相互分享他们的知识，作为研究期间讲习班的一部分。数据收集的方法将根据每个站点的偏好和活动达成一致，但将包括部分或全部：-基于地点的资产映射-找出生活在这个社区的好处-采访在社区组织工作的人，或在那里开展活动，或照顾社区或自然资产。-与参加活动的人进行访谈或午餐学习小组。-随时间变化的活动观察和照片（包括对人们聚集的当地空间的观察）。-创造性的方法，如照片或故事板。-定期收集有关活动和参与者的监测数据-会议纪要，报告等-由社区研究人员（在研究团队的培训和支持下）进行的研究，可以使用任何首选方法，包括简短调查-采访在更广泛的地方系统中工作的人我们将与社区组织，参与研究的人，其他研究人员以及从事政策和实践工作的人分享我们的发现。产生这些产出：(1)四个组织案例研究报告(2)“适应、扩展和嵌入社区和文化到卫生生态系统”工具包(3)政策圆桌会议(4)为地方当局、资助者和其他地方机构提供的政策和实践建议。(5)拟在学术期刊上发表的研究论文；(6)在会议上发表的报告

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