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

我们知道，健康差距因地域而异，社区资产已被提议作为解决健康不平等的一种方式，而且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，这在英格兰新组织的形成过程中尤为重要。我们的建议将学者、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聚集在一起，以更好地了解我们如何在德文郡综合保健系统(ICS)中识别、价值和支持社区资产提供卫生和社会保健。我们提出了一个综合模式，开发基于社区的方法来绘制地图/数据链接并了解该地区的需求。我们的目标是建立一个实践研究联盟，能够开展研究以识别和绘制不同的社区资产，了解创建这些资产的条件，并开发方法来更充分地将此类群体和活动整合到德文郡综合保健系统中，以解决医疗差异。我们将与三个不同的地点合作，每个地点都由德文郡ICS内的初级保健网络集群组成。这些地区有严重的贫瘠，代表着不同的沿海类型：普利茅斯中部、佩恩顿和南布伦特。虽然我们将采用多样化和多方法的方法，但我们的建议采用了现实的知情方法，我们将制定一个总体方案理论，说明社区资产如何有助于解决健康差距问题。我们提出了三个工作流(WSS)。WS1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，并为后续阶段的工作做好准备。WS2中的工作将探索绘制开发和维持社区资产的群体、人员和地点的新方法。我们将测试确定将从预防性干预中受益的人口亚群的方法。WS3将汇集在WS1和WS2中收集的见解和情报以及文献，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)资产中心的理论模型。我们将研究评估这类资产价值的创新方法、它们的支持和联系机制。总体而言，这些活动将在三个地方的居民、社区合作伙伴、VCSE、ICS从业者和研究人员之间建立一个学习伙伴关系(联盟)，该联盟可以确定当地社区资产；开发和评估将每个地方的社区卫生和社会保健结合在一起的创新方法；并有助于为如何减轻或解决不平等现象提供证据。我们将与一个由当地VCSE和ICS领导人组成的指导小组密切合作，并就该财团如何既成为当地资产中心的一部分，又与ICS广泛的委托、公共卫生和情报职能联系在一起达成一致。

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.