Building a Well Communities Research Consortium to address health disparities through Integrated Care Systems

强大的社区网络和团体、艺术和文化活动、公园和绿色空间等社区资产已被证明与广泛的健康和社会效益相关，但卫生和护理系统要大规模实现这些效益还面临挑战。并非每个人都能从这些类型的资产中受益，那些来自边缘化群体的人往往健康状况较差，最不可能受益。该研究联盟将探讨当地卫生和保健系统如何更好地与社区资产对接，开发和动员社区资产，以改善健康状况，减少两个截然不同的地理环境中的健康差距。该联盟将采用一个名为“良好社区”的框架来发展、规划和协调其活动。Well Communities汇集了一系列以资产为基础的社区发展和共同生产方法，这些方法已经在伦敦40多个最贫困的社区进行了尝试，测试和完善，现在正在转移到北安普敦郡。该联盟将在这项工作的基础上，研究和开发在伦敦内外的新综合护理系统（ICS）中扩大、传播和嵌入这些方法的方法。健康社区研究联盟将重点关注两个广泛的研究问题：1）社区间差异的驱动因素是什么，以及新的ICSs如何与社区资产对接，并帮助开发和调动社区资产，以帮助解决健康差异？2)如何扩大、嵌入、维持和利用旨在支持综合社区服务系统与社区资产对接的模式，以促进改善健康成果、减少差距和创建更健康的社区？这个支持案例是一个为期九个月的项目，以建立我们的联盟，在随后的三年研究计划中充分解决上述问题。特别注重艺术和自然环境资产，需要广泛的学科和跨部门的非学术合作伙伴-他们通常不一起工作-成功地设计和开展研究计划，并确保影响。为了建立这个联盟，我们将使用Well Communities框架中的方法，包括World Café，整个系统研讨会，参与式系统映射和基于艺术的方法。这些方法将促进参与和共同制作，并在有生活经验的人，研究人员，卫生和保健系统利益相关者，社区和志愿部门以及那些在艺术和自然环境为重点的团体和组织中工作的人之间建立新的关系和伙伴关系。

Community assets such as strong community networks and groups, arts and cultural activities, parks and green spaces have been shown to be associated with a wide range of health and social benefits but there are challenges for heath and care systems to realise these benefits at scale. Not everyone is able to benefit from these types of assets, with those from marginalised groups who often experience poorer health least likely to benefit. This Research Consortium will explore how local health and care systems can better interface with, develop and mobilise community assets to improve health and reduce health disparities in two contrasting geographical contexts. The Consortium will adapt a framework called 'Well Communities' to develop, plan and co-ordinate its activities. Well Communities brings together a range of asset-based community development and co-production approaches that have been tried, tested and refined across more than 40 of the most disadvantaged neighbourhoods in London and are now being transferred into the Northamptonshire context. The Consortium will build on this work to research and develop ways to scale-up, spread and embed such approaches within new Integrated Care Systems (ICSs) within and outside of London. The Well Communities Research Consortium will focus on two broad research questions: 1) What are the drivers of disparities across communities and how can new ICSs interface with, and help develop and mobilise, community assets to help tackle health disparities?2) How can models designed to support ICSs to interface with community assets be scaled-up, embedded, sustained, and accessed to contribute to improving health outcomes, reducing disparities and creating healthier communities? This case for support is for a nine month project to build our Consortium to fully address the questions above in a subsequent three year research programme. With a focus in particular on arts-based and natural environment assets, a wide range of disciplines and cross-sectoral non-academic partners - who do not usually work together - are needed to successfully design and undertake the research programme and ensure impact. To build the consortium we will use methodologies from the Well Communities framework, including World Café, whole system workshops, participatory systems mapping and arts-based methods. These methods will facilitate engagement and co-production and develop new relationships and partnerships between people with lived experience, researchers, health and care system stakeholders, community and voluntary sector and those working in arts based and natural environment focused groups and organisations.