关键词: Community Engagement Community-Academic Partnerships Social Determinants of Health

Mesh : Humans Black or African American COVID-19 / ethnology Community-Based Participatory Research / organization & administration Patient Participation Community-Institutional Relations COVID-19 Testing Baltimore SARS-CoV-2

来  源:   DOI:10.18865/ed.34.2.53   PDF(Pubmed)

Abstract:
UNASSIGNED: The root causes of coronavirus disease 2019 (COVID-19) disparities include longstanding systemic racial bias in economic advancement and care delivery, discrimination, lack of access, and social determinants of health. To address these causes, research institutions and health care systems must shift their lens from one that focuses solely on changing behaviors among underserved and vulnerable populations to one that is inward facing.
UNASSIGNED: We worked with a community advisory board and an African American church that has partnered on research for more than a decade to identify community norms, needs, and key resources needed for establishing community-academic partnerships for COVID-19 testing. Participants were purposefully sampled with equal representation from 3 groups: (1) church members and leaders, (2) academic or organization researchers with experience in community-engaged research, and (3) community members with experience participating in community-engaged research. Participants engaged in a hands-on exercise in the church basement as part of a town hall-style meeting.
UNASSIGNED: Active discussion led to the identification of business model components salient to COVID-19 testing in an underserved Baltimore community, predominantly made up of African Americans. Our discussion identified key partners, activities, resources, costs, value propositions, community relationships, community groups, communication channels, and outputs for community buy-in.
UNASSIGNED: Developing the business case for mutual trustworthiness to be better prepared for future pandemics and public health crises may foster more sustainable community-academic partnerships. Using a Business Model Canvas, we delineate the major components, activities, and value propositions that are needed to achieve authentic community-academic partnerships to advance health equity.
摘要:
2019年冠状病毒病(COVID-19)差异的根本原因包括经济发展和医疗服务方面长期存在的系统性种族偏见,歧视,缺乏访问,和健康的社会决定因素。为了解决这些原因,研究机构和医疗保健系统必须将其视角从只关注服务不足和脆弱人群中改变行为的视角转移到面向内部的视角。
我们与一个社区咨询委员会和一个非洲裔美国人教会合作了十多年的研究,以确定社区规范,需要,以及建立COVID-19检测社区-学术伙伴关系所需的关键资源。参与者有目的地从3个群体中抽取相同的代表:(1)教会成员和领导人,(2)具有社区参与研究经验的学术或组织研究人员,(3)有参与社区参与研究经验的社区成员。作为市政厅式会议的一部分,参与者在教堂地下室进行了动手练习。
积极的讨论导致在服务不足的巴尔的摩社区中确定了对COVID-19测试重要的商业模式组件,主要由非洲裔美国人组成。我们的讨论确定了关键合作伙伴,活动,资源,成本,价值主张,社区关系,社区团体,沟通渠道,以及社区购买的产出。
发展相互信任的商业案例,为未来的流行病和公共卫生危机做好准备,可能会促进更可持续的社区-学术伙伴关系。使用业务模型画布,我们描绘了主要的组成部分,活动,以及实现真正的社区-学术伙伴关系以促进健康公平所需的价值主张。
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