尽管服务用户对心理健康服务的参与越来越感兴趣,卫生机构与当地团体之间的互动才刚刚开始受到关注,特别是在全球南部地区。
看看智利的一项参与性倡议,这项研究探讨了如何,在不利的行政条件下,卫生组织与社区接触和合作。
我们采访了决策者(5),当地专业人士(10人)服务用户和社区代表(6)与具体的参与性倡议相联系。参加有关会议的意见有助于丰富解释。主题分析应用于访谈笔录和实地笔记。
这些发现提出了一系列行动,从创建基于社区的团体网络开始。一系列问题随之而来,与群体的多样性有关,内部代表,决策和筹资过程。作为回应,游行队伍同时实行官僚和民主调整,发展社区愿景,忽视当地团体的特殊性,包括动机。
基于这些发现,我们认为,应将参与性举措作为由广泛的政策取向和当地利益格局形成的持续成就来研究。在这个过程中,他们产生临时形式的知识和社区愿景,为所涉及的代理人提供方向。
Despite a growing interest in service-user involvement in mental health services, the interaction between health institutions and local groups is only beginning to receive attention, particularly in global south settings.
Looking at a participatory initiative in Chile, this study explores how, under unfavourable administrative conditions, health organizations approach and work with communities.
We interviewed policy-makers (5), local professionals (10), service users and community representatives (6) linked to a concrete participatory initiative. Participant observation in relevant meetings helped to enrich the interpretations. Thematic analysis was applied to interview transcripts and field notes.
The findings present a sequence of actions starting with the creation of a network of community-based groups. A set of problems ensued, related to the group\'s diversity, internal representation, decision-making and funding processes. In response, processionals implemented simultaneously bureaucratic and democratic adjustments, developing a vision of community that ignored the particularities-including the motivations-of local groups.
Based on these findings, we argue that participatory initiatives should be studied as on-going achievements shaped by broad policy orientations and local configurations of interest. In the process, they produce ad hoc forms of knowledge and visions of community that provide orientation to the agents involved.