Innovation in Rural Health Services Requires Local Actors and Local Action.

IF 3.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
PUBLIC HEALTH REVIEWS Pub Date : 2022-09-14 eCollection Date: 2022-01-01 DOI:10.3389/phrs.2022.1604921
Dean Carson, Robyn Preston, Anna-Karin Hurtig
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引用次数: 1

Abstract

Objectives: We examine the role of "local actors" and "local action" (LALA) in health service innovation in high-resource small rural settings and aim to inform debates about the extent to which communities can be empowered to drive change in service design and delivery. Methods: Using an adapted roles and activities framework we analyzed 32 studies of innovation projects in public health, clinical interventions, and service models. Results: Rural communities can investigate, lead, own and sustain innovation projects. However, there is a paucity of research reflecting limited reporting capacity and/or understanding of LALA. Highlighting this lack of evidence strengthens the need for study designs that enable an analysis of LALA. Conclusion: Innovation and community participation in health services are pressing issues in small rural settings where population size and distance from health infrastructure make service delivery challenging. Current reviews of community participation in rural health give little insight into the process of innovation nor understanding of how local actors produce improvements in innovation. This review outlines how communities and institutions can harness the essential role of LALA in supporting health innovations.

农村卫生服务创新需要地方行动者和地方行动。
目标:我们研究了“地方行动者”和“地方行动”(LALA)在高资源小型农村环境中卫生服务创新中的作用,旨在为有关社区在多大程度上能够推动服务设计和提供方面的变革的辩论提供信息。方法:采用调整后的角色和活动框架,对公共卫生、临床干预和服务模式方面的32项创新项目进行了分析。结果:农村社区可以调查、领导、拥有和维持创新项目。然而,缺乏研究反映了有限的报告能力和/或对LALA的理解。强调这种证据的缺乏加强了对能够分析LALA的研究设计的需求。结论:创新和社区参与卫生服务是小农村地区的紧迫问题,这些地区的人口规模和距离卫生基础设施的距离使得服务提供具有挑战性。目前对社区参与农村卫生的审查几乎没有深入了解创新的过程,也没有了解地方行动者如何在创新方面取得进展。本综述概述了社区和机构如何利用LALA在支持卫生创新方面的重要作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
PUBLIC HEALTH REVIEWS
PUBLIC HEALTH REVIEWS Nursing-Community and Home Care
CiteScore
8.30
自引率
1.80%
发文量
47
审稿时长
5 weeks
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