Community participation to design rural primary healthcare services
This paper explores how community participation can be used in designing rural primary healthcare services by describing a study of Scottish communities. Community participation is extolled in healthcare policy as useful in planning services and is understood as particularly relevant in rural settin...
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Veröffentlicht in: | BMC health services research 2014-03, Vol.14 (1), p.130-130, Article 130 |
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description | This paper explores how community participation can be used in designing rural primary healthcare services by describing a study of Scottish communities. Community participation is extolled in healthcare policy as useful in planning services and is understood as particularly relevant in rural settings, partly due to high social capital. Literature describes many community participation methods, but lacks discussion of outcomes relevant to health system reconfiguration. There is a spectrum of ideas in the literature on how to design services, from top-down standard models to contextual plans arising from population health planning that incorporates community participation. This paper addresses an evidence gap about the outcomes of using community participation in (re)designing rural community health services.
Community-based participatory action research was applied in four Scottish case study communities in 2008-10. Data were collected from four workshops held in each community (total 16) and attended by community members. Workshops were intended to produce hypothetical designs for future service provision. Themes, rankings and selections from workshops are presented.
Community members identified consistent health priorities, including local practitioners, emergency triage, anticipatory care, wellbeing improvement and health volunteering. Communities designed different service models to address health priorities. One community did not design a service model and another replicated the current model despite initial enthusiasm for innovation.
Communities differ in their receptiveness to engaging in innovative service design, but some will create new models that fit in a given budget. Design diversity indicates that context influences local healthcare planning, suggesting community participation impacts on design outcomes, but standard service models maybe useful as part of the evidence in community participation discussions. |
doi_str_mv | 10.1186/1472-6963-14-130 |
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Community-based participatory action research was applied in four Scottish case study communities in 2008-10. Data were collected from four workshops held in each community (total 16) and attended by community members. Workshops were intended to produce hypothetical designs for future service provision. Themes, rankings and selections from workshops are presented.
Community members identified consistent health priorities, including local practitioners, emergency triage, anticipatory care, wellbeing improvement and health volunteering. Communities designed different service models to address health priorities. One community did not design a service model and another replicated the current model despite initial enthusiasm for innovation.
Communities differ in their receptiveness to engaging in innovative service design, but some will create new models that fit in a given budget. Design diversity indicates that context influences local healthcare planning, suggesting community participation impacts on design outcomes, but standard service models maybe useful as part of the evidence in community participation discussions.</description><identifier>ISSN: 1472-6963</identifier><identifier>EISSN: 1472-6963</identifier><identifier>DOI: 10.1186/1472-6963-14-130</identifier><identifier>PMID: 24649834</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Analysis ; Case studies ; Community Participation ; Community-Based Participatory Research ; Emergency service ; Health aspects ; Health care reform ; Health Priorities ; Hospitals ; Humans ; Medical care ; Models, Organizational ; Planning Techniques ; Primary health care ; Program Development ; Public health ; Quality management ; Rural Health Services - organization & administration ; Rural Population ; Scotland ; Social aspects ; Volunteerism</subject><ispartof>BMC health services research, 2014-03, Vol.14 (1), p.130-130, Article 130</ispartof><rights>COPYRIGHT 2014 BioMed Central Ltd.</rights><rights>Copyright © 2014 Farmer and Nimegeer; licensee BioMed Central Ltd. 2014 Farmer and Nimegeer; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c463t-b1f86b4a27a585d2aa2d41d048ad7c32f845a5d26164e14b5cb4a4dc02a81d3e3</citedby><cites>FETCH-LOGICAL-c463t-b1f86b4a27a585d2aa2d41d048ad7c32f845a5d26164e14b5cb4a4dc02a81d3e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3999926/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3999926/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,725,778,782,862,883,27911,27912,53778,53780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24649834$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Farmer, Jane</creatorcontrib><creatorcontrib>Nimegeer, Amy</creatorcontrib><title>Community participation to design rural primary healthcare services</title><title>BMC health services research</title><addtitle>BMC Health Serv Res</addtitle><description>This paper explores how community participation can be used in designing rural primary healthcare services by describing a study of Scottish communities. Community participation is extolled in healthcare policy as useful in planning services and is understood as particularly relevant in rural settings, partly due to high social capital. Literature describes many community participation methods, but lacks discussion of outcomes relevant to health system reconfiguration. There is a spectrum of ideas in the literature on how to design services, from top-down standard models to contextual plans arising from population health planning that incorporates community participation. This paper addresses an evidence gap about the outcomes of using community participation in (re)designing rural community health services.
Community-based participatory action research was applied in four Scottish case study communities in 2008-10. Data were collected from four workshops held in each community (total 16) and attended by community members. Workshops were intended to produce hypothetical designs for future service provision. Themes, rankings and selections from workshops are presented.
Community members identified consistent health priorities, including local practitioners, emergency triage, anticipatory care, wellbeing improvement and health volunteering. Communities designed different service models to address health priorities. One community did not design a service model and another replicated the current model despite initial enthusiasm for innovation.
Communities differ in their receptiveness to engaging in innovative service design, but some will create new models that fit in a given budget. Design diversity indicates that context influences local healthcare planning, suggesting community participation impacts on design outcomes, but standard service models maybe useful as part of the evidence in community participation discussions.</description><subject>Analysis</subject><subject>Case studies</subject><subject>Community Participation</subject><subject>Community-Based Participatory Research</subject><subject>Emergency service</subject><subject>Health aspects</subject><subject>Health care reform</subject><subject>Health Priorities</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Medical care</subject><subject>Models, Organizational</subject><subject>Planning Techniques</subject><subject>Primary health care</subject><subject>Program Development</subject><subject>Public health</subject><subject>Quality management</subject><subject>Rural Health Services - organization & administration</subject><subject>Rural Population</subject><subject>Scotland</subject><subject>Social aspects</subject><subject>Volunteerism</subject><issn>1472-6963</issn><issn>1472-6963</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptUc9LHDEYDaVSre29JxnopZfR_J7MRZClrYLgxZ7Dt8k3u5GZyZrMCP73Zt3tomByyMfLe4_38Qj5weg5Y0ZfMNnwWrda1EzWTNBP5OQAfX4zH5OvOT9QyhrDmy_kmEstWyPkCVks4jDMY5ieqw2kKbiwgSnEsZpi5TGH1VilOUFfbVIYID1Xa4R-WjtIWGVMT8Fh_kaOOugzft-_p-Tfn9_3i-v69u7vzeLqtnZSi6less7opQTegDLKcwDuJfNUGvCNE7wzUkHBNdMSmVwqV8jSO8rBMC9QnJLLne9mXg7oHY5TSWb3yWyEYN__jGFtV_HJirYcrovBr71Bio8z5skOITvsexgxztkyxbhSyghaqD931BX0aMPYxeLotnR7pUSr2rZRorDOP2CV63EILo7YhYK_E9CdwKWYc8LukJ5Ru63Ubjuz287KZNlrkrO3Wx8E_zsUL7M-nII</recordid><startdate>20140321</startdate><enddate>20140321</enddate><creator>Farmer, Jane</creator><creator>Nimegeer, Amy</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140321</creationdate><title>Community participation to design rural primary healthcare services</title><author>Farmer, Jane ; Nimegeer, Amy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c463t-b1f86b4a27a585d2aa2d41d048ad7c32f845a5d26164e14b5cb4a4dc02a81d3e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Analysis</topic><topic>Case studies</topic><topic>Community Participation</topic><topic>Community-Based Participatory Research</topic><topic>Emergency service</topic><topic>Health aspects</topic><topic>Health care reform</topic><topic>Health Priorities</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Medical care</topic><topic>Models, Organizational</topic><topic>Planning Techniques</topic><topic>Primary health care</topic><topic>Program Development</topic><topic>Public health</topic><topic>Quality management</topic><topic>Rural Health Services - organization & administration</topic><topic>Rural Population</topic><topic>Scotland</topic><topic>Social aspects</topic><topic>Volunteerism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Farmer, Jane</creatorcontrib><creatorcontrib>Nimegeer, Amy</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMC health services research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Farmer, Jane</au><au>Nimegeer, Amy</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Community participation to design rural primary healthcare services</atitle><jtitle>BMC health services research</jtitle><addtitle>BMC Health Serv Res</addtitle><date>2014-03-21</date><risdate>2014</risdate><volume>14</volume><issue>1</issue><spage>130</spage><epage>130</epage><pages>130-130</pages><artnum>130</artnum><issn>1472-6963</issn><eissn>1472-6963</eissn><abstract>This paper explores how community participation can be used in designing rural primary healthcare services by describing a study of Scottish communities. Community participation is extolled in healthcare policy as useful in planning services and is understood as particularly relevant in rural settings, partly due to high social capital. Literature describes many community participation methods, but lacks discussion of outcomes relevant to health system reconfiguration. There is a spectrum of ideas in the literature on how to design services, from top-down standard models to contextual plans arising from population health planning that incorporates community participation. This paper addresses an evidence gap about the outcomes of using community participation in (re)designing rural community health services.
Community-based participatory action research was applied in four Scottish case study communities in 2008-10. Data were collected from four workshops held in each community (total 16) and attended by community members. Workshops were intended to produce hypothetical designs for future service provision. Themes, rankings and selections from workshops are presented.
Community members identified consistent health priorities, including local practitioners, emergency triage, anticipatory care, wellbeing improvement and health volunteering. Communities designed different service models to address health priorities. One community did not design a service model and another replicated the current model despite initial enthusiasm for innovation.
Communities differ in their receptiveness to engaging in innovative service design, but some will create new models that fit in a given budget. Design diversity indicates that context influences local healthcare planning, suggesting community participation impacts on design outcomes, but standard service models maybe useful as part of the evidence in community participation discussions.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>24649834</pmid><doi>10.1186/1472-6963-14-130</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Analysis Case studies Community Participation Community-Based Participatory Research Emergency service Health aspects Health care reform Health Priorities Hospitals Humans Medical care Models, Organizational Planning Techniques Primary health care Program Development Public health Quality management Rural Health Services - organization & administration Rural Population Scotland Social aspects Volunteerism |
title | Community participation to design rural primary healthcare services |
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