Go-along interview assessment of community health priorities for neighborhood renewal.

EcoDistricts health care system health experience neighborhood looking glass place social care urban redevelopment

Journal

American journal of community psychology
ISSN: 1573-2770
Titre abrégé: Am J Community Psychol
Pays: England
ID NLM: 0364535

Informations de publication

Date de publication:
06 2023
Historique:
revised: 05 01 2023
received: 20 04 2022
accepted: 02 02 2023
medline: 6 6 2023
pubmed: 23 3 2023
entrez: 22 3 2023
Statut: ppublish

Résumé

Healthcare systems are increasingly investing in approaches to address social determinants of health and health disparities. Such initiatives dovetail with certain approaches to neighborhood development, such as the EcoDistrict standard for community development, that prioritize both ecologically and socially sustainable neighborhoods. However, healthcare system and community development initiatives can be untethered from the preferences and lived realities of residents in the very neighborhoods upon which they focus. Utilizing the go-along approach to collecting qualitative data in situ, we interviewed 19 adults to delineate residents' community health perspectives and priorities. Findings reveal health priorities distinct from clinical outcomes, with residents emphasizing social connectedness, competing intra- and interneighborhood perceptions that potentially thwart social connectedness, and a neighborhood emplacement of agency, dignity, and self-worth. Priorities of healthcare systems and community members alike must be accounted for to optimize efforts that promote health and social well-being by being valid and meaningful to the community of focus.

Identifiants

pubmed: 36947385
doi: 10.1002/ajcp.12661
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

437-452

Informations de copyright

© 2023 The Authors. American Journal of Community Psychology published by Wiley Periodicals LLC on behalf of Society for Community Research and Action.

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Auteurs

Kristen A Berg (KA)

Center for Health Care Research and Policy, The MetroHealth System, Cleveland, Ohio, USA.
School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.

Maria DeRenzo (M)

Center for Health Care Research and Policy, The MetroHealth System, Cleveland, Ohio, USA.

Richard M Carpiano (RM)

School of Public Policy, University of California, Riverside, California, USA.
Department of Sociology, University of California, Riverside, California, USA.
Center for Healthy Communities, University of California, Riverside, California, USA.

Irwin Lowenstein (I)

ReThink Advisors, Cleveland, Ohio, USA.

Adam T Perzynski (AT)

Center for Health Care Research and Policy, The MetroHealth System, Cleveland, Ohio, USA.
School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.

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