RESUMO
The University of New Mexico Health Sciences Center (UNMHSC) adopted a new Vision to work with community partners to help New Mexico make more progress in health and health equity than any other state by 2020. UNMHSC recognized it would be more successful in meeting communities' health priorities if it better aligned its own educational, research, and clinical missions with their needs. National measures that compare states on the basis of health determinants and outcomes were adopted in 2013 as part of Vision 2020 target measures for gauging progress toward improved health and health care in New Mexico. The Vision focused the institution's resources on strengthening community capacity and responding to community priorities via pipeline education, workforce development programs, community-driven and community-focused research, and community-based clinical service innovations, such as telehealth and "health extension." Initiatives with the greatest impact often cut across institutional silos in colleges, departments, and programs, yielding measurable community health benefits. Community leaders also facilitated collaboration by enlisting University of New Mexico educational and clinical resources to better respond to their local priorities. Early progress in New Mexico's health outcomes measures and state health ranking is a promising sign of movement toward Vision 2020.
Assuntos
Relações Comunidade-Instituição , Prioridades em Saúde , Programas Gente Saudável/organização & administração , Determinantes Sociais da Saúde , Fortalecimento Institucional/métodos , Fortalecimento Institucional/organização & administração , Fortalecimento Institucional/normas , Programas Gente Saudável/métodos , Programas Gente Saudável/normas , Humanos , New Mexico , Estudos de Casos Organizacionais , UniversidadesRESUMO
OBJECTIVES: The work that is presented is the first phase of a scale development study. The objectives are: selecting, developing and evaluating indicators for the evaluation of the healthy cities project in Colombia, in order to offer the bases for the construction of a measurement scale. METHODS: The project was executed from January 2001 to August 2002. A validation by construct and an assessment of indicators, according to their importance, data availability and formulation were carried out. A theoretical heuristic model for evaluating the Colombian Healthy Cities Project was developed; based on these model 128 indicators were defined. A preliminary instrument was then made and evaluated by experts in the strategy. A test was carried out in five cities in order to test data availability and formulation. RESULTS: The final results are a heuristic model for the evaluation of the project and an evaluation of each indicator. CONCLUSIONS: The final results are not finished. A greater effort is needed for developing good heuristic models and for building instruments for assessing the healthy cities project in Colombia.