地域保健活動の実践基盤となる専門職と住民との関係性に関する考察

抄録

The importance of the relationship between community health professionals and people has become to be emphasized, because community health promotion is considered closely related with people's daily life and community health practices are required to be conducted in the neighborhood of people. Particularly professionals are expected to take counsel together with people through their daily life. What kind of relationship exits in such circumstances? However, different from services like professional official duties, it is difficult to recognize the existence of such relationship. This difficulty makes professionals hesitate to introduce the construction of such relationship into practices and its importance tends to be a mere idea. The point at this issue was raised in a form of practitioner's dilemma through the experience of practice. It requires us to explain the nature of the relationship between professionals and people under which people begin to take actions towards the health improvement at community level. Experiences in social development activities recommend that professionals assess and share the community problems with people on equal terms, where professionals confirm equality by taking such an attitude like 'learn from people' or 'evaluate the peoples' ability properly'. Findings from community health researches say that such relationship organizes community to meet with health issues close to daily life, which is defined as community empowerment. Summarizing above, community health professionals can promote health at community by means of constructing a relationship with people. Such relationship builds bridges between people's usual world and professional's scientific one, which make community health issues solvable at daily life level to empower people.