チェコ共和国における国家政府と地方政府間の相互作用の評価 運動に関する政策の策定と実施
Michael Pratt1,2, Juliana Mejía-Grueso3, Eugen Resendiz4,5
1Herbert Wertheim School of Public Health & Human Longevity Science, University of California San Diego, La Jolla, CA, USA.
Journal of physical activity & health
|August 22, 2025
まとめ
身体活動 (PA) 政策は一般的だが,実施は不十分である. この研究では,予算を割り当てても,国家政府と地方政府間のコミュニケーションが不十分であることが,チェコ共和国における自治体の政策行動を妨げていることが判明しました.
科学分野:
- 公衆衛生
- 健康政策
- 健康促進
背景:
- 多くの国には身体活動 (PA) 政策がありますが,国家および地方レベルの行動への移行はしばしば不十分です.
- INTEGRATE-PA-Pol (身体活動に関する政策の策定と実施における国家及び地方政府レベルの相互作用ツール) は,この断絶を解決するために開発されました.
研究 の 目的:
- チェコ共和国でINTEGRATE-PA-Polツールの試験を実施し,国家レベルと地方レベルの政府間の身体活動政策の開発と実施の相互作用を評価する.
主な方法:
- INTEGRATE-PA-Polツールは,チェコ共和国向けに翻訳され,適応されました.
- 政府レベル,政治システム,セクター全体で8つの要素を評価したアンケート調査は,PA政策プロセスの5つの段階を経て実施されました.
- 保健,スポーツ,レクリエーション部門の主要情報提供者は,オンライン調査を通じて,国家,地域,市レベルで参加しました.
主要な成果:
- 運動に関する政策文書と予算は政府各レベルで存在しますが,政策とプログラムの実施は限られています.
- 公共衛生政策に関する政府レベル間の相互作用は,ほとんどのカテゴリーで低いと評価された.
- 重要な集団,環境,部門を特定する際には,政府レベルでの重要な変動が観察されました.
結論:
- チェコの身体活動政策は十分に発達していますが,セクターへの関与と一貫した優先順位付けの課題に直面しています.
- 予算の配分にもかかわらず,国家レベルと地方レベルの政府間のコミュニケーションが不十分であるため,自治権政策の実施は困難である.
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