地域社会における健康促進における参加型システムアプローチ:健康上の不平等を減らすためのプログラムの全体的な評価から得られた教訓
Annemarie Wagemakers1, Samantha Elkhuizen1, Anner Bindels2
1Health and Society group, Department of Social Sciences, Wageningen University & Research, Wageningen, the Netherlands.
Evaluation and program planning
|August 30, 2025
まとめ
参加型システムアプローチは,計画,実施,評価に利害関係者を巻き込むことで健康促進を強化します. 重要な教訓は,柔軟性,研究と実践のバランス,効果的なプログラム提供のための利害関係者の役割の定義です.
科学分野:
- 公衆衛生
- システム科学
- 健康促進
背景:
- 健康促進の取り組みは複雑で 多層のダイナミクスを抱えています
- 参加型とシステム型のアプローチは,これらの複雑さを解決するために力を得ています.
- 参加型システムアプローチは,プログラムライフサイクル全体に 利害関係者の関与を統合します.
研究 の 目的:
- 参加型システムアプローチを用いた複雑な健康促進プログラムの実施と評価に関する実践的な指針を提供すること.
- オランダの家族保健プログラムの全体的な評価にこのアプローチを適用して学んだことを共有します.
- 複合的な健康促進イニシアチブにおける実施と評価の調和を探求する.
主な方法:
- プログラム全体の評価の計画と実施に 参加型システムアプローチを適用した.
- 4つの自治体の4つのプロジェクトで参加型行動研究を利用した.
- 半構造面接,コンソーシアム・レフレクション・ラーニング・セッション,文書分析を行いました.
主要な成果:
- 柔軟性,研究と実践のニーズ,研究能力,利害関係者の役割,境界の定義といった5つの主要なテーマを特定した.
- 利害関係者の参加を確保するための柔軟性の必要性を強調した.
- 研究と実践のバランスをとり,十分な研究能力を確保することを強調した.
結論:
- 柔軟性,研究と実践のバランス,十分な研究能力,明確に定義された利害関係者の役割,システムの限界の継続的な探索が不可欠です.
- 思考と学習の文化は,これらの教訓の実施を支援します.
- 研究結果は,医療従事者,研究者,政策立案者,そして健康促進プログラム計画,実施,評価において市民にとって重要です.
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