荷兰市政府健康体重方法中的杆点主题:从系统角度进行定性研究
Maud J J Ter Bogt1,2, Kirsten E Bevelander1,2, Lisa Tholen1
1Primary and Community Care, Radboud University Medical Centre, Nijmegen, The Netherlands.
PloS one
|June 13, 2023
概括
在健康体重方法 (HWA) 中确定杆点是解决日益增长的肥胖症的关键. 这项研究分析了荷兰的HWA,揭示了组织,协作和参与方面的主题,这些主题为系统级变革提供了洞察力.
科学领域:
- 公共卫生 公共卫生
- 系统科学 系统科学
- 预防肥胖 预防肥胖
背景情况:
- 尽管采取了各种干预措施,全球肥胖率仍在不断上升.
- 从系统的角度来看,考虑到相互关联的层面 (事件,结构,目标,信念),对于有效的肥胖策略至关重要.
- 这些系统中的杆点可以推动公共卫生倡议的重大改进.
研究的目的:
- 为了检查健康体重方法 (HWA) 在五个荷兰市镇的运作.
- 在这些HWA的系统中确定杆点主题.
- 通过系统思维,为提高HWA效率提供见解.
主要方法:
- 与各种利益相关者 (政策顾问,护理专业人员,公民) 进行了34次半结构化访谈.
- 采用诱导性主题分析来确定关键主题和杆点.
- 分析了四个系统级别的HWA:事件,结构,目标和信念.
主要成果:
- 出现了三个主要主题:HWA组织结构,专业合作和公民参与.
- 在所有系统级别中确定了杆点主题,事件和结构是最常见的.
- 具体的杆点包括市政流程,网络动态,专业动机和公民参与策略.
结论:
- 该研究提供了对HWA中杆点主题的独特见解,这对系统变化至关重要.
- 确定杆点可以指导利益相关者加强他们的HWA战略.
- 为了更深入地理解,进一步的研究应该在确定的杆点主题中探索杆点.
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