将健康的更广泛的决定因素纳入框架:从与英格兰地方当局的知识动员练习中进行反思和学习
Elizabeth Such1, Daniel Akakpo2, Lauren Cleghorn2
1School of Health Sciences, Queen's Medical Centre, University of Nottingham, UK.
Public health in practice (Oxford, England)
|August 11, 2023
概括
将健康不平等重新定义为系统性问题,而不是个人选择,有助于公共卫生团队. 这种方法为解决地方当局的复杂健康挑战提供了清晰度和结构.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 健康 公平 卫生 公平
背景情况:
- 在英国,健康不平等仍然存在,受其讨论方式的影响.
- 主要的健康框架侧重于个人行为,忽视结构因素.
- 该项目旨在将健康不平等重新定义为系统性问题,以帮助地方当局.
研究的目的:
- 从系统的角度重新定义健康不平等问题.
- 支持英格兰的一个地方当局解决健康不平等问题.
- 为公共卫生团队开发可操作的工具.
主要方法:
- 一个学术从业者的参与知识动员练习.
- 四个独立的阶段,包括研讨会和代反.
- 共同创建重构的公共卫生挑战和解决方案.
主要成果:
- 通过系统框架开发了六个主题领域 (例如,粮食不安全,肥胖,心理健康).
- 感知到的好处包括清晰度,结构化思维和消除术语.
- 挑战包括维持框架和评估影响.
结论:
- 系统性地重新定义更广泛的健康决定因素有助于公共卫生团队的连贯性.
- 在采用和一致应用这种系统方法时存在挑战.
- 建议对这种重构的影响进行进一步的本地评估.
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