荷兰固体启动计划:描述了该计划的第一千天的实施和经验
Joyce M Molenaar1,2, Inge C Boesveld3, Jeroen N Struijs3,4
1Department of Quality of Care and Health Economics, Centre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment (RIVM), 3721, MA, Bilthoven, the Netherlands. Joyce.molenaar@rivm.nl.
BMC health services research
|August 30, 2023
概括
荷兰的Solid Start计划改善了生命的第一个1000天的跨部门合作. 可持续的资金和支持性法规对于其长期成功至关重要.
科学领域:
- 公共卫生 公共卫生
- 社会政策 社会政策 社会政策
- 儿童发展 儿童发展
背景情况:
- 荷兰的Solid Start计划于2018年启动,目标是生命的头一千天 (怀孕前到两岁).
- 它旨在通过加强医疗和社会部门的合作来改善儿童福祉,特别是弱势家庭.
- 该计划的关键是Solid Start联盟,旨在促进跨部门伙伴关系.
研究的目的:
- 评估荷兰固体启动计划的实施情况.
- 评估各市政府实施"坚实起步"的程度.
- 了解利益相关者在项目实施和跨部门合作方面的经验.
主要方法:
- 通过调查问卷收集来自荷兰352个市镇 (2019-2021) 的定量数据.
- 通过重点小组 (n=6) 和采访 (n=19) 收集的定性数据,采访了各种利益相关者.
- 分析采用了定量数据的描述性统计数据和定性数据的综合护理彩虹模型.
主要成果:
- 固体启动联盟显著增长 (2019年的40个增加到2021年的140个),增加了跨部门的合作.
- 利益相关者报告说,第一千天的紧迫性增加,职业关系改善.
- 障碍包括有限的资源和法规;确定的需求是可持续的资金,支持性政策和客户参与.
结论:
- 固体启动已经推动了跨部门护理在最初一千天的逐步改进.
- 该计划没有从根本上改变系统结构.
- 解决可持续融资等需求对于计划的长寿和影响至关重要.
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