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政府,治理和基于地方的方法:从公共政策中和公共政策中吸取教训
Bojana Klepac1, Amy Mowle2, Therese Riley2
1Mitchell Institute for Education and Health Policy, Victoria University, Footscray Park Campus, Pathways in Place, Melbourne, VIC, Australia. bojana.klepacpogrmilovic@vu.edu.au.
Health research policy and systems
|November 29, 2023
概括
这项研究分析了澳大利亚关于基于地点的健康方法的公共政策. 研究结果表明,需要平衡政府和社区的作用,以确保有效,公平的健康结果.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 系统科学 系统科学
背景情况:
- 基于地点的方法对于解决复杂的健康决定因素和改善人口健康至关重要.
- 公共政策对地方卫生倡议的有效性有很大影响.
- 关于公共政策和基于地方的健康战略的交叉点的研究有限.
研究的目的:
- 分析澳大利亚国家公共政策关于基于地点的方法.
- 探索地方卫生政策中的定义,政府角色和成功治理的条件.
- 确定政策缺口和对加强基于地方的健康倡议的影响.
主要方法:
- 对67份澳大利亚国家政策文件的文档分析.
- 使用了READ方法和Ritchie和Spencer的框架方法.
- 通过系统变化理论来告知.
主要成果:
- 政策中的基于地点的方法强调合作,社区参与和解决复杂的健康问题.
- 确定的政府角色包括资助者,合作伙伴和支持政策环境的创造者.
- 当地背景在政策中占主导地位,而相互问责是最不明显的.
结论:
- 政策往往过度强调自下而上的方法,冒着过度负担弱势社区的风险.
- 建议采取平衡的混合方法,将政府职能与基于地方的治理整合起来.
- 关键影响包括促进一致的定义,积极建立信任,支持性的政策环境和嵌入式学习.
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