解开社区健康促进的复杂实施过程:荷兰的多个案例研究
Irma Huiberts1,2, Amika Singh2,3, Dorine Collard2
1Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, van der Boechorststraat 7, 1081BT Amsterdam, The Netherlands.
在社区卫生计划中确定关键事件,例如荷兰健康青年,健康未来 (JOGG) 方法,有助于改善未来的实施. 了解这些关键时刻有助于导航复杂的,现实世界的公共卫生计划.
科学领域:
- 公共卫生 公共卫生
- 促进健康 促进健康
- 项目实施科学 项目实施科学
背景情况:
- 基于社区的计划对于促进人口健康至关重要,但由于其动态性质,评估是具有挑战性的.
- 了解实施过程对于有效的公共卫生干预至关重要.
研究的目的:
- 了解荷兰健康青年,健康未来 (JOGG) 方法的实施过程.
- 确定影响JOGG方法实施的关键事件.
主要方法:
- 定性研究涉及采访 (n=24) 与协调员和利益相关者在九个社区.
- 程序实施的文档分析.
- 应用"关键事件卡"分析工具.
主要成果:
- 社区在5-10年内通过准备,升级,资源调动,政策整合和战略调整取得了进展.
- 主要影响事件包括国家政策转变,JOGG方法的当地框架,员工流动和团队行动.
- 实施变化通常是由过程不稳定和政策变化机会引发的.
结论:
- 确定了关键事件,可以为未来的JOGG方法和类似的社区健康促进计划的实施提供信息.
- 承认取决于上下文的因素和关键事件可以提高对公共卫生倡议的评估.
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