基于资产的方法如何减少不平等? 探索英格兰和西班牙的变革过程
Viola Cassetti1, Katie Powell1, Amy Barnes1
1Sheffield Centre for Health And Related Research (ScHARR), University of Sheffield, Regent Court, S1 4DA, Sheffield, UK.
Health promotion international
|March 2, 2024
概括
基于资产的方法 (ABAs) 通过评估资源和技能来赋予社区权力. 在培养个人能力的同时,背景因素影响了它们在减少健康不平等方面的有效性.
科学领域:
- 社区健康 社区健康
- 健康 公平 研究 健康 公平 研究
- 健康的社会决定因素
背景情况:
- 基于资产的方法 (ABA) 越来越多地用于促进健康和减少社区的不平等.
- 对ABA对健康不平等的机制和影响的理解仍然有限.
研究的目的:
- 探索基于资产的方法如何影响实践,关系和资源再分配,以减少贫困社区的健康不平等.
- 了解ABAs可以影响健康公平的过程.
主要方法:
- 在英格兰和西班牙进行的定性研究,涉及基于资产的健康促进者倡议.
- 通过变化理论研讨会收集数据,观察和采访44个利益相关者.
- 以系统思维为基础的专题分析.
主要成果:
- 确定了三个变革过程:实现基于资产的思维,开发基于资产的能力,并通过ABAs改变决策.
- ABA显示出个人赋权和社会资本发展的潜力,有助于减少不平等.
- 背景因素显著影响了社区的变化和集体赋权,限制了对健康不平等的更广泛影响.
结论:
- 基于资产的方法可以促进个人赋权和社会资本,提供减少健康不平等的途径.
- 在减少健康不平等方面,ABA的有效性取决于环境因素,并使集体赋权成为可能.
- 需要进一步的研究来优化ABA实施,以持续影响健康公平.
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