为了"升级"公共卫生,需要发生什么?
Sarah Ayres1, Andrew Barnfield1, Geoff Bates2
1School for Policy Studies, University of Bristol, Bristol, UK.
概括
对健康的城市发展进行长期投资对于提高英国公共卫生水平至关重要. 这种专注于健康的社会决定因素的方法,目前缺少政府计划.
科学领域:
- 公共卫生 公共卫生
- 城市规划 城市规划
- 卫生政策 卫生政策
背景情况:
- 英国政府的"升级"计划旨在减少区域差异,改善健康状况.
- 目前的战略受到批评,因为它没有将人口健康目标纳入升级议程.
- 健康预期寿命和健康的社会决定因素的不平等是关键问题.
研究的目的:
- 检查英国中央,次区域和地方各级公共卫生水平的政府要求.
- 调查健康城市发展在解决健康不平等问题中的潜在作用.
- 为政策变革提供建议,以将公共卫生纳入国家升级努力.
主要方法:
- 一种以促进英国健康城市发展为重点的案例研究方法.
- 与132个城市发展参与者的深入访谈.
- 分析将更广泛的健康决定因素纳入升级战略的分析.
主要成果:
- 对健康城市发展的长期投资被认为是提高公共卫生水平的关键因素.
- 当前政府对平面化议程的计划不包括健康的城市发展.
- 在将人口健康政策与实施升级议程的整合方面存在差距.
结论:
- 需要进行改革性的政策变革,才能有效地提高英国的公共卫生水平.
- 将公共卫生放在社会科学和政策辩论的最前沿是必不可少的.
- 政府的战略必须纳入健康的城市发展,并解决更广泛的健康决定因素,以实现真正的升级.
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