工业对英国公共卫生政策制定的影响:复杂的系统方法
Amber van den Akker1, Alice Fabbri1, Adam Bertscher2
1Department for Health, University of Bath, Claverton Down, Bath BA2 7AY, UK.
不健康的商品产业 (UCI) 影响英国的公共卫生政策. 这项研究绘制了UCI的影响和确定的干预措施,建议将行业利益相关者的角色脱离常态化,并优先考虑公共卫生而不是利.
科学领域:
- 公共卫生政策 公共卫生政策
- 系统科学 系统科学
- 卫生经济学 卫生经济学
背景情况:
- 不健康的商品产业 (UCIs) 积极影响政策,以保护利,经常破坏公共卫生.
- 了解UCI影响的复杂动态对于有效制定公共卫生政策至关重要.
研究的目的:
- 绘制不健康商品产业对英国公共卫生政策制定的影响的系统.
- 确定可以将该系统转向更好的公共卫生结果的干预措施.
主要方法:
- 与十名专家一起进行了参与式系统映射研讨会.
- 为了可视化系统动态,开发了一个因果循环图 (CLD).
- 通过专家的共识确定了潜在的干预措施.
主要成果:
- 该CLD揭示了一个高度相互关联的系统,其中行业的影响力是由市场机制和感知合法性等因素所驱动的.
- 影响的关键因素包括"市场机制的主导地位"",伙伴关系作为良好的治理",以及"行业与政策制定者的联系".
- 确定了22项干预措施,突出了两个关键转变:使UCI利益相关者角色变得非正常化,并优先考虑公共卫生而不是经济利益.
结论:
- 改变系统需要相互加强的干预措施,并支持行业如何被感知和优先考虑的范式变化.
- 将不健康的商品行业作为合法政策利益相关方的非正常化至关重要.
- 优先考虑公共卫生和福祉目标而不是利是实现更好的健康结果的关键一步.
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