Your browser doesn't support javascript.
loading
From rhet oric to reality: a systemic approach to understanding the constraints faced by Health For All initiatives in England
Berkeley, Dina; Springett, Jane.
Afiliação
  • Berkeley, Dina; Public Health Directorate. Willerby. United Kingdom
  • Springett, Jane; Liverpool John Moores University. Liverpool. United Kingdom
Soc. sci. med ; 63(11): 2877-2889, Dec. 2006. ilus
Artigo em Inglês | CidSaúde - Cidades saudáveis | ID: cid-56727
Biblioteca responsável: BR67.1
Localização: BR67.1
ABSTRACT
The increased appreciation of the effects socio-ecological factors have on health, witnessed over the last few decades, has given rise to many international, national, and local Health For All (HFA) initiatives tasked with addressing them. However, such initiatives have had to operate within environments which were not specifically designed for them or for the new social (rather than medical) perspective on health they were based upon. As a result, they have been facing significant barriers and constraints to fulfilling their mission. This paper explores the constraints which are imposed on such initiatives by the various environments within which they are nested. Drawing upon our experience in evaluating European Healthy City (HC) projects and English Health Action Zones (HAZs), we develop a dynamic conceptual model which shows how the national, governmental policy, interorganisational, organisational, and initiative environments relate with each other and their cumulative effects on initiatives. We argue that this model, and the principles on which it is based, can be used constructively to identify constraints facing HFA-type initiatives in many countries.We use our own case study of English HCs and HAZs to illustrate the applicability of the model in a particular national context. We, first, interpret the model to reflect differences and similarities between their respective environments and trace the sources of the different constraints they encountered. We, then, show how an alternative structural configuration could enable some of these constraints to be eliminated. We argue that what is needed for HFA initiatives to be able to fulfill their brief in fulls is for governments to rethink exisisting organisational structures and update them to match the evolution of ideas on health which have emerged over the last decades (AU)
Assuntos
Buscar no Google
Coleções: Bases de dados temática Contexto em Saúde: ODS3 - Saúde e Bem-Estar Tema em saúde: Meta 3.8 Atingir a cobertura universal de saúde Base de dados: CidSaúde - Cidades saudáveis Assunto principal: Estratégias de Saúde Globais / Cidade Saudável País/Região como assunto: Europa Idioma: Inglês Revista: Soc. sci. med Ano de publicação: 2006 Tipo de documento: Artigo Instituição/País de afiliação: Liverpool John Moores University/United Kingdom / Public Health Directorate/United Kingdom
Buscar no Google
Coleções: Bases de dados temática Contexto em Saúde: ODS3 - Saúde e Bem-Estar Tema em saúde: Meta 3.8 Atingir a cobertura universal de saúde Base de dados: CidSaúde - Cidades saudáveis Assunto principal: Estratégias de Saúde Globais / Cidade Saudável País/Região como assunto: Europa Idioma: Inglês Revista: Soc. sci. med Ano de publicação: 2006 Tipo de documento: Artigo Instituição/País de afiliação: Liverpool John Moores University/United Kingdom / Public Health Directorate/United Kingdom
...