A good start for all children: Integrating early-life course medical and social care through Solid Start, the Netherlands’ nationwide action programme

IF 3.6 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Health Policy Pub Date : 2025-02-01 DOI:10.1016/j.healthpol.2024.105219

Eric A.P. Steegers , Jeroen N. Struijs , Angela J.M. Uijtdewilligen , Tessa J. Roseboom

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引用次数: 0

Abstract

The foundations of human wellbeing are laid in early life during the preconception stage and the 1,000-days of life from conception to the child's second birthday. This period is therefore receiving scrutiny as a concept for guiding pregnancy-care innovation and public health policy. The Dutch government took responsibility to invest in this. In September 2018, the Dutch Ministry of Health, Welfare, and Sport launched the Solid Start action programme. Coordinated nationally, the programme is implemented locally through coalitions in all 342 Dutch municipalities involving collaboration between medical and social-care professionals, policymakers, parents and organisations. The programme has generated a nationwide movement in which medical and social-care professionals now develop forms of structural collaboration that support (future) parents by offering evidence-based interventions that simultaneously enhance early healthy human development and prevent unwanted pregnancies. Although monitoring of the programme does not currently make it possible to address the causal effects of the programme itself, lessons can be distilled which have contributed to the successful implementation of this nationwide programme. These lessons include 1) having and maintaining an unambiguous narrative, 2) creating a lasting sense of urgency among stakeholders, and 3) ensuring that the programme is multi-sectoral.

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所有儿童都有一个良好的开端：通过荷兰的全国行动方案“扎实起步”，将生命早期阶段的医疗和社会护理结合起来。

人类幸福的基础是在生命的早期，即孕前阶段和从怀孕到孩子两岁生日的1000天内奠定的。因此，这一时期作为指导怀孕护理创新和公共卫生政策的概念正在受到仔细审查。荷兰政府承担了投资的责任。2018年9月，荷兰卫生、福利和体育部启动了“扎实启动”行动方案。该方案在全国得到协调，通过荷兰所有342个城市的联盟在地方实施，涉及医疗和社会保健专业人员、决策者、家长和组织之间的合作。该方案在全国范围内掀起了一场运动，医疗和社会保健专业人员正在发展各种形式的结构性合作，通过提供循证干预措施，同时促进人类早期健康发展和防止意外怀孕，从而支持（未来的）父母。虽然目前对该方案的监测无法处理方案本身的因果影响，但可以总结有助于成功执行这一全国性方案的经验教训。这些经验教训包括：1)拥有并保持明确的叙述；2)在利益攸关方中创造持久的紧迫感；3)确保项目是多部门的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Policy 医学-卫生保健

CiteScore

6.40

自引率

6.10%

发文量

157

审稿时长

3-8 weeks

期刊介绍： Health Policy is intended to be a vehicle for the exploration and discussion of health policy and health system issues and is aimed in particular at enhancing communication between health policy and system researchers, legislators, decision-makers and professionals concerned with developing, implementing, and analysing health policy, health systems and health care reforms, primarily in high-income countries outside the U.S.A.