中庸之道:将公共卫生宣传中的 "正常做法 "正规化的方法。

IF 3.5 4区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Perspectives in Public Health Pub Date : 2024-07-01 Epub Date: 2022-12-30 DOI:10.1177/17579139221138451
J S Mindell, Y Parag, S E Bartington, L Stoll, J Barlow, K B Janda
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引用次数: 0

摘要

目的:"中间向外 "视角(MOP)提供了一个视角,用于研究介于政府(上层)和个人(下层)之间的行动者如何从中间向外(而不是自上而下或自下而上)推动更广泛的社会变革。近年来,MOP 已被用于能源、气候变化和发展研究领域。我们认为,参与倡导活动和建立联盟以扩大健康促进行动的公共卫生从业人员,即使不熟悉其正式名称,也会熟悉 MOP 的一般概念。本文旨在证明这一论点:本文介绍了澳门葡京娱乐网址的概念框架,并通过将其与现有的公共卫生行动概念和理论相结合,为公共卫生受众量身定制了这一框架。通过两个英国案例研究(增加行人信号灯过马路时间和无烟立法运动),我们说明了谁是中间行动者以及他们可以做些什么来取得更好的公共卫生成果:这些案例研究表明,让更多的中间参与者参与进来,包括那些传统上不参与改善公众健康的人,可以扩大参与倡导公共卫生措施的组织和个人的范围和影响力。它们还表明,中间行动者并不是中立的。他们可以被招募来改善公共卫生成果,但也可能被商业利益所利用,阻碍健康政策,甚至推动损害健康的议程:将澳门葡京娱乐网址作为一种正式的方法,可以帮助公共卫生组织和从业人员考虑传统卫生相关机构或专业以外的潜在 "盟友"。正式绘图可以扩大特定公共卫生问题潜在中间行动者的范围。通过应用 MOP,公共卫生组织和工作人员可以通过让更多的中间参与者参与到改善公众健康的工作中来,从而获得额外的影响力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Middle-Out Perspective: an approach to formalise 'normal practice' in public health advocacy.

Aims: The middle-out perspective (MOP) provides a lens to examine how actors positioned between government (top) and individuals (bottom) act to promote broader societal changes from the middle-out (rather than the top-down or bottom-up). The MOP has been used in recent years in the fields of energy, climate change, and development studies. We argue that public health practitioners involved with advocacy activities and creating alliances to amplify health promotion actions will be familiar with the general MOP concept if not the formal name. The article aims to demonstrate this argument.

Methods: This article introduces the MOP conceptual framework and customises it for a public health audience by positioning it among existing concepts and theories for actions within public health. Using two UK case studies (increasing signalised crossing times for pedestrians and the campaign for smoke-free legislation), we illustrate who middle actors are and what they can do to result in better public health outcomes.

Results: These case studies show that involving a wider range of middle actors, including those not traditionally involved in improving the public's health, can broaden the range and reach of organisations and individuals involving in advocating for public health measures. They also demonstrate that middle actors are not neutral. They can be recruited to improve public health outcomes, but they may also be exploited by commercial interests to block healthy policies or even promote a health-diminishing agenda.

Conclusion: Using the MOP as a formal approach can help public health organisations and practitioners consider potential 'allies' from outside traditional health-related bodies or professions. Formal mapping can expand the range of who are considered potential middle actors for a particular public health issue. By applying the MOP, public health organisations and staff can enlist the additional leverage that is brought to bear by involving additional middle actors in improving the public's health.

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来源期刊
Perspectives in Public Health
Perspectives in Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.50
自引率
1.70%
发文量
74
期刊介绍: Perspectives in Public Health is a bi-monthly peer-reviewed journal. It is practice orientated and features current topics and opinions; news and views on current health issues; case studies; book reviews; letters to the Editor; as well as updates on the Society"s work. The journal also commissions articles for themed issues and publishes original peer-reviewed articles. Perspectives in Public Health"s primary aim is to be an invaluable resource for the Society"s members, who are health-promoting professionals from many disciplines, including environmental health, health protection, health and safety, food safety and nutrition, building and engineering, primary care, academia and government.
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