苏格兰所有政策中的保健战略伙伴关系和可持续交通:一个案例研究评价

IF 2.2 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Margaret J. Douglas , Anna Gale , Rok Hrzic , Timo Clemens , Adrian L. Davis
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引用次数: 0

摘要

“将卫生纳入所有政策”旨在确保跨部门的政策决定能够改善卫生和卫生公平。将卫生纳入所有政策方针的原则定义为治理、综合卫生方针、协作、公平、参与、循证和可持续性。部门间伙伴关系是将卫生纳入所有政策的公认机制,但很少有评估研究旨在影响政策的伙伴关系。本案例研究评估研究了一个以苏格兰交通政策为重点的国家伙伴关系。评价的目的是评估伙伴关系在多大程度上符合“所有政策中都有健康”的原则,并为政策和实践提供信息。它还确定了提高其影响的行动。研究设计对伙伴关系及其更广泛的学习网络成员进行匿名自我完成调查。方法调查采用李克特量表评估受访者对伙伴关系是否达到其目标和支持“全民健康政策”原则的看法。受访者还记录了伙伴关系是否增加了他们的知识,支持了更广泛的合作或知情的决策。该伙伴关系采用分组结构化讨论和在线投票来产生和优先考虑改进行动。结果绝大多数受访者对伙伴关系的综合卫生方法(82%)和循证性(78%)给予高度评价。大多数人在治理(63%)、协作(62.5%)、公平(63%)和可持续性(57%)方面给予了很高的评价。然而,只有不到一半(43%)的人在“参与”一项得分很高。答复者指出了伙伴关系对他们的知识和实践产生影响的一系列方式。伙伴关系确定的提高其影响的首要行动是调查汽车文化和确定要影响的具体国家运输政策。结论针对特定部门的国家伙伴关系可以为“将卫生纳入所有政策”方针提供建设性平台,以改善健康和卫生公平,但还需要进一步的机制来支持受影响人群的参与。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Strategic partnership for Health in All Policies and sustainable transport in Scotland: a case study evaluation

Background

Health in All Policies aims to ensure policy decisions across sectors improve health and health equity. Principles of a Health in All Policies approach have been defined as Governance, Comprehensive approach to health, Collaboration, Equity, Participation, Evidence-based and Sustainability. Intersectoral partnerships are a recognised mechanism for Health in All Policies but few evaluations study partnerships that aim to influence policy. This case study evaluation studied a national Partnership focused on transport policy in Scotland. The evaluation aimed to assess the extent to which the Partnership meets the principles of Health in All Policies and informs policy and practice. It also identified actions to improve its impact.

Study design

Anonymous self-completion survey of members of the Partnership and its wider Learning Network.

Methods

The survey used Likert scales to assess respondents’ views on whether the Partnership was meeting its aims and supporting principles of Health in All Policies. Respondents also recorded whether the Partnership had increased their knowledge, supported wider collaboration or informed decision making. The Partnership used structured discussion in groups and an online poll to generate and prioritise improvement actions.

Results

A vast majority of respondents scored the Partnership highly for Comprehensive approach to health (82 %), and being Evidence-based (78 %). Most rated it highly for Governance (63 %), Collaboration (62.5 %) Equity (63 %) and Sustainability (57 %). However, less than half (43 %) scored it highly for Participation. Respondents indicated a range of ways the Partnership impacted on their knowledge and practice. The top actions identified by the Partnership to improve its impact were to investigate car culture and identify specific national transport policies to influence.

Conclusions

A national sector-specific Partnership can provide a constructive platform for a Health in All Policies approach to improve health and health equity, but further mechanisms are needed to support participation of affected populations.
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来源期刊
Public Health in Practice
Public Health in Practice Medicine-Health Policy
CiteScore
2.80
自引率
0.00%
发文量
117
审稿时长
71 days
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