A partnership approach to health promotion: a case study from Northern Ireland.
A partnership approach to health promotion: a case study from Northern Ireland.
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健康促进的伙伴关系方法：北爱尔兰的案例研究。
DOI：
10.1093/heapro/dah111
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发表时间：
2004
影响因子：
2.7
通讯作者：
D. Heenan
中科院分区：
文献类型：
--
作者：
D. Heenan
近年来，北爱尔兰对社区发展和在提供保健和社会服务方面采取伙伴关系的做法重新产生了兴趣。这些办法的主旨是，可以组织当地社区，以满足卫生和社会需求，并与政府机构、志愿机构和地方当局合作，提供服务和当地解决问题的办法。自1986年《渥太华宪章》启动以来，北爱尔兰政府一直强调，社区发展不应再简单地添加到卫生和社会服务的关键方面，而应成为其工作的核心。人们越来越一致地认为，以个人为重点的改善健康和福祉的传统方法是家长式的，未能有效地解决不平等问题。社区发展背景下的伙伴关系被誉为促进参与和赋权的一种手段。本文概述了北爱尔兰健康促进和提供方面的社区发展方法的政策背景。它借鉴了一个社区卫生项目的案例研究的证据，强调了这种方法的好处和困难。研究结果表明，伙伴关系可以积极影响社区的健康状况，但为了有效，它们需要国家和地方社区的有效规划和长期承诺。
In recent years there has been a renewal of interest in community development and partnership approaches in the delivery of health and social services in Northern Ireland. The general thrust of these approaches is that local communities can be organized to address health and social needs and to work with government agencies, voluntary bodies and local authorities in delivering services and local solutions to problems. Since the Ottawa Charter was launched in 1986, government in Northern Ireland has stressed that community development should no longer simply be added on to key aspects of Health and Social Services, but should instead be at the core of their work. There is increasing consensus that traditional approaches to improving health and well-being, which have focused on the individual, are paternalistic and have failed to tackle inequalities effectively. Partnerships within a community development setting have been heralded as a means to facilitate participation and empowerment. This paper outlines the policy background to community development approaches in health promotion and delivery in Northern Ireland. Drawing on evidence from a case study of a community health project it highlights the benefits and difficulties with this approach. The findings suggest that partnerships can positively influence a community's health status, but in order to be effective they require effective planning and long-term commitment from both the state and the local community.