What makes for sustainable Healthy Cities initiatives?- a review of the evidence from Noarlunga, Australia after 18 years

What makes for sustainable Healthy Cities initiatives?- a review of the evidence from Noarlunga, Australia after 18 years
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DOI:
10.1093/heapro/dal023
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发表时间:
2006-12-01
影响因子:
2.7
通讯作者:
Parker, Steve
Parker, Steve
中科院分区:
医学3区
文献类型:
--
作者:
Baum, Fran;Jolley, Gwyneth;Parker, Steve

文献摘要

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本文考察了使“北方健康城市”(HCN)倡议能够持续18年(1987-2005年)的因素。可持续性是指倡议能够继续以一种表明社区和当地服务提供者重视其存在的方式持续运作。这项分析是根据对29份与卫生保健网络有关的文件的叙述性审查,其中包括一些评价。有九个因素对确保可持续性很重要:强烈的社会健康愿景;鼓舞人心的领导;能因地制宜的模式;处理各种不同需求的能力;大力支持代表真正参与的社区参与;广大玩家认识到,健康城市是实现目标的相对中立的空间;与本地大学建立有效和可持续的联系;向外聚焦,接纳国际联系和外部观点;而且,最重要的是,主动性将从一个项目转变为一种方法和工作方式。这些可持续性因素可能与一系列复杂的、以社区为基础的倡议有关。
This paper examines the factors that have enabled the Healthy Cities Noarlunga (HCN) initiative to be sustainable over 18 years (1987-2005). Sustainability related to the ability of the initiative to continue to operate continuously in a manner that indicated its existence was accorded value by the community and local service providers. The analysis is based on a narrative review of 29 documents related to HCN, including a number of evaluations. Nine factors emerged as important to ensuring sustainability: strong social health vision; inspirational leadership; a model that can adapt to local conditions; ability to juggle competing demands; strongly supported community involvement that represents genuine engagement; recognition by a broad range of players that Healthy Cities is a relatively neutral space in which to achieve goals; effective and sustainable links with a local university; an outward focus open to international links and outside perspectives; and, most crucial, the initiative makes the transition from a project to an approach and a way of working. These sustainability factors are likely to be relevant to a range of complex, community-based initiatives.