Holistic and sustainable health improvement: the contribution of the settings-based approach to health promotion

Holistic and sustainable health improvement: the contribution of the settings-based approach to health promotion
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DOI:
10.1177/1757913908098881
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发表时间:
2009-01-01
影响因子:
5.8
通讯作者:
Dooris, Mark
Dooris, Mark
中科院分区:
医学4区
文献类型:
--
作者:
Dooris, Mark

文献摘要

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本文强调全面和可持续改善健康的必要性,首先回顾了健康促进环境方法的起源、历史和概念。然后,它评估了国际和国内的当前实践,指出其在全球范围内的持续重要性以及其在英国四个国家的不一致的形象和利用率。它继续探讨基于环境的健康促进在三个关键问题上的适用性和未来发展:不平等和包容性;对复杂问题的场所塑造和基于系统的响应。该文件得出的结论是,环境方法仍然与 21 世纪的公共卫生高度相关,因此呼吁新的“皇家”提供急需的领导力,从而将基于环境的健康促进牢牢地纳入整个英国的国家议程。
Highlighting the need for holistic and sustainable health improvement, this paper starts by reviewing the origins, history and conceptualization of the settings approach to health promotion. It then takes stock of current practice both internationally and nationally, noting its continuing importance worldwide and its inconsistent profile and utilization across the four UK countries. It goes on to explore the applicability and future development of settings-based health promotion in relation to three key issues: inequalities and inclusion; place-shaping and systems-based responses to complex problems. Concluding that the settings approach remains highly relevant to 21 st century public health, the paper calls on the new "Royal" to provide much-needed leadership, thereby placing settings-based health promotion firmly on the national agenda across the whole of the UK.