Questioning sustainability in health promotion projects and programs.
Questioning sustainability in health promotion projects and programs.
复制标题
质疑健康促进项目和计划的可持续性。
DOI：
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发表时间：
2005
影响因子：
2.7
通讯作者：
L. S. St Leger
中科院分区：
文献类型：
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作者：
L. S. St Leger
大多数健康促进项目和方案的文件计划通常包含“可持续性”一词。有些人甚至明确指出，在项目或项目资助资源停止后，什么是打算持续下去的。然而，许多计划并没有梳理出干预中那些值得维持的重要方面。它们也没有确定干预本身是否实际上培育了确保所陈述的意图有合理的机会得以维持的必要过程。长期以来，我们很少关注健康促进中可持续性的含义。这种情况在发达国家和发展中国家以及小型和大型项目和计划中都有发生。我们没有彻底和定期地反思许多在可持续性方面取得重大成功的健康促进干预措施，并从中吸取教训。芬兰具有里程碑意义的北卡累利阿项目和世界各地的许多减少烟草规划为这种审查和分析提供了丰富的证据来源。我们是否经常问自己：“这个行动/目标/组织是否值得维持？”也许健康促进应该把重点放在行动/目标/组织的演变上？最近，一些研究人员试图质疑健康促进中的可持续性概念，并制定框架和指导方针，以协助规划者、从业人员、评估人员、管理人员、组织和资助当局。Swerisson和Crisp（2004）在研究可持续性概念时做出了深思熟虑和实际的贡献。他们声称:
The documented plans of most Health Promotion projects and programs usually contain the word ‘sustainability’. Some even identify specifically what is intended to be sustained, after the project or program funding resources cease. Yet, many plans do not tease out those important aspects of the intervention which are worth sustaining. Nor do they identify whether the intervention itself actually nurtures the processes necessary to ensure the stated intentions have a reasonable chance of being sustained. For too long we have paid little attention to what we mean by sustainability in Health Promotion. This has occurred in both developed and developing countries and in small and large projects and programs. We have not reflected thoroughly and regularly on the many health promotion interventions that have achieved some significant degree of sustainability successes, and learnt from them. The landmark North Karelia project in Finland and the many tobacco reduction programs across the world provide a rich source of evidence for such examination and analysis. How often do we ask—‘Is this action/goal/ organisation worth sustaining anyway?’ Perhaps health promotion should focus instead on the evolvement of actions/goals/organisations? Recently, a number of researchers have sought to interrogate the concept of sustainability in health promotion, and to develop frameworks and guidelines which will assist planners, practitioners, evaluators, managers, organisations and funding authorities. Swerisson and Crisp (2004) provided a thoughtful and practical contribution as they examined the concept of sustainability. They claimed: