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合理规划跨部门卫生政策制定的成功几率。

Rationalising chances of success in intersectoral health policy making.

作者信息

van Herten L M, Reijneveld S A, Gunning-Schepers L J

机构信息

TNO Prevention and Health, PO Box 2215, 2301 CE Leiden, The Netherlands.

出版信息

J Epidemiol Community Health. 2001 May;55(5):342-7. doi: 10.1136/jech.55.5.342.

Abstract

OBJECTIVE

It is generally accepted that a wide range of factors determine the health of a population, many of which are beyond the remit of the Ministry of Health. The aim of intersectoral health policy is to influence these factors. Success depends on a multi-stage process. This paper aims to provide support for the first stage of this process in the form of a quick scan for appraising the feasibility of intersectoral health policy.

DESIGN

The content of the quick scan for intersectoral health policy was derived from a literature review. To determine the usefulness of this quick scan, the study looked at two examples in the policy sectors of education and safety.

MAIN RESULTS

The quick scan distinguishes between three factors: (1) the availability of evidence, (2) the degree of support, and (3) the availability of tools for implementation. The quick scan made it possible to review the two policy sectors systematically in a relatively short time and to obtain sufficient information for priority setting in intersectoral health policy. The examples in this paper suggest that intersectoral health policy for community safety is more feasible than intersectoral policy for psychosocial problems in secondary education. However, specific information is required for a more precise assessment of feasibility.

CONCLUSIONS

There are many ways of improving health through intersectoral health policy. The proposed quick scan may provide systematic support for setting priorities before developing policies of this kind.

摘要

目的

人们普遍认为,多种因素决定着人口健康状况,其中许多因素超出了卫生部的职权范围。部门间卫生政策的目标是对这些因素产生影响。成功取决于一个多阶段过程。本文旨在通过快速审查为这一过程的第一阶段提供支持,以评估部门间卫生政策的可行性。

设计

部门间卫生政策快速审查的内容源自文献综述。为确定该快速审查的实用性,本研究考察了教育和安全政策领域的两个实例。

主要结果

快速审查区分了三个因素:(1)证据的可得性,(2)支持程度,以及(3)实施工具的可得性。快速审查使得在相对较短的时间内系统地审查这两个政策领域并获取足够信息以确定部门间卫生政策的优先事项成为可能。本文中的实例表明,社区安全的部门间卫生政策比中等教育中心理社会问题的部门间政策更具可行性。然而,需要具体信息才能更精确地评估可行性。

结论

通过部门间卫生政策改善健康有多种方式。提议的快速审查可能为制定此类政策之前确定优先事项提供系统支持。

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