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[健康促进指标——选定的模型方法]

[Health promotion indicators - selected model approaches].

作者信息

Mazur J, Szumska-Olczak A

机构信息

Pracownia Epidemiologii Zagrozen Zdrowotnych Dzieci i Mlodziezy, Instytut Matki i Dziecka, Kasprzaka 17a, 01-211 Warszawa, Poland.

出版信息

Med Wieku Rozwoj. 2000;4(4 Suppl 1):53-66.

Abstract

The aim of the paper is to present the problem, how to find the optimal set of indicators necessary in the different phases of planning, programming and evaluation of health promotion programmes. In health promotion the application of classic health measurements is limited, because they are not related to "positive health". Moreover, time perspective when effects of promotion could appear is difficult to define. Some model approaches are presented. The PRECEDE-PROCEED model is recognised as a robust framework in health promotion. This model provides a continuous series of steps and phases in planning, implementation and evaluation process. Some authors recommend already in the early phase of programming to draw a diagram showing a relationship between the objectives, activities, indicators and resources. In the process of evaluation it seems very important for health promotion initiatives to focus on the changes in human knowledge, attitudes and behaviours. For that reason models like KAP analysis (knowledge, attitudes, practice), HBM (Health Belief Model) and TTM (Transtheoretical Prochaska's model) are commonly applied. However, the- re is still a need to develop and choose indicators, which would consider environmental aspects of health promotion and link local actions with national health promotion policy.

摘要

本文的目的是提出一个问题,即在健康促进计划的规划、制定和评估的不同阶段,如何找到所需的最佳指标集。在健康促进中,经典健康测量方法的应用是有限的,因为它们与“积极健康”无关。此外,很难确定促进效果可能出现的时间范围。文中介绍了一些模型方法。“优先教育诊断与评价-过程评价”(PRECEDE-PROCEED)模型被认为是健康促进中一个强大的框架。该模型在规划、实施和评估过程中提供了一系列连续的步骤和阶段。一些作者建议在规划的早期阶段就绘制一张图表,展示目标、活动、指标和资源之间的关系。在评估过程中,对于健康促进倡议来说,关注人类知识、态度和行为的变化似乎非常重要。因此,像KAP分析(知识、态度、实践)、HBM(健康信念模型)和TTM(跨理论普罗查斯卡模型)这样的模型被广泛应用。然而,仍然需要开发和选择指标,这些指标应考虑健康促进的环境因素,并将地方行动与国家健康促进政策联系起来。

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