Bauer Georg, Davies John Kenneth, Pelikan Jurgen, Noack Horst, Broesskamp Ursel, Hill Chloe
Department of Health and Intervention Research, Institute of Social and Preventative Medicine, University of Zurich, Zurich, Switzerland.
Eur J Public Health. 2003 Sep;13(3 Suppl):107-13. doi: 10.1093/eurpub/13.suppl_1.107.
This paper discusses the work of the EUHPID Project to develop a European Health Promotion Monitoring System based on a common set of health promotion indicators. The Project has established three working groups to progress this task--health promotion policy and practice-driven, data-driven and theory-driven. The work of the latter group is reviewed in particular. EUHPID has taken a systems theory approach in order to develop a model as a common frame of reference and a rational basis for the selection, organization and interpretation of health promotion indicators. After reviewing the strengths and weaknesses of those health promotion models currently proposed for indicator development, the paper proposes a general systems model of health development, and specific analytical, socio-ecological models related to public health and health promotion. These are described and discussed in detail. Taking the Ottawa Charter as the preferred framework for health promotion, the socio-ecological model for health promotion adopts its five action areas to form five types of systems. The structure and processes for each of these five systems are proposed to form the basis of a classification system for health promotion indicators. The paper goes on to illustrate such a system with reference to indicators in the workplace setting. The EUHPID Consortium suggest that their socio-ecological model could become a common reference point for the public health field generally, and offer an invitation to interested readers to contribute to this development.
本文讨论了欧盟健康促进指标项目（EUHPID）的工作，该项目旨在基于一套通用的健康促进指标开发欧洲健康促进监测系统。该项目设立了三个工作组来推进这项任务——由健康促进政策与实践驱动的、由数据驱动的和由理论驱动的。本文特别回顾了后一个工作组的工作。EUHPID采用了系统理论方法，以便开发一个模型，作为一个通用的参考框架以及健康促进指标选择、组织和解释的合理依据。在审视了当前为指标开发所提出的那些健康促进模型的优缺点之后，本文提出了一个健康发展的通用系统模型，以及与公共卫生和健康促进相关的具体分析性社会生态模型。文中对这些模型进行了详细描述和讨论。以《渥太华宪章》作为健康促进的首选框架，健康促进的社会生态模型采用其五个行动领域来形成五种类型的系统。文中提出了这五个系统各自的结构和流程，以形成健康促进指标分类系统的基础。本文接着以工作场所环境中的指标为例说明了这样一个系统。EUHPID联盟表示，他们的社会生态模型总体上可能会成为公共卫生领域的一个通用参考点，并邀请感兴趣的读者为这一发展做出贡献。
