Crawshaw Paul, Bunton Robin, Gillen Kate
School of Health and Social Care, University of Teeside, Middlesbrough, UK.
Health Soc Care Community. 2003 Jan;11(1):36-44. doi: 10.1046/j.1365-2524.2003.00397.x.
Health Actions Zones (HAZs) have been identified as initiatives reflecting the 'third way' policies espoused by the UK New Labour Government. Like other area-based or zone initiatives, HAZ programmes are designed to tackle inequalities and exclusion in some of the most deprived areas of the UK. This is to be achieved through partnerships between the public, private and voluntary sectors, and most significantly, communities themselves. Health Action Zones embrace communities and attempt to foster involvement in health improvement, often using established community development models. The present paper uses the findings of an ongoing process study into the development of one zone in the north-east of England to consider community involvement in practice. The benefits and challenges of involving communities in the HAZ process are presented, and the relevance of this for future programmes and policy are discussed.
健康行动区（HAZs）已被视为反映英国新工党政府所支持的“第三条道路”政策的举措。与其他基于地区或区域的举措一样，HAZ计划旨在解决英国一些最贫困地区的不平等和排斥问题。这将通过公共、私营和志愿部门之间的伙伴关系来实现，最重要的是，通过社区自身来实现。健康行动区接纳社区，并试图促进社区参与健康改善工作，通常采用既定的社区发展模式。本文利用对英格兰东北部一个区域发展情况进行的一项正在进行的过程研究的结果，来探讨社区在实践中的参与情况。文中阐述了社区参与HAZ过程的益处和挑战，并讨论了这对未来计划和政策的相关性。
