Swerissen Hal, Crisp Beth R
Australian Institute for Primary Care, Faculty of Health Sciences, La Trobe University, Bundoora, Victoria, Australia 3086.
Health Promot Int. 2004 Mar;19(1):123-30. doi: 10.1093/heapro/dah113.
In health promotion, enthusiasm for sustainability has frequently overshadowed critical reflection with regard to whether this aim is warranted, let alone feasible. Consequently, the not insubstantial body of literature on sustainability in health promotion is not particularly helpful to decision makers. In this paper we seek to provide some guidance for the development of sustainability for health promotion interventions, arguing that it is necessary to be able to differentiate between (i). levels of social organization which are the focus of change, (ii). the programmes and agencies which are the means employed to achieve change, and (iii). the outcomes or effects that are achieved. Furthermore, funding allocations need to be congruent with programme characteristics if one is serious about achieving sustainability.
在健康促进领域，对可持续性的热情常常掩盖了对这一目标是否合理的批判性思考，更不用说是否可行了。因此，关于健康促进领域可持续性的大量文献对决策者并没有特别大的帮助。在本文中，我们试图为健康促进干预措施的可持续性发展提供一些指导，认为有必要区分：（i）作为变革重点的社会组织层面；（ii）用于实现变革的方案和机构；（iii）所取得的成果或效果。此外，如果真的想实现可持续性，资金分配需要与方案特点相匹配。
