Centre for Health Policy, Programs and Economics, School of Population Health, The University of Melbourne, Level 4, 207 Bouverie Street, Carlton, Victoria 3010, Australia.
BMC Health Serv Res. 2010 Jun 17;10:172. doi: 10.1186/1472-6963-10-172.
Novel approaches are increasingly employed to address the social determinants of health of children world-wide. Such approaches have included complex social programs involving multiple stakeholders from different sectors jointly working together (hereafter Child Health Partnerships). Previous reviews have questioned whether these programs have led to significant improvements in child health and related outcomes. We aim to provide definitive answers to this question as well as identifying the characteristics of successful partnerships.
A comprehensive literature search identified 11 major Child Health Partnerships in four comparable developed countries. A critical review is focused on various aspects of these including their target groups, program mechanics and outcomes.
There was evidence of success in several major areas from the formation of effective joint operations of partners in different partnership models to improvement in both child wellbeing and parenting. There is emerging evidence that Child Health Partnerships are cost-effective. Population characteristics and local contexts need to be taken into account in the introduction and implementation of these programs.
新方法越来越多地被用于解决全球儿童的健康社会决定因素。这些方法包括涉及来自不同部门的多个利益相关者共同合作的复杂社会项目(以下简称儿童健康伙伴关系)。之前的评论质疑这些项目是否导致儿童健康和相关结果有显著改善。我们旨在为这个问题提供明确的答案,并确定成功伙伴关系的特征。
全面的文献检索确定了四个可比发达国家的 11 个主要儿童健康伙伴关系。重点对这些方面的各个方面进行了批判性审查,包括它们的目标群体、计划机制和结果。
从不同伙伴关系模式中合作伙伴的有效联合运作的形成到儿童福利和育儿的改善等几个主要领域都有成功的证据。有新的证据表明儿童健康伙伴关系具有成本效益。在引入和实施这些项目时,需要考虑人口特征和当地情况。