GGD Gelre-IJssel (Community Health Service), AGORA Academic Collaborative Centre, Apeldoorn, The Netherlands.
Health Soc Care Community. 2011 Jan;19(1):43-51. doi: 10.1111/j.1365-2524.2010.00947.x. Epub 2010 Sep 29.
Healthy ageing is influenced by a variety of interacting determinants. Because no one agency can tackle all these determinants, the promotion of healthy ageing requires an intersectoral approach. The aim of this article is to describe a theoretical basis, the development and possible applications of a framework within a municipality in the Netherlands. This framework supports intersectoral collaboration by guiding and stimulating the development, implementation and evaluation of health promotion activities for healthy ageing. It is based on the principles of health promotion and on the theory of salutogenesis and built upon three interrelated central concepts: (1) sense of coherence, (2) resources for health, and (3) health. The framework visualises the interrelationships of the three concepts within health promotion and salutogenesis. This visualisation makes explicit the value and the contribution with respect to content of intersectoral collaboration and the participation of older people in health promotion. The relationships between the concepts of the framework also indicate the need to undertake different types of research and gather different kinds of data to develop, implement and evaluate healthy ageing strategies.
健康老龄化受到多种相互作用的决定因素的影响。由于没有一个机构能够解决所有这些决定因素，因此促进健康老龄化需要采取跨部门的方法。本文的目的是描述一个理论基础，即荷兰一个市的框架的发展和可能的应用。该框架通过指导和激励健康促进活动的制定、实施和评估，支持跨部门合作，以促进健康老龄化。它基于健康促进原则和健康本源理论，并建立在三个相互关联的核心概念之上：（1） 社会感，（2） 健康资源，以及（3） 健康。该框架在健康促进和健康本源理论中直观地展示了这三个概念之间的相互关系。这种直观化明确了跨部门合作的价值和内容贡献，以及老年人参与健康促进的价值和内容贡献。该框架的概念之间的关系还表明，需要进行不同类型的研究并收集不同类型的数据，以制定、实施和评估健康老龄化战略。
