Knai Cécile, Scott Courtney, D'Souza Preethy, James Lesley, Mehrotra Anushka, Petticrew Mark, Eastmure Elizabeth, Durand Mary Alison, Mays Nicholas
Policy Innovation Research Unit, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, UK.
EPPI-Centre, Social Science Research Unit, Institute of Education, University College London, 18 Woburn Square, London, WC1H 0NR, UK.
J Public Health (Oxf). 2017 Jun 1;39(2):373-386. doi: 10.1093/pubmed/fdw047.
The Public Health Responsibility Deal (RD) in England is a public-private partnership which aims to improve public health by addressing issues such as health at work. This paper analyses the RD health at work pledges in terms of their likely effectiveness and added value.
A review of evidence on the effectiveness of the RD 'health at work' pledges to improve health in the workplace; analysis of publically available data on signatory organizations' plans and progress towards achieving the pledges; and assessment of the likelihood that workplace activities pledged by signatories were brought about by participating in the RD.
The 'health at work' pledges mostly consist of information sharing activities, and could be more effective if made part of integrated environmental change at the workplace. The evaluation of organizations' plans and progress suggests that very few actions (7%) were motivated by participation in the RD, with most organizations likely (57%) or probably (36%) already engaged in the activities they listed before joining the RD.
The RD's 'health at work' pledges are likely to contribute little to improving workplace health as they stand but could contribute more if they were incorporated into broader, coherent workplace health strategies.
英国的公共卫生责任协议（RD）是一项公私合作项目，旨在通过解决诸如工作场所健康等问题来改善公众健康。本文从其可能的有效性和附加值方面分析了RD在工作场所健康方面的承诺。
回顾关于RD“工作场所健康”承诺对改善工作场所健康有效性的证据；分析关于签署组织实现承诺的计划和进展的公开数据；评估签署方承诺的工作场所活动是否因参与RD而产生。
“工作场所健康”承诺大多由信息共享活动组成，如果能成为工作场所综合环境变化的一部分，可能会更有效。对组织计划和进展的评估表明，很少有行动（7%）是由参与RD推动的，大多数组织（57%）可能或很可能（36%）在加入RD之前就已经在开展他们列出的活动。
就目前而言，RD的“工作场所健康”承诺对改善工作场所健康的贡献可能很小，但如果将其纳入更广泛、连贯的工作场所健康战略中，可能会做出更大贡献。
