Leenaars K E F, van der Velden-Bollemaat E C, Smit E, Wagemakers A, Molleman G R M, Koelen M A
Department of Social Sciences, Health and Society, Group, Wageningen University & Research Centre, Wageningen, EW, The Netherlands.
Academic Collaborative Centre AMPHI, Primary Health Care, Radboud University Medical Center, Nijmegen, HB, The Netherlands.
Health Promot Int. 2018 Aug 1;33(4):622-634. doi: 10.1093/heapro/dax005.
To stimulate physical activity (PA) and guide primary care patients towards local sport facilities, Care Sport Connectors (CSCs), to whom a broker role has been ascribed, were introduced in 2012 in the Netherlands. The aim of this study is to describe CSCs' operational context. A theoretical framework was developed and used as the starting point for this study. Group interviews were held with policymakers in nine participating municipalities, and, when applicable, the CSC's manager was also present. Prior to the interviews, a first outline of the operational context was mapped, based on the analysis of policy documents and a questionnaire completed by the policymakers. A deductive content analysis, based on the theoretical framework, was used to analyse the interviews. Differences were found in CSCs' operational context in the different municipalities, especially the extent to which municipalities adopted an integral approach. An integral approach consists of an integral policy in combination with an imbedding of this policy in partnerships at management level. This integral approach is reflected in the activities of other municipal operations, for example the implementation of health and PA programs by different organisations. Given the CSC mandate, we think that this integral approach may be supportive of the CSCs' work, because it is reflected in other operations of the municipalities and thus creates conditions for the CSCs' work. Further study is required to ascertain whether this integral approach is actually supporting CSCs in their work to connect the primary care and the PA sector.
为了促进体育活动（PA）并引导初级保健患者前往当地体育设施，荷兰于2012年引入了被赋予中介角色的护理体育连接器（CSC）。本研究的目的是描述CSC的运营环境。开发了一个理论框架并将其用作本研究的起点。与九个参与城市的政策制定者进行了小组访谈，如有需要，CSC的经理也会出席。在访谈之前，基于对政策文件的分析和政策制定者填写的问卷，绘制了运营环境的初步轮廓。基于理论框架的演绎性内容分析被用于分析访谈。不同城市的CSC运营环境存在差异，特别是城市采取综合方法的程度。综合方法包括一项综合政策以及将该政策融入管理层面的伙伴关系中。这种综合方法体现在其他市政运营活动中，例如不同组织实施健康和体育活动计划。鉴于CSC的任务规定，我们认为这种综合方法可能有助于CSC的工作，因为它体现在城市的其他运营中，从而为CSC的工作创造了条件。需要进一步研究以确定这种综合方法是否实际上支持CSC在连接初级保健和体育活动部门方面的工作。
