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爱尔兰健康领域的社会包容:政策和利益相关者图谱。

Social inclusion in the Irish health context: Policy and stakeholder mapping.

机构信息

Research Area GEMS 3-026, Graduate Entry Medical School, University of Limerick, Limerick, Ireland.

School of Medicine, Dentistry and Bisomedical Sciences, Queens University, University Road, Belfast, Northern Ireland, BT7 1NN, UK.

出版信息

Ir J Med Sci. 2020 Feb;189(1):11-26. doi: 10.1007/s11845-019-02060-1. Epub 2019 Jul 13.

Abstract

BACKGROUND

Social inclusion is a complex concept, and its relationship to health has been widely debated. Across the European Union, there has been a move towards policies promoting social inclusion. Despite this, there has been a limited analysis of how the concept of social inclusion is operationalised in Irish policy. The aim of this research was to document and map the development of social inclusion policies in the Irish context. The objectives were to identify all the relevant stakeholders and policies and to describe the relevance of social inclusion policy in the domain of health.

METHODS

We utilised a widely recognised policy analysis framework. We conducted a systematic search of relevant government policies, grey literature databases, statutory agencies and stakeholders in the Irish context since 2006. The researchers initially identified a total of 954 results.

RESULTS

The relevant stakeholders discovered were the research community, service providers, civil society organisations, policy makers and government, philanthropists and socially excluded people. Most policy documents included refer to one of two national policies created to drive social inclusion activities. Social inclusion was being operationalised in the context of health, but the relationship between policymakers and those planning and providing services was unclear.

CONCLUSIONS

The concept of social inclusion was being operationalised in the Irish policy context. A multitude of stakeholders were involved, reflecting the wide reach of this concept in society. Social inclusion was a particularly important concept in the realm of health, and in the primary care domain in particular.

摘要

背景

社会包容是一个复杂的概念,其与健康的关系一直备受争议。在整个欧盟范围内,各国都在推行促进社会包容的政策。尽管如此,对于爱尔兰政策中社会包容概念的运作方式,分析仍十分有限。本研究旨在记录和描绘爱尔兰背景下社会包容政策的发展情况。目的是确定所有相关利益攸关方和政策,并描述社会包容政策在卫生领域的相关性。

方法

我们利用了一个广泛认可的政策分析框架。自 2006 年以来,我们在爱尔兰背景下对相关政府政策、灰色文献数据库、法定机构和利益攸关方进行了系统搜索。研究人员最初共确定了 954 项结果。

结果

发现的相关利益攸关方包括研究界、服务提供者、民间社会组织、政策制定者和政府、慈善家和被社会排斥的人。大多数政策文件都提到了为推动社会包容活动而制定的两项国家政策之一。社会包容在卫生领域得到了实施,但政策制定者和规划及提供服务者之间的关系并不明确。

结论

社会包容的概念在爱尔兰政策背景下得到了实施。众多利益攸关方参与其中,反映了这一概念在社会中的广泛影响。社会包容在卫生领域,特别是在初级保健领域,是一个特别重要的概念。

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