Health and Society, Social Sciences Group, Wageningen University, Wageningen, The Netherlands.
Knowledge, Technology and Innovation Group, Wageningen University, Wageningen, The Netherlands.
Health Promot Int. 2021 Aug 30;36(4):1050-1061. doi: 10.1093/heapro/daaa131.
Intersectoral action is advocated as a social practice that can effectively address health inequalities and related social issues. Existing knowledge provides insight into factors that may facilitate or hinder successful intersectoral action, but not much is known about how intersectoral action evolves and becomes embedded in local health policies. This is where this study aims to make its contribution, by adopting the multilevel perspective on transitions, which is increasingly used to study social innovation in sustainability transitions but has not yet been applied to public health and health promotion. Through this perspective, it was unravelled how intersectoral action between youth-care organizations and community sports clubs became embedded in local health policies of Rotterdam, a large city in the Netherlands. A single explorative case study was conducted based on content analysis of policy documents and 15 in-depth interviews with policy officers, managers and field workers operating in the fields of youth and sports in Rotterdam. The findings showed that intersectoral action between community organizations and policymakers evolves through congruent processes at different levels that changed institutional logics. Moreover, it emerged that policymakers and other actors that advocate novel social practices and act as boundary spanners can adopt multiple strategies to embed these practices in local health policy. The multi-level perspective adds value to earlier approaches to research intersectoral collaboration for health promotion as it allows to better capture the politics involved in the social innovation processes. However, further sharpening and more comprehensive application of transition concepts to study transitions in public health and health promotion is needed.
倡导跨部门行动是一种社会实践，可以有效地解决健康不平等和相关社会问题。现有知识深入了解了可能促进或阻碍跨部门行动成功的因素，但对于跨部门行动如何演变并融入当地卫生政策知之甚少。这正是本研究的目的所在，本研究采用了转型的多层次视角，该视角越来越多地用于研究可持续性转型中的社会创新，但尚未应用于公共卫生和健康促进。通过这一视角，揭示了青年关怀组织和社区体育俱乐部之间的跨部门行动是如何融入荷兰大城市鹿特丹的当地卫生政策的。本研究基于对政策文件的内容分析和对鹿特丹青年和体育领域的政策官员、管理人员和现场工作人员进行的 15 次深入访谈，进行了一项单一的探索性案例研究。研究结果表明，社区组织和政策制定者之间的跨部门行动是通过不同层次的一致进程演变的，这些进程改变了制度逻辑。此外，研究还表明，提倡新的社会实践并充当边界推动者的政策制定者和其他行为者可以采取多种策略将这些实践纳入当地卫生政策。多层次视角为早期研究促进健康的跨部门合作的方法增添了价值，因为它可以更好地捕捉社会创新过程中的政治因素。然而，需要进一步深化和更全面地应用转型概念来研究公共卫生和健康促进领域的转型。
