Yunus Centre for Social Business and Health, Glasgow Caledonian University, M201 George Moore Building, Cowcaddens Road, Glasgow, G4 0BA, UK.
J Public Health Policy. 2021 Jun;42(2):258-270. doi: 10.1057/s41271-020-00268-5. Epub 2021 Feb 4.
Recent policy focus is on the 'non-obvious' role of community-based organisations in tackling causes of poor health, such as social exclusion. Men's Sheds are a type of community-based organisation offering health and wellbeing benefits to men, despite this not being the explicit reason they exist. A qualitative study was conducted in Scotland to identify sustainability challenges that impact on the ability of Sheds to become a formal healthcare service. Findings showed that a reliance on ageing and retired volunteers to undertake operational tasks and generate income to fund activities affected the ability of Sheds to sustain and develop. Further, members preferred their Sheds to remain informal and flexible to fit their specific needs. Although Sheds are recognised for their health and wellbeing benefits to men, policymakers must recognise that formalising their activities might detract from the Shed's primary aims. This paper summarises specific policy implications and recommendations, taking into consideration tensions between the expectations placed on Sheds to expand into formal healthcare delivery, and the needs of Shed users. HIGHLIGHTS: Men's Shed are known for their ability to contribute to men's health and wellbeing. The potential of Shed to take on a formal healthcare role is questionable because of a reliance on ageing and retired volunteers and a preference to remain informal. Policymakers must recognise that although Sheds might be well placed to offer formal health care this may detract from their primary aims.
最近的政策重点是关注社区组织在解决健康问题(如社会排斥)方面的“非明显”作用。男性棚屋是一种社区组织,为男性提供健康和福利,但这并不是它们存在的明确原因。苏格兰进行了一项定性研究,以确定影响棚屋成为正式医疗保健服务能力的可持续性挑战。研究结果表明,依赖年老和退休的志愿者来承担运营任务并产生收入来为活动提供资金,这影响了棚屋的维持和发展能力。此外,成员更喜欢他们的棚屋保持非正式和灵活,以满足他们的特定需求。尽管棚屋因其对男性的健康和福利的益处而受到认可,但政策制定者必须认识到,将其活动正式化可能会偏离棚屋的主要目标。本文总结了具体的政策影响和建议,同时考虑了将棚屋扩展到正式医疗保健服务的期望与棚屋使用者的需求之间的紧张关系。要点:男性棚屋以其促进男性健康和福利的能力而闻名。由于依赖年老和退休的志愿者,以及保持非正式的偏好,棚屋承担正式医疗保健角色的潜力值得怀疑。政策制定者必须认识到,尽管棚屋可能适合提供正式的医疗保健,但这可能会影响其主要目标。