Cribb Alan, Collins Alf
King's College London, London, UK.
NHS England and NHS Improvement, London, UK.
Future Healthc J. 2021 Mar;8(1):e174-e177. doi: 10.7861/fhj.2020-0122.
We propose that strengthening citizenship could help realise some of the substantial changes that are being called for in mainstream health policies. We highlight the way that current healthcare improvement agendas entail, and depend upon, large-scale and complex cultural change. But, we suggest, there is a severe limit to how far such cultural change can be engineered from above or through conventional quality improvement methods. In summary, we argue that supporting what we call 'civic culture' - a culture that encourages and -enables effective citizenship - may be a precondition for -bringing about policy aspirations and related improvements.
我们认为，加强公民意识有助于实现主流卫生政策中所呼吁的一些重大变革。我们强调了当前医疗保健改善议程所需要并依赖的大规模和复杂的文化变革方式。但是，我们认为，这种文化变革通过自上而下或传统质量改进方法能够实现的程度存在严重限制。总之，我们认为支持我们所称的“公民文化”——一种鼓励并促成有效公民意识的文化——可能是实现政策抱负及相关改进的前提条件。
