UCLA Center for Healthier Children Families, & Communities, Los Angeles, USA.
Department of Health Policy& Management, UCLA Fielding School of Public Health, Los Angeles, USA.
BMC Public Health. 2022 Aug 27;22(1):1626. doi: 10.1186/s12889-022-14030-x.
Many factors influence the health and well-being of children and the adults they will become. Yet there are significant gaps in how trajectories of healthy development are measured, how the potential for leading a healthy life is evaluated, and how that information can guide upstream policies and investments. The Gross Developmental Potential (GDP2) is proposed as a new capabilities-based framework for assessing threats to thriving and understanding progress in achieving lifelong health and wellbeing. Moving beyond the Gross Domestic Product's (GDP) focus on economic productivity as a measure of progress, the GDP2 focuses on seven essential developmental capabilities for lifelong health and wellbeing. The GDP2 capability domains include Health -living a healthy life; Needs-satisfying basic human requirements; Communication-expressing and understanding thoughts and feelings; Learning-lifelong learning; Adaption -adapting to change; Connections -connecting with others; and Community -engaging in the community. The project team utilized literature reviews and meetings with the subject and technical experts to develop the framework. The framework was then vetted in focus groups of community leaders from three diverse settings. The community leaders' input refined the domains and their applications. This prototype GDP2 framework will next be used to develop specific measures and indices and guide the development of community-level GDP2 dashboards for local sense-making, learning, and application.
许多因素影响着儿童的健康和福祉,以及他们未来会成为什么样的成年人。然而,在衡量健康发展轨迹的方法、评估健康生活潜力的方法以及如何利用这些信息来指导上游政策和投资方面,存在着显著的差距。总发育潜力(GDP2)被提议作为一种新的基于能力的框架,用于评估对茁壮成长的威胁,并了解实现终身健康和福祉的进展。与国内生产总值(GDP)专注于经济生产力作为衡量进展的指标不同,GDP2 侧重于实现终身健康和福祉的七个基本发展能力。GDP2 能力领域包括健康——过健康的生活;需求——满足基本人类需求;沟通——表达和理解思想和感受;学习——终身学习;适应——适应变化;联系——与他人联系;以及社区——参与社区。该项目团队利用文献综述和与主题及技术专家的会议来开发该框架。然后,在来自三个不同背景的社区领袖焦点小组中对该框架进行了审查。社区领袖的意见完善了这些领域及其应用。这个 GDP2 框架原型将用于开发具体的衡量标准和指数,并指导开发社区层面的 GDP2 仪表盘,以进行本地的意义建构、学习和应用。