GOVCOPP, Department of Social, Political and Territorial Sciences, University of Aveiro, 3810-193 Aveiro, Portugal.
IEETA, Department of Medical Sciences, University of Aveiro, 3810-193 Aveiro, Portugal.
Int J Environ Res Public Health. 2023 Jun 29;20(13):6250. doi: 10.3390/ijerph20136250.
This article addresses a gap in the literature regarding the design and implementation of health and well-being strategies by local governments. It presents a conceptual framework that can help local governments to include health and well-being among their political priorities by promoting the participation of local stakeholders and the community in general. The article also highlights the important role that local governments play in public health, especially in times of crisis, such as the COVID-19 pandemic. To demonstrate the approach, the manuscript explores the recent shift toward decentralization in Portugal and the resulting emphasis on local governments leading new approaches to health governance. The planning process for Arouca's Health Strategy, an inland municipality, is used as a case study to demonstrate the approach, which emphasizes the meaningful participation of the entire local community. The article concludes by noting that there is still significant room for improvement in all areas related to health and well-being and a need to adopt new multistakeholder governance arrangements to sustain the institutional capacity for upcoming strategies.
这篇文章针对地方政府在设计和实施健康和福祉策略方面的文献空白提出了一个概念框架，通过促进地方利益相关者和整个社区的参与，可以帮助地方政府将健康和福祉纳入其政治优先事项。文章还强调了地方政府在公共卫生方面的重要作用，特别是在 COVID-19 大流行等危机时期。为了演示这种方法，本文探讨了葡萄牙最近向权力下放的转变，以及由此对地方政府主导新的健康治理方法的重视。阿罗卡健康战略的规划过程被用作案例研究，以展示该方法，该方法强调整个当地社区的有意义参与。文章最后指出，在与健康和福祉相关的所有领域仍有很大的改进空间，需要采取新的多方利益相关者治理安排，以维持即将到来的战略的机构能力。
