Pradier Christian, Balinska Marta A, Bailly Laurent
Department of Public Health, Nice University Hospital, University of Côte D'Azur, Nice, France.
Clinical Research Unit (UR2CA), Nice University Hospital, University of Côte D'Azur, Nice, France.
Front Health Serv. 2023 Sep 18;3:1216234. doi: 10.3389/frhs.2023.1216234. eCollection 2023.
Effective public health interventions at local level must involve communities and stakeholders beyond the health services spectrum. A dedicated venue for structured discussion will ensure ongoing multi-sectoral collaboration more effectively than convening meetings. Such a venue can be created using existing resources, at minimal extra cost. The University Hospital in Nice (France) has established an Open Arena for Public Health which can serve as a model for promoting collaborative partnerships at local level. The Arena has been successful in implementing sustainable interventions thanks to a set of principles, including: non-hierarchical governance and operating, fair representation of stakeholders, consensus as to best available evidence internationally and locally, policy dialogues: open, free-flowing discussions without preconceived solutions, and an experimental approach to interventions.
地方层面有效的公共卫生干预措施必须让社区和卫生服务领域以外的利益相关者参与进来。一个专门用于进行结构化讨论的场所,比召开会议更能有效地确保持续的多部门合作。利用现有资源,只需花费极少的额外成本就能创建这样一个场所。法国尼斯大学医院设立了一个公共卫生开放论坛,它可作为在地方层面促进合作伙伴关系的典范。由于遵循了一系列原则,该论坛成功实施了可持续干预措施,这些原则包括:非等级制治理与运作、利益相关者的公平代表性、就国际和地方最佳现有证据达成共识、政策对话:进行开放、自由交流且无先入为主解决方案的讨论,以及采用实验性干预方法。
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