Vidal-Sánchez María Isabel, Cantero-Garlito Pablo A, Gasch-Gallén Ángel
Physiatrist and Nursing Department, Health Science Faculty, Zaragoza University, 50009 Zaragoza, Spain.
GIIS104-Wellbeing, Occupation, Participation and Health Research Group (IBiOPS), Institute for Health Research Aragón, Zaragoza University, 50009 Zaragoza, Spain.
Healthcare (Basel). 2024 Feb 20;12(5):506. doi: 10.3390/healthcare12050506.
This study aims to describe a local community expert's perspective on the identification of and access to children's health assets and to gather proposals to promote children's health and well-being within their community. The health asset approach is essential for health promotion, and there is evidence of its benefits to individuals' or communities' health when this approach is observed. Children's health assets are gaining increasing interest, but the literature that captures the perception of professionals working with children is scarce. Qualitative research designed with Delphi methodology was carried out with the participation of 25 professionals working in a neighbourhood with children and families. The participants stated that this neighbourhood was a good environment for the healthy and happy growth of children but pointed out that there were inequities. They emphasised the importance of economic and physical security and feeling loved. The absolute best aspects of the neighbourhood according to these experts were its support networks, mutual help, educational and health services, and green spaces, and the most deficient aspects were the possibility of a hopeful future and emotional support within the family unit. Poverty and/or the scarcity of economic resources were identified as the main barriers to accessing health assets. Special difficulties in access to health for migrant and Roma children were also identified. The panel of experts made concrete action proposals. It was recommended to support resources and services that already exist in their community. The experts prioritised work with families, education, working in conjunction with vulnerable groups, community participation, and networking.
本研究旨在描述一位当地社区专家对儿童健康资产的识别与获取的看法,并收集促进社区内儿童健康与福祉的建议。健康资产方法对健康促进至关重要,有证据表明,遵循这一方法对个人或社区健康有益。儿童健康资产越来越受到关注,但反映与儿童打交道的专业人员看法的文献却很少。采用德尔菲法设计的定性研究在一个有儿童和家庭居住的社区中25名专业人员的参与下进行。参与者表示,该社区是儿童健康快乐成长的良好环境,但指出存在不平等现象。他们强调经济和人身安全以及被关爱的重要性。根据这些专家的说法,该社区绝对最好的方面是其支持网络、互助、教育和卫生服务以及绿地,而最不足的方面是家庭单元内有充满希望的未来的可能性和情感支持。贫困和/或经济资源匮乏被确定为获取健康资产的主要障碍。还发现了移民和罗姆儿童在获得医疗保健方面的特殊困难。专家小组提出了具体的行动建议。建议支持社区中现有的资源和服务。专家们将与家庭合作、教育、与弱势群体合作、社区参与和建立网络列为优先事项。