National Institute for Public Health and the Environment (RIVM), Centre for Nutrition, Prevention and Health Services, Bilthoven, The Netherlands.
BMC Health Serv Res. 2024 Aug 2;24(1):882. doi: 10.1186/s12913-024-11247-x.
The healthcare system is under tremendous pressure. One possible solution towards relieving some of this pressure is to use Positive Health, which takes 'health' as a starting point, rather than 'illness'. Positive Health provides opportunities for stimulating integrated care.
Three cases in the Netherlands are studied in this paper. Their way of working with Positive Health is investigated through semi-structured and narrative interviews, using realist-evaluation and thematic analyses.
Seven 'working elements' are identified that enhance the chances of successfully implementing Positive Health in practice (part 1). The interviews show that healthcare professionals have noticed that people adopt a healthier lifestyle and gain a greater degree of control over their own health. This boosts job satisfaction for healthcare professionals too. The organisations and professionals involved are enthusiastic about working with Positive Health, but still experience barriers (part 2).
The results of this study imply that implementing Positive Health in practice can facilitate collaboration between organisations and professionals from different disciplines, such as healthcare, welfare, and municipal health services. Operating from the perspective of a shared goal, professionals from different disciplines will find it easier to jointly organise activities to foster citizens' health. Additionally, more attention is paid to non-medical problems affecting people's well-being, such as loneliness or financial problems.
医疗保健系统面临巨大压力。缓解这种压力的一种可能方法是采用积极健康的理念，将“健康”作为起点，而不是“疾病”。积极健康为激发综合护理提供了机会。
本文研究了荷兰的三个案例。通过半结构化和叙事访谈，使用现实主义评估和主题分析，研究了他们在积极健康方面的工作方式。
确定了七个“工作要素”，这些要素增加了在实践中成功实施积极健康的机会（第 1 部分）。访谈表明，医疗保健专业人员注意到人们采用了更健康的生活方式，并在更大程度上控制了自己的健康。这也提高了医疗保健专业人员的工作满意度。参与的组织和专业人员对积极健康的工作充满热情，但仍面临障碍（第 2 部分）。
本研究结果表明，在实践中实施积极健康可以促进来自医疗、福利和市立卫生服务等不同学科的组织和专业人员之间的合作。从共同目标的角度出发，来自不同学科的专业人员将更容易共同组织活动来促进公民的健康。此外，更多地关注影响人们福祉的非医疗问题，如孤独或财务问题。
