Lippai László L, Tarkó Klára, Tanyi Attila, Kollányi Zsófia, Arapovics Mária, Vitrai József
Institute of Applied Health Sciences and Environmental Education, University of Szeged, Szeged, Hungary.
MTA-SZTE Health Promotion Research Group, Szeged, Hungary.
Front Public Health. 2025 Feb 6;13:1454470. doi: 10.3389/fpubh.2025.1454470. eCollection 2025.
There is a growing focus on public health initiatives that prioritize wellbeing. The main question of our study is whether this, in its current form, can really represent a new response to the challenges of previous strategies, or whether there is a greater chance that it will essentially reproduce the problems associated with the paradoxical situation of public health. Based on a review, analysis and evaluation of the literature on wellbeing in public health, we outlined the foundations of a new meta-theory of wellbeing and a possibility for its social application. In our view, wellbeing is seen as a social representation of a combination of positive and negative freedom of choice concerning the quality of everyday life, used in a positioning process involving both individual and collective aspects. Health is a particular aspect of the social representation and positioning of wellbeing, which encompasses aspects of the physical, psychological, social and spiritual functioning of individuals. The wellbeing meta-theory also opens up the possibility for more effective solutions to the social challenges related to wellbeing and salutogenetic health. It underscores the importance of the need for a dedicated social subsystem where the goals and organizational culture of the organizations involved are focused on wellbeing and health promotion. In our study, we consider this to be the Public Wellbeing System (PWS). Our conclusion is that the development and operation of a new set of institutions-the Public Wellbeing System (PWS)-based on the co-production of services that meet the needs and demands of society, and dedicated to the promotion of wellbeing, may provide an opportunity to overcome the public health paradox.
人们越来越关注将福祉置于优先地位的公共卫生倡议。我们研究的主要问题是，以其目前的形式，这是否真的能够代表对先前战略挑战的新回应，或者它是否更有可能实质上重现与公共卫生矛盾状况相关的问题。基于对公共卫生领域福祉文献的综述、分析和评估，我们概述了一种新的福祉元理论的基础及其社会应用的可能性。在我们看来，福祉被视为关于日常生活质量的积极和消极选择自由相结合的社会表征，在涉及个人和集体层面的定位过程中得以运用。健康是福祉社会表征和定位的一个特定方面，它涵盖了个人身体、心理、社会和精神功能的各个方面。福祉元理论还为更有效地解决与福祉和健康生成相关的社会挑战开辟了可能性。它强调了建立一个专门社会子系统的必要性，其中相关组织的目标和组织文化都聚焦于福祉和健康促进。在我们的研究中，我们将其视为公共福祉系统（PWS）。我们的结论是，基于共同生产满足社会需求和要求的服务并致力于促进福祉的一套新机构——公共福祉系统（PWS）的发展和运作，可能提供一个克服公共卫生悖论的机会。
