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Expert voices for change: Bridging the silos-towards healthy and sustainable settings for the 21st century

机译:变革的专家之声:弥合通往21世纪健康可持续发展环境的孤岛

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摘要

The settings approach to health promotion, first advocated in the 1986 Ottawa Charter for Health Promotion, was introduced as an expression of the 'new public health', generating both acclaim and critical discourse. Reflecting an ecological model, a systems perspective and whole system thinking, the approach has been applied in a wide range of geographical and organisational contexts. This paper reports on a qualitative study undertaken through in-depth interviews with key individuals widely acknowledged to have been the architects and pilots of the settings movement. Exploring the development of the settings approach, policy and practice integration, and connectedness 'outwards', 'upwards' and 'beyond health', it concludes that the settings approach has much to offer-but will only realise its potential impact on the wellbeing of people, places and the planet if it builds bridges between silos and reconfigures itself for the globalised 21st century.
机译:1986年《渥太华健康促进宪章》首先倡导的健康促进环境设置方法被引入,以表达“新公共健康”,并广受赞誉和批评性讨论。该方法反映了生态模型,系统角度和整个系统的思想,已在广泛的地理和组织环境中应用。本文报告了一项定性研究,该研究是通过与关键人物的深入访谈进行的,这些人物被公认是环境运动的设计师和飞行员。探索环境设置方法,政策和实践的整合以及“向外”,“向上”和“超越健康”之间的联系的发展,得出的结论是环境设置方法可以提供很多好处,但只会意识到其对健康的潜在影响。人,地方和地球,如果它在筒仓之间架起桥梁,并为全球化的21世纪重新配置自身。

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