Health Promotion capacity for action on the Social Determinants of Health.
Notice bibliographique
Résumé
Since the Ottawa Charter, health promotion in Europe has developed considerably. On the one hand, the growing recognition of healthy lifestyles and of the social and physical environment as important determinants of health have spurred policy makers and academic institutions across Europe to invest in health promotion and to strengthen capacities allowing for more effective actions to promote health. On the other hand, social and political difficulties have hampered a structured approach to health promotion, and large differences in capacity remain between countries. This is particularly the case for capacities to address the social determinants of health, despite the general awareness that tackling the social gradient in health is one of the main challenges for current health systems. Bearing in mind that any attempt to strengthen health promotion capacities should start from an analysis of which capacities already exist, how well they are developed, and how well they link together as a system, the presentation will provide a review of existing capacities of public health and health promotion organizations and professionals in Europe to address the social determinants of health. The review will be based on a model of public health and health promotion capacity, distinguishing between leadership and governance, organizational structure, financial resources, workforce, partnership and knowledge development. Drawing on this model, it will be shown that although the majority of EU countries have formal policy frameworks for public health with clearly established responsibilities and accountabilities, the responsibilities for broader public health issues including action on social determinants of health and health inequalities are less clearly defined. Moreover, financial and human resources allocated to health promotion are often insufficient, and may even further decrease in times of decreased public spending. While several countries have established centers or agencies for health promotion, most have a limited remit and focus on ad hoc, issue-based lifestyle-related interventions, rather than on integrated approaches taking account of the wider social determinants of health. Legal and organizational mechanisms to support partnerships between sectors are often underdeveloped, as is the facilitation of research capacity in support of policy development and programmes. The review will conclude with a series of recommendations to focus health promotion actions on socio-economic and environmental determinants of health and to strengthening the competences for health promotion at various levels of government. An exchange of information on best practices, experienced barriers and limitations may be a key element to strengthen the capacity to address the social determinants of health across Europe.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».