基本説明
Shows that complex and sustained community action, and effective local partnership, are fundamental components of the mix of factors required to address health inequalities successfully.
Full Description
Improving health in populations in which health is poor is a complex process. This book argues that the traditional government approach of exhorting individuals to live healthier lifestyles is not enough - action to promote public health needs to take place not just through public agencies, but also by engaging community assets and resources in their broadest sense.
The book reports lessons from the experience of planning, establishing and delivering such action by the five-year Sustainable Health Action Research Programme (SHARP) in Wales. It critically examines the experience of SHARP in relation to current literature on policy; community health and health inequalities; and action research. The authors make clear how this regional development has produced opportunities for developing general concepts and theory about community-based policy developments that are relevant across national boundaries and show that complex and sustained community action, and effective local partnership, are fundamental components of the mix of factors required to address health inequalities successfully.
The book concludes by indicating the connections between SHARP and earlier traditions of community-based action, and by arguing that we need to be bolder in our approaches to community-based health improvement and more flexible in our understanding of the ways in which knowledge and inform developments in health policy.
The book will be of interest to practitioners and activists working in community-based projects; students in community development, health studies and medical sociology; professionals working in health promotion, community nursing and allied areas; and policy makers working at local, regional and national levels.
Contents
Health inequalities in their place ‾ Gareth Williams; 'Policy experiments': policy making, implementation and learning ‾ Steve Cropper and Mark Goodwin; Policy innovation to tackle health inequalities ‾ Alison Porter, Chris Roberts and Angela Clements; Action research partnerships: contributing to evidence and intelligent change ‾ Steve Cropper, Helen Snooks, Angela Evans, Janet Pinder and Kevin Shales; Engaging with communities ‾ Bronwen Bermingham and Alison Porter; The role of the community-based action researcher ‾ Martin O'Neill; Evaluation, evidence and learning in community-based action research ‾ Sandra Carlisle, Helen Snooks, Angela Evans and David Cohen; Social theory, social policy and sustainable communities ‾ Robert Moore; Beyond the experimenting society ‾ Gareth Williams, Steve Cropper, Alison Porter and Helen Snooks.
