From Rhetoric to Reality : Barriers Faced by Health for All Initiatives  

Oleh:

Berkeley, Dina ; Springett, Jane

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 63 no. 1 (Jul. 2006), page 179-188.
Topik: health; health for all initiatives; healthy cities; health action zones; barriers; england

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.5 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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The last two decades have witnessed an upsurge in the development and implementation of health for all type initiatives in many parts of the world. However despite the popularity of the approach, barriers and constraints to the fulfillment of theor remit still persist, amking it difficult for them to achieve the potential originally envisaged. Drawing upon considerable empirical work while evaluating the europea healthy city projects and english health action zones, this paper explores the differences between barriers and constraints and then focuses on barriers as they manifest themselves in england. It distinguishes between cultural barriers, stemming from different philosophical, organisational and professional / experiential cultures and pollitical barriers, stemming from both party political and real politik concerns. It discusses how these barriers often operate together, compounding their individual impacts, with deterimental effects for health for all initiatives. Conseuently, while the prevailing rhetoric appears to promote an alternative, and more appropriate, vision of how health can be maintained and enhanced, these barriers effectively function to sustain the hegemony of the status quo which was, and is based on different and outdated vision. We argue that acknowledging the continuous persistence of these barriers is an essential first step towards turning the prevailing health related rhetoric into reality.

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