Health Promotion and New Public Health. Public Participation and Empowerment in Health Promotion.

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  • ヘルスプロモーションと新しい公衆衛生  ヘルス・プロモーションにおける住民参加とエンパワーメント
  • ヘルス プロモーション ニ オケル ジュウミン サンカ ト エンパワーメント

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Abstract

Background: A new model for Health Promotion was proposed by WHO in 1986.<br>Purpose and Method: The purpose of this paper is to review public participation and empowerment in Health Promotion by reviewing case reports and original papers.<br>Results: The main results can be divided into two categories, public participation, and empowerment, The main results are as follows;<br>1) Health promotion involves the population as a whole in their everyday lives, rather than focusing on people who are sick or at risk for specific diseases.<br>2) The use of participatory and empowering approaches in the evaluation process has the potential to strengthen the public's capacity for organizational learning and improve their own health status.<br>3) It is possible to improve health conditions by using empowerment interventions:<br>(1) The need to adopt an ecological approach that simultaneously addresses empowerment.<br>(2) Policy-makers need to take a longer-term approach to empowerment interventions, including proper longitudinal studies to enhance the evidence base for such interventions.<br>4) Satisfaction is central to the delivery of health and human services. The most critical factor in service delivery is providing quality care and user merit.<br>5) In developing people-oriented health technologies, priority should be given to the availability of lay resources and to indigenously developed health practices.<br>6) Empowerment is the most important idea within health promotion. It is often a difficult concept for health professionals to grasp since most have been trained to consider health care providers as experts and the patient as a recipient of this expertise.<br>7) Health care specialists can contribute considerably to the development of a collaborative, family-oriented approach in the development of self care. The possibilities for such an undertaking depend on the establishment of working relationships at two interfaces: between the health care specialist and his/her client families. A framework for developing these relationships is proposed: involvement, collaboration, and empowerment.<br>8) The individual should also be given a greater opportunity to actively participate in the design and planning health care services.<br>9) In the Health Promotion program, it is important to provide a working and living environment in which respect for each other's humanity can be shared.

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