Whole of Systems Approaches to Physical Activity Policy and Practice in Australia: The ASAPa Project Overview and Initial Systems Map

被引:30
作者
Bellew, William [1 ,2 ]
Smith, Ben J. [1 ,2 ]
Nau, Tracy [1 ,2 ]
Lee, Karen [1 ,2 ]
Reece, Lindsey [1 ]
Bauman, Adrian [1 ,2 ]
机构
[1] Univ Sydney, Sydney Sch Publ Hlth, Prevent Res Collaborat, Sydney, NSW, Australia
[2] Australian Prevent Partnership Ctr, Sydney, NSW, Australia
关键词
public health; systems thinking; prevention; health promotion; government; THINKING; TOOLS; DETERMINANTS; FRAMEWORK; HEALTH;
D O I
10.1123/jpah.2019-0121
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: The literature on whole of system approaches (WSAs) has been largely theoretical in focus. The Australian Systems Approaches to Physical Activity is a national project designed to contribute a practical implementation focus to such approaches at the population level. Methods: National meetings were convened with federal and state government sector stakeholders to identify physical activity (PA) related policies and programs. Policies and programs were audited to develop an understanding of the existing PA system. A WSA conceptual map for PA was developed using feedback from system stakeholders, existing WSAs, and related work in obesity. Results: Completion of the policy audit has revealed key areas of need regarding policy governance, coordination, financing, and evaluation. An initial WSA conceptual map for Australia has been developed incorporating governance, translation, and advocacy. Stakeholder co-production of an integrated framework for PA and design plans for a community of practice knowledge hub has commenced. Conclusions: In Australia, Australian Systems Approaches to Physical Activity project partners have developed a conceptual whole of systems map that is guiding progress beyond the theoretical to application in the real world: a national PA policy audit, co-production of an integrated PA policy framework, and planning for a PA community of practice knowledge hub.
引用
收藏
页码:68 / 73
页数:6
相关论文
共 35 条
[1]   Advancing the application of systems thinking in health [J].
Adam, Taghreed .
HEALTH RESEARCH POLICY AND SYSTEMS, 2014, 12
[2]   Systems modelling tools to support policy and planning [J].
Atkinson, Jo-An ;
Page, Andrew ;
Prodan, Ante ;
McDonnell, Geoff ;
Osgood, Nathaniel .
LANCET, 2018, 391 (10126) :1158-1159
[3]  
Australian Government Department of Health, 2019, AUSTR PHYS ACT SED B
[4]  
Australian Government Department of Health, 2019, MED RES FUT MRFF
[5]   Whole systems approaches to obesity and other complex public health challenges: a systematic review [J].
Bagnall, Anne-Marie ;
Radley, Duncan ;
Jones, Rebecca ;
Gately, Paul ;
Nobles, James ;
Van Dijk, Margie ;
Blackshaw, Jamie ;
Montel, Sam ;
Sahota, Pinki .
BMC PUBLIC HEALTH, 2019, 19 (1)
[6]   Addressing the social determinants of inequities in physical activity and sedentary behaviours [J].
Ball, Kylie ;
Carver, Alison ;
Downing, Katherine ;
Jackson, Michelle ;
O'Rourke, Kerryn .
HEALTH PROMOTION INTERNATIONAL, 2015, 30 :8-19
[7]   Communities of practice to improve public health outcomes: a systematic review [J].
Barbour, Liza ;
Armstrong, Rebecca ;
Condron, Patrick ;
Palermo, Claire .
JOURNAL OF KNOWLEDGE MANAGEMENT, 2018, 22 (02) :326-343
[8]  
Bellew Bill, 2008, Aust New Zealand Health Policy, V5, P18, DOI 10.1186/1743-8462-5-18
[9]   Obesity prevention in children and young people: what policy actions are needed? [J].
Bellew, William ;
Bauman, Adrian ;
Kite, James ;
Foley, Bridget ;
Reece, Lindsey ;
Thomas, Margaret ;
Mihrshahi, Seema ;
King, Lesley .
PUBLIC HEALTH RESEARCH & PRACTICE, 2019, 29 (01)
[10]   The impact of individual and environmental interventions on income inequalities in sports participation: explorations with an agent-based model [J].
Blok, David J. ;
van Lenthe, Frank J. ;
de Vlas, Sake J. .
INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY, 2018, 15