Michelle J. Morgan, Elaine Stratford, Siobhan Harpur, Samantha Rowbotham
{"title":"地方政府在澳大利亚社区健康和福利中的作用:来自塔斯马尼亚的见解。","authors":"Michelle J. Morgan, Elaine Stratford, Siobhan Harpur, Samantha Rowbotham","doi":"10.1002/hpja.831","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Issue Addressed</h3>\n \n <p>Local governments are well-placed to respond to communities' health and wellbeing needs. However, in the Australian state of Tasmania, the sector's roles in that respect are unclear.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>We interviewed 10 municipal personnel in Tasmania to understand their views on local governments' community health and wellbeing functions.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Participants had an integrative understanding of community health and wellbeing and recognised that collective effort from all tiers of government, community members, and other place-based stakeholders would improve outcomes. They identified several roles local governments have to support and drive such improvements, including in relation to diverse place-specific determinants of health and wellbeing. Capacity and capability to fulfil what is needed varied, with rural and remote councils generally less able than urban counterparts to respond consistently or comprehensively to community members' complex needs. However, in the presence of clear expectations and parameters, and appropriate support from other tiers of government, participants were eager for their councils to do more to improve their communities' health and wellbeing, including via a mandate in legislation.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Local governments have the potential to do more to improve health and wellbeing outcomes in Tasmania, and the greatest gains could be made by addressing spatial inequalities faced by the sector. That insight is extensible to other comparable jurisdictions.</p>\n </section>\n \n <section>\n \n <h3> So What?</h3>\n \n <p>We argue the need both for a shared societal goal of <i>equitable wellbeing</i> supported by all tiers of government and for actions proportionate to the needs of council areas.</p>\n </section>\n </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"35 4","pages":"1035-1044"},"PeriodicalIF":1.4000,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.831","citationCount":"0","resultStr":"{\"title\":\"Local government's roles in community health and wellbeing in Australia: Insights from Tasmania\",\"authors\":\"Michelle J. Morgan, Elaine Stratford, Siobhan Harpur, Samantha Rowbotham\",\"doi\":\"10.1002/hpja.831\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Issue Addressed</h3>\\n \\n <p>Local governments are well-placed to respond to communities' health and wellbeing needs. However, in the Australian state of Tasmania, the sector's roles in that respect are unclear.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>We interviewed 10 municipal personnel in Tasmania to understand their views on local governments' community health and wellbeing functions.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Participants had an integrative understanding of community health and wellbeing and recognised that collective effort from all tiers of government, community members, and other place-based stakeholders would improve outcomes. They identified several roles local governments have to support and drive such improvements, including in relation to diverse place-specific determinants of health and wellbeing. Capacity and capability to fulfil what is needed varied, with rural and remote councils generally less able than urban counterparts to respond consistently or comprehensively to community members' complex needs. However, in the presence of clear expectations and parameters, and appropriate support from other tiers of government, participants were eager for their councils to do more to improve their communities' health and wellbeing, including via a mandate in legislation.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>Local governments have the potential to do more to improve health and wellbeing outcomes in Tasmania, and the greatest gains could be made by addressing spatial inequalities faced by the sector. That insight is extensible to other comparable jurisdictions.</p>\\n </section>\\n \\n <section>\\n \\n <h3> So What?</h3>\\n \\n <p>We argue the need both for a shared societal goal of <i>equitable wellbeing</i> supported by all tiers of government and for actions proportionate to the needs of council areas.</p>\\n </section>\\n </div>\",\"PeriodicalId\":47379,\"journal\":{\"name\":\"Health Promotion Journal of Australia\",\"volume\":\"35 4\",\"pages\":\"1035-1044\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2023-12-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.831\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health Promotion Journal of Australia\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/hpja.831\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Promotion Journal of Australia","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/hpja.831","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Local government's roles in community health and wellbeing in Australia: Insights from Tasmania
Issue Addressed
Local governments are well-placed to respond to communities' health and wellbeing needs. However, in the Australian state of Tasmania, the sector's roles in that respect are unclear.
Methods
We interviewed 10 municipal personnel in Tasmania to understand their views on local governments' community health and wellbeing functions.
Results
Participants had an integrative understanding of community health and wellbeing and recognised that collective effort from all tiers of government, community members, and other place-based stakeholders would improve outcomes. They identified several roles local governments have to support and drive such improvements, including in relation to diverse place-specific determinants of health and wellbeing. Capacity and capability to fulfil what is needed varied, with rural and remote councils generally less able than urban counterparts to respond consistently or comprehensively to community members' complex needs. However, in the presence of clear expectations and parameters, and appropriate support from other tiers of government, participants were eager for their councils to do more to improve their communities' health and wellbeing, including via a mandate in legislation.
Conclusion
Local governments have the potential to do more to improve health and wellbeing outcomes in Tasmania, and the greatest gains could be made by addressing spatial inequalities faced by the sector. That insight is extensible to other comparable jurisdictions.
So What?
We argue the need both for a shared societal goal of equitable wellbeing supported by all tiers of government and for actions proportionate to the needs of council areas.
期刊介绍:
The purpose of the Health Promotion Journal of Australia is to facilitate communication between researchers, practitioners, and policymakers involved in health promotion activities. Preference for publication is given to practical examples of policies, theories, strategies and programs which utilise educational, organisational, economic and/or environmental approaches to health promotion. The journal also publishes brief reports discussing programs, professional viewpoints, and guidelines for practice or evaluation methodology. The journal features articles, brief reports, editorials, perspectives, "of interest", viewpoints, book reviews and letters.