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Sökning: WFRF:(Dahlgren Martin) > (1994) > Co-operation, parti...

Co-operation, participation and conflicts faced in public health : lessons learned from a long-term prevention programme in Sweden

Brännström, Inger, 1945- (författare)
Umeå universitet,Epidemiologi och folkhälsovetenskap
Emmelin, Maria, 1953- (författare)
Umeå universitet,Institutionen för folkhälsa och klinisk medicin
Dahlgren, Lars (författare)
Umeå universitet,Sociologiska institutionen
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Johansson, Martin (författare)
Department of Education, University of Umeå S-901 87 Umeå, Sweden
Wall, Stig, 1942- (författare)
Umeå universitet,Epidemiologi och folkhälsovetenskap
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 (creator_code:org_t)
Oxford University Press, 1994
1994
Engelska.
Ingår i: Health Education Research. - : Oxford University Press. - 0268-1153 .- 1465-3648. ; 9:3, s. 317-329
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • A comprehensive community-based programme for prevention of cardiovascular diseases (CVD) and diabetes was established in 1985 in a small municipality in northern Sweden. A cross-sectional survey to the general public was performed and semi-structured open-ended interviews were taken of actors at different levels. Notes from official records were also included in the study. The aim was to describe and discuss some factors that promote or constrain community participation in health programmes. The results generally confirmed that the right of definition concerning the health programme mainly remained with the health professionals. Community participation was mainly defined by the actors based on the medical and health planning approach and, thereby, as a means to transform health policy plans into reality by transmitting health knowledge and increasing consciousness among the citizens of the need for changing lifestyles. However, participation as a means of identifying problems and demonstrating power relationships and as elements in promoting local democracy was hardly represented among the actors at all. Overall, the CVD health programme was characterized by consensus between the actors. Despite this, debates and arguments about interpretations, social interests, personal conflicts and ideological constraints were observed. However, a majority of the public wanted the CVD preventive programme to continue.

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