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健康促进需求评估模型

Application of health promotion need assessment model:a review

  • 摘要: PRECEDE-PROCEED模型是基于健康促进需求的综合性的计划制定体系,从结果入手,用演绎的方法进行推理思考,追溯到最初的起因,其中的PRECEDE模型是应用最多的健康促进需求评估模型,主要由社会诊断、流行病诊断、行为和环境诊断、教育学和组织学诊断以及管理和政策诊断五部分组成。社会生态学模型是将健康的影响因素分为个人因素、人际因素、组织因素、社区因素和社会政策因素5个层次。而Bartholomew将PRECEDE模型和社会生态学模型整合,将PRECEDE模型中的环境评估分为人际、组织、社区和社会4个层次,同时将教育学和组织学诊断及管理和政策诊断合并成决定因素诊断,并将决定因素分为个人内部因素和外部因素,最终形成了健康促进需求评估的LOGIC模型。本研究综述这3个模型用于综合评估人群健康状况及影响健康的个人、家庭、组织及社会因素。

     

    Abstract: PRECEDE-PROCEED model is a comprehensive system for planning health promotion based on health need.Using deductive method,the model traces the original causes from the results of investigation.PRECEDE is a most widely used health promotion need assessment model which consists of social diagnosis,epidemiological diagnosis,behavioral and environmental diagnosis,educational and ecological diagnosis,and administrative and policy diagnosis.Social-ecological model classifies health influencing factors into personal,interpersonal,organizational,community,and social stratifications.Bartholomew integrated PRECEDE model and social-ecological model into LOGIC model.In LOGIC model,environmental diagnosis in PRECEDE is further divided into interpersonal,organizational,community and social levels,while the educational and ecological diagnosis,and administrative and policy diagnosis in PRECEDE are merged into a determinant diagnosis which consists of internal and external determinants.This study reviews the application of the three models in the field of comprehensive evaluation on health status and health influencing factors.

     

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