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Enabling pathways to health equity: developing a framework for implementing social capital in practice
BACKGROUND: Mounting evidence linking aspects of social capital to health and wellbeing outcomes, in particular to reducing health inequities, has led to intense interest in social capital theory within public health in recent decades. As a result, governments internationally are designing intervent...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3671136/ https://www.ncbi.nlm.nih.gov/pubmed/23714388 http://dx.doi.org/10.1186/1471-2458-13-517 |
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author | Putland, Christine Baum, Fran Ziersch, Anna Arthurson, Kathy Pomagalska, Dorota |
author_facet | Putland, Christine Baum, Fran Ziersch, Anna Arthurson, Kathy Pomagalska, Dorota |
author_sort | Putland, Christine |
collection | PubMed |
description | BACKGROUND: Mounting evidence linking aspects of social capital to health and wellbeing outcomes, in particular to reducing health inequities, has led to intense interest in social capital theory within public health in recent decades. As a result, governments internationally are designing interventions to improve health and wellbeing by addressing levels of social capital in communities. The application of theory to practice is uneven, however, reflecting differing views on the pathways between social capital and health, and divergent theories about social capital itself. Unreliable implementation may restrict the potential to contribute to health equity by this means, yet to date there has been limited investigation of how the theory is interpreted at the level of policy and then translated into practice. METHODS: The paper outlines a collaborative research project designed to address this knowledge deficit in order to inform more effective implementation. Undertaken in partnership with government departments, the study explored the application of social capital theory in programs designed to promote health and wellbeing in Adelaide, South Australia. It comprised three case studies of community-based practice, employing qualitative interviews and focus groups with community participants, practitioners, program managers and policy makers, to examine the ways in which the concept was interpreted and operationalized and identify the factors influencing success. These key lessons informed the development of practical resources comprising a guide for practitioners and briefing for policy makers. RESULTS: Overall the study showed that effective community projects can contribute to population health and wellbeing and reducing health inequities. Of specific relevance to this paper, however, is the finding that community projects rely for their effectiveness on a broader commitment expressed through policies and frameworks at the highest level of government decision making. In particular this relationship requires long term vision, endorsement for cross-sectoral work, well-developed relationships and theoretical and practical knowledge. CONCLUSIONS: Attention to the practical application of social capital theory shows that community projects require structural support in their efforts to improve health and wellbeing and reduce health inequities. Sound community development techniques are essential but do not operate independently from frameworks and policies at the highest levels of government. Recognition of the interdependence of policy and practice will enable government to achieve these goals more effectively. |
format | Online Article Text |
id | pubmed-3671136 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-36711362013-06-05 Enabling pathways to health equity: developing a framework for implementing social capital in practice Putland, Christine Baum, Fran Ziersch, Anna Arthurson, Kathy Pomagalska, Dorota BMC Public Health Research Article BACKGROUND: Mounting evidence linking aspects of social capital to health and wellbeing outcomes, in particular to reducing health inequities, has led to intense interest in social capital theory within public health in recent decades. As a result, governments internationally are designing interventions to improve health and wellbeing by addressing levels of social capital in communities. The application of theory to practice is uneven, however, reflecting differing views on the pathways between social capital and health, and divergent theories about social capital itself. Unreliable implementation may restrict the potential to contribute to health equity by this means, yet to date there has been limited investigation of how the theory is interpreted at the level of policy and then translated into practice. METHODS: The paper outlines a collaborative research project designed to address this knowledge deficit in order to inform more effective implementation. Undertaken in partnership with government departments, the study explored the application of social capital theory in programs designed to promote health and wellbeing in Adelaide, South Australia. It comprised three case studies of community-based practice, employing qualitative interviews and focus groups with community participants, practitioners, program managers and policy makers, to examine the ways in which the concept was interpreted and operationalized and identify the factors influencing success. These key lessons informed the development of practical resources comprising a guide for practitioners and briefing for policy makers. RESULTS: Overall the study showed that effective community projects can contribute to population health and wellbeing and reducing health inequities. Of specific relevance to this paper, however, is the finding that community projects rely for their effectiveness on a broader commitment expressed through policies and frameworks at the highest level of government decision making. In particular this relationship requires long term vision, endorsement for cross-sectoral work, well-developed relationships and theoretical and practical knowledge. CONCLUSIONS: Attention to the practical application of social capital theory shows that community projects require structural support in their efforts to improve health and wellbeing and reduce health inequities. Sound community development techniques are essential but do not operate independently from frameworks and policies at the highest levels of government. Recognition of the interdependence of policy and practice will enable government to achieve these goals more effectively. BioMed Central 2013-05-29 /pmc/articles/PMC3671136/ /pubmed/23714388 http://dx.doi.org/10.1186/1471-2458-13-517 Text en Copyright © 2013 Putland et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Putland, Christine Baum, Fran Ziersch, Anna Arthurson, Kathy Pomagalska, Dorota Enabling pathways to health equity: developing a framework for implementing social capital in practice |
title | Enabling pathways to health equity: developing a framework for implementing social capital in practice |
title_full | Enabling pathways to health equity: developing a framework for implementing social capital in practice |
title_fullStr | Enabling pathways to health equity: developing a framework for implementing social capital in practice |
title_full_unstemmed | Enabling pathways to health equity: developing a framework for implementing social capital in practice |
title_short | Enabling pathways to health equity: developing a framework for implementing social capital in practice |
title_sort | enabling pathways to health equity: developing a framework for implementing social capital in practice |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3671136/ https://www.ncbi.nlm.nih.gov/pubmed/23714388 http://dx.doi.org/10.1186/1471-2458-13-517 |
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