Eine Qualitätskultur für die Gesundheitsförderung!

Zusammenfassung: Qualität und Qualitätsmanagement sind im Projektalltag der Gesundheitsförderung als Begriffe präsent, aber es gibt weder eine klare Begrifflichkeit noch ein homogenes Qualitätsverständnis. Dies ist Ausdruck dafür, dass eine kritische und selbstreflexive Projektkultur zu wenig verankert ist. Ein gutes Projekt- und Qualitätsmanagement ist notwendig, um die Zielerreichung zu optimieren. Es fehlt bislang aber noch an konkreten Umsetzungen, was Qualitätsförderung im Projektalltag bedeutet. Der Artikel zeigt die Notwendigkeit auf, warum sich die Gesundheitsförderung mit Qualität auseinandersetzen muss und was sie gewinnen kann. Er präsentiert ein Projekt des Instituts für Sozial- und Präventivmedizin Zürich, das Qualitätsförderung konkret umsetzt. Gemeinsam mit Projektleitungen werden Instrumente für ein Qualitätsmanagement entwickelt und erprobt, die den kontinuierlichen Prozess der Qualitätsförderung steuern und unterstütze

"Getting Switzerland to move”: E valuation of a new "Sport for All” programme

Summary: Objectives: Even though sports participation in Switzerland appears to be quite elevated, recent research suggests that only about a third of the population are doing enough sports from a health perspective. Methods: Against this background several Swiss health insurance companies together with the Swiss Olympic Association have recently developed a novel approach to get people to start physical exercise: Under the label of > sport clubs offer training and information courses aimed at motivating and helping previously inactive people to take on regular exercise. Results: The paper presents results from an interdisciplinary evaluation of the first three years of the > campaign. Starting from an overview of the basic idea and features of the campaign it asks whether > has reached its self-declared goal of "getting Switzerland moving”. Available evidence on the social background of participants and their further activities shows that by systematically avoiding any reference to conventional notions of sport and by stressing the health and fun aspect instead, > has indeed managed to mobilise an important group with underaverage levels of activity (particularly middle-aged women). In addition, on average the level of physical exercise of participants appears to have increased. Yet, the number of participants is below the original target values and, contrary to the campaign's initial goal, participants are reluctant to leave the programme after one course to take up an independent activity or to join a club. Conclusions: The paper explores the achievements and problems of the campaign so far and offers an explanation of recent problems which can also serve as a basis for the implementation of similar programmes in other countrie

Stages of change for perceived stress in a Swiss population sample: An explorative study

Summary: Objectives: Data from a cross-sectional survey of the Swiss general population were used in an explorative attempt to apply the transtheoretical model of behavioural change to perceived stress. Methods: The sample comprised 575 respondents who reported having experienced stressful situations in the previous month. Other variables assessed included gender, age, education, reported symptoms, and three constructs representing stages and processes of change as well as self-efficacy. Results: Findings indicated that (1) about one third of respondents appeared to cope successfully with the stressful situations they experienced, one third intended to do so, while one quarter appeared to have no intention of managing their stress more effectively. (2) There was no difference in stage of change distribution by gender or age, while those with higher education were more frequently represented in the latter stages than those with lower education. (3) Those in the maintenance stage reported significantly less symptoms than others. Conclusions: We conclude that the assessment of readiness to change could be of valuable support in designing stage-specific interventions in the area of stress managemen

Urban governance for health and well-being: a step-by-step approach to operational research in cities

It has been estimated that, by 2050, more than two thirds of the world’s population will live in cities (5). It is known, however, that intensive urban growth increases inequity and social exclusion, which are associated with increased social, environmental, economic and health risks (6). Public policies to address social determinants are therefore essential for urban health (7, 8). Urban governance determines how effectively urban inequities and risks are addressed. Bad urban governance may harm societies, as the public policies usually fail to address social and environmental determinants (9, 10), while good urban governance promotes policies to improve health and well-being in the population (11). Cities are complex systems, however, and the same public policies may have different effects in different populations, because, beyond public policies, urban health outcomes also depend on the interactions between governance, stakeholders and the population, requiring participatory governance and consensus in policy-making (12, 13). Each context, indicator of performance and implementation strategy is also different. As the rapid global trend to urbanization continues, participatory urban governance has been a topic of increasing research and interventions to improve health outcomes. Some studies have been conducted to identify and evaluate indicators of participatory urban governance (13–16), and others have analysed the results of policies for addressing health inequity (17–21). Few studies, however, have examined participatory urban governance, public policies and health outcomes together (22)

Eine Qualitätskultur für die Gesundheitsförderung!

Quality and quality management are omnipresent as notions in the daily life of projects but there exists neither a clear conception nor a homogeneous quality understanding. This expresses the fact that a critical and self-reflecting project culture is not rooted strongly enough. A good project and quality management is indispensable to optimize the goal attainment. Up to now, however, concrete implementations as far as quality improvement in the daily lift of projects is concerned, were lacking. This article shows the necessity of health promotion being confronted with quality and what can be gained by that. It presents a project of the Institute of Social and Preventive Medicine of the University of Zurich in which quality promotion is specifically put into practice. In co-operation with project leaders, instruments for a quality management are being developed and tested which support and steer the constant process of quality promotion