PDF(Pubmed)
Abstract：
BACKGROUND: The healthcare system is under tremendous pressure. One possible solution towards relieving some of this pressure is to use Positive Health, which takes \'health\' as a starting point, rather than \'illness\'. Positive Health provides opportunities for stimulating integrated care.
METHODS: Three cases in the Netherlands are studied in this paper. Their way of working with Positive Health is investigated through semi-structured and narrative interviews, using realist-evaluation and thematic analyses.
RESULTS: Seven \'working elements\' are identified that enhance the chances of successfully implementing Positive Health in practice (part 1). The interviews show that healthcare professionals have noticed that people adopt a healthier lifestyle and gain a greater degree of control over their own health. This boosts job satisfaction for healthcare professionals too. The organisations and professionals involved are enthusiastic about working with Positive Health, but still experience barriers (part 2).
CONCLUSIONS: The results of this study imply that implementing Positive Health in practice can facilitate collaboration between organisations and professionals from different disciplines, such as healthcare, welfare, and municipal health services. Operating from the perspective of a shared goal, professionals from different disciplines will find it easier to jointly organise activities to foster citizens\' health. Additionally, more attention is paid to non-medical problems affecting people\'s well-being, such as loneliness or financial problems.
METHODS: Three cases in the Netherlands are studied in this paper. Their way of working with Positive Health is investigated through semi-structured and narrative interviews, using realist-evaluation and thematic analyses.
RESULTS: Seven \'working elements\' are identified that enhance the chances of successfully implementing Positive Health in practice (part 1). The interviews show that healthcare professionals have noticed that people adopt a healthier lifestyle and gain a greater degree of control over their own health. This boosts job satisfaction for healthcare professionals too. The organisations and professionals involved are enthusiastic about working with Positive Health, but still experience barriers (part 2).
CONCLUSIONS: The results of this study imply that implementing Positive Health in practice can facilitate collaboration between organisations and professionals from different disciplines, such as healthcare, welfare, and municipal health services. Operating from the perspective of a shared goal, professionals from different disciplines will find it easier to jointly organise activities to foster citizens\' health. Additionally, more attention is paid to non-medical problems affecting people\'s well-being, such as loneliness or financial problems.
摘要：
背景：医疗保健系统承受着巨大的压力。缓解这种压力的一种可能的解决方案是使用积极的健康，以“健康”为起点，而不是“疾病”。积极健康为刺激综合护理提供了机会。
方法：本文研究了荷兰的3例病例。他们与积极健康合作的方式是通过半结构化和叙述性访谈进行调查的，使用现实主义评价和专题分析。
结果：确定了七个“工作要素”，这些要素增加了在实践中成功实施“积极健康”的机会（第1部分）。采访显示，医疗保健专业人员已经注意到，人们采用更健康的生活方式，并获得对自己健康的更大程度的控制。这也提高了医疗保健专业人员的工作满意度。参与的组织和专业人员热衷于与积极健康合作，但仍然遇到障碍（第2部分）。
结论：这项研究的结果表明，在实践中实施积极健康可以促进不同学科的组织和专业人员之间的合作，比如医疗保健，福利,和市政卫生服务。从共同目标的角度出发，来自不同学科的专业人士会发现，联合组织促进公民健康的活动会更容易。此外,更多关注影响人们福祉的非医疗问题，比如孤独或财务问题。
方法：本文研究了荷兰的3例病例。他们与积极健康合作的方式是通过半结构化和叙述性访谈进行调查的，使用现实主义评价和专题分析。
结果：确定了七个“工作要素”，这些要素增加了在实践中成功实施“积极健康”的机会（第1部分）。采访显示，医疗保健专业人员已经注意到，人们采用更健康的生活方式，并获得对自己健康的更大程度的控制。这也提高了医疗保健专业人员的工作满意度。参与的组织和专业人员热衷于与积极健康合作，但仍然遇到障碍（第2部分）。
结论：这项研究的结果表明，在实践中实施积极健康可以促进不同学科的组织和专业人员之间的合作，比如医疗保健，福利,和市政卫生服务。从共同目标的角度出发，来自不同学科的专业人士会发现，联合组织促进公民健康的活动会更容易。此外,更多关注影响人们福祉的非医疗问题，比如孤独或财务问题。
