capitalism

资本主义
  • 文章类型: Journal Article
    目的:对于公共实体如何与行业合作以实现公共卫生目标知之甚少。我们调查了行业对影响他们采用和实施自愿的因素的看法,政府发布的营养指南(艾伯塔省儿童和青少年营养指南,ANGCY)在娱乐设施中。
    方法:进行了深入的半结构化访谈。使用定向内容分析对数据进行分析。
    方法:娱乐设施中的食品服务。
    方法:来自行业的七名经理参加了会议;五名来自在娱乐设施中采用并实施ANGCY的公司(采用者),两名来自没有采用ANGCY的公司(非采用者)。
    结果:行业从盈利能力的角度看待营养指南。不采用者不愿实施ANGCY,因为担心会牺牲短期盈利能力,而采用者坚持他们,试图为长期盈利定位。采用者面临的障碍包括很少的资源,没有训练,复杂的指导方针,符合ANGCY标准的产品的可用性和需求低,竞争压力和收入大幅下降。经理们认为,如果没有政府激励措施和/或授权,广泛自愿采用ANGCY是不可能的。因为志愿行动的环境环境很差。所有管理人员都支持政府授权的ANGCY实施,以使公司竞争的竞争环境更加公平。
    结论:娱乐设施的公私伙伴关系可以在短期内实现公共卫生目标,只要行业察觉到长期财务收益的潜力。在这种情况下,不太可能广泛采用自愿营养指南,然而,由于市场机制不鼓励行业出售和推广更健康的选择。因此,政府立法可能是必要的。
    OBJECTIVE: Little is known about how public entities can partner with industry to achieve public health goals. We investigated industry\'s perspective of factors that influenced their adoption and implementation of voluntary, government-issued nutrition guidelines (Alberta Nutrition Guidelines for Children and Youth, ANGCY) in recreational facilities.
    METHODS: In-depth semi-structured interviews were conducted. Data were analysed using directed content analysis.
    METHODS: Food services in recreational facilities.
    METHODS: Seven managers from industry participated; five from companies that had adopted and implemented the ANGCY (adopters) in recreational facilities and two from companies that had not (non-adopters).
    RESULTS: Industry views nutrition guidelines through the lens of profitability. Non-adopters were unwilling to implement the ANGCY for fear of sacrificing short-term profitability, whereas adopters adhered to them in an attempt to position themselves for long-term profitability. Adopters faced barriers including few resources, no training, complex guidelines, low availability of and demand for ANGCY-compliant products, competitive pressures and substantial declines in revenue. Managers believed widespread voluntary adoption of the ANGCY was unlikely without government incentives and/or a mandate, as the environmental context for voluntary action was poor. All managers supported government-mandated implementation of the ANGCY to level the playing field upon which companies compete.
    CONCLUSIONS: Public-private partnerships in recreational facilities can embrace public health goals in the short term, provided industry perceives potential for long-term financial gain. Widespread uptake of voluntary nutrition guidelines in this setting is unlikely, however, as market mechanisms do not encourage industry to sell and promote healthier options. Government legislation may therefore be warranted.
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  • 文章类型: Journal Article
    个人主义,在政治和态度上,强化了美国的社会和制度种族主义。由于个人主义的主要焦点是自利和自立,“参与式民主”在社区生物医学和行为研究中的任何应用都充满了困境,类似于GunnarMyrdal在美国种族主义和民主之间观察到的困境。研究机构被善意的非少数群体所淹没,他们认识到种族主义及其对健康的影响,但是,只有在卫生机构中更多地代表有色人种才能改善“参与式民主”的内在矛盾,这对于基于社区的参与式研究过程至关重要。
    Individualism, in both its political and attitudinal senses, reinforces societal and institutional racism in the United States. Because of individualism\'s dominant focus on self-interest and self-reliance, any application of \"participatory democracy\" in community-based biomedical and behavioral research is fraught with dilemmas similar to those that Gunnar Myrdal observed between American racism and democracy. The research establishment is overwhelmed by well-meaning non-minorities who recognize racism and its consequences in health, but only greater representation of people-of-color in the health establishment can ameliorate the inherent contradictions of \"participatory democracy\" which is so fundamental to the process of community-based participatory research.
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