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.