tailieunhanh - báo cáo khoa học: " Unpacking vertical and horizontal integration: childhood overweight/obesity programs and planning, a Canadian perspective"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Unpacking vertical and horizontal integration: childhood overweight/obesity programs and planning, a Canadian perspective | MacLean et al. Implementation Science 2010 5 36 http content 5 1 36 IMPLEMENTATION SCIENCE Implementation Science DEBATE Open Access Unpacking vertical and horizontal integration childhood overweight obesity programs and planning a Canadian perspective Lynne M MacLean 1 Kathryn Clinton1 Nancy Edwards1 2 Michael Garrard3 Lisa Ashley1 2 4 5 Patti Hansen-Ketchum6 7 and Audrey Walsh8 Abstract Background Increasingly multiple intervention programming is being understood and implemented as a key approach to developing public health initiatives and strategies. Using socio-ecological and population health perspectives multiple intervention programming approaches are aimed at providing coordinated and strategic comprehensive programs operating over system levels and across sectors allowing practitioners and decision makers to take advantage of synergistic effects. These approaches also require vertical and horizontal v h integration of policy and practice in order to be maximally effective. Discussion This paper examines v h integration of interventions for childhood overweight obesity prevention and reduction from a Canadian perspective. It describes the implications of v h integration for childhood overweight and obesity prevention with examples of interventions where v h integration has been implemented. An application of a conceptual framework for structuring v h integration of an overweight obesity prevention initiative is presented. The paper concludes with a discussion of the implications of vertical horizontal integration for policy research and practice related to childhood overweight and obesity prevention multiple intervention programs. Summary Both v h integration across sectors and over system levels are needed to fully support multiple intervention programs of the complexity and scope required by obesity issues. V h integration requires attention to system structures and processes. A conceptual framework is needed to support .