The Settings Approach—Implications for Policy and Strategy

Baric, Leo

doi:10.1080/03073289.1993.10805782

Cited by 54 publications

(28 citation statements)

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“…With its focus on the complex and adaptive nature of systems, the former emphasises the emergent, organic and non-linear character of innovation and adaptation, prioritises co-evolution and distributed rather than centralised power and control, and highlights new ways of understanding organizational and social development and change. It thus helps to move beyond the somewhat instrumental systems-based conceptualisation of settings proposed by Baríc [36]. Critical realism focuses on the interconnections between structure and agency and draws attention to context and social relationships as generative mechanisms that influence outcomes.…”

Section: Resultsmentioning

confidence: 99%

“…Drawing on the work of Baríc [36], it has been argued extensively that a whole system Health Universities approach requires a three-fold commitment to: creating working and living environments that support and strengthen health potentials; integrating an understanding of and commitment to health within the ethos, culture, routine life and mainstream business of the setting (in the case of universities, learning, teaching, research and knowledge exchange); and engaging with and promoting the health and wellbeing of the wider community.…”

Section: University?mentioning

confidence: 99%

“…Drawing on settings-focused literature by Baríc [36] and Grossman and Scala [37], universities have also been conceptualised as social systems, with inputs, processes and outputs [8,12]. As systems, they are understood to be made up of multiple interconnected parts -which can be considered in terms of components; micro-environments; sub-populations or stakeholder groups; and health issues and their determinants [5,15].…”

Section: What Does It Mean To Consider the University As A Setting?mentioning

confidence: 99%

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Theorizing healthy settings: a critical discussion with reference to Healthy Universities

Dooris

Wills

Newton

2014

Scand J Public Health

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The settings approach appreciates that health determinants operate in settings of everyday life. Whilst subject to conceptual development, we argue that the approach lacks a clear and coherent theoretical framework to steer policy, practice and research.Aims: To identify what theories and conceptual models have been used in relation to the implementation and evaluation of Healthy Universities.Methods: A scoping literature review was undertaken between 2010-2013, identifying 26 papers that met inclusion criteria.Findings: Seven theoretical perspectives or conceptual frameworks were identified: the Ottawa Charter; a socio-ecological approach (which implicitly drew on sociological theories concerning structure and agency); salutogenesis; systems thinking; whole system change; organisational development; and a framework proposed by Dooris. These were used to address interrelated questions on the nature of a setting, how health is created in a setting, why the settings approach is a useful means of promoting health, and how health promotion can be introduced into and embedded within a setting.Conclusion: Although distinctive, the example of Healthy Universities drew on common theoretical perspectives that have infused the settings discourse more generally. This engagement with theory was at times well-developed and at other times a passing reference. The paper concludes by pointing to other theories that offer value to healthy settings practice and research and by arguing that theorisation has a key role to play in understanding the complexity of settings and guiding the planning, implementation and evaluation of programmes.

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Section: Resultsmentioning

confidence: 99%

Section: University?mentioning

confidence: 99%

Section: What Does It Mean To Consider the University As A Setting?mentioning

confidence: 99%

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Theorizing healthy settings: a critical discussion with reference to Healthy Universities

Dooris

Wills

Newton

2014

Scand J Public Health

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“…The importance of setting has been recognised in other areas. For example, the concept has been used to develop the 'setting approach of health promotion' by the WHO [72][73][74]. A setting in this context is defined as 'a socially and culturally defined geographic and physical area of social interaction, and a socially and culturally defined set of patterns of interactions performed in the area' [74].…”

Section: Donation Settingmentioning

confidence: 99%

Blood Donation, Payment, and Non-Cash Incentives: Classical Questions Drawing Renewed Interest

Buyx¹

2009

Transfus Med Hemother

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Blood is scarce, and ensuring a sufficient blood supply remains difficult for many countries. Payment for blood as a strategy to increase donations has remained highly controversial for decades, and the debate about ethical issues in paying donors has become somewhat stuck. At least from a policy perspective, it is important to find a compromise which allows for devising and implementing acceptable and successful policies to increase the blood supply. In this paper, such a compromise is developed both from a theoretical and empirical perspective, namely implementing well-designed non-cash incentives which cut across the rigid dichotomy of altruistic donations versus payment for donations. In order for this compromise to work, more attention to donation motives, the choice architecture, and the setting in blood donation needs to be paid.

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“…By using a healthy settings framework (HSF), the present study bridges this gap by evaluating how midwives working in either hospital or community settings are currently addressing the co‐occurrence of domestic and child abusive violence in their client population. The rationale for an HSF is based on the premise that health is largely ‘produced’ outside illness and the health service, and that public health developments, such as identification of domestic and CA, require investment in the socio‐ecological systems in which people actually live their lives (Baric 1993, 1994, Grossman & Scala 1993, Dooris et al . 1998, Dooris 2000, Lazenbatt et al .…”

Section: Present Studymentioning

confidence: 99%

Recognizing the co-occurrence of domestic and child abuse: a comparison of community- and hospital-based midwives

Lazenbatt

Thompson-Cree

2009

Health &Amp; Social Care in the Community

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This study aimed to compare and contrast how midwives working in either hospital or community settings are currently responding to the co-occurrence of domestic and child abuse (CA), their perceived role and willingness to identify abuse, record keeping, reporting of suspected or definite cases of CA and training received. A survey questionnaire was sent to 861 hospital and community midwives throughout Northern Ireland which resulted in 488 midwives completing the questionnaire, leading to a 57% response rate. Comparisons were made using descriptive statistics and cross-tabulation, and the questionnaire was validated using exploratory factor analysis. Community midwives reported receiving more training on domestic and CA. Although a high percent of both hospital and community midwives acknowledged a link between domestic violence (DV) and CA, it was the community midwives who encountered more suspected and definite (P < 0.001) cases of CA. More community midwives reported to be aware of the mechanisms for reporting CA. However, an important finding is that although 12% of community midwives encountered a definite case of CA, only 2% reported the abuse, leaving a 10% gap between reporting and identifying definite cases of CA. Findings suggest that lack of education and training was a problem as only a quarter of hospital-based midwives reported to have received training on DV and 40% on CA. This was significantly less than that received by community midwives, as 57% received training on DV, and 62% on CA. The study suggests that midwives need training on how to interact with abused mothers using non-coercive, supportive and empowering mechanisms. Many women may not spontaneously disclose the issues of child or domestic abuse in their lives, but often respond honestly to a sensitively asked question. This issue is important as only 13% of the sample actually asked a woman a direct question about DV.

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The Settings Approach—Implications for Policy and Strategy

Cited by 54 publications

References 1 publication

Theorizing healthy settings: a critical discussion with reference to Healthy Universities

Theorizing healthy settings: a critical discussion with reference to Healthy Universities

Blood Donation, Payment, and Non-Cash Incentives: Classical Questions Drawing Renewed Interest

Recognizing the co-occurrence of domestic and child abuse: a comparison of community- and hospital-based midwives

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