Realist Approach to Social Policies (RASP) study to reduce socioeconomic health inequalities through systems change: protocol for a research project combining mixed-methods realist research with institutional action research.

Autor:	Van Berkel J; Interdisciplinary Social Science, Public Health, Utrecht University, Utrecht, The Netherland j.vanberkel@uu.nl.; Consumption and Healthy Lifestyles, Wageningen Universiteit en Research, Wageningen, The Netherland., de Bruijn EJ; Institute of Tax Law and Economics | Department of Economics, Leiden University, Leiden, The Netherland., Waardenburg M; Law, Economics and Governance, School of Governance, Utrecht University, Utrecht, The Netherland., la Grouw Y; Law, Economics and Governance, School of Governance, Utrecht University, Utrecht, The Netherland., van Bennekom E; Interdisciplinary Social Science, Public Health, Utrecht University, Utrecht, The Netherland.; Consumption and Healthy Lifestyles, Wageningen Universiteit en Research, Wageningen, The Netherland., van der Horst H; Consumption and Healthy Lifestyles, Wageningen Universiteit en Research, Wageningen, The Netherland., Tonnon S; Debt and Collection, Hogeschool Utrecht, Utrecht, The Netherland., Haggenburg-Mohammed M; Onderzoek en Statistiek, Gemeente Amsterdam, Amsterdam, The Netherland., Haveman-Nies A; Consumption and Healthy Lifestyles, Wageningen Universiteit en Research, Wageningen, The Netherland.; AGORA Academische Werkplaats, GGD Noord en Oost Gelderland, Warnsveld, The Netherland., Madern T; Debt and Collection, Hogeschool Utrecht, Utrecht, The Netherland., Knoef M; Institute of Tax Law and Economics | Department of Economics, Leiden University, Leiden, The Netherland.; Tilburg School of Economics and Management, Tilburg University, Tilburg, The Netherland., de Vet E; Consumption and Healthy Lifestyles, Wageningen Universiteit en Research, Wageningen, The Netherland.; Tilburg School of Humanities and Digital Sciences, Liberal Arts and Sciences, Tilburg University, Tilburg, The Netherland.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2024 Jun 13; Vol. 14 (6), pp. e088571. Date of Electronic Publication: 2024 Jun 13.
DOI:	10.1136/bmjopen-2024-088571
Abstrakt:	Introduction: Health inequalities are rooted in inequality in vital resources for health, including financial resources, a supportive informal network, a stable living situation, work or daytime activities or education and literacy. About 25% of Dutch citizens experience deprivation of such resources. Social policy consists of crucial instruments for improving resources in those groups but can also have adverse effects and lead to additional burdens. This project aims to contribute to the reduction of health inequalities through (1) a better understanding of how social policy interventions can contribute to reducing health inequality through the redistribution of burdens and resources and (2) developing anticipatory governance strategies to implement those insights, contributing to a change in social policy systems. Methods and Analysis: Two systems approaches are combined for establishing a systems change in the Netherlands. First, a realist approach enables insights into what in social policy interventions may impact health outcomes, for whom and under what circumstances. Second, an institutional approach enables scaling up these insights, by acknowledging the crucial role of institutional actors for accomplishing a systems change. Together with stakeholders, we perform a realist review of the literature and identify existing promising social policy interventions. Next, we execute mixed-methods realist evaluations of selected social policy interventions in seven municipalities, ranging from small, mid-size to large, and in both urban and rural settings. Simultaneously, through action research with (national) institutional actors, we facilitate development of anticipatory governance strategies. Ethics and Dissemination: This study is not liable to the Medical Research Involving Subjects Act (WMO). Informed consent to participate in the study is obtained from participants for the use of all forms of personally identifiable data. Dissemination will be codeveloped with target populations and includes communication materials for citizens, education materials for students, workshops, infographics and decision tools for policy-makers and publications for professionals. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ.)
Databáze:	MEDLINE
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