Community exchange and time currencies: a systematic and in-depth thematic review of impact on public health outcomes
| Autor: | Gemma Burgess, Isla Kuhn, Andy Cowan, Caroline Lee, Louise Lafortune |
|---|---|
| Přispěvatelé: | Lee, Caroline [0000-0002-5730-4350], Kuhn, Isla [0000-0002-2879-4020], Cowan, Andrew [0000-0002-8981-5673], Lafortune, Louise [0000-0002-9018-1217], Apollo - University of Cambridge Repository |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Time Factors Population Community Health Promotion Population health Article Rigour 03 medical and health sciences 0302 clinical medicine Currency exchange Political science medicine Health assets Humans 030212 general & internal medicine education Public health education.field_of_study Government Public economics 030503 health policy & services Community Participation Public Health Environmental and Occupational Health General Medicine United Kingdom Health Place-centred Community health Public service 0305 other medical science Community Exchange System Program Evaluation |
| Zdroj: | Public Health |
| ISSN: | 0033-3506 |
| DOI: | 10.1016/j.puhe.2019.11.011 |
| Popis: | Objectives Austerity in government funding, and public service reform, has heightened expectations on UK communities to develop activities and resources supportive of population health and become part of a transformed place-based system of community health and social care. As non-monetary place-based approaches, Community Exchange/Time Currencies could improve social contact and cohesion, and help mobilise families, neighbourhoods, communities and their assets in beneficial ways for health. Despite this interest, the evidence base for health outcomes resulting from such initiatives is underdeveloped. Study design A systematic review. Methods A literature review was conducted to identify evidence gaps and advance understanding of the potential of Community Exchange System. Studies were quality assessed, and evidence was synthesised on ‘typology’, population targeted and health-related and wider community outcomes. Results The overall study quality was low, with few using objective measures of impact on health or well-being, and none reporting costs. Many drew on qualitative accounts of impact on health, well-being and broader community outcomes. Although many studies lacked methodological rigour, there was consistent evidence of positive impacts on key indicators of health and social capital, and the data have potential to inform theory. Conclusions Methodologies for capturing impacts are often insufficiently robust to inform policy requirements and economic assessment, and there remains a need for objective, systematic evaluation of Community Exchange and Time Currency systems. There is also a strong argument for deeper investigation of ‘programme theories’ underpinning these activities, to better understand what needs to be in place to trigger their potential for generating positive health and well-being outcomes. Highlights • Few published studies of time currencies robustly measure health or well-being, and none report costs. • Studies contain rich narratives of positive impact on health, well-being and broader community outcomes. • A theory-driven approach to investigating time currencies could reveal underpinning mechanisms and pathways to impact. • There is an urgent need to address outcome measurement in community-based initiatives to support public health practice. |
| Databáze: | OpenAIRE |
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