NEW MODELS OF HEALTH PRODUCTION AT THE INTERSEXTION OF SYSTEM AND COMMUNITY: LOCAL HEALTH PROMOTION GROUPS AND HEALTH PROMOTION CENTRES

The article examines new models of community health approach. We are interested in how the "system" (social or its health subsystems) and the "lifeworld" interact through the introduction of various social innovations, with an emphasis on the role of users. Based on the role of the social determinants of health, the contact between the health system and the "lifeworld" in a community can be, in the sense of ideal types, placed on a continuum that illuminates their relationship with changes in the presence of either systemic or community actors and their influence. New actors involved in the relationship between the health system (the community health center and its health promotion center) with the support of the National Institute of Public Health and the local community (and its local health promotion group) could, with ongoing monitoring and evaluation, enable a development of a local health policy in Habermas's sense of "lifeworld rationalization".