‘Health in All Policies’ and the Urge for Coordination: The Work of Public Health Coordinators and Their Impact and Influence in Local Public Health Policies: A Cross-Sectional Study

Karlsen, Tor-Ivar; Kiland, Charlotte; Kvåle, Gro; Torjesen, Dag Olaf

doi:10.3390/soc12010011

Cited by 4 publications

(5 citation statements)

References 46 publications

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“…The main factor in the successful coordination of the public health response is the governors' ability to support the municipalities and the local communities, balancing the need for independence against the need for state control. Karlsen et al (2022) highlighted that municipal public health coordinators (PHCs) are an important 'tool' for providing local intersectoral public health work. The founders of the social services facilities are the municipalities, and thus, the ability of the governors to coordinate work on measures against the spreading of the pandemic had a direct impact on the protection of those placed in these facilities.…”

Section: Discussionmentioning

confidence: 99%

Public Health Measures Enacted by the Norwegian Political Leadership to Protect the Elderly in Response to the SARS-CoV-2 Pandemic Crisis

Tokovská

Sørensen

Nour

et al. 2023

Central European Journal of Public Policy

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The SARS-CoV-2 pandemic crisis is ongoing, and the elderly are still affected by the virus, sometimes with fatal consequences. The political leaders are, inter alia, focussed on protecting citizens, including this vulnerable group. This article aims to describe the response of the Norwegian political leadership, with a focus on the public health measures enacted to protect the elderly during the SARS-CoV-2 pandemic crisis in the years 2020 and 2021. This study has a descriptive qualitative research design using thematic-content analysis as a methodology to evaluate data collected from official documents, national statistics and public health documents from Norway. Statistics show that the elderly mortality rate per 100,000 person-weeks during the first wave of the SARS-CoV-2 pandemic was 2.69 in Norway; during the second wave of the pandemic, it was 1.43. The public health measures the Norwegian political leadership instigated were more effective in containing the crisis when compared to other European countries, and this paper investigates the reasons. The results of our study provide public health policy decision-makers with insights into analytical material showing the usefulness of different measures enacted by the Norwegian government. The Norwegian government’s responses to the crisis, such as the public health measures, restrictions, social consequences for vulnerable groups such as the elderly, as well as cross-government and cross-community cooperation, will need further in-depth analysis.

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Section: Discussionmentioning

confidence: 99%

Public Health Measures Enacted by the Norwegian Political Leadership to Protect the Elderly in Response to the SARS-CoV-2 Pandemic Crisis

Tokovská

Sørensen

Nour

et al. 2023

Central European Journal of Public Policy

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“…A study has shown that public health work in the municipalities is largely rooted in the municipality health and care services and that public health work appears to be health sector‐oriented 43 . Another study carried out by Melby and Mandal 53 of the role of nurses in public health work reinforces this impression.…”

Section: How the Practice Of Hiap Deals With The Dilemmasmentioning

confidence: 98%

“…Karlsen et. al 43 also found the municipal health coordinators can be important tools in affecting local public health policies.…”

Section: How the Practice Of Hiap Deals With The Dilemmasmentioning

confidence: 99%

“Health in All Policies” in Norwegian municipalities—Dilemmas and lack of legitimacy and capacity

Amdam

2023

Health Planning & Management

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According to the Health in All Policies (HiAP) approach, public health work in Norway is regarded as a multi‐actor collaboration based on planning and partnership for the purpose of enabling people to increase their control over their health and its determinants. HiAP builds largely on the governance and communicative turn in the public sector and thus exists in the shadow of a vertical government structure with sectors, silos and a chain of command. In practice, HiAP challenges the established way of thinking and acting in the silos and tries to create a more holistic understanding and handling of problems and needs. In order to successfully involve different sectors and government levels in this work, HiAP requires strong democratic legitimacy and institutional capacity. In this article, we discuss the empirical research data on the HiAP approach in Norway within the context of theory on collaborative planning processes and legitimising political capacity to act. Our research question is whether the HiAP approach in Norwegian municipalities have sufficient democratic legitimacy and institutional capacity to achieve the purpose of public health work. In general, we find that HIAP as practised in Norwegian municipalities does not function as a complete political legitimising and capacity building process. The practice contains several dilemmas, and there is a need to distinguish between different forms of legitimacy and capacity.

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“…For kommunelegefunksjonen generelt er det funnet at stillingsstørrelse synes å vaere en viktig faktor i mindre kommuner (9). I studier av folkehelsekoordinatorene har man funnet at stillingsstørrelse og naerhet til beslutningstakere virker inn på deres evne til å påvirke og fungere som brobyggere (29). Til tross for at det er 12 år siden innføringen av folkehelseloven, finnes det få studier om kommunelegens rolle i folkehelsearbeidet i Norge.…”

Section: Kommunelegen I Folkehelsearbeidetunclassified

“…Det utløser et behov for integrasjon ved å bringe sammen tidligere spredte og uavhengige tjenester til et mer helhetlig leveransesystem (37,38). For kommunelegen betyr dette en utvikling fra å vaere relativt selvgående til å vaere en etterspurt partner i folkehelsearbeidet, også fordi de fortsatt er en aktør som kan gi arbeidet økt gjennomslagskraft (29).…”

Section: Kommunelegen Som øNsket Ressurs I Folkehelsearbeidetunclassified

Hvordan oppleves kommunelegens rolle i folkehelsearbeidet?

Rønnevik,

Steinsbekk,

Pettersen

2024

Michael

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Bakgrunn: Nasjonalt har det over tid vært et ønske om å tydeliggjøre og styrke kommunelegerollen som del av satsingen på folkehelsearbeidet. Målet med denne studien var å undersøke hvilke erfaringer personer fra offentlig og frivillig sektor har med kommunelegens rolle i det kommunale folkehelsearbeidet. Materiale og metode: En kvalitativ studie med fire fokusgruppeintervju med 20 personer fra offentlig og frivillig sektor med interesse for folkehelsearbeidet. Dataene ble analysert med systematisk tekstkondensering. Resultater: Informantene fortalte at kommunelegene er ønsket i folkehelsearbeid fordi de sitter på viktig kunnskap om lokalsamfunnet, de kan gi arbeidet legitimitet og tyngde, og de kan fungere som brobyggere og fortolkere mellom helsetjenestene og folkehelsearbeidet. Det kom frem utfordringer knyttet til fraværende og lite engasjerte kommuneleger, der for små stillinger ble oppfattet som en viktig årsak til dette. Noen opplevde at det er for mye opp til den enkelte kommunelege hvilke oppgaver som blir prioritert, og at kommunelegene ikke alltid er de beste lagspillerne i folkehelsearbeidet. Konklusjon: Funnene i denne studien viser at kommunelegene blir sett på som en potensielt viktig, men ikke uerstattelig aktør i folkehelsearbeidet. Skal kommunelegene bli godt nok integrert i det sektorovergripende folkehelsearbeidet slik folkehelseloven legger opp til, kan følgende være nødvendige forutsetninger: Store nok stillingsandeler, rett organisatorisk plassering og at kommunelegene selv prioriterer arbeidet. Det er fortsatt behov for tydeliggjøring av kommunelegenes rolle i folkehelsearbeidet.

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‘Health in All Policies’ and the Urge for Coordination: The Work of Public Health Coordinators and Their Impact and Influence in Local Public Health Policies: A Cross-Sectional Study

Cited by 4 publications

References 46 publications

Public Health Measures Enacted by the Norwegian Political Leadership to Protect the Elderly in Response to the SARS-CoV-2 Pandemic Crisis

Public Health Measures Enacted by the Norwegian Political Leadership to Protect the Elderly in Response to the SARS-CoV-2 Pandemic Crisis

“Health in All Policies” in Norwegian municipalities—Dilemmas and lack of legitimacy and capacity

Hvordan oppleves kommunelegens rolle i folkehelsearbeidet?

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