Health in All Policies from international ideas to local implementation: policies, systems, and organizations

Baum, Fran; Lawless, Angela; Williams, Carmel

doi:10.1093/acprof:oso/9780199658039.003.0010

Cited by 37 publications

(43 citation statements)

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“…Overall key findings that follow include universal endorsement of IAH as beneficial to partners, the importance of partner relationships to PHC services, and the factors facilitating and constraining IAH, contextualised by each study. • reflected in the South Australian Health in All Policies approach 5,6 • part of the Helsinki Declaration on HiAP (2013) 9 • implicit within the UN Millennium Development Goals. …”

Section: Resultsmentioning

confidence: 99%

Factors shaping intersectoral action in primary health care services

Anaf

Baum

Freeman

et al. 2014

Australian and New Zealand Journal of Public Health

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Objective: To examine case studies of good practice in intersectoral action for health as one part of evaluating comprehensive primary health care in six sites in South Australia and the Northern Territory. Methods:Interviews with primary health care workers, collaborating agency staff and service users (Total N=33); augmented by relevant documents from the services and collaborating partners. Results:The value of intersectoral action for health and the importance of partner relationships to primary health care services were both strongly endorsed. Factors facilitating intersectoral action included sufficient human and financial resources, diverse backgrounds and skills and the personal rewards that sustain commitment. Key constraining factors were financial and time limitations, and a political and policy context which has become less supportive of intersectoral action; including changes to primary health care. Conclusions:While intersectoral action is an effective way for primary health care services to address social determinants of health, commitment to social justice and to adopting a social view of health are constrained by a broader health service now largely reinforcing a biomedical model. Implications:Effective organisational practices and policies are needed to address social determinants of health in primary health care and to provide a supportive context for workers engaging in intersectoral action.

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Section: Resultsmentioning

confidence: 99%

Factors shaping intersectoral action in primary health care services

Anaf

Baum

Freeman

et al. 2014

Australian and New Zealand Journal of Public Health

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“…26 Implementation of the Health in All Policies initiative has, however, been driven by SA Health in conjunction with a range of other government departments and has had little engagement with PHC services. 26,27 The 'Eat Well Be Active Strategy' 28 does take a more comprehensive approach that includes working collaboratively with other government sectors and non-government organisations, in a variety of settings, to address overweight and obesity.…”

Section: Health Policy Changesmentioning

confidence: 99%

Health policy in South Australia 2003–10: primary health care workforce perceptions of the impact of policy change on health promotion

Jolley

Freeman

Baum

et al. 2014

Health Prom J of Aust

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Issue addressed: This paper examines recent Australian health reform policies and considers how the primary health care (PHC) workforce experiences subsequent change and perceives its impact on health promotion practice. Methods: Health policy documents were analysed to determine their intended impact on health promotion. Interviews were conducted with 39 respondents from four State-funded PHC services to gain their perceptions of the impact of policy change on health promotion. Results: There have been a plethora of policy and strategy documents over the last decade relevant to PHC, and these suggest an intention to strengthen health promotion. However, respondents report that changes to the role and focus of PHC services have led to fewer opportunities for health promotion. Services are struggling to engage in health promotion activity, while funding and policy directions are prioritised to targeted, individual behaviour change. Conclusion:The experience of PHC workforce respondents in South Australia suggests that, despite policy intentions, health promotion practice is much reduced. Our research suggests that rigorous evaluation of health sector reforms should be undertaken to assess both intended and unintended outcomes in terms of service quality and delivery.So what? Health promoters are experiencing a contradictory policy and practice environment, and this research should assist health promoters in advocating for more government accountability in the implementation of policies in order to advance comprehensive PHC.?

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“…Alongside these developments there has been a growing interest in systems science and the insights it might provide for action on the SDH. 6,7 The health of individuals and populations is affected by broad social factors that influence the conditions in which people grow, live, work, and age. 3,8 Hence, social inequalities -and the inequalities in health outcomes associated with them -are now understood to emerge from complex local, regional, national, and global systems which are inextricably linked.…”

Section: Introductionmentioning

confidence: 99%

Adaptive Policies for Reducing Inequalities in the Social Determinants of Health

Carey¹,

Crammond²,

Malbon³

et al. 2015

Int J Health Policy Manag

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Inequalities in the social determinants of health (SDH), which drive avoidable health disparities between different individuals or groups, is a major concern for a number of international organisations, including the World Health Organization (WHO). Despite this, the pathways to changing inequalities in the SDH remain elusive. The methodologies and concepts within system science are now viewed as important domains of knowledge, ideas and skills for tackling issues of inequality, which are increasingly understood as emergent properties of complex systems. In this paper, we introduce and expand the concept of adaptive policies to reduce inequalities in the distribution of the SDH. The concept of adaptive policy for health equity was developed through reviewing the literature on learning and adaptive policies. Using a series of illustrative examples from education and poverty alleviation, which have their basis in real world policies, we demonstrate how an adaptive policy approach is more suited to the management of the emergent properties of inequalities in the SDH than traditional policy approaches. This is because they are better placed to handle future uncertainties. Our intention is that these examples are illustrative, rather than prescriptive, and serve to create a conversation regarding appropriate adaptive policies for progressing policy action on the SDH.

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Health in All Policies from international ideas to local implementation: policies, systems, and organizations

Cited by 37 publications

References 0 publications

Factors shaping intersectoral action in primary health care services

Factors shaping intersectoral action in primary health care services

Health policy in South Australia 2003–10: primary health care workforce perceptions of the impact of policy change on health promotion

Adaptive Policies for Reducing Inequalities in the Social Determinants of Health

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