Monitoren en evalueren van integraal gezondheidsbeleid

Storm, I; Koperen, Marije van; Lucht, Fons van der; Oers, Hans van; Schuit, Albertine J.

doi:10.5553/beleidsonderzoek.000043

Cited by 8 publications

(17 citation statements)

References 12 publications

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“…Experts argue that significant health improvements can be achieved by focusing on factors at all levels of society within and outside the health sector [1-4,49-57]; they therefore recommend that governments implement so-called ‘integrated approaches’ (including integrated policies) that are characterized by a combination of coordinated interventions by multiple organizations and sectors, and are developed through intersectoral collaboration, ( i.e. , ‘collaboration between the most relevant sectors within and outside the health domain to improve public health’ [18]).…”

Section: Why Focus On Childhood Obesity Prevention Through Integratedmentioning

confidence: 99%

“…Networks that also involve non-health sectors should be formed to implement the integrated approach [2-4]. To attract these non-health stakeholders, actors from the health sectors should move out of their ‘comfort zone’ and ‘niche’ [83,133].…”

Section: Organizational Behavior 6: Network Formation At the Operatiomentioning

confidence: 99%

“…, ‘Healthy Public Policy’ [1] or ‘Health in All Policies’ [2-4]) and introduces a conceptual framework to study and guide their development. In most countries, such policies are developed by local policy-makers who work within local governments ( i.e.…”

Section: Introductionmentioning

confidence: 99%

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Proposing a conceptual framework for integrated local public health policy, applied to childhood obesity - the behavior change ball

et al. 2013

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BackgroundChildhood obesity is a ‘wicked’ public health problem that is best tackled by an integrated approach, which is enabled by integrated public health policies. The development and implementation of such policies have in practice proven to be difficult, however, and studying why this is the case requires a tool that may assist local policy-makers and those assisting them. A comprehensive framework that can help to identify options for improvement and to systematically develop solutions may be used to support local policy-makers.DiscussionWe propose the ‘Behavior Change Ball’ as a tool to study the development and implementation of integrated public health policies within local government. Based on the tenets of the ‘Behavior Change Wheel’ by Michie and colleagues (2011), the proposed conceptual framework distinguishes organizational behaviors of local policy-makers at the strategic, tactical and operational levels, as well as the determinants (motivation, capability, opportunity) required for these behaviors, and interventions and policy categories that can influence them. To illustrate the difficulty of achieving sustained integrated approaches, we use the metaphor of a ball in our framework: the mountainous landscapes surrounding the ball reflect the system’s resistance to change (by making it difficult for the ball to roll). We apply this framework to the problem of childhood obesity prevention. The added value provided by the framework lies in its comprehensiveness, theoretical basis, diagnostic and heuristic nature and face validity.SummarySince integrated public health policies have not been widely developed and implemented in practice, organizational behaviors relevant to the development of these policies remain to be investigated. A conceptual framework that can assist in systematically studying the policy process may facilitate this. Our Behavior Change Ball adds significant value to existing public health policy frameworks by incorporating multiple theoretical perspectives, specifying a set of organizational behaviors and linking the analysis of these behaviors to interventions and policies. We would encourage examination by others of our framework as a tool to explain and guide the development of integrated policies for the prevention of wicked public health problems.

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Section: Why Focus On Childhood Obesity Prevention Through Integratedmentioning

confidence: 99%

Section: Organizational Behavior 6: Network Formation At the Operatiomentioning

confidence: 99%

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Proposing a conceptual framework for integrated local public health policy, applied to childhood obesity - the behavior change ball

et al. 2013

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“…This wicked character implies that, in order to reverse this trend, practitioners and policy makers need input from sectors and stakeholders both inside and outside the public health domain, such as spatial planning, education, safety, social affairs, employment, and sports organizations, using an “integrated” PA approach [ 22 , 25 ]. In Netherlands, an example of a program that supports the development of such an approach is “Youth on a Healthy Weight” (in Dutch known by the acronym “JOGG”) [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

“…In many countries, local governments are in a unique position to develop integrated PA policies [ 25 ]. Within Dutch local governments, three levels of actors and several sectors are involved in developing integrated PA policies.…”

Section: Introductionmentioning

confidence: 99%

Obstacles and Enablers on the Way towards Integrated Physical Activity Policies for Childhood Obesity Prevention: An Exploration of Local Policy Officials’ Views

Hendriks

Habraken

Kremers

et al. 2016

BioMed Research International

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Background. Limited physical activity (PA) is a risk factor for childhood obesity. In Netherlands, as in many other countries worldwide, local policy officials bear responsibility for integrated PA policies, involving both health and nonhealth domains. In practice, its development seems hampered. We explore which obstacles local policy officials perceive in their effort. Methods. Fifteen semistructured interviews were held with policy officials from health and nonhealth policy domains, working at strategic, tactic, and operational level, in three relatively large municipalities. Questions focused on exploring perceived barriers for integrated PA policies. The interviews were deductively coded by applying the Behavior Change Ball framework. Findings. Childhood obesity prevention appeared on the governmental agenda and all officials understood the multicausal nature. However, operational officials had not yet developed a tradition to develop integrated PA policies due to insufficient boundary-spanning skills and structural and cultural differences between the domains. Tactical level officials did not sufficiently support intersectoral collaboration and strategic level officials mainly focused on public-private partnerships. Conclusion. Developing integrated PA policies is a bottom-up innovation process that needs to be supported by governmental leaders through better guiding organizational processes leading to such policies. Operational level officials can assist in this by making progress in intersectoral collaboration visible.

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Does partnership diversity in intersectoral policymaking matter for health promoting intervention packages’ composition? A multiple-case study in the Netherlands

Grêaux

Vries

Bessems

et al. 2020

Health Promotion International

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Summary Intersectoral policymaking to improve public health includes integrated health promotion (HP) intervention packages that address a variety of health behavior determinants. The involvement of different partners is assumed to be necessary to implement such integrated packages. We examined how partnership diversity was associated with the composition of intervention packages implemented in Dutch municipalities. In a longitudinal multiple-case study (2012–14), we collected questionnaire data among 31 project leaders and 152 intervention implementers in 31 (alliances of) municipalities. Package composition was assessed in terms of intervention strategies, implementation settings and targeted behavioral determinants. Partnership diversity during the adoption and implementation phases was assessed in terms of the actors and sectors, as well as private partners and citizens involved. The association between partnership diversity and package composition was examined using crosstabs. Almost all packages integrated multiple strategies, but mostly education, facilitation and case finding, in multiple, but mostly health and public settings, such as schools. The packages targeted diverse behavioral determinants, although mainly personal and social environmental factors. A variety of partners from multiple sectors was involved, during both adoption and implementation of the packages. However, partners from the health, welfare and education sectors were mostly involved. More partnership diversity, especially during implementation, was associated with more integrated intervention packages. In intersectoral policymaking, investment in diversely composed partnerships seems worthwhile for implementing integrated intervention packages. However, investments in other conditions, like framing health issues and network management, are also needed to make environmental determinants of health behavior the object of HP.

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Monitoren en evalueren van integraal gezondheidsbeleid

Cited by 8 publications

References 12 publications

Proposing a conceptual framework for integrated local public health policy, applied to childhood obesity - the behavior change ball

Proposing a conceptual framework for integrated local public health policy, applied to childhood obesity - the behavior change ball

Obstacles and Enablers on the Way towards Integrated Physical Activity Policies for Childhood Obesity Prevention: An Exploration of Local Policy Officials’ Views

Does partnership diversity in intersectoral policymaking matter for health promoting intervention packages’ composition? A multiple-case study in the Netherlands

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