National public health policy in a local context—Implementation in two Swedish municipalities

Jansson, Elisabeth; Fosse, Elisabeth; Tillgren, Per

doi:10.1016/j.healthpol.2011.08.013

Cited by 23 publications

(38 citation statements)

References 18 publications

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“…Our findings, however, appear to reinforce the existence of a gap between research and practice, where current knowledge is underutilized during the development and implementation of concrete policy and action [ 6 , 11 ]. In many cases, as is the case within many of the Nordic countries, this gap is particularly apparent at the local level where local governments have the responsibility of implementing national agendas, but are free to autonomously set priorities and make decisions [ 21 , 54 ]. Cacari-Stone et al suggest that this gap is supported by cultural issues at the research level, where social scientists fail to adequately engage in the political process through, for example, media, the local community, and directly with politicians [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

Facilitators for the development and implementation of health promoting policy and programs – a scoping review at the local community level

2016

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BackgroundHealth promotion, with a focus on multidimensional upstream factors and an ecological, life-course approach, is establishing itself as the guiding philosophy for addressing public health. Action at the political and programmatic level on the Social Determinants of Health has proven effective for promoting and building public health at all levels but has been particularly evident at the national and international levels – due in large part to available documents and guidelines. Although research and experience establish that health promotion is most effective when settings-based, the development of health promoting policies and programs at the local level is still difficult. This study intended to investigate available knowledge on the development and implementation of health promoting policies and programs at the local level and identify factors most important for facilitating capacity building and outcome achievement.MethodsWe used a scoping review in order to review the current literature on local policy development and program implementation. Keywords were chosen based on results of a previous literature review. A total of 53 articles were divided into two categories: policy and implementation. Critical analysis was conducted for each article and a summary assembled. Data was charted with specific focus on the aims of the study, data acquisition, key theories/concepts/frameworks used, outcome measures, results, and conclusions.ResultsThe articles included in this study primarily focused on discussing factors that facilitate the development of health promoting policy and the implementation of health promotion programs. Most significant facilitators included: collaborative decision-making, agreement of objectives and goals, local planning and action, effective leadership, building and maintaining trust, availability of resources, a dynamic approach, a realistic time-frame, and trained and knowledgeable staff. Within each of these important facilitating factors, various elements supporting implementation were discussed and highlighted in this study.ConclusionOur results indicate that clear and consistent facilitators exist for supporting health promoting policy development and program implementation at the local level. These results offer a starting point for local action on the Social Determinants of Health and have the potential to contribute to the development of a framework for improving action at the local level.

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Section: Discussionmentioning

confidence: 99%

Facilitators for the development and implementation of health promoting policy and programs – a scoping review at the local community level

2016

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“…Public health is often a focus of attention for government, business, and individual citizens in a society [ 7 ]. A government agency is often responsible for the decision-making in public health policy, and leaders of these government agencies are qualified to do this job [ 5 ]. Several factors determine the investment in public policy.…”

Section: Literature and Hypothesesmentioning

confidence: 99%

“…An understanding of public health helps policy makers improve their strategy and management to enhance quality of public health for their society [ 1 ]. From citizens’ perspective, they often hope governments invest more in public health because they obtain more benefits from these investments [ 5 ]. For example, citizens benefit from programs such as disease protection, disability improvement, environmental protection, and other physical and mental health enhancement.…”

Section: Introductionmentioning

confidence: 99%

“…Due to the important role of public health system to citizens and society, it is often managed and controlled by government agencies [ 10 , 12 ]. The development of a public health system depends largely on leaders because they propose policy and decide to invest resource for public health system [ 2 , 5 , 10 ]. Furthermore, public health systems in emerging countries often operate under the centralized management of a government agency.…”

Section: Introductionmentioning

confidence: 99%

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Leaders’ Future Orientation and Public Health Investment Intention: A Moderated Mediation Model of Self-Efficacy and Perceived Social Support

Wang

Chou

Chen

et al. 2020

IJERPH

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Prior studies have investigated the issue of public health and health policy from economic, environmental, and healthcare perspectives. Research on public health from leaders’ perspective may also help to advance our knowledge about leaders’ perceptions, attitudes, and behavioral intentions toward public health management. Therefore, this study is based on social ideal theory, social cognitive theory, and social trust theory to investigate the influence of leaders’ future orientation on public health investment intention with the mediating role of leaders’ self-efficacy and the moderating role of perceived social support. Using a structural equation modeling with a sample data of 381 leaders of government agencies in Vietnam, empirical results indicate that leaders’ future orientation has a positive influence on public health investment intention. Furthermore, self-efficacy is found to have a positive mediating effect in the relationship between leaders’ future orientation and public health investment intention. In addition, perceived social support positively moderates the link between leaders’ future orientation and self-efficacy. Perceived social support also moderates the indirect effect of leaders’ future orientation on public health investment intention through self-efficacy. On one hand, this study contributes to theoretical research by clarifying the effects of leaders’ perceptions, and cognitive and behavioral intentions toward public health investment. Findings of this study may have implications for researchers who may have interest in studying the issue of public health management from leaders’ viewpoints. On the other hand, this study contributes to practitioners since understanding how leaders’ characteristics affect public health investment will enhance the quality of policy makers’ decision-making in improving public health for citizens and society.

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“…No Brasil, dado nosso federalismo único, a implantação de uma política de saúde pública exige que sejam observadas, ainda, as particularidades da descentralização presentes no SUS. O desenho dos programas nacionais e sua implementação, que posteriormente foram replicados em outras áreas -como na assistência social -, fundamentamse nas escolhas dos arranjos institucionais e nos recursos da esfera federal (Cavalcante, 2011), mas também dependem das decisões tomadas e das prioridades definidas no âmbito municipal (Dalfior;Andrade, 2015;Jansson;Fosse;Tillgren, 2011). Nesse caso, os determinantes da implementação estariam, portanto, relacionados ao processo de descentralização das políticas ou programas e os seus fatores subjacentes, como os atributos institucionais da política, que podem ou não gerar incentivos à cooperação dos municípios; a existência de políticas prévias e capacidades em nível local; as características estruturais dos governos municipais, bem como os aspectos que abrangem relações com o governo estadual e entre Estado e sociedade (Arretche, 2004).…”

Section: Falta De Clareza Nos Planos Operacionaisunclassified

A implementação do programa de saúde específico para a população em situação de rua - Consultório na rua: barreiras e facilitadores

Medeiros

Cavalcante

2018

Saude soc.

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Resumo O objetivo deste trabalho é investigar as razões da baixa adesão à implementação do programa de saúde específico para a população em situação de rua - Consultório na Rua - pela maioria dos municípios elegíveis. A partir da literatura contemporânea de determinantes da implementação de políticas públicas, a pesquisa, de caráter exploratório-descritivo, utiliza análise de conteúdo em documentos oficiais e, sobretudo, entrevistas com gestores federais e a aplicação de questionários aos gestores de municípios em ambas as situações, aderentes e não aderentes ao programa. Sob a ótica do governo federal, os resultados da investigação sugerem que a implementação do programa foi influenciada positivamente pelo alinhamento com uma política pública maior, com mais recursos e priorização governamental, embora as restrições fiscais, a partir de 2015, e as fragilidades do pacto federativo se apresentem como principais barreiras. Do ponto de vista dos gestores locais, as evidências empíricas demonstram percepções diferentes entre os municípios aderentes ao programa e os que não aderiram, porém há convergências quanto a relevância de um contexto favorável, do legado de políticas prévias e de fatores relacionados às competências e capacidades das prefeituras como determinantes à participação no programa Consultório na Rua.

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National public health policy in a local context—Implementation in two Swedish municipalities

Cited by 23 publications

References 18 publications

Facilitators for the development and implementation of health promoting policy and programs – a scoping review at the local community level

Facilitators for the development and implementation of health promoting policy and programs – a scoping review at the local community level

Leaders’ Future Orientation and Public Health Investment Intention: A Moderated Mediation Model of Self-Efficacy and Perceived Social Support

A implementação do programa de saúde específico para a população em situação de rua - Consultório na rua: barreiras e facilitadores

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