Successen en valkuilen van integraal gezondheidsbeleid

Storm, I

doi:10.1007/bf03078737

Cited by 9 publications

(8 citation statements)

References 1 publication

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“…, ‘collaboration between the most relevant sectors within and outside the health domain to improve public health’ [18]). Examples of policies developed through intersectoral collaboration are preventing the establishment of fast food restaurants near schools and increasing the safety of playgrounds in deprived neighborhoods.…”

Section: Why Focus On Childhood Obesity Prevention Through Integratedmentioning

confidence: 99%

“…A wide range of theories can be used to explain the development of integrated public health policies [17,18]. Some theories describe a continuum of integration e.g.…”

Section: Which Theories Can Explain Integrated Policy Development Anmentioning

confidence: 99%

“…The core of public health policy-making with respect to wicked problems remains the need to implement an integrated approach aimed at collaboration between different (health and non-health) sectors. Assisting local policy-makers, public health professionals and researchers in developing and implementing integrated public health policies requires a conceptual framework to study and guide this development and implementation effort [17,18], so our goal was to develop such a framework.…”

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%

“…A wide range of theories can be used to explain the development of integrated public health policies [17,18]. Some theories describe a continuum of integration e.g.…”

Section: Which Theories Can Explain Integrated Policy Development Anmentioning

confidence: 99%

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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“…HiAP is a horizontal complementary policy-related strategy with a high potential for contributing to public health [ 9 , 10 ]. It is assumed that collaboration between policy sectors inside and outside the public health domain is an important precondition for the establishment and implementation of HiAP [ 11 , 12 ]. The importance of HiAP is stressed in several Dutch national policy documents and programmes, such as the national health policy document Health Close to people and the national prevention programme Everything is Health [ 13 – 15 ].…”

Section: Introductionmentioning

confidence: 99%

How to improve collaboration between the public health sector and other policy sectors to reduce health inequalities? – A study in sixteen municipalities in the Netherlands

Storm

Hertog

Oers

et al. 2016

Int J Equity Health

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BackgroundThe causes of health inequalities are complex. For the reduction of health inequalities, intersectoral collaboration between the public health sector and both social policy sectors (e.g. youth affairs, education) and physical policy sectors (e.g. housing, spatial planning) is essential, but in local practice difficult to realize. The aim of this study was to examine the collaboration between the sectors in question more closely and to identify opportunities for improvement.MethodA qualitative descriptive analysis of five aspects of collaboration within sixteen Dutch municipalities was performed to examine the collaboration between the public health sector and other policy sectors: 1) involvement of the sectors in the public health policy network, 2) harmonisation of objectives, 3) use of policies by the relevant sectors, 4) formalised collaboration, and 5) previous experience. Empirical data on these collaboration aspects were collected based on document analysis, questionnaires and interviews.ResultsThe study found that the policy workers of social sectors were more involved in the public health network and more frequently supported the objectives in the field of health inequality reduction. Both social policy sectors and physical policy sectors used policies and activities to reduce health inequalities. More is done to influence the determinants of health inequality through policies aimed at lifestyle and social setting than through policies aimed at socioeconomic factors and the physical environment. Where the physical policy sectors are involved in the public health network, the collaboration follows a very similar pattern as with the social policy sectors. All sectors recognise the importance of good relationships, positive experiences, a common interest in working together and coordinated mechanisms.ConclusionThis study shows that there is scope for improving collaboration in the field of health inequality reduction between the public health sector and both social policy sectors and physical policy sectors. Ways in which improvement could be realised include involving physical policy sectors in the network, pursuing widely supported policy goals, making balanced efforts to influence determinants of health inequalities, and increasing the emphasis on a programmatic approach.

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“…Information about success and failure factors in multi-sector collaboration is particularly found in so-called "grey literature" [ 23 ]. Effectiveness of multi-sector policies is hard to measure [ 24 ] and is for instance dependent on which sector takes the initiative, the point in time or policy process in which the collaboration is started, the basis of support for the multi-sector initiative, the amount of resources and manpower available, the existence of shared (policy) goals and the availability of (scientific) information regarding the potential effectiveness of multi-sector policies [ 25 ]. Multi-sector policy plans are more effective when the actors involved share common interests and conflicts of interests are absent.…”

Section: Introductionmentioning

confidence: 99%

Towards translation of environmental determinants of physical activity in children into multi-sector policy measures: study design of a Dutch project

et al. 2009

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Background: Physical inactivity in children is a major health problem in The Netherlands as well as in many other Western countries. In addition to health promotion among parents and children, creating "active" neighbourhoods can contribute to the solution of this health problem. However, changing environmental characteristics is often the responsibility of policy sectors outside the Public Health domain. Therefore this project identifies and evaluates the possibilities of multi-sector policy measures to stimulate physical activity in children.

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Successen en valkuilen van integraal gezondheidsbeleid

Cited by 9 publications

References 1 publication

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

How to improve collaboration between the public health sector and other policy sectors to reduce health inequalities? – A study in sixteen municipalities in the Netherlands

Towards translation of environmental determinants of physical activity in children into multi-sector policy measures: study design of a Dutch project

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