The (failed) promise of intersectoral working groups and other rituals in Scandinavian public health

Rod, Morten Hulvej

doi:10.1080/09581596.2017.1396060

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…The presence of divergent voices within the partnership seemed not to disrupt these interweaving processes. We conclude, therefore, that rather than partnerships being transformative (Rod, 2018), they tend to sustain and reproduce the hegemonic individualistic perspective in a way that explains lifestyle drift. It is likely that the interdependency between people in the figurationfor example through the discourses generated through formal and informal meetingsfurther reinforced their collective conceptualisations of health inequality and how local services and projects could address local issues.…”

Section: Discussionmentioning

confidence: 76%

“…This paper focuses on the extent to which working within local partnerships creates the conditions for broader local strategies to be implemented through collaborative processes. Rod (2018) suggests that working with others from different sectors might have a potentially transformative effect on people's understandings of social inequalities in health. The departure point for the research reported here was to explore understandings of social inequalities of health across the diverse LSP.…”

Section: The Localisation Of Public Health Policymentioning

confidence: 99%

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From public issues to personal troubles: individualising social inequalities in health within local public health partnerships

Mead

Thurston

Bloyce

2020

Critical Public Health

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This paper explores public health policy implementation through partnership working at the local level by examining how local actors from public health and the wider workforce, make sense of and work on social inequalities in health. An ethnographic case study was used to examine policy implementation in one local strategic partnership in north-west England during a period of significant resource constraint. Semi-structured interviews were the primary method of data generation. Sensitising concepts from figurational sociology were used to develop a theoretical account of how local policy implementation directed at narrowing social inequalities in health tended to give rise to relatively fragmented and short-term services, projects and practices, which focused on lifestyle factors and behaviour change. Theorising partnership work as figurations goes some way to explaining the apparent paradox among participants who expressed a relatively detached appreciation of wider social influences, alongside emotional involvement in their work. This process of individualisation explains how local professionals tended to conceptualise health inequality and the social determinants of health as personal troubles. Individualisation meant that the social reality of working in partnerships on difficult issues was simplified. Thus, any scope for working on the social determinants of health tended to be overlooked. The extent to which this was intentional or a matter of struggling to see opportunities, or a mixture of the two, was difficult to discern. Although the policy landscape has changed, the findings give some insight into understanding how local collaborative processes reproduce local public health work underpinned by lifestyle choices.

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Section: Discussionmentioning

confidence: 76%

Section: The Localisation Of Public Health Policymentioning

confidence: 99%

From public issues to personal troubles: individualising social inequalities in health within local public health partnerships

Mead

Thurston

Bloyce

2020

Critical Public Health

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“…Sarker and Joarder [51] found that public health experts sometimes fail to recognise the achievements of other sectors on health. Rod [52] found that intersectoral collaborations in HP can sometimes be such a symbolic aim rather than actually leading to a change. It is therefore important to acknowledge the officials' important HP work in the EP.…”

Section: Plos Onementioning

confidence: 99%

Collaboration in health promotion for newly arrived migrants in Sweden

2020

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As a group, newly arrived migrants in Sweden face inequities in health compared to the general population. Successful promotion of population health requires awareness of and focus on health from several sectors of society. In light of this, the aim was to study the views of local authority officials on collaboration in health promotion activities for newly arrived migrants. Data was collected through five focus group interviews with 23 local authority officials working with the integration of newly arrived migrants in the Establishment Program in a municipality or at the Employment Services in northern Sweden. An inductive qualitative latent content analysis was performed, and the analysis showed that the participating officials considered health promotion as desirable in the Establishment Program, but it also raised complex issues within the existing organisations. The officials described unclear roles, but also possible changes to the organisation that would improve the possibility of working to promote health. The present study adds to the relatively limited knowledge of health promotion in integration activities and offers clinical relevance for policymakers through the officials' suggestions for improvements in the Establishment Program. It also raises important questions for further research.

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Palliative care and public health: an asymmetrical relationship?

Whitelaw

Clark

2019

Palliat�Care

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Interest in the potential for public health and palliative care to work together is now widely established. Based on a mapping review of existing literature, we describe for the first time the ways in which public health has entered palliative care policy and practice and how this has been specifically articulated. We then go on to pursue analytical and critical lines of enquiry that are largely absent from the existing literature. We do this in three ways: (i) by considering why the link between public health and palliative care has become so ubiquitous within palliative care policy; (ii) by establishing how this has been constructed; and (iii) by exploring public health as a ‘reference discipline’ from which its ‘secondary deployment’ can become embedded inside another disciplinary field. From this, we develop a range of critical perspectives on the relationship between public health and palliative care by scrutinising its claims of utility and effectiveness and questioning the strength of the interdisciplinary interaction between the two disciplines. We see their relationship in a ‘cross disciplinary’ context which is still largely symbolic and tactical in nature. We conclude by considering the significance of these insights for policy and practice, with two possible scenarios. If the use of public health is essentially figurative and its resources are not unique, the particular and exclusive use of the term becomes insignificant. Progressive and effective policy and practice is possible, independent of any explicit public health label. If however public health is considered to have intrinsic and definable worth, we suggest that this currently asymmetrical association needs to be significantly developed with much higher levels of theoretical, practical and critical engagement between the two disciplines. Such work would result in more reflective and robust policy and practice.

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The (failed) promise of intersectoral working groups and other rituals in Scandinavian public health

Cited by 3 publications

References 6 publications

From public issues to personal troubles: individualising social inequalities in health within local public health partnerships

From public issues to personal troubles: individualising social inequalities in health within local public health partnerships

Collaboration in health promotion for newly arrived migrants in Sweden

Palliative care and public health: an asymmetrical relationship?

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