Manifestations of integrated public health policy in Dutch municipalities.

Integrated public health policy (IPHP) aims at integrating health considerations into policies of other sectors. Since the limited empirical evidence available may hamper its further development, we systematically analysed empirical manifestations of IPHP, by placing policy strategies along a contin...

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Publicado en:Health Promotion International Vol. 31; no. 2; pp. 290 - 303
Autores principales: Peters, Dorothee, Harting, Janneke, van Oers, Hans, Schuit, Jantine, de Vries, Nanne, Stronks, Karien
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Jun2016
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Oxford University Press / USA
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        atl: Manifestations of integrated public health policy in Dutch municipalities.
      aug:
        au:
          Peters, Dorothee
          Harting, Janneke
          van Oers, Hans
          Schuit, Jantine
          de Vries, Nanne
          Stronks, Karien
        affil: Department of Public Health, Academic Medical Center, University of Amsterdam, PO Box 22660, 1100 DD Amsterdam, The Netherlands
      sug:
        subj:
          Public Health
          Policy Making
          Health Promotion
          Human
          Netherlands
          Academic Medical Centers
          Geographic Locations
          Urban Areas
          Obesity Diagnosis
          Smoking Evaluation
          Program Development
          Data Collection
          Data Analysis
          Substance Abuse
          Alcohol Drinking
          Funding Source
      ab: Integrated public health policy (IPHP) aims at integrating health considerations into policies of other sectors. Since the limited empirical evidence available may hamper its further development, we systematically analysed empirical manifestations of IPHP, by placing policy strategies along a continuum of less-to-more policy integration, going from intersectoral action (IA) to healthy public policy (HPP) to health in all policies (HiAP). Our case study included 34 municipal projects of the Dutch Gezonde Slagkracht Programme (2009-15), which supports the development and implementation of IPHP on overweight, alcohol and drug abuse, and smoking. Our content analysis of project application forms and interviews with all project leaders used a framework approach involving the policy strategies and the following policy variables: initiator, actors, policy goals, determinants and policy instruments. Most projects showed a combination of policy strategies. However, manifestations of IPHP in overweight projects predominantly involved IA. More policy integration was apparent in alcohol/drugs projects (HPP) and in all-theme projects (HiAP). More policy integration was related to broad goal definitions, which allowed for the involvement of actors representing several policy sectors. This enabled the implementation of a mix of policy instruments. Determinants of health were not explicitly used as a starting point of the policy process. If a policy problem justifies policy integration beyond IA, it might be helpful to start from the determinants of health (epidemiological reality), systematically transform them into policy (policy reality) and set broad policy goals, since this gives actors from other sectors the opportunity to participate.
      pubtype: Academic Journal
      doctype:
        research
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      ougenre: Article
    language: English
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