Analysing local public health action plans: development of a tool for the French CLoterreS Study
| Autor: | Hervé Hudebine, Françoise Jabot, Cyrille Harpet, Eric Breton, William Sherlaw, R. Fonteneau, Y Le Bodo |
|---|---|
| Přispěvatelé: | Centre de Recherches sur l'Action Politique en Europe (ARENES), Université de Rennes (UR)-Institut d'Études Politiques [IEP] - Rennes-École des Hautes Études en Santé Publique [EHESP] (EHESP)-Centre National de la Recherche Scientifique (CNRS), École des Hautes Études en Santé Publique [EHESP] (EHESP), Département des sciences humaines et sociales (SHS), Department of Electrical Engineering and Computer Science (Institut Montefiore), Université de Liège, Département Santé Environnement Travail et Génie Sanitaire (DSETGS), Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut d'Études Politiques [IEP] - Rennes-École des Hautes Études en Santé Publique [EHESP] (EHESP)-Centre National de la Recherche Scientifique (CNRS), Laboratoire d'Études et de Recherche en Sociologie (LABERS), Université de Bretagne Sud (UBS)-Université de Brest (UBO)-Institut Brestois des Sciences de l'Homme et de la Société (IBSHS), Université de Brest (UBO), EHESP, SCD |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Public health medicine
medicine.medical_specialty Self assessment media_common.quotation_subject Alcohol abuse Tertiary prevention Psychological intervention Drug usage World health organization CLoterreS Study [SHS]Humanities and Social Sciences 03 medical and health sciences Social determinants of health 0302 clinical medicine Promotion (rank) Nursing Political science Health care medicine 030212 general & internal medicine Investments ComputingMilieux_MISCELLANEOUS media_common Primary prevention business.industry Physical activity 030503 health policy & services Public health Prevention Smoking Public Health Environmental and Occupational Health Mental health [SHS.SCIPO]Humanities and Social Sciences/Political science 3. Good health Health promotion Environmental health Healthy diet [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie [SDV.MHEP.PSM]Life Sciences [q-bio]/Human health and pathology/Psychiatrics and mental health [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie [SHS] Humanities and Social Sciences France 0305 other medical science business Psychosocial |
| Zdroj: | European Journal of Public Health European Journal of Public Health, 2019, 29 (Supplement_4), ⟨10.1093/eurpub/ckz186.468⟩ 12th European Public Health Conference "Building bridges for solidarity and public health" 12th European Public Health Conference "Building bridges for solidarity and public health", Nov 2019, Marseille, France European Journal of Public Health, Oxford University Press (OUP): Policy B-Oxford Open Option D, 2019, 29 (Supplement_4), ⟨10.1093/eurpub/ckz186.468⟩ 12th European Public Health Conference "Building bridges for solidarity and public health", Nov 2019, Marseille, France. |
| ISSN: | 1101-1262 1464-360X |
| Popis: | Background The potential contribution of local authorities to prevention and health promotion is well recognized. In France, since 2009, Local Health Contracts (LHCs) are mobilising Regional Health Agencies, local elected officials and stakeholders to intervene in 4 areas: health promotion, prevention, health care and social care. LHCs remain poorly documented policy instruments. Methods As part of the CLoterreS study, a multidimensional coding tool was developed and tested by two coders to explore the place of prevention and health promotion in LHCs. Its development was based on the WHO conceptual framework for action on the social determinants of health and the Self-assessment tool for the evaluation of essential public health operations in the WHO European Region. Preliminary results concern a random sample of 17 LHCs from as many French regions selected among the 165 LHCs signed between 2015 and March 2018. Results On average, the LHCs featured 26 action forms (AF) (min: 5; max: 56). In a LHC, the average proportion of AF addressing either the social determinants of health, living circumstances or other determinants targeted by health protection, promotion or primary prevention interventions (SDoH-HPP-P1) was 79% while 44% of the AF address secondary/tertiary prevention, social care or the organization of health care and services. Among the SDoH-HPP-P1 themes (double coding permitted): psychosocial life circumstances were addressed in the 17 LHCs and concerned, on average, 31% of their AF; material living circumstances were addressed to a lesser extent (16 LHCs, 13%); other key themes include environmental health (12, 14%), mental health (16, 12%), alcohol abuse (15, 11%), drug use (14, 11%), smoking (13, 9%), physical activity (13, 12%), healthy eating (12, 12%). Conclusions This work confirms that LHCs are instruments with prevention and health promotion at their core. Explanation of the differing investments in this area across our sample will be further explored. Key messages Local Health Contracts are promising instruments to address locally a broad range of health determinants. The CLoterreS analytical tool has proven effective in capturing multiple themes and shedding light on differences between Local Health Contracts’ action plans. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|