Governance for public health and health equity: The Tröndelag model for public health work

Autor: Monica Lillefjell, Kirsti Sarheim Anthun, Eva Magnus, Geir Arild Espnes, Ruca Elisa Katrin Maass, Sissel Horghagen, Margunn Skej Knudtsen, Guri Wist
Rok vydání: 2018
Předmět:
Zdroj: Scandinavian Journal of Public Health
ISSN: 1651-1905
1403-4948
DOI: 10.1177/1403494818765704
Popis: BACKGROUND: Multi-sectoral governance of population health is linked to the realization that health is the property of many societal systems. This study aims to contribute knowledge and methods that can strengthen the capacities of municipalities regarding how to work more systematically, knowledge-based and multi-sectoral in promoting health and health equity in the population. METHODS: Process evaluation was conducted, applying a mixed-methods research design, combining qualitative and quantitative data collection methods. RESULTS: Processes strengthening systematic and multi-sectoral development, implementation and evaluation of research-based measures to promote health, quality of life, and health equity in, for and with municipalities were revealed. A step-by-step model, that emphasizes the promotion of knowledge-based, systematic, multi-sectoral public health work, as well as joint ownership of local resources, initiatives and policies has been developed. CONCLUSIONS: Implementation of systematic, knowledge-based and multi-sectoral governance of public health measures in municipalities demand shared understanding of the challenges, updated overview of the population health and impact factors, anchoring in plans, new skills and methods for selection and implementation of measures, as well as development of trust, ownership, shared ethics and goals among those involved. KEYWORDS: Public health; implementation; knowledge translation; knowledge-based; multi-sectoral; systematic © 2018. This is the authors' accepted and refereed manuscript to the article. The final authenticated version is available online at: https://doi.org/10.1177%2F1403494818765704
Databáze: OpenAIRE