Does partnership diversity in intersectoral policymaking matter for health promoting intervention packages' composition? A multiple-case study in the Netherlands
| Autor: | Kathelijne Bessems, K M Grêaux, P.T. van Assema, Janneke Harting, N.K. de Vries |
|---|---|
| Přispěvatelé: | Health promotion, RS: NUTRIM - R1 - Obesity, diabetes and cardiovascular health, Public and occupational health, APH - Health Behaviors & Chronic Diseases, APH - Methodology |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Health (social science) media_common.quotation_subject Health Promotion ORGANIZATION COLLABORATION healthy public policy DILEMMAS medicine IMPLEMENTATION Humans AcademicSubjects/MED00860 Social determinants of health Marketing Policy Making intervention media_common Netherlands business.industry Public health Public Health Environmental and Occupational Health ENGAGEMENT Articles NETWORKS Network management SOCIAL DETERMINANTS Health promotion Framing (social sciences) General partnership PUBLIC-HEALTH Multiple case Business Public Health Welfare Delivery of Health Care GOVERNMENT intersectoral partnerships |
| Zdroj: | Health Promotion International Health Promotion International, 36(3), 616-629. Oxford University Press Health promotion international, 36(3), 616-629. Oxford University Press |
| ISSN: | 0957-4824 |
| DOI: | 10.1093/heapro/daaa083 |
| Popis: | SummaryIntersectoral policymaking to improve public health includes integrated health promotion (HP) intervention packages that address a variety of health behavior determinants. The involvement of different partners is assumed to be necessary to implement such integrated packages. We examined how partnership diversity was associated with the composition of intervention packages implemented in Dutch municipalities. In a longitudinal multiple-case study (2012–14), we collected questionnaire data among 31 project leaders and 152 intervention implementers in 31 (alliances of) municipalities. Package composition was assessed in terms of intervention strategies, implementation settings and targeted behavioral determinants. Partnership diversity during the adoption and implementation phases was assessed in terms of the actors and sectors, as well as private partners and citizens involved. The association between partnership diversity and package composition was examined using crosstabs. Almost all packages integrated multiple strategies, but mostly education, facilitation and case finding, in multiple, but mostly health and public settings, such as schools. The packages targeted diverse behavioral determinants, although mainly personal and social environmental factors. A variety of partners from multiple sectors was involved, during both adoption and implementation of the packages. However, partners from the health, welfare and education sectors were mostly involved. More partnership diversity, especially during implementation, was associated with more integrated intervention packages. In intersectoral policymaking, investment in diversely composed partnerships seems worthwhile for implementing integrated intervention packages. However, investments in other conditions, like framing health issues and network management, are also needed to make environmental determinants of health behavior the object of HP. |
| Databáze: | OpenAIRE |
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