In Centralized Health Systems, Much Is Left Out When Analyses of Local HiAP Strategies Are Limited to Public Administration; A Commentary on "A Realist Explanatory Case Study Investigating How Common Goals, Leadership, and Committed Staff Facilitate Health in All Policies Implementation in the Municipality of Kuopio, Finland" - Politiques sociales et de santé. Inégalités et population Accéder directement au contenu
Article Dans Une Revue International journal of health policy and management Année : 2022

In Centralized Health Systems, Much Is Left Out When Analyses of Local HiAP Strategies Are Limited to Public Administration; A Commentary on "A Realist Explanatory Case Study Investigating How Common Goals, Leadership, and Committed Staff Facilitate Health in All Policies Implementation in the Municipality of Kuopio, Finland"

Résumé

We argue that the lessons drawn by Guglielmin and colleagues (2022), from the Health in All Policies (HiAP) approach in the municipality of Kuopio, are of limited use to centralised health systems. There is a need for research more attuned to the circumstances of local governments that have little power over the provision of health programmes; yet can address a range of determinants of population health. In these cases, adopting a state-centric perspective may fail to capture the role of other actors such as NGOs and local branches of state agencies. Evidence from France shows that centralised health systems can foster HiAP locally through political commitment and dedicated coordination staff whose role is to mobilise and support NGOs, inhabitants, and other local branches of regional and central governments. We highlight, as three important challenges, the issue of legitimacy, funding and positioning of the HiAP instrument in the local government structure.
Fichier principal
Vignette du fichier
IJHPM_Volume 12_Issue Issue 1_Pages 1-4.pdf"; (402.5 Ko) Télécharger le fichier
Origine : Fichiers éditeurs autorisés sur une archive ouverte

Dates et versions

hal-03925326 , version 1 (15-02-2024)

Licence

Paternité

Identifiants

Citer

Eric Breton, Yann Le Bodo. In Centralized Health Systems, Much Is Left Out When Analyses of Local HiAP Strategies Are Limited to Public Administration; A Commentary on "A Realist Explanatory Case Study Investigating How Common Goals, Leadership, and Committed Staff Facilitate Health in All Policies Implementation in the Municipality of Kuopio, Finland". International journal of health policy and management, 2022, 12 (1), pp.1-4. ⟨10.34172/ijhpm.2022.7646⟩. ⟨hal-03925326⟩
57 Consultations
4 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More