Kickbusch Policy Innovation for Health

1. Auflage 2008
ISBN: 978-0-387-79876-9
Verlag: Springer
Format: PDF
Kopierschutz: 1 - PDF Watermark

E-Book, Englisch, 208 Seiten

The facts are hard to ignore: rising rates of chronic disease, epidemic obesity and diabetes, a widening longevity gap between rich and poor, health care 'reforms' at odds with patient interests. In response, Policy Innovations for Health argues that a nation's well-being mirrors the health of its citizens-and calls not only for improvement in our health care systems but for a complete reconceptualization of health and social policy, starting with expanded, interrelated roles for health care providers, consumers, and policymakers. The long-term strategies outlined in this book emphasize a stronger balance between public and individual health goals, and collaborations between cost-efficient, streamlined medical care and innovative therapeutic research and technology-values that have been traditionally been considered in conflict. Examples are included of new care models and groundbreaking programs from Canada, the EU, and Australia that bring together the community, consumer, governmental, and corporate sectors; bridge the gaps between prevention, health promotion, and practice; and improve core health determinants such as living conditions, education, and social supports. These social, political, medical, and technological advances, assert the authors, are crucial to meeting the challenges of the decades ahead. Among the topics covered: Health as a central economic and societal force. New directions in the monitoring of health and well-being. 'Integrating Health in all Policies' programs and how they can be implemented. The democratization of health knowledge and the expanding role of patient participation. Closing the financial divide in public health priority-setting. Policy Innovations for Health adds important new voices to the health care debate, and its vision will inspire professionals in health policy, health administration, health economics, and global health, as well as graduate students planning to enter these rapidly changing fields.

Ilona Kickbusch is known throughout the world for her contributions to innovation in public health, health promotion and global health. She has had a distinguished career with the World Health Organization and Yale University. She is a sought after speaker and advisor on policies and strategies to promote health at the national and international level. She now works as an independent global health consultant based in Brienz, Switzerland.

Autoren/Hrsg.

Kickbusch, Ilona

Inhaltsverzeichnis

1;Acknowledgements;5
2;Contents;6
3;to 1 Policy Innovations for Health;7
3.1;1.1 Introduction;7
3.2;1.2 The Shift to the Health Society;9
3.3;1.3 Conceptualizing Health and Well-Being;10
3.3.1; Determinants of Health;10
3.4;1.4 Box 1;11
3.5;1.5 Box 2Map of the Health and Wellbeing System;11
3.5.1; Understanding of Health;12
3.6;1.6 Locating the Interface Between Innovation and Health;14
3.7;1.7 Box 3 Health sustainability challenges of 21st century societies;15
3.8;1.8 Reconsidering the Territory of Health;15
3.9;1.9 Open Innovation: Involving a Broader Range of Actors;17
3.10;1.10 Box 4A model of open innovation for health;11
3.10.1; "Health in All Policies";18
3.10.2; Innovation Clusters;19
3.11;1.11 Box 5 The Nordic region as a global health lab;19
3.11.1; Platforms;20
3.12;1.12 The Democratization of Innovation: The Co-Production of Health;20
3.13;1.13 Outlook;22
3.14;1.14 Box 6 Health in All Policies: the ten principles;24
3.15;1.15 Note by the author;25
4;to 2 Intelligence for Health Governance: Innovation in the Monitoring of Health and Well-Being;28
4.1;2.16 Introduction;29
4.2;2.17 Part I: Health Information for Governance Innovation;31
4.2.1; From Ottawa Charter to Health in All Policies;31
4.2.2; Initiatives on Health Information Management;32
4.2.3; Space for Innovation in Health Information;33
4.3;2.18 Box 1. Accountability and transparency;33
4.4;2.19 Health information and accountability;33
4.5;2.20 Health information and transparency;34
4.6;2.21 Box 2. Health information bases for policy innovation;35
4.6.1; Advocacy Through Innovative Health Information Framing and New Indicators;35
4.7;2.22 Box 3. Advocacy;36
4.8;2.23 Advocacy and health information;36
4.8.1; The Value of Well-Being for the Attainment of Many Societal Objectives;36
4.8.2; Measuring Outcomes That Are Relevant to Non-health Policies;37
4.8.3; Accountability: Can Single Indicators Make Policies More Accountable?;38
4.9;2.24 Part II: Health Information Today: Current Strategies and Proposals for Health Indicators;40
4.9.1; Conceptual Framework;40
4.9.2; Health Information at Regional Level;40
4.9.3; Health Information at National Level;43
4.9.4; Summary Health Indicators: Strengths and Limitations;45
4.9.5; Comparative Risk Assessment;52
4.10;2.25 Box 4. The Global Burden of Disease Project;52
4.11;2.26 Key Points:;53
4.11.1; Health Impact Assessment;54
4.12;2.27 Box 5. Health Impact Assessment;54
4.13;2.28 Key Points;55
4.14;2.29 Part III: Outlook: How Can We Meet the Expectations of Intelligence for Better Governance?;56
4.14.1; Requirements of Useful Indicators;56
4.14.2; Indicators Addressing the Social Determinants of Health;57
4.14.3; Reframing Health Information for Better Governance;59
4.14.4; Supporting Investment on Health;65
4.15;2.30 Conclusions;65
5;to 3 Financing for Health in All Policies;72
5.1;3.31 Introduction;73
5.2;3.32 Background;74
5.3;3.33 Why It Is Important to Engage in New Ways to Finance Public Health Policy Innovations;77
5.3.1; We Classify Public Health Policies That Attempt to Reduce Health Inequities by Target and Instruments;77
5.3.2; The Appropriate Policy Level Needs To Be Defined;79
5.3.2.1; Past Policies Have Not Been Uniformly Successful in Reducing the Negative Impact of Social Determinants on Health;80
5.4;3.34 Why Is It Difficult to Finance Innovative Public Health Policies;81
5.4.1; There Is Too Much To Do and Not Enough Policy Support from the Highest Government Levels;82
5.4.2; The Joint Interests of Bureaucracies and Various Interest Groups Oppose Innovations That Upset Habits or Rents;83
5.4.3; Financing Health Policy Innovation Requires Changes in the Process of Resource Allocation;85
5.5;3.35 Financing for Innovative Health Policies;85
5.5.1; Role of the Health/Health Care Financing Model: Bismarck or Beveridge;86
5.5.2; The Geographical Level: National (Federal) or Local;87
5.5.3; The Stakeholders and Their Rationality: What Are the Facilitating Factors for Successful Financing of Policy Innovation;88
5.5.3.1; Politics and Majority Voting Models;88
5.5.3.2; Interest Groups;89
5.5.3.3; Bureaucraties;90
5.5.3.4; Rent Seeking;91
5.6;3.36 Case Study;91
5.6.1; Examples from the French Public Health and Health Care Financing Reform Laws;91
5.6.2; For Health Care, the Programs and Targets Are '133 50 '135:;93
5.6.3; Safety in the Workplace;95
5.6.4; Retirement Pensions;95
5.6.5; Family Benefits;95
5.6.6; Funding and Financing;95
5.6.7; Solidarity to Sustain Autonomy;95
5.7;3.37 Conclusion: New Modes of Producing Health;96
6;to 4 Health as a Driving Economic Force;100
6.1;4.38 Starting Point: The Downsides of Cost Increases and the Upsides of Growth Effects with Regard to Health;101
6.2;4.39 Theoretical Considerations: Health as a Component of Human Capital;103
6.3;4.40 Overview of Existing Empirical Evidence;106
6.4;4.41 Macroeconomics and Health;108
6.5;4.42 Expanding Understanding of Health: The First and the Second Sector for Health Care and for Health;111
6.6;4.43 Labor Market Implications;113
6.7;4.44 On the Growth-Related Effects of Health Promotion;115
6.8;4.45 Berlins Health care Market as a Driving Economic Force: A Regional Case Study;123
6.8.1; Abstract;123
6.9;4.46 Turnover and Gross Value Added of Berlins Health care Market;123
6.10;4.47 Health-Related Spending in the Capital;124
6.11;4.48 Employment Potential in the Berlin Region;125
6.12;4.49 Monitoring Growth and Employment in Berlin;127
6.13;4.50 Berlin An Expanding Health Care Metropolis;127
6.14;4.51 References;129
7;to 5 Integrating Health in All Policies at the Local Level: Using Network Governance to Create _Virtual Reorganization by Design_;130
7.1;5.52 Introduction;131
7.2;5.53 Health in All Policies;132
7.2.1; Obstacles;133
7.2.2; Driving Forces;133
7.2.3; Health in All Policies and the Determinants of Health -- From Dahlgren and Whitehead to Modern Sweden;133
7.3;5.54 Box 1: Swedish public health objectives;134
7.4;5.55 The Challenges to Local Policy Innovation;135
7.4.1; Stakeholder Positions;136
7.4.2; The Need for Virtual Neutral Space;137
7.5;5.56 Network Development;137
7.5.1; Network Formation and Emergence;138
7.6;5.57 Box 2: Partnerships and networks What is the difference?;140
7.6.1; Network Structures;141
7.6.1.1; The Descriptive Typology;141
7.6.1.2; The Technical Classification;141
7.6.2; Network Governance;144
7.6.3; Constructing the Network Design;145
7.6.3.1; Linking the Components;145
7.7;5.58 Virtual Coordination;147
7.7.1; The Integration Challenge;147
7.7.2; Boundary Spanning and Virtual Coordination;147
7.8;5.59 Conclusions;150
7.9;5.60 A Health in All Policies Case Study at the Local Level: Project CHAIN (Community Health Alliances Through Integrated Networks);152
7.9.1; Project Setting and Background;152
7.9.2; The Concept;153
7.9.3; Development Processes;154
7.9.3.1; Defining the Cast of Stakeholders;154
7.9.4; The Proposed Integrated Network Activity;155
7.9.4.1; Income Improvement;155
7.9.4.2; Reducing the Fear of Crime;156
7.9.4.3; Mobility;156
7.9.4.4; Unified Assessment;157
7.9.4.5; Managing Medication in the Community;157
7.9.5; The Virtual Organization Coordinator (VOC);158
7.9.5.1; Identifying Coordination Processes Necessary for Managing;159
7.9.6; Mainstreaming -- The Concluding Phase;161
7.10;5.61 Box 3: Virtual organizations;164
7.11;5.62 Conclusion;164
8;to 6 Knowledge-Centered Health Innovation: The Case for Citizen Health Information Systems;169
8.1;6.63 Health Systems in Transition: Are Health Literacy and Citizen-Centered Information Systems the Critical Change Engines of the Health System?;170
8.1.1; Health Systems in Transition and the Citizen;171
8.1.2; Health Governance in the Knowledge Society;172
8.2;6.64 Innovation in the Knowledge Society;174
8.2.1; A New World: Technology and Innovation;174
8.2.2; Understanding Health Innovation;176
8.2.3; Health Policy Innovations;178
8.2.4; Practice-Driven Innovation;179
8.2.5; Health Innovation Systems;181
8.3;6.65 Citizen-Centered Information Systems;181
8.3.1; Different Contributions Towards More Citizen-Centered Information Systems;181
8.3.2; Development of Electronic Health Records;182
8.3.3; Enter New, Big Players;186
8.4;6.66 From Personal Health Record to Personal Health Information Systems as Collaborative Innovation Systems;187
8.4.1; Objectives and Expected Benefits of ePHIS;187
8.4.2; Personal Health Information Systems as Customized Developmental Undertakings;188
8.4.2.1; Basic Module;190
8.4.2.2; Information Export/Import Communication Platform;190
8.4.2.3; Financing and Expenditure Information;190
8.4.2.4; Family Health Profile and Personal Health Risk Profile;190
8.4.2.5; Choice and Voice Opportunities;190
8.4.2.6; Personal Health Statements;190
8.4.2.7; Personal Health Management;190
8.5;6.67 Personal Health Information Systems as Collaborative Innovation Systems;190
8.5.1; Technologic Platforms;191
8.5.2; Professional Health Information and Science Systems;192
8.5.3; Relational Localities and Local Health Innovation Systems;193
8.5.4; Health Information Governance;194
8.5.5; Alternative Configurations for Electronic Personal Health Information Systems;195
8.6;6.68 The Story of Maria Esperana;197
8.7;6.69 Barreiros i- citizen project;199
8.7.1; Project development steps;174
9;Index;206