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Breton, E. (2016). A Sophisticated Architecture Is Indeed Necessary for the Implementation of Health in All Policies but not Enough; Comment on “Understanding the Role of Public Administration in Implementing Action on the Social Determinants of Health and Health Inequities”. International Journal of Health Policy and Management, 5(6), 383-385. doi: 10.15171/ijhpm.2016.28
Eric Breton. "A Sophisticated Architecture Is Indeed Necessary for the Implementation of Health in All Policies but not Enough; Comment on “Understanding the Role of Public Administration in Implementing Action on the Social Determinants of Health and Health Inequities”". International Journal of Health Policy and Management, 5, 6, 2016, 383-385. doi: 10.15171/ijhpm.2016.28
Breton, E. (2016). 'A Sophisticated Architecture Is Indeed Necessary for the Implementation of Health in All Policies but not Enough; Comment on “Understanding the Role of Public Administration in Implementing Action on the Social Determinants of Health and Health Inequities”', International Journal of Health Policy and Management, 5(6), pp. 383-385. doi: 10.15171/ijhpm.2016.28
Breton, E. A Sophisticated Architecture Is Indeed Necessary for the Implementation of Health in All Policies but not Enough; Comment on “Understanding the Role of Public Administration in Implementing Action on the Social Determinants of Health and Health Inequities”. International Journal of Health Policy and Management, 2016; 5(6): 383-385. doi: 10.15171/ijhpm.2016.28

A Sophisticated Architecture Is Indeed Necessary for the Implementation of Health in All Policies but not Enough; Comment on “Understanding the Role of Public Administration in Implementing Action on the Social Determinants of Health and Health Inequities”

Article 6, Volume 5, Issue 6, June 2016, Page 383-385  XML PDF (318 K)
Document Type: Commentary
DOI: 10.15171/ijhpm.2016.28
Author
Eric Breton 1, 2
1EHESP School of Public Health, Paris, France
2CNRS, UMR Centre for Research on Political Action in Europe (CRAPE), Rennes, France
Abstract
In this commentary, I argue that beyond a sophisticated supportive architecture to facilitate implementation of actions on the social determinants of health (SDOH) and health inequities, the Health in All Policies (HiAP) project faces two main barriers: lack of awareness within policy networks on the social determinants of population health, and a tendency of health actors to neglect investing in other sectors’ complex problems.
Keywords
Health in All Policies (HiAP); Social Determinants of Heath (SDOH); Health Equity; Public; Policy; Implementation
Main Subjects
Health Politics
References
  1. Carey G, Friel S. Understanding the Role of Public Administration in Implementing Action on the Social Determinants of Health and Health Inequities. Int J Health Policy Manag. 2015;4(12):795-798. doi:10.15171/ijhpm.2015.185
  2. République Française. Décret N° 2010-346 Du 31 Mars 2010 Relatif Aux Commissions de Coordination Des Politiques Publiques de Santé; 2010.
  3. Stachenko S, Pommier J, You C, Porcherie M, Halley J, Breton E. Contribution des acteurs régionaux à la réduction des inégalités sociales de santé : le cas de la France. Glob Health Promot. 2015. doi:10.1177/1757975915600668.
  4. Touraine M. Health inequalities and France’s national health strategy. The Lancet. 2014;383(9923):1101-1102. doi:10.1016/S0140-6736(14)60423-2.
  5. République Française. Décret N° 2014-629 Du 18 Juin 2014 Portant Création Du Comité Interministériel Pour La Santé; 2014.
  6. Ollila E. Health in All Policies: from rhetoric to action. Scand J Public Health. 2011;39(6 Suppl):11-18.  doi:10.1177/1403494810379895
  7. Collins PA, Abelson J, Eyles JD. Knowledge into action? Understanding ideological barriers to addressing health inequalities at the local level. Health Policy. 2007;80(1):158-171. doi:10.1016/j.healthpol.2006.02.014
  8. Didem E, Filiz E, Orhan O, Gulnur S, Erdal B. Local decision makers’ awareness of the social determinants of health in Turkey: a cross-sectional study. BMC Public Health. 2012;12:437. doi:10.1186/1471-2458-12-437
  9. Gauld R, Bloomfield A, Kiro C, Lavis J, Ross S. Conceptions and uses of public health ideas by New Zealand government policymakers: report on a five-agency survey. Public Health. 2006;120(4):283-289. doi:10.1016/j.puhe.2005.10.008
  10. Lavis JN, Ross SE, Stoddart GL, Hohenadel JM, McLeod CB, Evans RG. Do Canadian Civil Servants Care About the Health of Populations? Am J Public Health. 2003;93(4):658-663. doi:10.2105/ajph.93.4.658
  11. Putland C, Baum F, Ziersch A. From causes to solutions - insights from lay knowledge about health inequalities. BMC Public Health. 2011;11(1):67. doi:10.1186/1471-2458-11-67
  12. Raphael D. Educating the Canadian public about the social determinants of health: the time for local public health action is now! Glob Health Promot. 2012;19(3):54-59. doi:10.1177/1757975912453847
  13. Kickbusch I, Gleicher D. Governance for Health in the 21st Century. Copenhagen: WHO Regional Office for Europe; 2012.
  14. The Sudbury & District Health Unit. What is health equity? https://www.sdhu.com/health-topics-programs/health-equity/health-equity. Accessed February 26, 2016.
  15. Greaves L, Bialystok LR. Health in All Policies – all talk and little action? Can J Public Health. 2011;102(6):407-409.
  16. Pinto AD, Molnar A, Shankardass K, O’Campo PJ, Bayoumi AM. Economic considerations and health in all policies initiatives: evidence from interviews with key informants in Sweden, Quebec and South Australia. BMC Public Health. 2015;15:171. doi:10.1186/s12889-015-1350-0.
  17. de Leeuw E, Clavier C, Breton E. Health policy – why research it and how: health political science. Health Res Policy Syst. 2014;12(1):55. doi:10.1186/1478-4505-12-55
  18. Breton E, Richard L, Gagnon F, Jacques M, Bergeron P. Health promotion research and practice require sound policy analysis models: the case of Quebec’s Tobacco Act. Soc Sci Med. 2008;67(11):1679-1689. doi:10.1016/j.socscimed.2008.07.028
  19. Hawe P. Lessons from Complex Interventions to Improve Health. Annu Rev Public Health. 2015;36(1):307-323. doi:10.1146/annurev-publhealth-031912-114421
  20. Ndumbe-Eyoh S, Moffatt H. Intersectoral action for health equity: a rapid systematic review. BMC Public Health. 2013;13:1056. doi:10.1186/1471-2458-13-1056
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