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Samenvatting Prevention and Policy/Preventie en Beleid

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Per thema een samenvatting van de stof behandeld in de colleges, bijbehorende artikelen en hoofdstukken uit het boek 'Epidemiology in public health practice', begeleid met figuren en voorbeelden. Geschreven in een combinatie van Nederlands en Engels.

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  • No
  • Hoofdstuk 1, 2, 12, 13
  • 18 de diciembre de 2020
  • 73
  • 2020/2021
  • Resumen

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VU AMSTERDAM
LOES KIEVITSBOSCH

,Inhoudsopgave
Policy (beleid) .................................................................................................................................................. 5
Advantages of policy .......................................................................................................................................... 5

Volksgezondheid Toekomstige Verkenning (2018) ........................................................................................... 5
GIDS-gelden (Gezondheid in de Stad) ................................................................................................................. 6
9 principes voor een duurzame aanpak van terugdringen gezondheidsverschillen ........................................... 6

Voorbeelden gecombineerde aanpakken in GIDS-gemeenten ......................................................................... 7

Take home messages ....................................................................................................................................... 7

Hoofdstuk 1 Evolution of epidemiology in society ............................................................................................ 8
1. Pre-formal epidemiology .......................................................................................................................... 8
2. Early epidemiology.................................................................................................................................... 9
3. Classical epidemiology .............................................................................................................................. 9
4. Modern epidemiology ............................................................................................................................. 10
Conclusion ........................................................................................................................................................ 12

Typen preventie ............................................................................................................................................. 14
Collectieve preventie ........................................................................................................................................ 14
Individuele preventie ........................................................................................................................................ 14

Hoofdrolspelers binnen de collectieve preventie ........................................................................................... 15

5 Stelselwetten en publieke gezondheidszorg ......................................................................................... 16
1. Wpg (Wet publieke gezondheid) ............................................................................................................. 17
2. Wmo (Wet maatschappelijke ondersteuning) ........................................................................................ 17
3. Jeugdwet ................................................................................................................................................. 18
4. Zvw (Zorgverzekeringswet) ..................................................................................................................... 18
5. Wlz (Wet langdurige zorg) ...................................................................................................................... 19

Preventiecyclus (4 jaar) .................................................................................................................................. 20
Beleidsambtenaar ............................................................................................................................................ 20

Instrumenten en aanleidingen voor het maken van beleid ............................................................................ 20

Nationale preventiecyclus .............................................................................................................................. 21

Hoofdstuk 12 Organisation of public health ................................................................................................... 21
Key messages ................................................................................................................................................... 21
Public health in the Netherlands ...................................................................................................................... 22
Primary health care (PHC) ................................................................................................................................ 23
Conclusion ........................................................................................................................................................ 23

Proces van beleidsvorming ............................................................................................................................. 24


1

, Stap 1 – Erkenning van een maatschappelijk relevant probleem ..................................................................... 24
Stap 2 – Beleidsformulering ............................................................................................................................. 24
Proces 1: Policy design ................................................................................................................................ 24
Proces 2: Political decision .......................................................................................................................... 25
Stap 3 – Implementatie van het beleid ............................................................................................................. 25
Stap 4 – Evaluatie van het beleid ..................................................................................................................... 25

Analyse en evaluatie van gezondheidsbeleid ................................................................................................. 25

Policy analysis ................................................................................................................................................ 25
1. Problem statement ................................................................................................................................. 26
2. Background ............................................................................................................................................. 26
3. Policy landscape ...................................................................................................................................... 26
4. Policy alternatives ................................................................................................................................... 26
5. Evaluation criteria ................................................................................................................................... 27
6. Alternative analysis ................................................................................................................................. 27
7. Recommendations .................................................................................................................................. 28
3 Basisprincipes bij het schrijven over effectiviteit ..................................................................................... 28

Hoofdstuk 2 Public health: an arena for policy, practice and research ........................................................... 28
Policy cycle........................................................................................................................................................ 29
Practice cycle .................................................................................................................................................... 30
Research cycle .................................................................................................................................................. 30

Disconnections ............................................................................................................................................... 31

Conclusion...................................................................................................................................................... 32

Voedselprijsbeleid .......................................................................................................................................... 32

Mechanismen waarop een suikertaks zou kunnen werken ............................................................................ 33
Conclusie........................................................................................................................................................... 33

Policy windows of opportunity....................................................................................................................... 34
Problem stream – Policy window of opportunity ............................................................................................. 35
Political stream – Policy window of opportunity .............................................................................................. 35

Article Taxing unhealthy food and drinks to improve health .......................................................................... 35

Abstract ......................................................................................................................................................... 35
Impact on the poor ........................................................................................................................................... 36
Conclusion ........................................................................................................................................................ 36

Article The public health and economic benefits of taxing sugar-sweetened beverages ................................. 36
Abstract ............................................................................................................................................................ 36
Conclusions ....................................................................................................................................................... 37




2

, Article Explaining resistance to reulatory interventions to prevent obesity and improve nutrition: A case-
study of a sugar-sweetened beverages taks in Australia ................................................................................ 37
Conclusion ........................................................................................................................................................ 37

Knowledge translation ................................................................................................................................... 39
Denifition .......................................................................................................................................................... 39
What should be transferred? ...................................................................................................................... 39
Evidence for policy makers .......................................................................................................................... 40
Roger’s diffusion of innovation model .............................................................................................................. 40
Two ways of knowledge translation ................................................................................................................. 41

Models: from research to policy ..................................................................................................................... 41
1. Engineering model .................................................................................................................................. 41
Problems ...................................................................................................................................................... 41
2. Enlightment model.................................................................................................................................. 41
3. Strategic/symbolic model ....................................................................................................................... 41
4. Elective affinity model............................................................................................................................. 42

Why is it so difficult ........................................................................................................................................ 43

Factors influencing translation ....................................................................................................................... 43
What could be done ......................................................................................................................................... 43

Conclusion...................................................................................................................................................... 44

Hoofdstuk 13 An epidemiologist in policyland ................................................................................................ 44
Key messages ................................................................................................................................................... 44

Varying views on policy making ..................................................................................................................... 45
1. The rational view on policy making ........................................................................................................ 45
2. The incremental view on decision making .............................................................................................. 45
3. Mixed scanning ....................................................................................................................................... 46

Policy instruments.......................................................................................................................................... 46
Using the boundary space between science and policy.................................................................................... 48
Mediating roles in the interplay between research and policy ........................................................................ 48
Conclusion ........................................................................................................................................................ 48

Integraal werken (integraal gezondheidsbeleid) ............................................................................................ 50
Diverse toepassingen van IGB in NL ................................................................................................................. 51

Op welke niveaus zie je IGB terug? ................................................................................................................. 51
1. Bestuurs- en beleidsniveau ..................................................................................................................... 51
2. Uitvoeringsniveau ................................................................................................................................... 51

Welke mechanismen spelen een rol? ............................................................................................................. 52

Praktijkervaringen met IGB ............................................................................................................................ 53


3

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