This is a summary of all cases and lectures of course 5 Public Health Policy. The cases are very extensive by using all literature. Sources are mentioned in the document. Additions from the tutorial are marked in red. The training lectures are also included. I passed this exam with a 9.
Case 1: The (public) health system ................................................................................................................... 9
Lecture Public and occupational health policy ................................................................................................ 27
Case 2: Public Health Policymaking ................................................................................................................ 39
Lecture Different approaches to policy making .............................................................................................. 57
Case 3: Rational policy making: The Lancet EAT commission .......................................................................... 64
Lecture Economics of PH: is it worth investing in promotion and prevention? ............................................... 81
Case 4 Priority setting in occupational health: rational policy making? .......................................................... 92
Lecture Model of health policy making: the political approach .................................................................... 107
Case 5: The political arena is not a market but a polis .................................................................................. 116
Case 6 Use of symbols and numbers to convince in the stage of agenda setting: vaccination, it’s
complicated… ............................................................................................................................................... 134
Lecture Institutional theory, path dependency and historical institutionalism ............................................. 151
Case 7: Introduction to institutional theory ................................................................................................. 158
Lecture Cross country comparison of mental health problems and stigmatization ....................................... 171
Lecture mental health from a public health perspective .............................................................................. 178
Case 8 Dare to compare in mental health: translation issues ....................................................................... 184
Lecture Policy vs. practice: policy formulation and implementation ............................................................ 200
Case 9-Policy vs. practice: implementation issues ........................................................................................ 209
Case 12 PH management or leadership? ...................................................................................................... 278
Lecture Wrap up & responsive ..................................................................................................................... 296
Lecture Training 1: Mapping health systems/stakeholder analysis of public health system ......................... 302
Lecture Training 2: Policy analysis according to the rational and political approach ..................................... 307
,Lecture Training 3: Transferability of interventions, dare to compare .......................................................... 312
Lecture Training 5: Writing a research proposal for a policy evaluation ....................................................... 319
Lecture English language center: writing a research proposal ...................................................................... 322
, Lecture Introduction
3 approaches of policy making: what are differences and similarities
Policy = a deliberate course of (in-)action selected from available alternatives to achieve a certain
outcome. (Written of unwritten plan)
Public health and policy
Definition Oxford textbook: “Public health is the science and art of preventing disease, prolonging life
and promoting health through the organized efforts of society”
• Goal: biologic, physical, mental well-being of all members of society
Public Health (whole population) (clinical) health care (doctor-individual relation)
Public health functions
• PH identifies, measures, and monitors community health needs through surveillance of
disease and risk factor trends (information)
• PH formulates, promotes and enforces sound health policies, e.g.
• Policies requiring reporting of highly transmissible diseases and health threats to the
community
• Control of hazards
• Promote healthy behaviour etc (smoking).
Also:
• PH should influence politics
• Effective planning, management and administration is necessary to keep track on the
diseases
PH policy makes a difference
10 indicators of Public Health policy performance
• Tobacco
• Alcohol
• Food and nutrition
• Fertility, pregnancy and childbirth Child health
• Infectious diseases
• Hypertension detection and treatment
• Cancer screening
• Road safety
• Air pollution
→ NL ranks 5th of EU of scores for health policy performance
More cohesion and self expression value in a country were the main indicators associated with
higher scores, so overall performance.
Road safety: example
Obligation to wear safety belts in cars implemented in many countries in the past decades (e.g. NL: in
front since 1976, in back since 1992)
25-48% reduction in lethal car accidents
→ Influence of PH measure on mortality.
The Netherlands vs. Sweden
• In the Netherlands
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