ABSTRACT
Samenvatting van alle
verplichte literatuur voor de
colleges van het vak Preventie
en Beleid. Het omvat
samenvattingen van het boek
Epidemiology in public health
practice en verschillende
artikelen en documenten.
Vrije Universiteit van
Amsterdam
2019-2020
SAMENVATTING PREVENTIE &
BELEID
Master Health Sciences
,Inhoudsopgave
Hoorcollege 1: Introductiecollege, door Martine Goedendorp..............................................................2
Hoorcollege 2: De kracht van beleid om gezondheid te verbeteren, door Jaap Seidell..........................4
Hoorcollege 3: Proces van beleid, door Martine Goedendorp...............................................................6
Hoorcollege 4: Suikertaks, Ingrid Steenhuis...........................................................................................9
Hoorcollege 5: Analyse en evaluatie van gezondheidsbeleid, door Karin Proper (RIVM).....................11
Hoorcollege 6: Implementatie, door Martine Goedendorp..................................................................12
Hoorcollege 7: Geïntegreerde aanpak van community-brede interventies, Jaap Seidell.....................14
Hoorcollege 8: Integraal gezondheidsbeleid, Ilse Storm.......................................................................15
Hoorcollege 10: Gezondheidsbeleid op nationaal niveau - Nicole Hooglander-Houweling..................18
Hoorcollege 11: Health Impact Assessment, Birgit Staatsen................................................................22
Hoorcollege 12: Geïntegreerde zorg als wicked problem, Duco Bannink.............................................23
Werkcollege 2: Praktische opdracht stakeholdersanalyse en VTV-2014 perspectieven.......................25
Werkgroep 3: Praktische opdracht Quick Scan Facetbeleid en evaluatie a.d.h.v. RE-AIM....................28
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,Hoorcollege 1: Introductiecollege, door Martine
Goedendorp
Book Epidemiology in public health practice
Chapter 2 – Public health: an arena for policy, practice and research
Public health policy, practice and research operate as independent niches.
Each niche has its own work cycle consisting of four similar stages, i.e. problem recognition
(stage 1), problem formulation (stage 2), implementation (stage 3) and evaluation (stage 4).
Within these four stages there are many disconnections between the work cycles of policy,
practice and research due to different norms, languages, lifespan and goals.
Epidemiologists and other public health professionals should be aware of these
disconnections in order to find ways to collaborate.
Public health: the science and art of preventing disease, prolonging (healthy) life and promoting
health through the organised efforts of society.
Three major fields of public health:
1. Policy
2. Practice
3. Research
National and local governments have different responsibilities. National level: legislation (wetgeving).
Local or regional level: detailed management of service delivery and implementation in local context.
The three major fields operate as more independent ‘niches’. Niche = specific ideologies, unique
values and norms, internal orientation, specific communication and niche languages, internal codes
of behaviour, self-directed improvement processes, dynamics of their own, independence and a
strong desire to protect themselves against the outside world.
Work cycle, well-known is the Plan-Do-Check-Act model (PDCA). This is used for achieving optimal
quality in daily work.
Stage 1: problem recognition
Stage 2: analysis of the problem and the formulation of an approach to solve it
Stage 3: the start of implementation
Stage 4: interpretation of the effects and evaluation
Work cycles are interactive and iterative.
Policy: the process in which decisions are made, policy instruments are selected, and programmes
are delivered.
Public health policy tries to solve, reduce or prevent societal problems.
Stage 1 agenda setting is crucial
How do issues get onto the policy agenda? media and public, national or regional research
documents. Policy preparation, elaborating on the subject. Policy re-adjustment, adjusting because
of negative attention, unfeasibility or undesirable side effects.
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, Stage 2 problem analysis, from many different perspectives (population health, economics, socio-
economic differences, employment, social participation or spatial planning (ruimtelijke ordening).
Goals and objectives are formulated in global terms.
Policy instruments are selected.
Implementation plan is developed (costs and benefits, budget availability).
Decision making.
Stage 3 Implementation, difficult to monitor. Will be easier with SMART formulation
Stage 4 Evaluation, difficult and therefore often not done.
Sometimes audits are used, verifying the degree to which policy conforms to pre-defined
performance indicators or budgets.
Practice cycle
Stage 1: defining a practically relevant problem
Stage 2: practical programme formulation
Stage 3: practical implementation
Stage 4: practice evaluation
Research cycle
Stage 1: defining a scientifically relevant problem
Stage 2: formulation of hypothesis and research design
Stage 3: research implementation
Stage 4: research evaluation
Scientific research aims to produce explanations and predictions – or solutions – relating to people’s
problems, and to add facts and theories to the body of knowledge.
Policy makers, practitioners and researchers have different work attitudes. Scientists are thinkers,
practitioners are doers and policy makers are bureaucrats.
Co-production: focuses on how interactions between policy, practice and research professionals can
result in knowledge being produced simultaneously and interactively within the fields.
Opportunities to build relations between the fields.
Mutual understanding (wederzijds begrip) mag subsequently reinforce mutual respect and
collaboration. May result in new ways of co-production and knowledge sharing.
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