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Academic Pediatrics 2021
Topics: Child; Family; Health Policy; Humans; Poverty; Public Policy
PubMed: 34740432
DOI: 10.1016/j.acap.2021.07.013 -
Frontiers in Public Health 2022
Topics: Female; Humans; Public Policy; Socioeconomic Factors
PubMed: 36033762
DOI: 10.3389/fpubh.2022.942087 -
International Journal of Environmental... Apr 2022Measuring the health and wellbeing of the population is the first step in visualizing the real needs of the population in order to promote healthy habits, as well as...
Measuring the health and wellbeing of the population is the first step in visualizing the real needs of the population in order to promote healthy habits, as well as effective health and social policy responses [...].
Topics: Public Health; Public Policy
PubMed: 35564496
DOI: 10.3390/ijerph19095103 -
Journal of Public Health Policy Jun 2023
Topics: Humans; Adolescent; COVID-19 Vaccines; COVID-19; Health Policy; Public Policy; Vaccination
PubMed: 36788273
DOI: 10.1057/s41271-023-00398-6 -
Social Science & Medicine (1982) May 2021'What does 'The Public' think?' is a question often posed by researchers and policy makers, and public values are regularly invoked to justify policy decisions. Over...
CONTEXT
'What does 'The Public' think?' is a question often posed by researchers and policy makers, and public values are regularly invoked to justify policy decisions. Over time there has been a participatory turn in the social and health sciences, including health technology assessment and priority setting in health, towards citizen participation such that public policies reflect public values. It is one thing to agree that public values are important, however, and another to agree on how public values should be elicited, deliberated upon and integrated into decision-making. Surveys of public values rarely deliver unanimity, and preference heterogeneity, or plurality, is to be expected.
METHODS
This paper examines the role of public values in health policy and how to elicit, analyse, and present values, in the face of plurality. We delineate the strengths and weaknesses of aggregative and deliberative methods before setting out a new empirical framework, drawing on Sunstein's Incompletely Theorised Agreements, based on three levels: principles, policies and patients. The framework is illustrated using a recognised policy dilemma - the provision of high cost, limited-effect medicines intended to extend life for people with terminal illnesses.
FINDINGS
Application of the multi-level framework to public values permits transparent consideration of plurality, including analysis of coherence and consensus, in a way that offers routes to policy recommendations that are based on public values and justified in those terms.
CONCLUSIONS
Using the new framework and eliciting quantitative and qualitative data across levels of abstraction has the potential to inform policy recommendations grounded in public values, where values are plural. This is not to suggest that one solution will magically emerge, but rather that choices between policies can be explicitly justified in relation to the properties of public values, and a much clearer understanding of (in)consistencies and areas of consensus.
Topics: Administrative Personnel; Health Policy; Health Priorities; Humans; Public Policy; Technology Assessment, Biomedical
PubMed: 33882440
DOI: 10.1016/j.socscimed.2021.113892 -
Home Healthcare Now 2020
Topics: Health Policy; Humans; Nursing Staff, Hospital; Public Health Nursing; Public Policy; United States; Workforce
PubMed: 31895902
DOI: 10.1097/NHH.0000000000000847 -
Journal of Physical Activity & Health Apr 2022Considering the large health burden of physical inactivity, effective physical activity promotion is a "best buy" for noncommunicable disease and obesity prevention. The...
BACKGROUND
Considering the large health burden of physical inactivity, effective physical activity promotion is a "best buy" for noncommunicable disease and obesity prevention. The MOVING policy framework was developed to promote and monitor government policy actions to increase physical activity as part of the EU Horizon 2020 project "Confronting Obesity: Co-creating policy with youth (CO-CREATE)."
METHOD
A scanning exercise, documentary review of key international policy documents, and thematic analysis of main recommendations were conducted. Themes were reviewed as part of a consultation with physical activity experts.
RESULTS
There were 6 overarching policy framework areas: M-make opportunities and initiatives that promote physical activity in schools, the community, and sport and recreation; O-offer physical activity opportunities in the workplace and training in physical activity promotion across multiple professions; V-visualize and enact structures and surroundings that promote physical activity; I-implement transport infrastructure and opportunities that support active societies; N-normalize and increase physical activity through public communication that motivates and builds behavior change skills; and G-give physical activity training, assessment, and counseling in health care settings.
CONCLUSIONS
The MOVING framework can identify policy actions needed, tailor options suitable for populations, and assess whether approaches are sufficiently comprehensive.
Topics: Adolescent; Exercise; Health Policy; Health Promotion; Humans; Obesity; Public Policy; Schools; Workplace
PubMed: 35316789
DOI: 10.1123/jpah.2021-0732 -
Journal of Visceral Surgery Jun 2023
Topics: Humans; Public Policy; Socioeconomic Factors
PubMed: 37210346
DOI: 10.1016/j.jviscsurg.2023.04.009 -
The Lancet. Public Health Aug 2021Often portrayed as a harmless leisure activity in the UK, gambling is being increasingly recognised as a public health concern. However, a gambling policy system that... (Review)
Review
Often portrayed as a harmless leisure activity in the UK, gambling is being increasingly recognised as a public health concern. However, a gambling policy system that explicitly tackles public health concerns and confronts the dependencies and conflicts of interest that undermine the public good is absent in the UK. Although there is a window of opportunity to change the gambling policy system, with the UK Government's launch of a review of the Gambling Act 2005, the adoption of a comprehensive and meaningful public health approach is not guaranteed. Too often, government policy has employed discourses that align more closely with those of the gambling industry than with those of the individuals, families, and communities affected by the harms of gambling. In view of the well described commercial determinants of health and corporate behaviour, an immense effort will be needed to shift the gambling discourse to protect public health. In this Viewpoint, we seek to advance this agenda by identifying elements that need challenging and stimulating debate.
Topics: Gambling; Humans; Public Health; Public Policy; United Kingdom
PubMed: 34166631
DOI: 10.1016/S2468-2667(21)00098-0 -
Journal of Public Health Management and...We sought to systematically identify US state-level proposed legislation focused on preemption and introduced over a 2-year period. We analyzed each bill's objectives...
OBJECTIVES
We sought to systematically identify US state-level proposed legislation focused on preemption and introduced over a 2-year period. We analyzed each bill's objectives and intended impacts on local public health policy making and practice.
DESIGN/SETTING
Using standardized search terms, we used the LexisNexis State Capital database to identify state-level bills relating to preemption that were introduced between January 1, 2017, and December 31, 2018. Information was abstracted from relevant bills via an electronic data collection form. Abstracted information was analyzed using descriptive statistics to identify preemption-related patterns and trends.
RESULTS
One hundred thirty-four bills were included in our analysis. The bills were introduced in 35 states and 28 received sufficient votes to pass into law. The majority of the 134 bills (89%), and all of the bills that passed into law (100%), removed or restricted local authority to regulate. Of the bills that became law, the most common topic areas in which local regulatory authority was restricted were firearms (14%), business and professions (11%), and employment (11%).
CONCLUSIONS
Lawmakers at the state level are introducing and passing legislation that preempts local regulatory authority on a variety of public health topics. To preserve local control, local leaders should anticipate the introduction of state preemption legislation, engage with public health stakeholders, and work to counter bills that would restrict local authority.
Topics: Health Policy; Humans; Politics; Public Health; Public Policy; State Government; United States
PubMed: 31592982
DOI: 10.1097/PHH.0000000000001047