Reducing social inequities in health in Norway: concerted action at state and local levels?

作者: Marie J. Tallarek née Grimm , Marit K. Helgesen , Elisabeth Fosse

DOI: 10.1016/J.HEALTHPOL.2013.09.019

关键词: Social determinants of healthPublic Health ActPolitical scienceHealth policyHealth equityHealth promotionPublic healthInternational healthEconomic growthHealth impact assessment

摘要: Norwegian national policies have been distinguished by their focus on equity, contributing to comprehensive reduce the social inequities in health (SIH). The newly adopted Public act, which aims at reducing SIH, endorses these acknowledgements while highlighting importance of municipalities as key actors public health. Municipal obligations include inter-sectoral for health, impact assessments (HIA), and development local overviews. Against background a system autonomy Norway, this article illuminates whether, how, municipal reflect priorities. Our data are based one qualitative study, combining document content analysis expert interviews conducted 2011, quantitative questionnaire sent chief administrative officers 2011. findings indicate divide between strategies. Many life-style health-care related measures. Only few acknowledge determinants implemented HIA Arguing concerted multi-level action we need better understand gap approaches. We thus suggest further research illuminate challenges success factors faced levels.

参考文章(28)
P Goldblatt, J Allen, MG Marmot, I Geddes, M Grady, T Boyce, D McNeish, Fair society, healthy lives: Strategic review of health inequalities in England post-2010 The Marmot Review: London UK.. ,(2010)
Helsedepartementet, Resept for et sunnere Norge 042071-070088. ,(2006)
Maria Kölegård Stjärne, Johan Fritzell, Olle Lundberg, Lisa Björk, Monica Åberg Yngwe, The Nordic Experience: Welfare States and Public Health (NEWS) ,(2008)
Bjørn Heine Strand, Øyvind Næss, Marit Rognerud, Sosial ulikhet i helse En faktarapport ,(2007)
Alex Scott-Samuel, Dennis Raphael, Tackling health inequalities : lessons from international experiences Canadian Scholars' Press. ,(2012)
B. I. Larsen, Health promotion - achieving good health for all. Health promotion - achieving good health for all.. ,(2010)
Sigurd Allern, The case of Norway Project Verlag fur Wissenschaft und Kultur. ,(2007)
W. Kreisel, Y. Von Schirnding, Intersectoral action for health: a cornerstone for health for all in the 21st century. World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales. ,vol. 51, pp. 75- 78 ,(1998)
Arbeids og inkluderingsdepartementet, Handlingsplan mot fattigdom 068051-990008. ,(2006)
Timo Ståhl, Matthias Wismar, Eeva Ollila, Eero Lahtinen, Kimmo Leppo, Health in all policies : Prospects and potentials Ministry of Social Affairs and Health. ,(2006)