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Margareta Kristenson The Swedish Network for HPH

Margareta Kristenson The Swedish Network for HPH. Lars Weinehall Umeå University Sweden. A more Health Promoting Health Service - one part of the new Swedish National Public Health Policy. Ingrid Ström National Board of Health and Social Welfare, Sweden. Swedish National Committee

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Margareta Kristenson The Swedish Network for HPH

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  1. Margareta Kristenson The Swedish Network for HPH Lars Weinehall Umeå University Sweden A more Health Promoting Health Service -one part of the new Swedish National Public Health Policy Ingrid Ström National Board of Health and Social Welfare, Sweden

  2. Swedish National Committee for Public Health 1997-2000 ” First step ”: Orientation Report Com-mittees of experts Year 1998 Circulated for comments Report of experts: Goal proposals Preparations by Ministry of Health Government Bill on National Domains of Objectives to be decided by Parliament 2003 ” Second step ”: ” Third step ”: Circulated Preliminary Health Policy Objectives National Objectives for Public Health for comments , Year 1999 Year 2000 From ideas to Government Bill

  3. Committees of Experts Work life Children/adolescent Elderly people Ekonomic welfare Integration Social relations Health Service Environmental factors Health economi Life style 1 - drug abuse Accidents Life style 2 - habits Allergy Mental health

  4. The expert report on Health Service was built on • Values and strategies in the HPH Network • Litterature reviews • Consultations with professionals in health services and public health

  5. Decision by the Swedish Parliament 2003 One overall national public health aim: To reduce health inequalities. Many sectors and players are responsible 11 domains of objectives

  6. Focus on determinants All the health policy objective proposed by the National Public Health Committee were developed and formulated from a healthdeterminant perspective.

  7. 9 10 11 Good eating habits and safe food Increased physical activity. 8 Reduced use of tobacco and alcohol * 7 Effective prevention against communicable diseases Safe sexuality and good reproductive health 1 5 6 Participation and influence in society A more health promoting health service. Healthy and safe environments and products. 2 4 Economic and social security Healthier working life 3 Secure and favourable conditions during childhood and adolescence * Reduced use of tobacco and alcohol and a society free from illicit drugs and doping and a reduction in the harmful effects of excessive gambling

  8. …because of its specific competence, authority and wide scale contact with the population, the health service is of considerable importance for long-term health development. A more health promoting health service is therefore afforded its own objective. Health promotion and disease prevention shall be an integral part of health service and a component of all treatment and care.

  9. Promote a positive health development in individuals and groups • 1 A: Develop disease prevention interventions in the health service • 1B: Develop health promotion interventions in the health service Promote equal health development in the population • 2 A: Actively disseminate knowledge on health and health determinants • 2 B: Aktivly participate in community-oriented interventions Objective area 6: A more health promoting health service M å lomr å de 6: Use health orientation as a strategy for a more effective health service Promote positive health development among health service staff

  10. What has happened 2003-2005?

  11. Pros • Strong political interest. Health orientation included in steering documents in a majority of County Councils. • The Federation of County Councils has developed a work plan for the implementation of Target 6 • The National Board of Health and Welfare increasilgly uses a health promoting perspective • National Quality Registers: focus on Health Outcomes

  12. (Soon in English!) Towards a more health promoting health service Background document Government Bill Indicators (sugg.) Example of application

  13. The Swedish Network for HPH Growing in size Expanding workplan Closer collaboraion with national agencies Widening scope (?)

  14. The Swedish Network for HPH Outcome measuring (SF-36 and EQ5D) in routine health services Thematic work on lifestyle intervention in a salutgenic perspective Activity-database Indicators for HPH in hospitals yearly accounts - benchmarking

  15. ”A shift of perspecitives: towards a more health promoting health service” 10:th conference of the Swedish HPH network In Uppsala April 6-8, 2005, in collaboration with Federation for County Councils National Board of Health and Welfare.

  16. Problem areas: Knowledge Attitudes Skills Economism

  17. Next step.. • Influence decisionmakers so that purchasing systems and agreements support a health orientation of health services

  18. and More research is needed on the interphase between health service research, public health and behavioral medicine

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