Advertisement

Underlying Assumptions in Health Promotion Policymaking

  • Benjamin EwertEmail author
Chapter
Part of the Palgrave Studies in Public Health Policy Research book series (PSPHPR)

Abstract

This chapter explores and revisits the assumptions that underlie policymaking in the field of health promotion. It starts by clarifying what is meant by the term ‘underlying assumptions’ in the field of health promotion and disease prevention. Subsequently, the central concepts of how public health may be improved will be recapitulated in terms of their underlying assumptions and contrasted with the recent shift towards behavioural principles as applied in health promotion. By examining what a comprehensive approach that reconciles structural and behavioural interventions could look like, the role of behavioural insights in health promotion will be clarified. The chapter ends with some final remarks on future challenges in health promotion policy.

Keywords

Health promotion Social determinants of health Behavioural interventions Health nudges Policymaking 

References

  1. Baum, F. (2015). The new public health. Oxford: Oxford University Press.Google Scholar
  2. Baum, F., & Fisher, M. (2014). Why behavioural health promotion endures despite its failure to reduce health inequities. Sociology of Health & Illness, 36(2), 213–225.CrossRefGoogle Scholar
  3. Bonoli, G. (2005). The politics of the new social policies: Providing coverage against new social risks in mature welfare states. Policy and Politics, 33(3), 431–449.CrossRefGoogle Scholar
  4. Bryant, P. H., Hess, A., & Bowen, B. G. (2015). Social determinants of health related to obesity. The Journal for Nurse Practitioners, 11(2), 220–225.CrossRefGoogle Scholar
  5. Burgess, A. (2012). Nudging’ healthy lifestyles: The UK experiments with the behavioural alternative to regulation and the market. European Journal of Risk Regulation, 1, 3–16.CrossRefGoogle Scholar
  6. Cairney, P., & Oliver, K. (2017). Evidence-based policymaking is not like evidence-based medicine, so how far should you go to bridge the divide between evidence and policy? Health Research Policy and Systems, 15(1), 35.CrossRefGoogle Scholar
  7. Carpenter, D. (2012). Is health politics different? Annual Review of Political Science, 15(1), 287–311.CrossRefGoogle Scholar
  8. Carter, E. D. (2015). Making the blue zones: Neoliberalism and nudges in public health promotion. Social Science and Medicine, 133(2015), 374–382.CrossRefGoogle Scholar
  9. Chaloupka, F. J., Straif, K., & Leon, M. E. (2011). Effectiveness of tax and price policies in tobacco control. Tobacco Control, 2011(20), 235–238.CrossRefGoogle Scholar
  10. Clavier, C., & de Leeuw, E. (2013). Health promotion and the policy process. Oxford: Oxford University Press.CrossRefGoogle Scholar
  11. Cohen, G. I., Lynch, H. F., & Robertson, C. T. (2016). Nudging health: Health law and behavioral economics. Baltimore: John Hopkins University Press.Google Scholar
  12. Crawford, R. (1980). Healthism and the medicalization of everyday life. International Journal of Health Services, 10(3), 365–388.CrossRefGoogle Scholar
  13. Crawshaw, P. (2013). Public health policy and the behavioural turn: The case of social marketing. Critical Social Policy, 33(4), 616–637.CrossRefGoogle Scholar
  14. de Leeuw, E., & Clavier, C. (2011). Healthy public in all policies. Health Promotion International, 26, ii237.  https://doi.org/10.1093/heapro/dar071.CrossRefGoogle Scholar
  15. Dionigi, M. K. (2017). Lobbying in the European Parliament: The battle for influence. London: Palgrave Macmillan.CrossRefGoogle Scholar
  16. Eyler, A. A., & Brownson, R. C. (2016). The power of policy to improve health. In A. A. Eyler, J. F. Chriqui, S. Moreland-Russell, & R. C. Brownson (Eds.), Prevention, policy, and public health (pp. 3–16). Oxford: Oxford University Press.CrossRefGoogle Scholar
  17. Farrell, A.-M. (2017, June 27). The politics of behavioural policymaking in health promotion: Exploring recent developments in Australia. Presentation held at the 3rd international conference on public policy (ICPP), Singapore.Google Scholar
  18. Hallsworth, M., Snijders, V., Burd, H., Prestt, J., Judah, G., Huf, S., & Halpern, D. (2016). Applying behavioural insights. Simple ways to improve health outcomes. Doha: World Innovation Summit for Health.Google Scholar
  19. Halpern, D. (2016). Behavioural insights and healthier lives. Melbourne: Victorian Health Promotion Foundation.Google Scholar
  20. John, P. (2017). Behavioural science, randomised evaluations and the transformation of public policy. The case of the UK government. In J. Pykett, R. Jones, & M. Whitehead (Eds.), Psychological governance and public policy: Governing the mind, brain and behaviour (pp. 136–152). London/New York: Routledge.Google Scholar
  21. John, P., Smith, G., & Stroker, G. (2009). Nudge nudge, think think: Two strategies of changing civic behaviour. The Political Quarterly, 80(3), 361–370.CrossRefGoogle Scholar
  22. Jones, R., Pykett, J., & Whitehead, M. (2013). Psychological governance and behaviour change. Policy & Politics, 41(2), 159–182.CrossRefGoogle Scholar
  23. Kahneman, D. (2011). Thinking, fast and slow. London: Penguin Books.Google Scholar
  24. Kelly, M. P. (2016). The politics of behaviour change. In F. Spotswood (Ed.), Beyond Behaviour Change. Key issues, interdisciplinary approaches and future directions (pp. 11–26). Bristol: Policy Press.Google Scholar
  25. Kickbusch, I. (2007). Health governance: The health society. In D. V. McQueen, I. Kickbusch, & L. Potvin (Eds.), Health and modernity: The role of theory in health promotion (pp. 144–161). Berlin: Springer.CrossRefGoogle Scholar
  26. Klein, R., & Marmor, T. (2012a). Politics and policy analysis: Fundamentals. In T. Marmor & R. Klein (Eds.), Politics, health and health care (pp. 1–21). New Haven/London: Yale University Press.Google Scholar
  27. Klein, R., & Marmor, T. (2012b). New paradigms: Health care to population health. In T. Marmor & R. Klein (Eds.), Politics, health and health care (pp. 504–506). New Haven/London: Yale University Press.Google Scholar
  28. Kökény, M. (2011). Ottawa revisited: ‘Enable, mediate and advocate’. Health Promotion International, 26(S2), ii180–ii182.Google Scholar
  29. Kühn, H. (1993). Healthismus: Eine Analyse der Präventionspolitik und Gesundheitsförderung in den U.S.A. Berlin: edition sigma.Google Scholar
  30. Lalonde, M. (1974). A new perspective on the health of Canadians. Ottawa: Government of Canada.Google Scholar
  31. Leggett, W. (2014). The politics of behaviour change: Nudge, neoliberalism and the state. Policy & Politics, 42(1), 3–19.CrossRefGoogle Scholar
  32. Lemke, T. (2013). Perspectives on genetic discrimination. New York: Routledge.CrossRefGoogle Scholar
  33. Marmot, M. (2005). Social determinants of health inequalities. Lancet, 365(9464), 1099–1104.CrossRefGoogle Scholar
  34. McKay, L. (2000). Making the lalinde report. Towards a new perspective on health project, Health Network, CPRN (Background Paper). Retrieved May 18, 2018 from http://epe.lac-bac.gc.ca/100/200/300/cdn_policy_research_net/making_lalonde/bmlr_e.pdf.
  35. Medvedyuk, S., Ahmednur, A., & Raphael, D. (2017). Ideology, obesity and the social determinants of health: A critical analysis of the obesity and health relationship. Critical Public Health. doi: https://doi.org/10.1080/09581596.2017.1356910.CrossRefGoogle Scholar
  36. Milio, N. (1981). Promoting health through public policy. Philadelphia: F.A. Davis Company.Google Scholar
  37. Moran, M. (1999). Governing the health care state. A comparative study of the United Kingdom, the United States and Germany. Manchester: Manchester University Press.Google Scholar
  38. Nutbeam, D. (1998). Health promotion glossary. Health Promotion International, 13(4), 349–364.CrossRefGoogle Scholar
  39. OECD. (2017). Behavioural insights and public policy: Lessons from around the world. Paris: OECD Publishing.Google Scholar
  40. Owens, J., & Cribb, A. (2013). Beyond choice and individualism: Understanding autonomy for public health ethics. Public Health Ethics, 6(3), 262–271.CrossRefGoogle Scholar
  41. Peters, B. G., & Zittoun, P. (2016). Introduction. In B. G. Peters & P. Zittoun (Eds.), Contemporary approaches to public policy (pp. 1–14). London: Palgrave Macmillan.Google Scholar
  42. Puska, P. (2008). The North Karelia project: 30 years successfully preventing chronic diseases. Diabetes Voice, 53(Special issue), 26–29.Google Scholar
  43. Quigley, M. (2013). Nudging for health: On public policy and designing choice architecture. Medical Law Review, 21(2013), 588–621.CrossRefGoogle Scholar
  44. Raphael, D. (2011). A discourse analysis of the social determinants of health. Critical Public Health, 21(2), 221–236.CrossRefGoogle Scholar
  45. Raphael, D. (2014). Beyond policy analysis: The raw politics behind opposition to healthy public policy. Health Promotion International, 30(2), 380–396.CrossRefGoogle Scholar
  46. Rudisill, C. (2012). Risk research and health-related behaviours. In A. McGuire & L. Costa-Font (Eds.), The LSE companion to health policy (pp. 297–313). Cheltenham/Northampton: Edward Elgar.Google Scholar
  47. Spotswood, F. (2016). Introduction. In F. Spotswood (Ed.), Beyond behaviour change. Key issues, interdisciplinary approaches and future directions (pp. 1–8). Bristol: Policy Press.CrossRefGoogle Scholar
  48. Spotswood, F., & Marsh, A. (2016). Conclusion: What is the future of ‘behaviour change’? In F. Spotswood (Ed.), Beyond behaviour change. Key issues, interdisciplinary approaches and future directions (pp. 283–298). Bristol: Policy Press.CrossRefGoogle Scholar
  49. Strassheim, H., & Korinek, R.-L. (2016). Cultivating ‘nudge’: Behavioural governance in the UK. In J. P. Voß & R. Freeman (Eds.), Knowing governance. The epistemic construction of political order (pp. 107–126). New York: Palgrave Macmillan.Google Scholar
  50. Sunstein, C. (2014). Why nudge? The politics of libertarian paternalism. New Haven/London: Yale University Press.Google Scholar
  51. Sunstein, C. R., Reisch, L. A., & Rauber, J. (2017). A worldwide consensus on nudging? Not quite, but almost. Regulation & Governance, 12, 3.  https://doi.org/10.1111/rego.12161.CrossRefGoogle Scholar
  52. Thaler, R., & Sunstein, C. (2008). Nudge: Improving decisions about health, wealth and happiness. New York: Penguin Books.Google Scholar
  53. Van Den Broucke, S. (2014). Needs, norms and nudges: The place of behaviour change in health promotion (editorial). Health Promotion International, 29(4), 597–600.CrossRefGoogle Scholar
  54. VicHealth. (2015). Citizen’s Jury on Obesity, online available via https://www.vichealth.vic.gov.au/programs-and-projects/victorias-citizens-jury-on-obesity. 17 Dec 2017.
  55. Wansink, B. (2016). Slim by design: Moving from Can’t to CAN. In C. A. Roberto & I. Kawachi (Eds.), Behavioral economics and public health (pp. 237–264). Oxford: Oxford University Press.Google Scholar
  56. White, M. D. (2016). Bad medicine: Does the unique nature of healthcare decisions justify nudges? In G. I. Cohen, H. F. Lynch, & C. T. Robertson (Eds.), Nudging health: Health law and behavioral economics (pp. 72–82). Baltimore: John Hopkins University Press.Google Scholar
  57. WHO. (1986). Ottawa charter for health promotion. Retrieved December 29, 2017 from http://www.euro.who.int/__data/assets/pdf_file/0004/129532/Ottawa_Charter.pdf?ua=1.
  58. WHO. (2017). Obesity and overweight. Fact sheet. Retrieved December 29, 2017 from http://www.who.int/mediacentre/factsheets/fs311/en/.Google Scholar

Copyright information

© The Author(s) 2019

Authors and Affiliations

  1. 1.FernUniversität in HagenHagenGermany

Personalised recommendations