Advertisement

Conclusion: Towards a Behaviourally Informed Health Citizenship

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

Abstract

The conclusion recapitulates main findings concerning policymaking in public health in the light of the behavioural turn. First, the huge potential that behavioural policies could hold, if they are combined with classic instruments for health promotion, will be emphasised. Second, implications of the rise of behavioural health policies for the concept of health citizenship and state-citizen relations are discussed. By suggesting the concept of a ‘behaviourally informed health citizenship’, it will be argued that a reconciliation between citizenship and behavioural governance is feasible.

Keywords

Health promotion Social determinants of health Behavioural interventions Health nudges Policymaking Citizenship 

References

  1. 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
  2. Behavioural Insight Team (BIT). (2018). Who we are. Retrieved February 26, 2018, from http://www.behaviouralinsights.co.uk/about-us/
  3. Botsman, R. (2017). Who can you trust?: How technology brought us together and why it might drive us apart. New York: Public Affairs.Google Scholar
  4. Bovens, L. (2009). The ethics of nudge. In T. Grüne-Yanoff & S. O. Hansson (Eds.), Preference change: Approaches from philosophy, economics and psychology (pp. 207–220). Dordrecht: Springer.CrossRefGoogle Scholar
  5. Brown, P. (2012). A nudge in the right direction? Towards a sociological engagement with libertarian paternalism. Social Policy and Society, 11, 305–317.CrossRefGoogle Scholar
  6. Butland, B., Jebb, S., Kopelman, P., McPherson, K., Thomas, S., Mardell, J., & Parry, V. (2007). Foresight. In Tackling obesities: Future choices – Project report. London: Government Office for Science.Google Scholar
  7. Clavier, C., & de Leeuw, E. (2013). Health promotion and the policy process. Oxford: Oxford University Press.CrossRefGoogle Scholar
  8. Crawshaw, P. (2013). Public health policy and the behavioural turn: The case of social marketing. Critical Social Policy, 33(4), 616–637.CrossRefGoogle Scholar
  9. de Leeuw, E., & Peters, D. (2014). Nine questions to guide development and implementation of health in all policies. Health Promotion International, 30(4).  https://doi.org/10.1093/heapro/dau034.CrossRefGoogle Scholar
  10. Dooris, M. (2009). Holistic and sustainable health improvement: The contribution of the settings-based approach to health promotion. Perspectives in Public Health, 129(1), 29–36.CrossRefGoogle Scholar
  11. Ewert, B. (2017a). A Gallic Village that bucked the trend of childhood obesity: Report on a study trip to Seinäjoki (Finland). Retrieved March 9, 2018, from https://hse.hypotheses.org/554
  12. Ewert, B. (2017b). Promoting health in schools: Theoretical reflections on the settings approach versus nudge tactics. Social Theory & Health, 15(4), 430–447.CrossRefGoogle Scholar
  13. Ewert, B. (2018). From entitled citizens to nudged consumers? Re-examining the hallmarks of health citizenship in the light of the behavioural turn. Public Policy and Administration, 0(0), 1–21.  https://doi.org/10.1177/0952076718774612.CrossRefGoogle Scholar
  14. Eyal, N. (2014). Nudging by shaming, shaming by nudging. International Journal of Health Policy Management, 3(2), 53–56.CrossRefGoogle Scholar
  15. Feitsma, J. N. P. (2018). The behavioural state: Critical observations on technocracy and psychocracy. Policy Sciences, 51(3), 387–410.CrossRefGoogle Scholar
  16. Gigerenzer, G. (2015). On the supposed evidence for libertarian paternalism. Review of Philosophy and Psychology, 6(3), 361–383.CrossRefGoogle Scholar
  17. Huisman, F., & Oosterhuis, F. (2014). Health and citizenship: Political cultures of health in modern Europe. London: Pickering & Chatto.Google Scholar
  18. John, P. (2013). All tools are informational now: How information and persuasion define the tools of government. Policy & Politics, 41(4), 605–620.CrossRefGoogle Scholar
  19. 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
  20. Jones, R., Pykett, J., & Whitehead, M. (2013). Psychological governance and behaviour change. Policy & Politics, 41(2), 159–182.CrossRefGoogle Scholar
  21. Le Grand, J., & New, B. (2015). Government paternalism nanny state or helpful friend? Princeton: Princeton University Press.Google Scholar
  22. Leggett, W. (2014). The politics of behaviour change: Nudge, neoliberalism and the state. Policy & Politics, 42(1), 3–19.CrossRefGoogle Scholar
  23. Leppo, K., Ollila, E., Peña, S., Wismar, M., & Cook, S. (2013). Health in all policies. In Seizing opportunities, implementing policies. Helsinki: Ministry of Social Affairs and Health, Finland.Google Scholar
  24. Loer, K. (forthcoming). The enzymatic effect of behavioural sciences – What about policy-maker’s expectations? In S. Beck & H. Strassheim (Eds.), Handbook on behavioural change and public policy. Cheltenham: Edward Elgar.Google Scholar
  25. Marmot, M. (2005). Social determinants of health inequalities. Lancet, 365(9464), 1099–1104.CrossRefGoogle Scholar
  26. OECD. (2017). Behavioural insights and public policy: Lessons from around the world. Paris: OECD Publishing.Google Scholar
  27. Raphael, D. (2014). Beyond policy analysis: The raw politics behind opposition to healthy public policy. Health Promotion International, 30(2), 380–396.CrossRefGoogle Scholar
  28. Reisch, L. A., & Sunstein, C. R. (2016). Do European like nudges? Judgment and Decision making, 11(4), 310–325.Google Scholar
  29. Schmidt, A. T. (2017). The power to nudge. American Political Science Review, 111(2), 404–417.CrossRefGoogle Scholar
  30. 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
  31. Thaler, R. H. (2015, October 31). The power of nudges, for good and bad. The New York Times (Economic View).Google Scholar
  32. Van Deun, H., van Acker, W., Fobé, E., & Brans, M. (2018, March 26–28). Nudging in public policy and public management: A scoping review of the literature. Presented at the Political Studies Association 68th Annual International Conference, Cardiff University. Retrieved June 4, 2018, from https://www.psa.ac.uk/sites/default/files/conference/papers/2018/VanDeun_vanAcker_Fobé_Brans_Nudging_Scoping%20Review.pdf
  33. 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
  34. 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
  35. Whitehead, M., Jones, R., Lilley, R., Pykett, J., & Howell, R. (2018). Neuroliberalism. Behavioural government in the twenty-first century. London/New York: Routledge.Google Scholar
  36. 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

Copyright information

© The Author(s) 2019

Authors and Affiliations

  1. 1.FernUniversität in HagenHagenGermany

Personalised recommendations