Skip to main content

Conclusion: Towards a Behaviourally Informed Health Citizenship

  • Chapter
  • First Online:

Part of the book series: Palgrave Studies in Public Health Policy Research ((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.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   54.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   69.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Notes

  1. 1.

    Unfortunately, the diagram cannot be printed in a reader-friendly way in this book. An interactive learning tool that impressively explains the complexity of obesity is available online via http://www.shiftn.com/obesity/Full-Map.html.

References

  • 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.

    Article  Google Scholar 

  • Behavioural Insight Team (BIT). (2018). Who we are. Retrieved February 26, 2018, from http://www.behaviouralinsights.co.uk/about-us/

  • 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 

  • 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.

    Chapter  Google Scholar 

  • Brown, P. (2012). A nudge in the right direction? Towards a sociological engagement with libertarian paternalism. Social Policy and Society, 11, 305–317.

    Article  Google Scholar 

  • 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 

  • Clavier, C., & de Leeuw, E. (2013). Health promotion and the policy process. Oxford: Oxford University Press.

    Book  Google Scholar 

  • Crawshaw, P. (2013). Public health policy and the behavioural turn: The case of social marketing. Critical Social Policy, 33(4), 616–637.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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

  • Ewert, B. (2017b). Promoting health in schools: Theoretical reflections on the settings approach versus nudge tactics. Social Theory & Health, 15(4), 430–447.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Eyal, N. (2014). Nudging by shaming, shaming by nudging. International Journal of Health Policy Management, 3(2), 53–56.

    Article  Google Scholar 

  • Feitsma, J. N. P. (2018). The behavioural state: Critical observations on technocracy and psychocracy. Policy Sciences, 51(3), 387–410.

    Article  Google Scholar 

  • Gigerenzer, G. (2015). On the supposed evidence for libertarian paternalism. Review of Philosophy and Psychology, 6(3), 361–383.

    Article  Google Scholar 

  • Huisman, F., & Oosterhuis, F. (2014). Health and citizenship: Political cultures of health in modern Europe. London: Pickering & Chatto.

    Google Scholar 

  • John, P. (2013). All tools are informational now: How information and persuasion define the tools of government. Policy & Politics, 41(4), 605–620.

    Article  Google Scholar 

  • John, P., Smith, G., & Stroker, G. (2009). Nudge nudge, think think: Two strategies of changing civic behaviour. The Political Quarterly, 80(3), 361–370.

    Article  Google Scholar 

  • Jones, R., Pykett, J., & Whitehead, M. (2013). Psychological governance and behaviour change. Policy & Politics, 41(2), 159–182.

    Article  Google Scholar 

  • Le Grand, J., & New, B. (2015). Government paternalism nanny state or helpful friend? Princeton: Princeton University Press.

    Google Scholar 

  • Leggett, W. (2014). The politics of behaviour change: Nudge, neoliberalism and the state. Policy & Politics, 42(1), 3–19.

    Article  Google Scholar 

  • 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 

  • 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 

  • Marmot, M. (2005). Social determinants of health inequalities. Lancet, 365(9464), 1099–1104.

    Article  Google Scholar 

  • OECD. (2017). Behavioural insights and public policy: Lessons from around the world. Paris: OECD Publishing.

    Google Scholar 

  • Raphael, D. (2014). Beyond policy analysis: The raw politics behind opposition to healthy public policy. Health Promotion International, 30(2), 380–396.

    Article  Google Scholar 

  • Reisch, L. A., & Sunstein, C. R. (2016). Do European like nudges? Judgment and Decision making, 11(4), 310–325.

    Google Scholar 

  • Schmidt, A. T. (2017). The power to nudge. American Political Science Review, 111(2), 404–417.

    Article  Google Scholar 

  • 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.

    Chapter  Google Scholar 

  • Thaler, R. H. (2015, October 31). The power of nudges, for good and bad. The New York Times (Economic View).

    Google Scholar 

  • 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

  • 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 

  • 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 

  • 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 

  • 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

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kathrin Loer .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 The Author(s)

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Ewert, B., Loer, K. (2019). Conclusion: Towards a Behaviourally Informed Health Citizenship. In: Ewert, B., Loer, K. (eds) Behavioural Policies for Health Promotion and Disease Prevention. Palgrave Studies in Public Health Policy Research. Palgrave Pivot, Cham. https://doi.org/10.1007/978-3-319-98316-5_6

Download citation

Publish with us

Policies and ethics