scholarly journals How public health policy can be informed by neuroscience

2018 ◽  
Vol 3 (1) ◽  
pp. 37-46
Author(s):  
ANDREW B. WOLF ◽  
GIDON FELSEN
Keyword(s):  
Public Health ◽  
Public Health Policy ◽  
Health Policies ◽  
Neural Basis ◽  
Ethical Considerations ◽  
Public Health Policies ◽  
Recent Success ◽  
Key Stakeholders ◽  
Health Related ◽  
Screening Efficiency

AbstractMany public policies are designed to counteract commonly made decisions that result in poor health. These policies have primarily been informed by the behavioural economics of decision making. Underappreciated in this conversation has been the perspective from neuroscience, despite its recent success – and the likelihood of future progress – in advancing our understanding of the neural basis for health-related decisions. Using tobacco control as an example, we provide a concise overview of how public health policies can and should be informed by neuroscience. We propose that such input can improve policies by increasing their effectiveness, improving screening efficiency and informing relevant ethical considerations. Finally, we recognise limitations and highlight roles that key stakeholders can play in incorporating neuroscientific evidence for the benefit of public policy.

Paternalism, Autonomy, and the Common Good

2021 ◽  
pp. 89-109
Author(s):  
James Wilson
Keyword(s):  
Public Health ◽  
Public Policy ◽  
Health Policy ◽  
Public Health Policy ◽  
Common Good ◽  
Health Policies ◽  
Public Health Policies ◽  
Individual Level ◽  
The Common Good ◽  
The Common

Public health policies are often accused of being paternalistic, or to show the ‘Nanny State’ in action. This chapter argues that complaints about paternalism in public health policy are, for a variety of reasons, much less convincing than is often thought. First, for conceptual reasons, it is difficult to specify what it would be for a policy to be paternalistic. Second, two of the elements that make paternalism problematic at an individual level—interference with liberty and lack of individual consent—are endemic to public policy contexts in general and so cannot be used to support the claim that paternalism in particular is wrong. The chapter concludes that instead of debating whether a given policy is paternalistic, it would be better to ask whether the infringements of liberty it contains are justifiable, without placing any weight on whether or not those infringements of liberty are paternalistic.

scholarly journals Health Equity Lens Embedded in the Public Health Policies of Saudi Arabia: A Qualitative Document Analysis

SAGE Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. 215824402096277
Author(s):  
Leena Eklund Karlsson ◽  
Anne Leena Ikonen ◽  
Kothar Mohammed Alqahtani ◽  
Pernille Tanggaard Andersen ◽  
Subash Thapa
Keyword(s):  
Public Health ◽  
Saudi Arabia ◽  
Health Equity ◽  
Policy Development ◽  
Health Policies ◽  
Future Health ◽  
Public Health Policies ◽  
The People ◽  
The Social ◽  
Health Related

In the Kingdom of Saudi Arabia (KSA), no studies have been documented to analyze the equity aspects of public health policies. The aims of the study were to identify policy documents in the KSA relevant to public health and to explore whether these include an equity approach. Twenty health-related documents were identified from various ministries’ websites and analyzed through directed content analysis. The results showed that the term “equity” was neither defined nor explained in the documents and suggestions on how to tackle health inequities were lacking. None of the suggested measures communicated an explicit focus on promoting health equity or the social gradient. Several upstream, midstream, and downstream measures were suggested to improve justice and public health for the people. The study reveals that there is a need for an in-depth assessment of the policy measures across sectors and their influence on health equity to inform future health policy development and action in the KSA.

scholarly journals The Impacts of Temporary and Permanent Public Health Policies on HRQOL in a Small Open Economy

2021 ◽  
Vol 13 (17) ◽  
pp. 9866
Author(s):  
Yasuhiro Nakamoto ◽  
Taketo Kawagishi
Keyword(s):  
Public Health ◽  
Open Economy ◽  
Public Investment ◽  
Small Open Economy ◽  
Health Policies ◽  
Public Health Policies ◽  
Long Run ◽  
Related Quality ◽  
Health Related ◽  
The Government

Considering that people can invest in their health-related quality of life (HRQOL), we investigate the effects of public health policies (i.e., a health investment subsidy policy and the direct distribution of health-related goods) on HRQOL in a small open economy. We find that when the government makes public investment in HRQOL temporarily, HRQOL deteriorates or does not improve at least. On the contrary, when public investment is enforced permanently, it improves in the long run.

Children, Adolescents, and Public Health: Ethical Considerations

2019 ◽  
pp. 191-204
Author(s):  
Margaret Moon
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Children And Adolescents ◽  
Health Information ◽  
Social Power ◽  
Global Perspective ◽  
Health Policies ◽  
Ethical Considerations ◽  
Public Health Policies ◽  
Political Economic

The population of children and adolescents encompasses a remarkable range of physiological, developmental, and experiential phenomena. Considered from a global perspective, differences may seem to overwhelm similarities. This chapter proposes and explains three distinct but interrelated characteristics that should frame ethical considerations of public health approaches to children and adolescents: (1) lack of political, economic, and social power; (2) status as subject to stewardship by adults; and (3) presumed lack of capacity for decision-making.The impact of these shared characteristics is examined using public health approaches to health information, health promotion and access to confidential services. Public health policies that anticipate the risks related to powerlessness and failures of stewardship, and seek to promote respect for developing capacity can help to create conditions in which children can thrive.

Public health policy in developed countries

2021 ◽  
pp. 323-338
Author(s):  
John Powles ◽  
Hebe Gouda
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Public Health Policy ◽  
Good Deal ◽  
Developed Countries ◽  
Health Policies ◽  
Relative Importance ◽  
Public Health Policies ◽  
Underlying Theme ◽  
Improve Health

Public health policies might thus be thought of as the policies that guide these ‘organized efforts’ to protect and improve health. The scope of such policies depends a good deal, however, on what is considered to be entailed by ‘organized efforts’. and on how centrally ‘organized efforts’ are understood to be related to efforts that are more decentralized, more informal, less organized, perhaps even ‘spontaneous’. The relative importance and legitimacy of centralized versus decentralized uses of knowledge in protecting and enhancing health is a common underlying theme in discussion of public health policy. This chapter discusses public health policy, and differences in outcomes, across different developed countries.

Morality in the echo chamber: The relationship between belief in conspiracy theories, morality and support for COVID-19 public health policies

2021 ◽  
Author(s):  
Theofilos Gkinopoulos ◽  
Christian T. Elbaek ◽  
Panagiotis Mitkidis
Keyword(s):  
Public Health ◽  
Cognitive Biases ◽  
Political Support ◽  
Policy Support ◽  
Health Policies ◽  
Conspiracy Theories ◽  
Public Health Policies ◽  
Mediating Role ◽  
Health Related ◽  
Conspiracy Beliefs

Beliefs in conspiracy theories are a major problem, especially in the face of a pandemic, as these constitute a significant obstacle to public health policies, like the use of masks and vaccination. Indeed, during the COVID-19 pandemic, several ungrounded explanations regarding the origin of the virus or the effects of vaccinations have been rising, leading to vaccination hesitancy or refusal which poses as a threat to public health. Recent studies have shown that in the core of conspiracy theories lies a moral evaluation component; one that triggers a moral reasoning which reinforces the conspiracy itself. To gain a better understanding of how conspiracy beliefs about COVID-19 affect public health containment behaviours and policy support, we analysed comprehensive data from the International Collaboration on the Social & Moral Psychology (ICSMP) of COVID-19, consisting of more than 50.000 participants across 67 countries. We particularly explored the mediating role of two levels of morality: individual and group-based morality. Results show that believing in conspiracy theories reduces adoption of containment health-related behaviors and political support of public health measures and that this relationship is mediated by the two levels of morality. This means that beliefs in conspiracy theories do not simply constitute antecedents of cognitive biases or failures, nor maladaptive behaviors based on personality traits, but are morally infused and should be dealt as such. Based on our findings, we further discuss the psychological, moral, and political implications of endorsement of conspiracy theories in the era of the pandemic.

Physicians, the State and Public Health in Chile, 1881–1891

1995 ◽  
Vol 27 (3) ◽  
pp. 551-567 ◽  
Author(s):  
Carl J. Murdock
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Public Health Policy ◽  
Central Government ◽  
Health Policies ◽  
Medical Professionals ◽  
Government Officials ◽  
Deep Roots ◽  
Public Health Policies ◽  
The Social

AbstractThis study of public health policy in Chile uncovers some of the social tensions in that country during the 1880s, and illustrates the fragmentation of the Chilean elite prior to the Revolution of 1891. The Chilean government's controversial and contested public health policies implied the increasing bureaucratic organisation and regulation of society. The justifications offered for these policies by central government officials reveal both the deep roots in Chilean politics of a powerful Executive, and the early linkage between the ‘scientific discourses’ of medical professionals and the bureaucratic centralisation of state power.

scholarly journals Towards a deliberative approach in public health policy making

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
W Van Hoof ◽  
C Mayeur
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Public Opinion ◽  
Public Health Policy ◽  
Policy Making ◽  
Common Ground ◽  
Public Consultation ◽  
Health Policies ◽  
Public Health Policies ◽  
Deliberative Processes

Abstract The time when public health policies could be based solely on expert opinion has gone. Public opinion has a real impact on the effectiveness of public health policy. However, for complex issues such as vaccination, screening, GMO’s, privacy and data governance, public opinion is divided. How to integrate divided public opinions into a well-structured health policy? In Belgium, as in many other countries, policy makers have started to turn to deliberative processes to guide policy making with citizen involvement, especially in ethically contentious areas. Deliberative processes aim to involve citizens in policy making in a setting where individual opinions and interests are weighed honestly and fairly, so that through well informed deliberation common ground can emerge. Participants are informed by a neutral information package, a variety of experts and facilitated discussions. In a very transparent way, these positions are molded into tailored policy inputs. In Belgium, such initiatives have recently been organized on biobanking, genomics, e-health, reimbursement policies and more. In France, the government is obliged by law to organize a comprehensive deliberative public consultation on bioethical issues every seven years. Especially in areas that require a large degree of trust, a deliberative approach ensures policies that can be supported by people with diverse views. They offer a viable alternative to traditional models of power and conflict that is more suitable to governance in 21st century democracies. They allow citizens to make a meaningful contribution to topics they may not have been familiar with beforehand, but that do touch on their private lives and interests. The most recent Belgian initiative resulted in nine concrete policy inputs for the implementation of genomics in health care, presented directly by the citizens to the Minister of Public Health. The French initiative is the basis for the current review of the law on bioethics in parliament. Key messages Public health issues touch the interests of all citizens: citizen deliberation should be regarded as an important input for public health policies. A deliberative approach enhances public trust, especially in areas of social or ethical contention.

Policy Success and Public Health: The Case of Public Health in England

2012 ◽  
Vol 41 (2) ◽  
pp. 391-408 ◽  
Author(s):  
ROB BAGGOTT
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Public Health Policy ◽  
Policy Making ◽  
Health Policies ◽  
The Political ◽  
Public Health Policies ◽  
Policy Success ◽  
Political Analysis ◽  
Political Dimensions

AbstractLike many countries, England has introduced a range of policies and strategies on public health since the early 1990s. Using concepts drawn from the policy success and failure literature, this article concludes that recent governments in England achieved only ‘precarious success’ in McConnell's typology. It demonstrates, with wider significance, that success or failure is not merely about policy achievement in programme terms, but that policy processes and the political dimensions of policy must be included in any evaluation. It also highlights the adversarial nature of public health policy, the subjectivity of judgments about effectiveness and the political problems this creates for government. The article pinpoints the relevance of public health policies for judgements about government competence, trustworthiness and accountability. It argues that failures of public health policy, including poor evaluation and failures to learn from experience, may be more comprehensible by adopting a political analysis of public policy making in this field.

Against the Public Goods Conception of Public Health

2020 ◽  
Vol 13 (3) ◽  
pp. 225-233
Author(s):  
Justin Bernstein ◽  
Pierce Randall
Keyword(s):  
Public Health ◽  
Public Goods ◽  
Herd Immunity ◽  
Political Corruption ◽  
Moral Disagreement ◽  
Health Policies ◽  
Public Health Policies ◽  
The Public ◽  
Health Related ◽  
Definition Of

Abstract Public health ethicists face two difficult questions. First, what makes something a matter of public health? While protecting citizens from outbreaks of communicable diseases is clearly a matter of public health, is the same true of policies that aim to reduce obesity, gun violence or political corruption? Second, what should the scope of the government’s authority be in promoting public health? May government enact public health policies some citizens reasonably object to or policies that are paternalistic? Recently, some theorists have attempted to address these questions by arguing that something is a matter of public health if and only if it involves a health-related public good, such as clean water or herd immunity. Relatedly, they have argued that appeals to the promotion of public health should only be used to justify the provision of health-related public goods. This public goods conception of public health (PGC) is meant to enjoy advantages over its rivals in three respects: it provides a better definition of public health than rival views, it respects moral disagreement, and it avoids licensing objectionably paternalistic public health policies. We argue, however, that the PGC does just as poorly, or worse, than its rivals in all three respects.

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