The public health system in France and the structural developments during the last ten years

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
P Arwidson
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Health System ◽  
National Health ◽  
Health Agency ◽  
Control Program ◽  
Tobacco Control Program ◽  
Health Strategy ◽  
National Public Health ◽  
Prevention And Health Promotion

Abstract In 2009, the hospitals, health and territories act has entrusted the responsibility for care and public health to the regional health agencies. This decentralisation aims to adapt strategies to local situations. These regional agencies have a very strong autonomy. In 2013, it was stated in the national health strategy that it was necessary to develop a scientifically based prevention. Two tracks are to be followed: either by importing and adapting validated or promising programs by identifying effective programs in the international literature; or from existing French initiatives (tobacco, alcohol, psychoactive substances, physical activity). The high prevalence of smoking motivated the establishment of a National tobacco reduction program in 2014, which was then relayed by a national tobacco control program. In 2016, the Health System Improvement Act created a major national public health agency combining surveillance, prevention, health promotion and emergency response. The motivation was to achieve greater synergy and collaboration between the different functions in public health. A report from the Inspectorate General of Social Affairs has recommended that this agency should establish a national portal with evidence-based prevention and health promotion programmes. Established in 2018, the Priority Prevention Plan is a major interdepartmental project to improve the health of the population, and is part of the National Health Strategy. This interdepartmental approach reflects the Government’s desire that all ministries should be able to contribute to prevention and health promotion. The increased investment in prevention and health promotion is starting to bear fruit with 1.6 million fewer smokers between 2016 and 2018. Immunisation coverage has also been improved. NutriScore, a nutritional information on the front of food containers, very easy to understand, has been put in place with partnership with 100 companies.

Technical Assistance and Tobacco Control

2011 ◽  
Vol 12 (6_suppl_2) ◽  
pp. 114S-117S
Author(s):  
Kabi Pokhrel ◽  
Julie Caine
Keyword(s):  
New York ◽  
Health Promotion ◽  
Chronic Disease ◽  
Tobacco Control ◽  
Technical Assistance ◽  
Control Program ◽  
Tobacco Control Program ◽  
Department Of Health ◽  
Prevention And Health Promotion ◽  
Control And Prevention

Ursula Bauer, PhD, MPH, currently directs the National Center for Chronic Disease Prevention and Health Promotion at the Centers for Disease Control and Prevention. She has also worked in the New York Department of Health as Director of the Division of Chronic Disease and Injury Prevention and as Director of the Tobacco Control Program. In this interview, she shares her perspectives on the importance of technical assistance in tobacco control.

scholarly journals At udskyde det uundgåelige: Om brugen af kausal viden i forebyggende tiltag

2012 ◽  
Vol 9 (17) ◽  
Author(s):  
Morten Hulvej Rod ◽  
Tine Curtis
Keyword(s):  
Public Health ◽  
Social Interaction ◽  
Health Agency ◽  
Public Health Research ◽  
Causal Knowledge ◽  
Local Public Health ◽  
The Future ◽  
Prevention And Health Promotion ◽  
Local Public Health Agency ◽  
Public Health Practitioners

This paper discusses the heavy reliance upon a particular kind of causal knowledge in prevention and health promotion. Based on ethnographic fieldwork with prevention professionals working with interventions targeting teenage drinking in Denmark, the paper argues that, while attempting to provide predictions for the future, prevention creates certain problems for itself in the moments of social interaction where it is practiced. The paper suggests that prevention can be seen as an attempt at postponing the future and through empirical examples it is illustrated how this project causes a number of practical problems to prevention professionals. The paper begins by sketching the causal epistemology that dominates current public health research. Next, ethnographic descriptions of (i) an educational intervention in Danish schools and (ii) a meeting for parents arranged by a local public health agency provide the material for discussing the practical use of causal knowledge. It is shown that this knowledge becomes contradicted and undermined in the social interaction between public health practitioners and their target groups, and that – paradoxically – this knowledge tends to actualize the very phenomenon it seeks to prevent. The paper employs Bourdieu’s distinction between two modes of anticipatory intelligence, the project and the protention, and argues that, in the interaction between prevention professionals and target group, the widespread use of causal knowledge might inhibit and counteract the situational competencies of prevention professionals.

scholarly journals COVID-19 apps in Singapore and Australia: reimagining healthy nations with digital technology

2020 ◽  
Vol 177 (1) ◽  
pp. 61-75 ◽  
Author(s):  
Gerard Goggin
Keyword(s):  
Public Health ◽  
Digital Technology ◽  
Digital Technologies ◽  
Public Health Strategy ◽  
Proximity Data ◽  
Privacy Concerns ◽  
Health Strategy ◽  
National Public Health ◽  
Interesting Class

Widely and intensively used digital technologies have been an important feature of international responses to the COVID-19 pandemic. One especially interesting class of such technologies are dedicated contact and tracing apps collecting proximity data via the Bluetooth technology. In this article, I consider the development, deployment and imagined uses of apps in two countries: Singapore, a pioneer in the field, with its TraceTogether app, and Australia, a country that adapted Singapore’s app, devising its own COVIDSafe, as key to its national public health strategy early in the crisis. What is especially interesting about these cases is the privacy concerns the apps raised, and how these are dealt with in each country, also the ways in which each nation reimagines its immediate social future and health approach via such an app.

scholarly journals Analysing local public health action plans: development of a tool for the French CLoterreS Study

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
Y Le Bodo ◽  
R Fonteneau ◽  
C Harpet ◽  
H Hudebine ◽  
F Jabot ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Promotion ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Social Care ◽  
Local Health ◽  
The Social ◽  
Prevention And Health Promotion ◽  
Living Circumstances

Abstract Background The potential contribution of local authorities to prevention and health promotion is well recognized. In France, since 2009, Local Health Contracts (LHCs) are mobilising Regional Health Agencies, local elected officials and stakeholders to intervene in 4 areas: health promotion, prevention, health care and social care. LHCs remain poorly documented policy instruments. Methods As part of the CLoterreS study, a multidimensional coding tool was developed and tested by two coders to explore the place of prevention and health promotion in LHCs. Its development was based on the WHO conceptual framework for action on the social determinants of health and the Self-assessment tool for the evaluation of essential public health operations in the WHO European Region. Preliminary results concern a random sample of 17 LHCs from as many French regions selected among the 165 LHCs signed between 2015 and March 2018. Results On average, the LHCs featured 26 action forms (AF) (min: 5; max: 56). In a LHC, the average proportion of AF addressing either the social determinants of health, living circumstances or other determinants targeted by health protection, promotion or primary prevention interventions (SDoH-HPP-P1) was 79% while 44% of the AF address secondary/tertiary prevention, social care or the organization of health care and services. Among the SDoH-HPP-P1 themes (double coding permitted): psychosocial life circumstances were addressed in the 17 LHCs and concerned, on average, 31% of their AF; material living circumstances were addressed to a lesser extent (16 LHCs, 13%); other key themes include environmental health (12, 14%), mental health (16, 12%), alcohol abuse (15, 11%), drug use (14, 11%), smoking (13, 9%), physical activity (13, 12%), healthy eating (12, 12%). Conclusions This work confirms that LHCs are instruments with prevention and health promotion at their core. Explanation of the differing investments in this area across our sample will be further explored. Key messages Local Health Contracts are promising instruments to address locally a broad range of health determinants. The CLoterreS analytical tool has proven effective in capturing multiple themes and shedding light on differences between Local Health Contracts’ action plans.

Disease Prevention and Health Promotion

2018 ◽  
Author(s):  
Peter D Hurd ◽  
Justinne Guyton ◽  
Ardis Hanson
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Disease Prevention ◽  
Infectious Diseases ◽  
Sexual Behaviors ◽  
Consumer Health ◽  
Prevention And Health Promotion ◽  
Lack Of Exercise ◽  
Long Term Impact

Changing human behavior is challenging; however, having a long-term impact on the improved health of a population is a compelling reason for an increased public health commitment by individuals in pharmacy. Any of the activities that individuals and populations pursue have a direct effect on their health, from drinking clean water to breathing fresh air. Health behaviors mitigate or exacerbate chronic diseases, such as heart disease, cancer, diabetes, and stroke, and human behaviors can affect the resurgence of infectious diseases (and the emergence of new infectious diseases). Other behavioral factors, such as tobacco use, poor diet, lack of exercise, alcohol consumption, at-risk sexual behaviors, and avoidable injuries, contribute prominently to increased morbidity and mortality. This chapter addresses basic public health principles of disease prevention and health promotion, looking at consumer health education, health literacy, social media, and program design and evaluation.

scholarly journals The preventive health care act and the future forum public health in Germany

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
F De Bock ◽  
Y Shajanian Zarneh ◽  
S Matusall
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Promotion ◽  
Health System ◽  
Public Health System ◽  
National Level ◽  
Preventive Health Care ◽  
Preventive Health ◽  
Life Course Perspective ◽  
Bottom Up

Abstract The public health system in Germany, similar to education and cultural affairs, is characterised by the federal structure. It is mainly regulated and decided at the state and municipal level, and not primarily at the national level. The preventive health care act (The Act to Strengthen Health Promotion and Preventive Health Care) (2015) underlines the setting-based approach of health promotion and takes a life course perspective by recommending goals of growing up healthy, living and working healthy and healthy ageing. The act formulates broad recommendations for prevention and health promotion at the national level, that in turn take on concrete forms in mandatory framework agreements at the federal state level with uniform health objectives. On the whole, the key objective of the act is to improve preventive health care and general health promotion. Also the financing of the act by the mandatory health insurance is a special feature and at the same time a novelty. At the same time a bottom-up project has been recently launched with the aim to develop a public health strategy in Germany. The project future forum public health (ZfPH) is a platform for public health professionals, researchers and students following incorporated concepts of policy analysis as well as methods that will ensure participation, transparency and transferability of the results into policy and practice. Over the next three years, ZfPH’s steering group will moderate a participatory process, including stakeholders from public health practice and research as well as policy makers. In an evidence-based approach, they will first analyse the current state of Germany’s public health system before developing concrete policy recommendations for a coherent and efficient public health system. The presentation will give a short overview over the German public health system and the preventive health care act, its structure and the achievements as well as the bottom-up project future forum public health.

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