scholarly journals Health Brokers: How Can They Help Deal with the Wickedness of Public Health Problems?

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Celeste E. van Rinsum ◽  
Sanne M. P. L. Gerards ◽  
Geert M. Rutten ◽  
Ien A. M. van de Goor ◽  
Stef P. J. Kremers

Background. The role of health broker is a relatively new one in public health. Health brokers aim to create support for efforts to optimise health promotion in complex or even “wicked” public health contexts by facilitating intersectoral collaborations and by exchanging knowledge with different stakeholders. The current study aimed to explore the role of health brokers, by examining the motivational, contextual, and behaviour-related factors they have to deal with. Methods. Fifteen professionals from various backgrounds and from various policy and practice organisations were recruited for a semistructured interview. To structure the interviews, we developed the “Health Broker Wheel” (HBW), a framework we then specified with more details derived from the interviews. Results. We identified seven primary types of behaviour that health brokers need to engage in: recognizing opportunities, agenda setting, implementing, network formation, intersectoral collaboration, adaptive managing, and leadership. Determinants of health brokers’ behaviours were identified and categorised as capability, opportunities, motivation, and local or national contextual factors. Conclusion. The health brokers’ role can be seen as an operational approach and is visualised in the HBW. This framework can assist further research to monitor and evaluate this role, and health promotion practitioners can use it as a tool to implement the health brokers’ role and to facilitate intersectoral collaboration.

2021 ◽  
pp. 147821032199501
Author(s):  
Susan Shaw ◽  
Keith Tudor

This article offers a critical analysis of the role of public health regulation on tertiary education in Aotearoa New Zealand and, specifically, the requirements and processes of Responsible Authorities under the Health Practitioners Competence Assurance Act for the accreditation and monitoring of educational institutions and their curricula (degrees, courses of studies, or programmes). It identifies and discusses a number of issues concerned with the requirements of such accreditation and monitoring, including, administrative requirements and costs, structural requirements, and the implications for educational design. Concerns with the processes of these procedures, namely the lack of educational expertise on the part of the Responsible Authorities, and certain manifested power dynamics are also highlighted. Finally, the article draws conclusions for changing policy and practice.


2006 ◽  
Vol 4 (1) ◽  
pp. 141-161 ◽  
Author(s):  
Charles T. Kozel ◽  
Anne P. Hubbell ◽  
James Dearing ◽  
William M. Kane ◽  
Sharon Thompson ◽  
...  

Policy makers take action largely on issues that attain the pinnacle of the policy agenda (Pertschuck, 2001). As a result, how decision makers choose which issues are important has been the subject of much research. Agenda-setting conceptualizes the process of how issues move from relative unimportance to the forefront of policymakers’ thoughts (Dearing & Rogers, 1996). An area within agenda-setting research, Health Promotion Agenda-Setting, provides Health Promotion practitioners with an innovative framework and strategy to set agendas for sustained courses of action (Kozel, Kane, Rogers, & Hammes, 1995). In this interdisciplinary and bi-national exploratory study, funded by the Center for Border Health Research of the Paso del Norte Health Foundation, we examine agenda-setting processes in the Paso del Norte Region and evaluates how the public health agenda is determined within the U.S.-Mexico border population. Integrating both quantitative and qualitative data collection methods, the current research is focused on identifying deficiencies in the public health infrastructure in the U.S.-Mexico border area, and identifying channels that exist for working toward the bi-national goals presented in Healthy Border 2010 (U.S.-Mexico Border Health Commission, 2003). Research directions, design, and methodologies for exploring health promotion agenda-setting in applied settings, such as Healthy Border 2010, provide health practitioners and policy makers the potential to improve public health leadership by influencing the public health and policy agendas.


2006 ◽  
Vol 28 (2) ◽  
pp. 168-172 ◽  
Author(s):  
Rebecca Armstrong ◽  
Jodie Doyle ◽  
Chris Lamb ◽  
Elizabeth Waters

Author(s):  
Ruth Cross ◽  
Louise Warwick-Booth ◽  
Sally Foster

Abstract This book chapter aims to: (i) explore the role of the epistemic and academic community of health promoters; (ii) suggest that there are new and emerging public health problems to take into account; (iii) reinforce the need to defend the radical intent of the Ottawa Charter and to develop further anti-oppressive practice; (iv) describe how the health promotion discourse is changing, and moving into new realms of wellbeing; (v) reinforce the importance of hearing lay voices and understanding 'healthworlds'; and (vi) present some ideas for moving forward the value base of health promotion. Fields of endeavour apart from health promotion also struggle with the goals of empowerment, equality, justice, and are also contemplating how to deal with challenges of the 21st century, such as complexity, globalization and social capital. These fields might include education, criminal justice, social work, sport, development, and so provide rich and relevant avenues for further reading.


Pflege ◽  
2003 ◽  
Vol 16 (2) ◽  
pp. 66-74 ◽  
Author(s):  
Marianne Brieskorn-Zinke

Die beiden Disziplinen Public Health und Pflege begegnen sich vorwiegend in den Arbeitsfeldern Versorgungsgestaltung und Gesundheitsförderung. Im Zuge neuerer Entwicklungen von Public Health in den deutschsprachigen Ländern sind auch pflegerische Ansätze zur Gesundheitsförderung wieder bedeutungsvoller geworden. Alte und neue Ansätze stehen aber bisher relativ unverbunden nebeneinander. In diesem Artikel wird eine Systematisierung möglicher Arbeitsfelder und entsprechender Interventionsstrategien vorgenommen und zur Diskussion gestellt. Hervorgehoben wird die Gesundheitsförderung in der Pflege differenziert nach einem verhaltensbezogenen Ansatz (Kompetenzförderung auf verschiedenen pflegerischen Ebenen) und einem verhältnisbezogenen Ansatz, in welchem die Förderung sozialer Unterstützung, die gemeindebezogene Gesundheitsförderung sowie Gesundheitsförderung in anderen Settings thematisiert werden.


Author(s):  
Michael D. Barnes ◽  
Carl L Hanson ◽  
Len B. Novilla ◽  
Brianna M. Magnusson ◽  
AliceAnn C. Crandall ◽  
...  

Communities and populations are comprised of individuals and families who together affect the health of the community. The family unit is an unparalleled player for maintaining health and preventing disease for public health because members may support and nurture one another through life stages. Preliminary research confirms that family-oriented health promotion and disease prevention are promising strategies because the family unit is both a resource and a priority group needing preventative and curative services across the life course. Although there are growing numbers of successful efforts, family health systems are generally underutilized in health promotion practice. This lack of utilization in policy and practice have hampered the collection of robust evidence for family health. This paper purports that families are important actors in public health. Yet, since no one pattern for healthy families is known, public health practitioners can consider six principle-based approaches to legitimately and respectfully advance the families’ innate potential for health promotion and disease prevention. Each perspective aims to foster higher capacity for family health systems to function appropriately in public health practice. Health promotion practitioners and researchers can explore family health perspectives with the potential for systems policy and practice adjustments in public health.


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