Cristin-resultat-ID: 1419713
Sist endret: 3. januar 2017, 10:45
Resultat
Vitenskapelig foredrag
2016

How municipalities work to reduce social inequalities in health

Bidragsytere:
  • Marit Helgesen og
  • Elisabeth Fosse

Presentasjon

Navn på arrangementet: Velferdsstat og ulikhet i helse i økonomiske nedgangstider
Sted: Oslo
Dato fra: 26. mai 2016
Dato til: 26. mai 2016

Arrangør:

Arrangørnavn: Høgskolen i Oslo og Akershus

Om resultatet

Vitenskapelig foredrag
Publiseringsår: 2016

Beskrivelse Beskrivelse

Tittel

How municipalities work to reduce social inequalities in health

Sammendrag

Abstract til konferansen «Velferdsstat og ulikhet i helse i økonomiske nedgangstider», sesjon: «Kommunenes arbeid med å redusere sosial ulikhet i helse» Background and research question In 2012 the Norwegian government adopted a public health act. The basic principles is five, among them it relies heavily on redistributive policies and Health in All Policies that, among others, mandates municipalities to make health overviews of positive and negative factors that creates health. Our main research questions are; how are municipalities handling this challenge and what kind of policies are implemented locally? Secondly, we look into the coordination of local policies and actors. Theoretical framework The theoretical framework is multilevel governance. The perspective argues that the cooperative turn has taken place and that municipalities can develop policies on equal standing with the state level. As such they can decide on their own policies because they possesses the relevant knowledge, and that also other relevant actors can be involved at municipal level. Further, there is mutual dependency among the national, regional and municipal level and arenas have to be established for coordination and discussion of knowledge. Methodological approach Analyses will rely on triangulation of methods. Firstly we use quantitative data from two surveys carried out in Norwegian municipalities in 2011 and 2014. Secondly, these analyses are used as a basis for analyzing interviews carried out with key actors in political and administrative leaders, as well as leaders at agency level. Third, we use literature studies and document studies of local plans. Results We observe that the cooperative turn has not taken place to it` s full extent. Municipalities most commonly report to develop policies to change individual health behaviour nevertheless, they believe to be able to reduce inequities in health. Interviews show that they include redistributive policies in their plans and measures. About 40 per cent of municipalities have made health overviews, not many have used it to formulate and prioritise policies. We see that municipalities who include health overviews as a basis for their planning more often have inter-sectoral work groups than others. Municipalities as well employ public health coordinators to support coordination between the sectors of health and planning. Implication for research We observe a development between the years and more municipalities have made health overviews in 2014 than in 2011, nevertheless many await the national policies before they start their own work. This means they still lack the necessary knowledge and expertise. To ensure this research must be carried out to evaluate policies and measures implemented at the local level. Key words: Public health, equity in health, multilevel governance, Health in All Policies

Bidragsytere

Marit Kristine Helgesen

Bidragsyterens navn vises på dette resultatet som Marit Helgesen
  • Tilknyttet:
    Forfatter
    ved By- og regionforskningsinstituttet NIBR ved OsloMet - storbyuniversitetet

Elisabeth Minda Fosse

Bidragsyterens navn vises på dette resultatet som Elisabeth Fosse
  • Tilknyttet:
    Forfatter
    ved Institutt for helse, miljø og likeverd (HEMIL) ved Universitetet i Bergen
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