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Health effects of the CPT1A P479L variant: responsible public health policy.

https://arctichealth.org/en/permalink/ahliterature292245
Source
Genet Med. 2017 12; 19(12):
Publication Type
Journal Article
Comment
Date
12-2017
Author
David M Koeller
Matt Hirschfeld
Stephanie Birch
Thalia Wood
Rebekah Morisse
Sabra Anckner
Bradford D Gessner
Author Affiliation
Departments of Molecular & Medical Genetics and Pediatrics, Oregon Health & Science University, Portland, Oregon, USA.
Source
Genet Med. 2017 12; 19(12):
Date
12-2017
Language
English
Publication Type
Journal Article
Comment
Keywords
Health Policy
Public Health
Notes
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CommentOn: Genet Med. 2017 Aug;19(8):851-857 PMID 28125087
CommentIn: Genet Med. 2017 Dec;19(12): PMID 28796237
PubMed ID
28771253 View in PubMed
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Public Health Coordinator - How to Promote Focus on Social Inequality at a Local Level, and How Should It Be Included in Public Health Policies? Comment on "Health Promotion at Local Level in Norway: The Use of Public Health Coordinators and Health Overviews to Promote Fair Distribution Among Social Groups".

https://arctichealth.org/en/permalink/ahliterature298197
Source
Int J Health Policy Manag. 2018 08 25; 7(11):1061-1063
Publication Type
Journal Article
Comment
Date
08-25-2018
Author
Wenche Bekken
Author Affiliation
Department of Social Work, Child Welfare and Social Policy, Oslo Metropolitan University, Oslo, Norway.
Source
Int J Health Policy Manag. 2018 08 25; 7(11):1061-1063
Date
08-25-2018
Language
English
Publication Type
Journal Article
Comment
Keywords
Cities
Health Policy
Health promotion
Humans
Norway
Public Health
Public Policy
Socioeconomic Factors
Abstract
The Norwegian Public Health Act of 2012 (PHA)1 states that the social causes of inequality in health have not been devoted sufficient attention in Norwegian health policy. Different means have been implemented to pay more attention to health inequalities at a local level, one is the use of a designated public health coordinator (PHC). Hagen et al2 reveals in a new study, however, that the presence of PHCs' does not add to the priority of reducing inequality as a health objective. This negative association is, by the authors, explained by a widespread use of coordinators before the Act, and as such, not really a new measure. Another factor emphasized is that the PHC position is not empowered by bureaucratic backing. I agree with these explanations. However, the study by Hagen et al2 lacks a critical discussion of how the role of the PHC is situated in an administrative intersection between national health policy based on universal initiatives and social policy in the municipalities historically driven by a focus on poverty and specific target groups. This commentary reflects upon how social inequalities in health at a local level and the responsibilities imposed on the municipalities contest the principals of universalism. The tension between universalism and selectivity needs to be more prominent in the debate on how health inequalities should be abated at the local level, if universalism shall prevail as the overarching principle in Norwegian health policies. The commentary concludes by asking for a more nuanced discussion on how work with health related social problems can support universalistic initiatives. It is also suggested as a task for the PHC to make sure that public health initiatives are systematically evaluated. Documentation of effects will provide knowledge needed about how initiatives affects the social gradient over time.
Notes
CommentOn: Int J Health Policy Manag. 2018 Mar 14;7(9):807-817 PMID 30316229
PubMed ID
30624881 View in PubMed
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Rethinking the Theory of Change for Health in All Policies Comment on "Health Promotion at Local Level in Norway: The Use of Public Health Coordinators and Health Overviews to Promote Fair Distribution Among Social Groups".

https://arctichealth.org/en/permalink/ahliterature298410
Source
Int J Health Policy Manag. 2018 10 01; 7(12):1161-1164
Publication Type
Journal Article
Comment
Date
10-01-2018
Author
Ditte Heering Holt
Author Affiliation
National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.
Source
Int J Health Policy Manag. 2018 10 01; 7(12):1161-1164
Date
10-01-2018
Language
English
Publication Type
Journal Article
Comment
Keywords
Cities
Health Policy
Health Priorities
Health promotion
Humans
Norway
Public Health
Social Determinants of Health
Abstract
This commentary discusses the interesting and surprising findings by Hagen and colleagues, focusing on the role of the public health coordinator as a Health in All Policies (HiAP) tool. The original article finds a negative association between the employment of public health coordinators in Norwegian municipalities and consideration of a fair distribution of social and economic resources between social groups in local policymaking and planning. The commentary contemplates whether this surprising negative association should be interpreted as a failure of implementation, as suggested by the authors, or whether it might be the theory of change that has failed. On this basis, it is suggested that the very notion of HiAP could be flawed by the assumption that health should function as an overarching aim across government sectors. Potentially, the social determinants of health (SDH) might be more efficiently addressed by means of sectoral action by the corresponding sectors, emphasizing equity rather than health.
Notes
CommentOn: Int J Health Policy Manag. 2017 Jul 31;7(1):10-14 PMID 29325398
PubMed ID
30709095 View in PubMed
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