(HUB), Centre for Corporate Sustainability, Brussels, Belgium.
Public Health. 2010 Oct;124(10):581-92. doi: 10.1016/j.puhe.2010.06.003. Epub 2010 Sep 16.
Theoretically inspired by discursive institutionalism and multi-level governance, this paper assesses the extent to which 'environmental health' has emerged as a new discourse at European level, the effects it has had on national public health governance in two European countries, and what mechanisms have triggered or hindered these effects.
Comparison of the dynamics in public health policy arrangements in Flanders (Belgium) and the UK, nations influenced by both international and European environmental health discourses.
The Policy Arrangement Approach was the analytical framework used to structure the results of this textual analysis.
Despite their shared focus on environmental health, Belgium and the UK display quite different approaches to environmental health governance. While Belgium works on environmental health in a predominantly top-down approach, the UK has developed a more inward-facing approach to environmental health policies.
The cases of the UK and Belgium show that, although these countries respond similarly to internationally agreed charters and both are members of the European Union, national differences in environmental health policies persist, mainly due to pre-existing national policy arrangements and the activities of national institutions. This leads to a divergent interplay between national and international institutions.
受话语制度主义和多层次治理理论的启发，本文评估了“环境卫生”在多大程度上已成为欧洲层面的新话语，它对欧洲两个国家的国家公共卫生治理产生了哪些影响，以及哪些机制触发或阻碍了这些影响。
比较受国际和欧洲环境卫生话语影响的比利时佛兰德斯（Flanders）和英国两国公共卫生政策安排的动态。
政策安排方法是用于构建本文文本分析结果的分析框架。
尽管比利时和英国都侧重于环境卫生，但它们在环境卫生治理方面采取了截然不同的方法。比利时主要以自上而下的方式开展环境卫生工作，而英国则对内向型的环境卫生政策方法进行了发展。
英国和比利时的案例表明，尽管这些国家对国际商定的章程做出了类似回应，并且都是欧盟成员国，但环境卫生政策仍存在国家差异，主要是由于先前存在的国家政策安排和国家机构的活动所致。这导致国家和国际机构之间的相互作用出现分歧。
