Unit for Public Health Nutrition, Department of Biosciences and Nutrition, Karolinska Institutet, 141 57 Huddinge, Sweden.
Health Policy. 2012 Sep;107(1):91-7. doi: 10.1016/j.healthpol.2012.06.005. Epub 2012 Jul 6.
There has been an increasing effort across Europe to develop national policies in food and nutrition during the last decade. However, little is known about how public health nutrition issues get on the public health agenda and the roles individuals have when these agendas are being set.
The aims of this study were to scrutinise the development process of the Slovenian national food and nutrition policy, and to identify the roles and functions of individuals who have contributed to that process.
This study undertook a qualitative approach. Data collection included 18 semi-structured interviews between 2007 and 2011, and grey and scientific literature search. Text analysis was based on Kingdon's streams model, which involved highlighting the relationship between problem identification, policy solutions and political opportunities. Data were coded to identify the roles and functions of individuals participating in the agenda-setting process.
The analysis showed that the opportunity for the Slovenian food and nutrition policy to be developed was largely explained by a change in political circumstances, namely the accession of Slovenia to the European Union and the Common Agricultural Policy. Individuals with experience in policy development were identified because of their analytical, strategic and policy entrepreneurial skills. The analyst was responsible for communicating the key nutrition issues to policy-makers, the strategist joined international networks and promoted policy solutions from international experts including the World Health Organization, and the policy entrepreneur took advantage of the political situation to enlist the participation of previous opponents to a national nutrition policy.
This study found that individuals, their roles and skills, played an important role in the development of the Slovenian National Food and Nutrition Policy. The roles and functions of these individuals, which are identified in this study, may assist future endeavours to advance public health nutrition as a key political issue.
在过去十年中,整个欧洲一直在努力制定食品和营养方面的国家政策。然而,对于公共卫生营养问题如何进入公共卫生议程以及当这些议程制定时个人所扮演的角色知之甚少。
本研究旨在仔细审查斯洛文尼亚国家食品和营养政策的制定过程,并确定为该过程做出贡献的个人的角色和职能。
本研究采用定性方法。数据收集包括 2007 年至 2011 年期间进行的 18 次半结构化访谈,以及灰色文献和科学文献检索。文本分析基于金登的流模型,该模型涉及突出问题识别、政策解决方案和政治机会之间的关系。对数据进行编码以确定参与议程设置过程的个人的角色和职能。
分析表明,斯洛文尼亚食品和营养政策发展的机会在很大程度上可以用政治环境的变化来解释,即斯洛文尼亚加入欧盟和共同农业政策。由于具有政策制定经验,确定了具有分析、战略和政策创业技能的个人。分析师负责将关键营养问题传达给政策制定者,战略家加入国际网络,并从包括世界卫生组织在内的国际专家那里推广政策解决方案,政策企业家利用政治形势争取以前反对国家营养政策的人的参与。
本研究发现,个人、他们的角色和技能在制定斯洛文尼亚国家食品和营养政策方面发挥了重要作用。本研究确定的这些个人的角色和职能可能有助于未来努力将公共卫生营养作为一个关键政治问题推进。