Schröder-Bäck Peter, Schloemer Tamara, Clemens Timo, Alexander Denise, Brand Helmut, Martakis Kyriakos, Rigby Michael, Wolfe Ingrid, Zdunek Kinga, Blair Mitch
1 Maastricht University, The Netherlands.
2 University of Bremen, Germany.
Inquiry. 2019 Jan-Dec;56:46958019833869. doi: 10.1177/0046958019833869.
To adopt and implement innovative good practices across the European Union requires developing policies for different political and constitutional contexts. Health policies are mostly decided by national political processes at different levels. To attain effective advice for policy making and good practice exchange, one has to take different models of governance for health into account. We aimed to explore which concepts of governance research are relevant for implementing child health policies in a European Union context. We argue that taking into account the insights of good intersectoral and multilevel governance in research and practice is essential and promising for future analyses. These governance concepts help to understand what actors and institutions are potentially of relevance for developing and implementing child-centric health care approaches not only within health care but also outside health care. The framework we developed has the potential to advise on and thus support effectively the spreading and implementation of good practices of child-centric health policy approaches across the European Union. With this heuristic framework, the variety of relevant stakeholders and institutions can better be mapped and taken into account in implementation processes. Also, the normative side-particularly stressing values that make governance "good governance"-is to be taken into account.
在整个欧盟采用并实施创新的良好做法需要针对不同的政治和宪法背景制定政策。卫生政策大多由不同层面的国家政治进程决定。为了获得有效的政策制定建议和良好做法交流,必须考虑不同的卫生治理模式。我们旨在探讨治理研究的哪些概念与在欧盟背景下实施儿童健康政策相关。我们认为,在研究和实践中考虑良好的部门间和多层次治理的见解对于未来的分析至关重要且前景广阔。这些治理概念有助于理解哪些行为体和机构不仅在医疗保健领域内,而且在医疗保健领域外,对于制定和实施以儿童为中心的医疗保健方法可能具有相关性。我们开发的框架有可能提供建议,从而有效地支持以儿童为中心的卫生政策方法的良好做法在欧盟范围内的传播和实施。借助这个启发式框架,可以更好地梳理并在实施过程中考虑各种相关利益攸关方和机构。此外,还应考虑规范性方面,特别是强调使治理成为“善治”的价值观。