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监管治理途径以提高澳大利亚食品政策的效力。

Regulatory governance pathways to improve the efficacy of Australian food policies.

机构信息

Menzies Centre for Health Governance, School of Regulation and Global governance, Australian National University, Australian Capital Territory.

出版信息

Aust N Z J Public Health. 2022 Oct;46(5):710-715. doi: 10.1111/1753-6405.13284. Epub 2022 Sep 1.

Abstract

BACKGROUND

Effective regulatory governance, which entails the actors, processes and contexts within which policies are developed, designed and implemented, is crucial for food policies to improve food environments, consumer behaviour and diet-related health.

OBJECTIVE

To critically assess Australian food policies for the presence of necessary and sufficient regulatory governance conditions that have been shown to effect positive nutrition outcomes from food policies.

METHODS

We assessed the Australian National Association of Advertisers (AANA) Food and Beverage Advertising Code, Health Star Rating Front of Pack labelling system and Sodium reformulation under the Healthy Food Partnership (HFP). The policies were analysed for the presence/absence of five regulatory governance conditions - the extent of industry involvement, regulatory design, instrument design, monitoring and enforcement.

RESULTS

All three policies lack one or more regulatory governance conditions crucial for policy success. Each policy has high industry involvement, an absence of government-led policy-making underpinned by legislation and lacks comprehensive enforcement. Except for the Health Star Rating system, the policies did not have comprehensive monitoring - a necessary condition for policy success.

PUBLIC HEALTH IMPLICATIONS

The efficacy of these three policies can be enhanced by minimising industry involvement, improving government oversight and improving monitoring systems.

摘要

背景

有效的监管治理,包括政策制定、设计和实施的参与者、流程和背景,对于改善食品环境、消费者行为和与饮食相关的健康至关重要。

目的

批判性评估澳大利亚的食品政策,以确定其是否具备已被证明能从食品政策中产生积极营养结果的必要和充分监管治理条件。

方法

我们评估了澳大利亚广告商协会(AANA)的食品和饮料广告准则、健康星级标签前置标签系统以及健康食品伙伴关系(HFP)下的钠配方改革。我们分析了这些政策是否存在/不存在五个监管治理条件——行业参与程度、监管设计、工具设计、监测和执行。

结果

这三项政策都缺乏一个或多个对政策成功至关重要的监管治理条件。每项政策都有高度的行业参与,缺乏以立法为基础的政府主导的决策,也缺乏全面的执行。除了健康星级标签系统外,这些政策没有全面的监测——这是政策成功的必要条件。

公共卫生影响

通过最小化行业参与、加强政府监督和改善监测系统,可以提高这三项政策的效果。

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