Improving health across sectors: Best practices for the implementation of health in all policies approaches
Health is influenced by a broad range of factors beyond the typical remit of public health. It is therefore increasingly recognized that multiple sectors need to be engaged to improve population health. Health in All Policies (HiAP) is an approach to systematically consider health across policies an...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-10-01
|
| Series: | Preventive Medicine Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335522002686 |
| _version_ | 1797995421367271424 |
|---|---|
| author | Rachael Cain Jacey A. Greece Sandro Galea Erin K. Knight Allison Manco Amar Parikh David K. Jones |
| author_facet | Rachael Cain Jacey A. Greece Sandro Galea Erin K. Knight Allison Manco Amar Parikh David K. Jones |
| author_sort | Rachael Cain |
| collection | DOAJ |
| description | Health is influenced by a broad range of factors beyond the typical remit of public health. It is therefore increasingly recognized that multiple sectors need to be engaged to improve population health. Health in All Policies (HiAP) is an approach to systematically consider health across policies and programs. This study assessed best practices and gaps in HiAP operationalization to inform practitioners aiming to incorporate HiAP in their work. We used Delaware as a model state to examine operationalization factors in a jurisdiction planning to implement HiAP.Methods included document review, key informant interviews, focus groups, and a questionnaire conducted in Delaware and virtually. Thematic analysis was used to analyze qualitative data to provide information on best practices and gaps in existing HiAP programs and context in Delaware. Descriptive statistics were used to examine collaboration in Delaware and to support or refute qualitative findings.We identified two gaps that can hinder HiAP implementation: 1) HiAP practitioners do not adequately use strategic communications to increase buy-in across sectors; 2) practitioners do not fully recognize the importance of being adaptable throughout HiAP implementation, which hinders sustainability. Qualitative findings from Delaware offer insight to these gaps and opportunities to address them.Refining the essential elements of HiAP to add: 1) strategic communications across sectors and 2) flexibility throughout HiAP implementation may point the way to more successful adoption of HiAP approaches across jurisdictions. This research demonstrated the importance of examining local perspectives on HiAP before implementation based on a jurisdiction’s context. |
| first_indexed | 2024-04-11T10:01:21Z |
| format | Article |
| id | doaj.art-0a8dbcaf9d1544a5bd5d6e57ca04253d |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-04-11T10:01:21Z |
| publishDate | 2022-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-0a8dbcaf9d1544a5bd5d6e57ca04253d2022-12-22T04:30:25ZengElsevierPreventive Medicine Reports2211-33552022-10-0129101961Improving health across sectors: Best practices for the implementation of health in all policies approachesRachael Cain0Jacey A. Greece1Sandro Galea2Erin K. Knight3Allison Manco4Amar Parikh5David K. Jones6Boston University School of Public Health, 715 Albany St, Boston, MA, USA; Corresponding author.Clinical Associate Professor of Community Health Sciences, Boston University School of Public Health, Boston, MA, USADean of the Boston University School of Public Health, Robert A. Knox Professor, Professor of Family Medicine, Boston University, School of Medicine, Boston, MA, USAAssistant Professor of Health, West Chester University of Pennsylvania, West Chester, PA, USABoston University School of Public Health, Boston, MA, USABoston University School of Public Health, Boston, MA, USAAssociate Professor of Health Law, Policy, and Management, Boston University School of Public Health, Boston, MA, USAHealth is influenced by a broad range of factors beyond the typical remit of public health. It is therefore increasingly recognized that multiple sectors need to be engaged to improve population health. Health in All Policies (HiAP) is an approach to systematically consider health across policies and programs. This study assessed best practices and gaps in HiAP operationalization to inform practitioners aiming to incorporate HiAP in their work. We used Delaware as a model state to examine operationalization factors in a jurisdiction planning to implement HiAP.Methods included document review, key informant interviews, focus groups, and a questionnaire conducted in Delaware and virtually. Thematic analysis was used to analyze qualitative data to provide information on best practices and gaps in existing HiAP programs and context in Delaware. Descriptive statistics were used to examine collaboration in Delaware and to support or refute qualitative findings.We identified two gaps that can hinder HiAP implementation: 1) HiAP practitioners do not adequately use strategic communications to increase buy-in across sectors; 2) practitioners do not fully recognize the importance of being adaptable throughout HiAP implementation, which hinders sustainability. Qualitative findings from Delaware offer insight to these gaps and opportunities to address them.Refining the essential elements of HiAP to add: 1) strategic communications across sectors and 2) flexibility throughout HiAP implementation may point the way to more successful adoption of HiAP approaches across jurisdictions. This research demonstrated the importance of examining local perspectives on HiAP before implementation based on a jurisdiction’s context.http://www.sciencedirect.com/science/article/pii/S2211335522002686Health in All PoliciesCross-sectorCommunicationsFlexibility |
| spellingShingle | Rachael Cain Jacey A. Greece Sandro Galea Erin K. Knight Allison Manco Amar Parikh David K. Jones Improving health across sectors: Best practices for the implementation of health in all policies approaches Preventive Medicine Reports Health in All Policies Cross-sector Communications Flexibility |
| title | Improving health across sectors: Best practices for the implementation of health in all policies approaches |
| title_full | Improving health across sectors: Best practices for the implementation of health in all policies approaches |
| title_fullStr | Improving health across sectors: Best practices for the implementation of health in all policies approaches |
| title_full_unstemmed | Improving health across sectors: Best practices for the implementation of health in all policies approaches |
| title_short | Improving health across sectors: Best practices for the implementation of health in all policies approaches |
| title_sort | improving health across sectors best practices for the implementation of health in all policies approaches |
| topic | Health in All Policies Cross-sector Communications Flexibility |
| url | http://www.sciencedirect.com/science/article/pii/S2211335522002686 |
| work_keys_str_mv | AT rachaelcain improvinghealthacrosssectorsbestpracticesfortheimplementationofhealthinallpoliciesapproaches AT jaceyagreece improvinghealthacrosssectorsbestpracticesfortheimplementationofhealthinallpoliciesapproaches AT sandrogalea improvinghealthacrosssectorsbestpracticesfortheimplementationofhealthinallpoliciesapproaches AT erinkknight improvinghealthacrosssectorsbestpracticesfortheimplementationofhealthinallpoliciesapproaches AT allisonmanco improvinghealthacrosssectorsbestpracticesfortheimplementationofhealthinallpoliciesapproaches AT amarparikh improvinghealthacrosssectorsbestpracticesfortheimplementationofhealthinallpoliciesapproaches AT davidkjones improvinghealthacrosssectorsbestpracticesfortheimplementationofhealthinallpoliciesapproaches |