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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/2841

Title: Determinants of health policy impact: a theoretical framework for policy analysis
Authors: Rutten, A.
Luschen, G.
Von Lengerke, T.
Abel, T.
Kannas, L.
Diaz, JAR
van der Zee, J.
Issue Date: 2003
Citation: SOZIAL-UND PRAVENTIVMEDIZIN, 48(5). p. 293-300
Abstract: This paper addresses the role of policy and evidence in health promotion. The concept of von Wright's "logic of events" is introduced and applied to health policy impact analysis. According to von Wright (1976), human action can be explained by a restricted number of determinants: wants, abilities, duties, and opportunities. The dynamics of action result from changes in opportunities (logic of events). Applied to the policymaking process, the present model explains personal wants as subordinated to political goals. Abilities of individual policy makers are part of organisational resources. Also, personal duties are subordinated to institutional obligations. Opportunities are mainly related to political context and public support. The present analysis suggests that policy determinants such as concrete goals, sufficient resources and public support may be crucial for achieving an intended behaviour change on the population level, while other policy determinants, e.g., personal commitment and organisational capacities, may especially relate to the policy implementation process. The paper concludes by indicating ways in which future research using this theoretical framework might contribute to health promotion practice for improved health outcomes across populations.
Notes: Univ Erlangen Nurnberg, Inst Sport Sci, D-91058 Erlangen, Germany. Univ Illinois, Urbana, IL 61801 USA. GSF, Natl Res Ctr Environm & Hlth, Neuherberg, Germany. Univ Bern, CH-3012 Bern, Switzerland. Univ Jyvaskyla, SF-40351 Jyvaskyla, Finland. Univ Barcelona, E-08007 Barcelona, Spain. Limburgs Univ Ctr, Diepenbeek, Belgium. Netherlands Inst Hlth Serv Res, Utrecht, Netherlands.Rutten, A, Univ Erlangen Nurnberg, Inst Sport Sci, Gebbertstr 123B, D-91058 Erlangen, Germany.
URI: http://hdl.handle.net/1942/2841
DOI: 10.1007/s00038-003-2118-3
ISI #: 000186422000008
ISSN: 0303-8408
Category: A1
Type: Journal Contribution
Validation: ecoom, 2004
Appears in Collections: Research publications

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