From Health in All Policies to Health for All Policies

Greer, Scott L.; Falkenbach, Michelle; Siciliani, Luigi; McKee, Martin; Wismar, Matthias; Figueras, Josep

doi:10.1016/s2468-2667(22)00155-4

Cited by 82 publications

(65 citation statements)

References 20 publications

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“…Similarly, an appropriate governance is necessary ( 16 ). Greer and colleagues ( 23 ) present a five-dimensional framework for designing and assessing governance of health systems, defined TAPIC (Transparency, Accountability, Participation, Integrity, and Policy capacity). This framework also underlines the need to identify useful indicators to measure health improvements associated with value-based interventions ( 16 ).…”

Section: Discussionmentioning

confidence: 99%

Cervical cancer elimination in Italy: Current scenario and future endeavors for a value based prevention

Calabrò

Riccardi

D’Ambrosio

et al. 2022

Front. Public Health

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BackgroundCervical Cancer (CC) is a vaccine-preventable disease, and it is treatable if diagnosed early and managed properly. However, it is the fourth most common cancer in women worldwide with about 604,127 cases and 341,831 deaths in 2020. In Italy, it represents the fifth most common cancer in women under 50 years of age with about 2,400 new cases in 2020. The CC elimination is today a global public health goal published by the World Health Organization (WHO) in 2020 and a commitment of the European Union that has included it in Europe's Beating Cancer Plan. Therefore, urgent action is needed, at international and national level, to implement value-based interventions regarding vaccination, screening and timely management of the disease. Our study aims to describe the state of the art of Human Papilloma Virus (HPV) prevention in Italy and to get a consensus on indicators for monitoring the progress toward CC elimination at national level.MethodsThe study envisaged the following activities: research and synthesis of the evidence on strategies and actions for CC elimination at regional Italian level; identification of indicators to monitor such strategies/actions; organization of a multi-stakeholder consensus to reach the agreement on main indicators to be used in Italy.ResultsAs for HPV vaccination coverage, the last Italian available data (December 31st, 2020) showed that it was way below the target (95%) with full cycle vaccination coverage ranging from 6 to 61.7% in female adolescents and from 5.4 to 55.4% in male adolescents (2008 birth cohorts). The coverage rate of CC screening is variable with a range of 61.7–89.6%. Furthermore, coverage rates due to organized screening programs (excluding out-of-pocket screening) shows a range from 20.7 to 71.8%. The mapping of the Italian Regions highlighted an important regional heterogeneity in respect to organizational/operational issue of HPV vaccination and CC screening. Indicators for monitoring CC elimination strategies have been drawn from the Australian experience and distinguished by disease outcomes, vaccination coverage, screening participation and treatment uptake. The highest consensus was reached for the following indicators: CC incidence; detection of high-grade cervical disease; CC mortality; full cycle vaccination coverage; screening participation; high-grade cervical disease treatment rates; CC treatment rates.ConclusionsThe assessment of the current status of CC elimination as overarching goal beyond the achievement of vaccine, screening and treatment targets represents the first step for the identification of interventions to be implemented to accelerate the path toward CC elimination. Based on this and following the WHO call, a value-based approach is proposed to untangle the full benefit of HPV-related cancers elimination strategies and identify priority and best practices.

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Section: Discussionmentioning

confidence: 99%

Cervical cancer elimination in Italy: Current scenario and future endeavors for a value based prevention

Calabrò

Riccardi

D’Ambrosio

et al. 2022

Front. Public Health

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“…The role of NPHIs in leading these as a mandated lead for public health is also viewed as important, as is their role in building capacity [ 19 ]. The HiAP approach of engaging with other sectors and stakeholders, avoiding harm to health (both directly and indirectly) and reducing inequalities during the pandemic recovery is more important than ever [ 45 ] and provides a window of opportunity for HIAs.…”

Section: Discussionmentioning

confidence: 99%

Facilitators, Barriers and Views on the Role of Public Health Institutes in Promoting and Using Health Impact Assessment—An International Virtual Scoping Survey and Expert Interviews

Green

Ashton

Parry-Williams

et al. 2022

IJERPH

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Public health institutes have an important role in promoting and protecting the health and well-being of populations. A key focus of such institutes are the wider determinants of health, embracing the need to advocate for ‘Health in All Policies’ (HiAP). A valuable tool to support this is the health impact assessment. This study aims to support public health institutes to advocate more successfully for the use of health impact assessments and HiAP in order to promote and protect health, well-being and equity. During July 2021, a quantitative online survey was undertaken across international networks with 17 valid responses received. Semi-structured interviews were also administered with nine expert representatives and analysed thematically. In total, 64.7% (n = 11) of survey respondents were aware of health impact assessments and 47.1% (n = 8) currently conducted health impact assessments. It was noted that there are differing approaches to HIAs, with a need for a clear set of standards. Barriers to use included lack of knowledge, training and resources. Overall, 64.7% (n = 11) of survey respondents would like to do more to develop knowledge and capacity around health impact assessments. The results from this study can serve as a platform to help build knowledge, networks and expertise, to help support a ‘Health in All Policies’ approach and address inequalities which exist in all societies.

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“…An efficient health system is based on efficient governance that ensures the development of strategic plans for health assistance. The improvement of health policies has been faced by European countries and can be reached by an appropriate governance ( 22 ). One of the main issues for the Italian healthcare assistance is a plan for the territorial primary care providing patients with the possibility to be assisted at home.…”

Section: Policy Options and Implicationsmentioning

confidence: 99%

“…An efficient healthcare system relates to scientific institutions and governments ( 22 ). The positive interaction between the patient and all the physicians involved in the care process is at the basis for proficient management of any condition, as well as the trustworthy cooperation between HCPs and policy makers, and the connection and strong relationship between local care activities and the hospital system ( 47 ).…”

Section: Policy Options and Implicationsmentioning

confidence: 99%

Six Drivers to Face the XXI Century Challenges and Build the New Healthcare System: “La Salute in Movimento” Manifesto

Blasi

Caiani

Cereda

et al. 2022

Front. Public Health

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The aging of the population, the burden of chronic diseases, possible new pandemics are among the challenges for healthcare in the XXI century. To face them, technological innovations and the national recovery and resilience plan within the European Union can represent opportunities to implement changes and renovate the current healthcare system in Italy, in an effort to guarantee equal access to health services. Considering such scenario, a panel of Italian experts gathered in a multidisciplinary Think Tank to discuss possible design of concepts at the basis of a new healthcare system. These ideas were summarized in a manifesto with six drivers for change: vision, governance, competence, intelligence, humanity and relationship. Each driver was linked to an action to actively move toward a new healthcare system based on trust between science, citizens and institutions.

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From Health in All Policies to Health for All Policies

Cited by 82 publications

References 20 publications

Cervical cancer elimination in Italy: Current scenario and future endeavors for a value based prevention

Cervical cancer elimination in Italy: Current scenario and future endeavors for a value based prevention

Facilitators, Barriers and Views on the Role of Public Health Institutes in Promoting and Using Health Impact Assessment—An International Virtual Scoping Survey and Expert Interviews

Six Drivers to Face the XXI Century Challenges and Build the New Healthcare System: “La Salute in Movimento” Manifesto

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