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Ambiguous expectations for intersectoral action for health: a document analysis of the Danish case

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Holt, Ditte Heering ; Waldorff, Susanne Boch ; Tjørnhøj-Thomsen, Tine ; Rod, Morten Hulvej. / Ambiguous expectations for intersectoral action for health : a document analysis of the Danish case. I: Critical Public Health. 2018 ; Bind 28, Nr. 1. s. 35-47.

Bibtex

@article{afe1f27f7e1c40f7967b133bc878d37c,
title = "Ambiguous expectations for intersectoral action for health: a document analysis of the Danish case",
abstract = "Ideas about intersectoral action and policy-making for health (ISA) are prominent among public health professionals. They are often presented as effective ways to address root causes of poor health and health inequality, and as such the best way to promote population health. The implementation of such ideas has proven difficult though. In this paper we argue that neo-institutional theory can help us conceptualize implementation challenges by pointing to implicit expectations and contradictions associated with the ISA idea itself. With Denmark as empirical case, we conducted a document analysis of recommendations for municipal ISA. The analysis shows how the recommendations provide a very abstract conceptualization of ISA that does not give much practical guidance for action. We show how ISA is discursively constructed with buzzword qualities as the natural way to organize health promotion, by being presented as a means to produce better quality services, more cost-effective operations and ensure the future of the welfare state, while at the same time hardly changing much at all. By applying the lens of institutional logics we show how ISA, although being vaguely defined, offer ambiguous normative and symbolic repertoires for action. We discuss the implementation challenges associated with this advocacy rhetoric and suggest that the domination of the corporation logic may appear to reduce the political character of ISA and potentially conflict with the ideals of health as a matter of social justice and human rights.",
keywords = "governance, Intersectoral action for health, municipal health promotion",
author = "Holt, {Ditte Heering} and Waldorff, {Susanne Boch} and Tine Tj{\o}rnh{\o}j-Thomsen and Rod, {Morten Hulvej}",
year = "2018",
month = jan,
day = "1",
doi = "10.1080/09581596.2017.1288286",
language = "English",
volume = "28",
pages = "35--47",
journal = "Critical Public Health",
issn = "0958-1596",
publisher = "Routledge",
number = "1",

}

RIS

TY - JOUR

T1 - Ambiguous expectations for intersectoral action for health

T2 - a document analysis of the Danish case

AU - Holt, Ditte Heering

AU - Waldorff, Susanne Boch

AU - Tjørnhøj-Thomsen, Tine

AU - Rod, Morten Hulvej

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Ideas about intersectoral action and policy-making for health (ISA) are prominent among public health professionals. They are often presented as effective ways to address root causes of poor health and health inequality, and as such the best way to promote population health. The implementation of such ideas has proven difficult though. In this paper we argue that neo-institutional theory can help us conceptualize implementation challenges by pointing to implicit expectations and contradictions associated with the ISA idea itself. With Denmark as empirical case, we conducted a document analysis of recommendations for municipal ISA. The analysis shows how the recommendations provide a very abstract conceptualization of ISA that does not give much practical guidance for action. We show how ISA is discursively constructed with buzzword qualities as the natural way to organize health promotion, by being presented as a means to produce better quality services, more cost-effective operations and ensure the future of the welfare state, while at the same time hardly changing much at all. By applying the lens of institutional logics we show how ISA, although being vaguely defined, offer ambiguous normative and symbolic repertoires for action. We discuss the implementation challenges associated with this advocacy rhetoric and suggest that the domination of the corporation logic may appear to reduce the political character of ISA and potentially conflict with the ideals of health as a matter of social justice and human rights.

AB - Ideas about intersectoral action and policy-making for health (ISA) are prominent among public health professionals. They are often presented as effective ways to address root causes of poor health and health inequality, and as such the best way to promote population health. The implementation of such ideas has proven difficult though. In this paper we argue that neo-institutional theory can help us conceptualize implementation challenges by pointing to implicit expectations and contradictions associated with the ISA idea itself. With Denmark as empirical case, we conducted a document analysis of recommendations for municipal ISA. The analysis shows how the recommendations provide a very abstract conceptualization of ISA that does not give much practical guidance for action. We show how ISA is discursively constructed with buzzword qualities as the natural way to organize health promotion, by being presented as a means to produce better quality services, more cost-effective operations and ensure the future of the welfare state, while at the same time hardly changing much at all. By applying the lens of institutional logics we show how ISA, although being vaguely defined, offer ambiguous normative and symbolic repertoires for action. We discuss the implementation challenges associated with this advocacy rhetoric and suggest that the domination of the corporation logic may appear to reduce the political character of ISA and potentially conflict with the ideals of health as a matter of social justice and human rights.

KW - governance

KW - Intersectoral action for health

KW - municipal health promotion

UR - http://www.scopus.com/inward/record.url?scp=85011829508&partnerID=8YFLogxK

U2 - 10.1080/09581596.2017.1288286

DO - 10.1080/09581596.2017.1288286

M3 - Journal article

AN - SCOPUS:85011829508

VL - 28

SP - 35

EP - 47

JO - Critical Public Health

JF - Critical Public Health

SN - 0958-1596

IS - 1

ER -

ID: 57247646