Wednesday, September 12, 2012

[EQ] Governance for health in the 21st century

Governance for health in the 21st century

By Ilona Kickbusch and David Gleicher
WHO Regional Office for Europe - Copenhagen, Denmark – 2012

Available online PDF [128p.] at:

“…..Governance for health describes the attempts of governments and other actors to steer communities, whole countries or even groups of countries in the pursuit of health as integral to well-being. This study tracks recent governance innovations to address the priority determinants of health and categorizes them into five strategic approaches to smart governance for health. It relates the emergence of joint action by the health sector and non-health sectors, by public and private actors and by citizens, all of whom have an increasing role to play in achieving seminal changes in 21st-century societies.

This study was commissioned to provide the evidence base for the new European health policy, Health 2020. Calling for a HiAP  health-in-all-policies, whole-of-government and whole-of-society approach, Health 2020 uses governance as a “lense” through which to view all technical areas of health….”


Executive summary

1. 21st-century governance for health and well-being


Focus of the study

Contextual drivers

2. Governance

Three key governance dynamics

The changing nature of policy-making

3. Governance for health and well-being

History of horizontal governance for health in three waves

4. Good governance for health and well-being

What is good governance?

Role of guiding value systems

The relationship between values and evidence

5. Smart governance for health and well-being


Five types of smart governance for health and well-being

6. New governance for health

New role for the health sector

Political engagement and leadership

Conclusions and recommendations on the new European policy for health – Health 2020



Key literature that has informed this study


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