2020/
2021
VU AMSTERDAM
LOES KIEVITSBOSCH
,Inhoudsopgave
Policy (beleid) .................................................................................................................................................. 5
Advantages of policy .......................................................................................................................................... 5
Volksgezondheid Toekomstige Verkenning (2018) ........................................................................................... 5
GIDS-gelden (Gezondheid in de Stad) ................................................................................................................. 6
9 principes voor een duurzame aanpak van terugdringen gezondheidsverschillen ........................................... 6
Voorbeelden gecombineerde aanpakken in GIDS-gemeenten ......................................................................... 7
Take home messages ....................................................................................................................................... 7
Hoofdstuk 1 Evolution of epidemiology in society ............................................................................................ 8
1. Pre-formal epidemiology .......................................................................................................................... 8
2. Early epidemiology.................................................................................................................................... 9
3. Classical epidemiology .............................................................................................................................. 9
4. Modern epidemiology ............................................................................................................................. 10
Conclusion ........................................................................................................................................................ 12
Typen preventie ............................................................................................................................................. 14
Collectieve preventie ........................................................................................................................................ 14
Individuele preventie ........................................................................................................................................ 14
Hoofdrolspelers binnen de collectieve preventie ........................................................................................... 15
5 Stelselwetten en publieke gezondheidszorg ......................................................................................... 16
1. Wpg (Wet publieke gezondheid) ............................................................................................................. 17
2. Wmo (Wet maatschappelijke ondersteuning) ........................................................................................ 17
3. Jeugdwet ................................................................................................................................................. 18
4. Zvw (Zorgverzekeringswet) ..................................................................................................................... 18
5. Wlz (Wet langdurige zorg) ...................................................................................................................... 19
Preventiecyclus (4 jaar) .................................................................................................................................. 20
Beleidsambtenaar ............................................................................................................................................ 20
Instrumenten en aanleidingen voor het maken van beleid ............................................................................ 20
Nationale preventiecyclus .............................................................................................................................. 21
Hoofdstuk 12 Organisation of public health ................................................................................................... 21
Key messages ................................................................................................................................................... 21
Public health in the Netherlands ...................................................................................................................... 22
Primary health care (PHC) ................................................................................................................................ 23
Conclusion ........................................................................................................................................................ 23
Proces van beleidsvorming ............................................................................................................................. 24
1
, Stap 1 – Erkenning van een maatschappelijk relevant probleem ..................................................................... 24
Stap 2 – Beleidsformulering ............................................................................................................................. 24
Proces 1: Policy design ................................................................................................................................ 24
Proces 2: Political decision .......................................................................................................................... 25
Stap 3 – Implementatie van het beleid ............................................................................................................. 25
Stap 4 – Evaluatie van het beleid ..................................................................................................................... 25
Analyse en evaluatie van gezondheidsbeleid ................................................................................................. 25
Policy analysis ................................................................................................................................................ 25
1. Problem statement ................................................................................................................................. 26
2. Background ............................................................................................................................................. 26
3. Policy landscape ...................................................................................................................................... 26
4. Policy alternatives ................................................................................................................................... 26
5. Evaluation criteria ................................................................................................................................... 27
6. Alternative analysis ................................................................................................................................. 27
7. Recommendations .................................................................................................................................. 28
3 Basisprincipes bij het schrijven over effectiviteit ..................................................................................... 28
Hoofdstuk 2 Public health: an arena for policy, practice and research ........................................................... 28
Policy cycle........................................................................................................................................................ 29
Practice cycle .................................................................................................................................................... 30
Research cycle .................................................................................................................................................. 30
Disconnections ............................................................................................................................................... 31
Conclusion...................................................................................................................................................... 32
Voedselprijsbeleid .......................................................................................................................................... 32
Mechanismen waarop een suikertaks zou kunnen werken ............................................................................ 33
Conclusie........................................................................................................................................................... 33
Policy windows of opportunity....................................................................................................................... 34
Problem stream – Policy window of opportunity ............................................................................................. 35
Political stream – Policy window of opportunity .............................................................................................. 35
Article Taxing unhealthy food and drinks to improve health .......................................................................... 35
Abstract ......................................................................................................................................................... 35
Impact on the poor ........................................................................................................................................... 36
Conclusion ........................................................................................................................................................ 36
Article The public health and economic benefits of taxing sugar-sweetened beverages ................................. 36
Abstract ............................................................................................................................................................ 36
Conclusions ....................................................................................................................................................... 37
2
, Article Explaining resistance to reulatory interventions to prevent obesity and improve nutrition: A case-
study of a sugar-sweetened beverages taks in Australia ................................................................................ 37
Conclusion ........................................................................................................................................................ 37
Knowledge translation ................................................................................................................................... 39
Denifition .......................................................................................................................................................... 39
What should be transferred? ...................................................................................................................... 39
Evidence for policy makers .......................................................................................................................... 40
Roger’s diffusion of innovation model .............................................................................................................. 40
Two ways of knowledge translation ................................................................................................................. 41
Models: from research to policy ..................................................................................................................... 41
1. Engineering model .................................................................................................................................. 41
Problems ...................................................................................................................................................... 41
2. Enlightment model.................................................................................................................................. 41
3. Strategic/symbolic model ....................................................................................................................... 41
4. Elective affinity model............................................................................................................................. 42
Why is it so difficult ........................................................................................................................................ 43
Factors influencing translation ....................................................................................................................... 43
What could be done ......................................................................................................................................... 43
Conclusion...................................................................................................................................................... 44
Hoofdstuk 13 An epidemiologist in policyland ................................................................................................ 44
Key messages ................................................................................................................................................... 44
Varying views on policy making ..................................................................................................................... 45
1. The rational view on policy making ........................................................................................................ 45
2. The incremental view on decision making .............................................................................................. 45
3. Mixed scanning ....................................................................................................................................... 46
Policy instruments.......................................................................................................................................... 46
Using the boundary space between science and policy.................................................................................... 48
Mediating roles in the interplay between research and policy ........................................................................ 48
Conclusion ........................................................................................................................................................ 48
Integraal werken (integraal gezondheidsbeleid) ............................................................................................ 50
Diverse toepassingen van IGB in NL ................................................................................................................. 51
Op welke niveaus zie je IGB terug? ................................................................................................................. 51
1. Bestuurs- en beleidsniveau ..................................................................................................................... 51
2. Uitvoeringsniveau ................................................................................................................................... 51
Welke mechanismen spelen een rol? ............................................................................................................. 52
Praktijkervaringen met IGB ............................................................................................................................ 53
3
2021
VU AMSTERDAM
LOES KIEVITSBOSCH
,Inhoudsopgave
Policy (beleid) .................................................................................................................................................. 5
Advantages of policy .......................................................................................................................................... 5
Volksgezondheid Toekomstige Verkenning (2018) ........................................................................................... 5
GIDS-gelden (Gezondheid in de Stad) ................................................................................................................. 6
9 principes voor een duurzame aanpak van terugdringen gezondheidsverschillen ........................................... 6
Voorbeelden gecombineerde aanpakken in GIDS-gemeenten ......................................................................... 7
Take home messages ....................................................................................................................................... 7
Hoofdstuk 1 Evolution of epidemiology in society ............................................................................................ 8
1. Pre-formal epidemiology .......................................................................................................................... 8
2. Early epidemiology.................................................................................................................................... 9
3. Classical epidemiology .............................................................................................................................. 9
4. Modern epidemiology ............................................................................................................................. 10
Conclusion ........................................................................................................................................................ 12
Typen preventie ............................................................................................................................................. 14
Collectieve preventie ........................................................................................................................................ 14
Individuele preventie ........................................................................................................................................ 14
Hoofdrolspelers binnen de collectieve preventie ........................................................................................... 15
5 Stelselwetten en publieke gezondheidszorg ......................................................................................... 16
1. Wpg (Wet publieke gezondheid) ............................................................................................................. 17
2. Wmo (Wet maatschappelijke ondersteuning) ........................................................................................ 17
3. Jeugdwet ................................................................................................................................................. 18
4. Zvw (Zorgverzekeringswet) ..................................................................................................................... 18
5. Wlz (Wet langdurige zorg) ...................................................................................................................... 19
Preventiecyclus (4 jaar) .................................................................................................................................. 20
Beleidsambtenaar ............................................................................................................................................ 20
Instrumenten en aanleidingen voor het maken van beleid ............................................................................ 20
Nationale preventiecyclus .............................................................................................................................. 21
Hoofdstuk 12 Organisation of public health ................................................................................................... 21
Key messages ................................................................................................................................................... 21
Public health in the Netherlands ...................................................................................................................... 22
Primary health care (PHC) ................................................................................................................................ 23
Conclusion ........................................................................................................................................................ 23
Proces van beleidsvorming ............................................................................................................................. 24
1
, Stap 1 – Erkenning van een maatschappelijk relevant probleem ..................................................................... 24
Stap 2 – Beleidsformulering ............................................................................................................................. 24
Proces 1: Policy design ................................................................................................................................ 24
Proces 2: Political decision .......................................................................................................................... 25
Stap 3 – Implementatie van het beleid ............................................................................................................. 25
Stap 4 – Evaluatie van het beleid ..................................................................................................................... 25
Analyse en evaluatie van gezondheidsbeleid ................................................................................................. 25
Policy analysis ................................................................................................................................................ 25
1. Problem statement ................................................................................................................................. 26
2. Background ............................................................................................................................................. 26
3. Policy landscape ...................................................................................................................................... 26
4. Policy alternatives ................................................................................................................................... 26
5. Evaluation criteria ................................................................................................................................... 27
6. Alternative analysis ................................................................................................................................. 27
7. Recommendations .................................................................................................................................. 28
3 Basisprincipes bij het schrijven over effectiviteit ..................................................................................... 28
Hoofdstuk 2 Public health: an arena for policy, practice and research ........................................................... 28
Policy cycle........................................................................................................................................................ 29
Practice cycle .................................................................................................................................................... 30
Research cycle .................................................................................................................................................. 30
Disconnections ............................................................................................................................................... 31
Conclusion...................................................................................................................................................... 32
Voedselprijsbeleid .......................................................................................................................................... 32
Mechanismen waarop een suikertaks zou kunnen werken ............................................................................ 33
Conclusie........................................................................................................................................................... 33
Policy windows of opportunity....................................................................................................................... 34
Problem stream – Policy window of opportunity ............................................................................................. 35
Political stream – Policy window of opportunity .............................................................................................. 35
Article Taxing unhealthy food and drinks to improve health .......................................................................... 35
Abstract ......................................................................................................................................................... 35
Impact on the poor ........................................................................................................................................... 36
Conclusion ........................................................................................................................................................ 36
Article The public health and economic benefits of taxing sugar-sweetened beverages ................................. 36
Abstract ............................................................................................................................................................ 36
Conclusions ....................................................................................................................................................... 37
2
, Article Explaining resistance to reulatory interventions to prevent obesity and improve nutrition: A case-
study of a sugar-sweetened beverages taks in Australia ................................................................................ 37
Conclusion ........................................................................................................................................................ 37
Knowledge translation ................................................................................................................................... 39
Denifition .......................................................................................................................................................... 39
What should be transferred? ...................................................................................................................... 39
Evidence for policy makers .......................................................................................................................... 40
Roger’s diffusion of innovation model .............................................................................................................. 40
Two ways of knowledge translation ................................................................................................................. 41
Models: from research to policy ..................................................................................................................... 41
1. Engineering model .................................................................................................................................. 41
Problems ...................................................................................................................................................... 41
2. Enlightment model.................................................................................................................................. 41
3. Strategic/symbolic model ....................................................................................................................... 41
4. Elective affinity model............................................................................................................................. 42
Why is it so difficult ........................................................................................................................................ 43
Factors influencing translation ....................................................................................................................... 43
What could be done ......................................................................................................................................... 43
Conclusion...................................................................................................................................................... 44
Hoofdstuk 13 An epidemiologist in policyland ................................................................................................ 44
Key messages ................................................................................................................................................... 44
Varying views on policy making ..................................................................................................................... 45
1. The rational view on policy making ........................................................................................................ 45
2. The incremental view on decision making .............................................................................................. 45
3. Mixed scanning ....................................................................................................................................... 46
Policy instruments.......................................................................................................................................... 46
Using the boundary space between science and policy.................................................................................... 48
Mediating roles in the interplay between research and policy ........................................................................ 48
Conclusion ........................................................................................................................................................ 48
Integraal werken (integraal gezondheidsbeleid) ............................................................................................ 50
Diverse toepassingen van IGB in NL ................................................................................................................. 51
Op welke niveaus zie je IGB terug? ................................................................................................................. 51
1. Bestuurs- en beleidsniveau ..................................................................................................................... 51
2. Uitvoeringsniveau ................................................................................................................................... 51
Welke mechanismen spelen een rol? ............................................................................................................. 52
Praktijkervaringen met IGB ............................................................................................................................ 53
3
