Health Policy Innovation: a time of transition

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Health Policy Innovation a time of transition

• Professor Dr. Ilona Kickbusch
• Bad Gastein, Forum 1
• 4th October 2006

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Three revolutions

• Protection security
• Equity access to cure and care
• Empowerment - participation

Universality Solidarity European social model
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A new context Six dimensions of a Health Society
I N E Q U A L I T Y
inequalitty

• a high life and health expectancy and ageing
  populations
• an expansive health and medical care system
• a rapidly growing private health market
• health as a dominant theme in social and
  political discourse
• health as a major personal goal in life
• Health as a right of citizenship

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Expansion processes of the health society

• the expansion of the do-ability of health
  something can be done, there is always more
  health
• the expansion of the territory of health into an
  increasing array of personal, social and
  political spaces health is everywhere and health
  is global
• the expansion of risk and reflexivity every
  choice is potentially also a choice for or
  against health

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Three new notions of health

• Health as an active concept, as empowerment, as a
  resource, as a capacity
• Health as a product on the market
• Health as perfection, as an ultimate value

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People changeValues Change

• Individualization
• Differentiation
• Autonomy and self responsibility
• Holistic well being
• High expectations
• Doability
• Quality of life

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Increasing systems complexity
Erhöhtes Navigationswissen
Increased mobility
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Healthscapes Food Drink - Obesity
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Consumer choice
Enabling environments
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Health policy and politics
German elections
Swiss referendum
EU health forum
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Health Literacy

• Health literacy is the capacity to make sound
  health decisions in the context of everyday life
  at home, in the community, at the workplace, in
  the health care system, the marketplace and the
  political arena.
• (Kickbusch/Maag 2006)

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Open systems of health governance

• recognizing health as a macro economic driver and
  driver of other policies
• applying inclusive all-stakeholder approaches to
  policy formulation, ranging from whole of
  government approaches to public private
  partnerships and the involvement of civil society
  
• accepting the need for more citizen centered
  policies and participatory approaches to health
  governance
• moving towards integrated delivery models that
  overcome the gap between public health, health
  promotion and health care
• understanding the increasing interface between
  national and global health policies.

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• Social innovations
• Policy innovations
• Technological innovations
• Delivery innovations
• Global governance innovations

• Values
• Ethics
• Trust
• Good governance

TRANSPARENCY RELATIONAL
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The QUESTION what social contract on
health????????