1 research outputs found
Health promoting settings in primary health care - "hÀlsotorg": an implementation analysis
Background
Sweden, like many other western countries, faces increasing rates of lifestyle
related diseases and corresponding rise in costs for health care. To meet these
challenges, a number of efforts have been introduced at different societal
levels. One such effort is "HĂ€lsotorg" (HS). HS is a new health promotion
setting that emerged in collaboration between the Swedish County Councils and
Apoteket AB, a state-owned pharmacy company. HS's overall aim was to improve
population health and facilitate inhabitants' responsibility for self-care. A
new National Public Health Policy, introduced in 2008, emphasizes more focus on
individual's needs and responsibility as well as strong need for county
councils to provide supportive environment for individual-centred health
services and increased health literacy among the population. In light of this
policy, there is a need to examine existing settings that can provide
supportive environment for individuals at community level. The aim of this
study was to explore HS's policy implementation at local level and analyse HS's
activities, in order to provide a deeper understanding of HS's potential as a
health promoting setting.
Methods
Materials included a survey and key documents related to the development and
nature of HS on local and national levels. A policy analysis inspired by Walt
and Gilson was used in data analysis. In addition, an analysis using the
principles of health promotion in relation to HS policy process and activities
was also carried out.
Results
The analysis illuminated strengths and weaknesses in the policy process, its
actors, contextual factors and activities. The health communication approach in
the analysed documents contained health promoting intentions but the health
promoting approach corresponding to a health promoting setting was neither
apparent nor shared among the stakeholders. This influenced the interpretation
and implementation of HS negatively.
Conclusions
The analysis indicates that HS has potential to be a valuable health promotion
setting for both population and individuals, given the strong intentions for a
health and empowerment building approach that is expressed in the documents.
However, for a more sustainable implementation of HS, there is need for an in-
depth understanding of the health promotion approach among HS stakeholders