Municipalities' Role in Prevention and Health Promotion, 2014

«Municipalities' Role in Prevention and Health Promotion, 2014» addressed one of the two main areas of Samhandlingsreformen; namely public health - understood as health promoting and disease preventing measures. In parallel with the efforts of undertaking specialist health functions and sub-finance hospitalizations, the municipalities also promote health and prevent lifestyle-related illnesses such as diabetes 2, overweight and cardiovascular disease. In the longer term, the goal is that health promotion and prevention will reduce municipal expenses for hospitalization. The municipalities have a number of agencies that carry out public health-related work. We wanted to investigate how the public health work was organized, coordinated, which cooperative relations were developed and what type of measures were implemented. Some diseases are particularly common among parts of the immigrant population, and the project had a particular focus on this. We wanted to study municipalities with large amounts of immigrants to see if they introduced special measures towards this group. Public health work is both costly and labor-intensive. The main question is if the grips of the reform itself - economic incentives, regulations and demands for cooperation - are enough to create the desired pressure on such work.

《2014年：市政当局在疾病预防与健康促进中的作用》聚焦于合作改革（Samhandlingsreformen）的两大核心领域之一，即公共卫生——其定义为健康促进与疾病预防相关举措。在履行专科卫生服务职能、分担住院费用的同时，各市政当局还积极推进健康促进工作，预防与生活方式相关的疾病，例如2型糖尿病、超重及心血管疾病。从长期视角来看，本项目的目标是通过健康促进与疾病预防工作，降低市政当局的住院费用支出。各市政当局下设多家负责公共卫生相关工作的经办机构。本研究旨在探究公共卫生工作的组织与协调模式、已建立的合作关系类型，以及落地实施的各类具体举措。部分疾病在特定移民群体中发病率较高，本项目对此予以重点关注。研究团队选取移民人口占比较高的市政当局作为研究样本，考察其是否针对该群体制定了专项应对举措。公共卫生工作兼具高成本与高劳动密集性的双重特征。核心研究问题为：本项改革所采用的核心手段——经济激励、监管规范与合作要求——是否足以对此类工作形成预期的推动力度。