A Sophisticated Architecture Is Indeed Necessary for the Implementation of Health in All Policies but not Enough Comment on "Understanding the Role of Public Administration in Implementing Action on the Social Determinants of Health and Health Inequities"

Eric Breton

doi:10.15171/ijhpm.2016.28

Abstract

In this commentary, I argue that beyond a sophisticated supportive architecture to facilitate implementation of actions on the social determinants of health (SDOH) and health inequities, the Health in All Policies (HiAP) project faces two main barriers: lack of awareness within policy networks on the social determinants of population health, and a tendency of health actors to neglect investing in other sectors' complex problems.

Highlights

Breton expand the scope of the perspective on health of the generation of decision-makers
In France, the policy objective of joining up efforts in a Health in All Policies (HiAP) perspective within an intersectorial framework was officially translated into a policy instrument in 2010 with the creation of the regional commissions for the coordination of health-related public policies.[2]
Besides the complexity of multi-partner collaborations, examination of the case of France and of the body of research on the social determinants of health (SDOH) and HiAP strategies suggest two substantial barriers public health professionals are likely to face in developing this “sophisticated architecture” allowing collaboration across multiple sectors

Summary

Introduction

Breton expand the scope of the perspective on health of the generation of decision-makers. Carey and Friel[1] raise the topical issue of the implementation of intersectoral actions and policies addressing the upstream determinants of equity in health.

Results

Conclusion