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Graz Public Health Summer School 2007Graz Public Health Summer School 2007

Case Study ReportsCase Study Reports

em. Univ.-Prof. Dr. Horst Noack, Ph.D.em. Univ.-Prof. Dr. Horst Noack, Ph.D.Medizinische Universität GrazMedizinische Universität Graz

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Group reportGroup report(Five minutes report, five minutes discussion)(Five minutes report, five minutes discussion)

The caseThe case

1.1. Three main lessons learnedThree main lessons learned2.2. Three main conclusionsThree main conclusions

em. Univ.-Prof. Dr. Horst Noack, Ph.D.em. Univ.-Prof. Dr. Horst Noack, Ph.D.Medizinische Universität GrazMedizinische Universität Graz

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Summing upSumming up

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PUBLIC HEALTH today (the New Public Health)

“Collective action for sustained population-wide health improvement” (Beaglehole et al. 2004)

“…what we as a society do collectively to assure the conditions in which people can be healthy”(Institute of Medicine of the National Academies, 2003)

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Health and Wealth in EuropeHealth and Wealth in Europe

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There are wide variations in life expectancy between countries

65

70

75

80

85

1970 1980 1990 2000 2010

Italy

WHO European Region

EU members before

May 2004

EU members since May 2004

CIS

Life expectancy at birth in years

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Sustained population-wide health improvement Sustained population-wide health improvement

Health expectancy Burden of disease

Quality of life …

General Socio-economic conditions

Cultural & environmental conditions

Social & community influences

Individual lifestyle factors

Biological factors

Other factors

…

High-quality Health care

Health promotion in social settings

Health determinants(salutogenic factors)

Health development(Salutogenesis)

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Aaron Antonovsky (1923 – 1994)

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Salutogenesis

Pathogenesis

DISEASE DISEASE ILLNESS ILLNESS SICKNESSSICKNESS

HEALTH-EASE HEALTH-EASE WELL-BEING WELL-BEING FUNCTIONINGFUNCTIONING

Disease prevention, cure and careDisease prevention, cure and care

Health promotionHealth promotion

Thinking health -- thinking disease

LIFE COURSE

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Growing imbalanceGrowing imbalance

Health Health promotionpromotion

Disease Disease carecare

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Individuals - societyIndividuals - society

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Principles for the new EU StrategyPrinciples for the new EU Strategy

10 YEAR STRATEGY

1 –Value-Driven approach*Health as a Fundamental Right*Engaging with Citizens, improving information

and data, equity, solidarity, etc... 2 – “Health is Wealth”

*HLY in the Lisbon Agenda*Recognising the economic benefits of cost-

effective health investments 3 – Health in All Policies

*Bilateral work with e.g.Regional Policy on Health Investments, Employment on healthy workplaces, Enterprise on innovation

*Encouraging new partnerships at all levels 4 – Global Health

*Strengthening EU’s voice on global stage *Tackling shared issues such as pandemics, climate change

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Capacity building for Public Health

Population healthPopulation healthSustainabitySustainabityStructures Structures

Values, knowledgeValues, knowledge & skills& skills

OrganisationalOrganisationaldirectives & guidelinesdirectives & guidelines Partnerships & networksPartnerships & networks

ResourcesResourcesLeadershipLeadership

Policy targetsPolicy targetsPolicy instruments and processesPolicy instruments and processes

Capacity building: development of governance

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A health care system model based on the management of chronic diseases and long-A health care system model based on the management of chronic diseases and long-

term conditionsterm conditions

Health Promotion

Stewardship

Primary care role

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What is Health in All Policies (HiAP) approach?What is Health in All Policies (HiAP) approach?

- Horizontal, complementary policy related strategy

- The core of HiAP is to examine determinants of health -> are mainly controlled by policies of sectors other than health

- Addresses policies in the context of policy-making at all levels of governance (global, European, national, regional and local levels)

- The ultimate aim of HiAP is to improve evidence informed policy-making

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A double strategyA double strategy

IntegratedHEALTH CARE POLICIES Need Quality Evidence

Sustained health

improvementHorizontalHEALTH in ALL POLICIES Health determinants Health equity Evidence

+

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Thank you very much !Thank you very much !

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Your personal feedbackYour personal feedback

One-minute statementOne-minute statement

1.1. About the courseAbout the course2.2. What you take homeWhat you take home