Abstract
Governance of healthy public policies: an initiative from Poitou-Charentes, France
A. le Vigouroux, C. Marcheix and E. Autès
In 2011, the Court of Auditors noted the dysfunctions of public health prevention policies, qualifying them as being poorly developed and fragmented, while highlighting the fact that in France resources are essentially oriented towards the hospitals and the ‘curative’ system. In 2012, L’Agence régionale de santé (ARS) Poitou-Charentes, responsible for prevention at the regional level, decided to establish public policies through prevention platforms. They were developed in collaboration with health promotion and prevention agents and territorial stakeholders to promote a relevant, coherent and effective public action in accordance with priority areas of intervention. A partnership momentum and the beginning of systemic coherence emerged around priority objectives aimed at solving public health problems. The overall experience revealed mixed results, in the context of various weaknesses of the system and the merger of the regions – and the ARS – Aquitaine Limousin Poitou-Charentes on 1 January 2016. (Global Health Promotion, 2019; 26(1): 113–117)
Can the NICE guides ‘travel’? Reflections on its applicability in the Valencian Community (Spain)
J. J. Paredes-Carbonell and A. Morgan
The aim of this article is to reflect on the opportunities afforded by adapting the Public Health Guidelines of the National Institute for Health and Care Excellence (NICE) to the context of the Valencian Community (Spain). The main elements for the success of this adaptation would be: having the support of leadership; activating a process (based on the NICE methodology) through the creation of committees with key stakeholders on each topic to be addressed; complementing the overview of evidence with publications and practices from the Spanish context; taking into account the social and health differences between England and the Valencian Community; and identifying decision makers and situations to apply the recommendations and evaluate their impact. Some planning stages and requirements are proposed so that a NICE Public Health guide can travel outside the UK. These reflections can be useful for the adaptation and development of NICE guides in other regions or countries. (Global Health Promotion, 2019; 26(1): 128–132)