TY - JOUR
T1 - Using win-win strategies to implement health in all policies
T2 - A cross-case analysis
AU - Molnar, Agnes
AU - Renahy, Emilie
AU - O'Campo, Patricia
AU - Muntaner, Carles
AU - Freiler, Alix
AU - Shankardass, Ketan
N1 - Funding Information:
Agnes Molnar and Emilie Renahy contributed to the work as postdoctoral fellows in the ACHIEVE Research Partnership: Action for Health Equity Interventions at the Centre for Research on Inner City Health at St. Michael's Hospital. The authors gratefully acknowledge the support of Peterborough KM Hunter Charitable Foundation, The Canadian Institutes for Health Research Grant ( http://www.cihr-irsc.gc.ca/e/193.html ) grant numbers 111608 (PO) and 96566 (KS), Wilfrid Laurier University (KS) and the Ontario Ministry of Health and Long-Term Care ( http://www.cihr-irsc.gc.ca/e/193.html ). The views expressed in this publication are the views of the authors and do not necessarily reflect the views of the Ontario Ministry of Health and Long-Term Care.
Publisher Copyright:
© 2016 Molnar et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
PY - 2016/2/1
Y1 - 2016/2/1
N2 - Background: In spite of increasing research into intersections of public policy and health, little evidence shows how policy processes impact the implementation of Health in All Policies (HiAP) initiatives. Our research sought to understand how and why strategies for engaging partners from diverse policy sectors in the implementation of HiAP succeed or fail in order to uncover the underlying social mechanisms contributing to sustainable implementation of HiAP. Methods: In this explanatory multiple case study, we analyzed grey and peer-review literature and key informant interviews to identify mechanisms leading to implementation successes and failures in relation to different strategies for engagement across three case studies (Sweden, Quebec and South Australia), after accounting for the role of different contextual conditions. Findings: Our results yielded no support for the use of awareness-raising or directive strategies as standalone approaches for engaging partners to implement HiAP. However, we found strong evidence that mechanisms related to "win-win" strategies facilitated implementation by increasing perceived acceptability (or buy-in) and feasibility of HiAP implementation across sectors. Win-win strategies were facilitated by mechanisms related to several activities, including: the development of a shared language to facilitate communication between actors from different sectors; integrating health into other policy agendas (eg., sustainability) and use of dual outcomes to appeal to the interests of diverse policy sectors; use of scientific evidence to demonstrate the effectiveness of HiAP; and using health impact assessment to make policy coordination for public health outcomes more feasible and to give credibility to policies being developed by diverse policy sectors.
AB - Background: In spite of increasing research into intersections of public policy and health, little evidence shows how policy processes impact the implementation of Health in All Policies (HiAP) initiatives. Our research sought to understand how and why strategies for engaging partners from diverse policy sectors in the implementation of HiAP succeed or fail in order to uncover the underlying social mechanisms contributing to sustainable implementation of HiAP. Methods: In this explanatory multiple case study, we analyzed grey and peer-review literature and key informant interviews to identify mechanisms leading to implementation successes and failures in relation to different strategies for engagement across three case studies (Sweden, Quebec and South Australia), after accounting for the role of different contextual conditions. Findings: Our results yielded no support for the use of awareness-raising or directive strategies as standalone approaches for engaging partners to implement HiAP. However, we found strong evidence that mechanisms related to "win-win" strategies facilitated implementation by increasing perceived acceptability (or buy-in) and feasibility of HiAP implementation across sectors. Win-win strategies were facilitated by mechanisms related to several activities, including: the development of a shared language to facilitate communication between actors from different sectors; integrating health into other policy agendas (eg., sustainability) and use of dual outcomes to appeal to the interests of diverse policy sectors; use of scientific evidence to demonstrate the effectiveness of HiAP; and using health impact assessment to make policy coordination for public health outcomes more feasible and to give credibility to policies being developed by diverse policy sectors.
UR - http://www.scopus.com/inward/record.url?scp=84959019418&partnerID=8YFLogxK
U2 - 10.1371/journal.pone.0147003
DO - 10.1371/journal.pone.0147003
M3 - Article
C2 - 26845574
AN - SCOPUS:84959019418
SN - 1932-6203
VL - 11
JO - PLoS One
JF - PLoS One
IS - 2
M1 - e0147003
ER -
