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  • 1.
    Astnell, Sandra
    et al.
    Karolinska Institutet, Stockholm, Sweden.
    von Thiele Schwarz, Ulrica
    Karolinska Institutet.
    Hasson, Henna
    Karolinska Institutet, Stockholm, Sweden.
    Augustsson, Hanna
    Karolinska Institutet, Stockholm, Sweden.
    Stenfors-Hayes, Terese
    Karolinska Institutet, Stockholm, Sweden.
    Integrating health promotion with quality improvement in a Swedish hospital2015In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245, Vol. 31, no 3, p. 495-504Article in journal (Refereed)
    Abstract [en]

    Integration of workplace employee health promotion (HP) and occupational health and safety (OHS) work into organizational quality improvement systems is suggested as a way to strengthen HP and OHS activities in an organization. The aim of this article was to study what consequences integration of HP, OHS and a quality improvement system called kaizen has on the frequency and type of HP and OHS activities. A quasi-experimental study design was used where an integration of the three systems for HP, OHS respectively kaizen, was performed at six intervention units at a Swedish hospital. The remaining six units served as controls. Document analysis of all employees' written improvement suggestions (kaizen notes) during 2013 was conducted. The findings show that the intervention group had more suggestions concerning HP and OHS (n = 114) when compared with the control group (n = 78) and a greater variety of HP and OHS suggestions. In addition, only the intervention group had included HP aspects. In both groups, most kaizen notes with health consideration had a preventive focus rather than rehabilitative. The intervention, i.e. the integration of HP, OHS and kaizen work, had a favourable effect on HP and OHS work when compared with the controls. The results of the study support that this system can work in practice at hospitals.

  • 2.
    Forslin, Barbro M
    et al.
    Landstinget Västernorrland.
    Roth Möller, Hjördis
    Landstinget Västernorrland.
    Andersson, Roland
    Landstinget Västernorrland.
    Sohlberg, Ella
    Landstinget Västernorrland.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    The Health-promotion perspective in public-health plans in a Swedish region over three decades2013In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245, Vol. 28, no 2, p. 269-280Article in journal (Refereed)
    Abstract [en]

    The trend away from a health and medical care-based policy to a healthy public policy has taken place in Sweden rather later than in other West European countries. One of the first county councils to establish health-promotion plans was Västernorrland. The aims of this study are to describe the contents of and analyze the changes over time in the five public-health plans in the county. The object of study for the policy analysis consists in these plans between 1978 and 2004. A deductive thematic content analysis was performed for each plan on the basis of the central determinants of health promotion. The positioning of the plans was determined using a theoretical framework (Beattie's modified model) founded in the dimensions of power (individual and collective) and governance (local, i.e. the municipalities, and central, i.e. the county council). The results show that the value attributed to good health was consistently high, but the means for attaining this goal have varied over time. The policy focus of the measures in the plans have taken a cyclical path-from individual empowerment to empowerment from a societal perspective, and back prioritizing of actions at an individual level. On the governance dimension, there has been a corresponding positional change over time-from regional to local and then back to regional. Promoting the health of a population requires mutual interaction between the regional and local levels, in which both societal and individually oriented actions are prioritized.

  • 3.
    Johansson, Pia
    et al.
    Karolinska Institutet, Dep. Public Health Sciences .
    Eriksson, Lina
    Statens folkhälsoinstitut.
    Sadigh, SIV
    Karolinska Institutet, Dep. Public Health Sciences .
    Rehnberg, Clas
    Karolinska Institutet, LIME.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    Participation, resource mobilisation and financial incentives in community-based health promotion - an economic evaluation perspective from Sweden.2009In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245, Vol. 24, no 2, p. 177-184Article in journal (Refereed)
    Abstract [en]

     Local community participation is an important objective for many health promotion interventions, but it hinges on the incentives for local organizations to participate. Both aspects might be explored with information obtained from economic evaluations, illustrated in this study with data from a cost-effectiveness analysis of an elderly safety promotion programme implemented in Sweden. Previously, resource mobilization has been used as a process indicator for successful community participation. We propose that resource mobilization can be measured as the proportion of total intervention costs paid by collaborators. In the case presented here, local collaborators contributed 50 per cent of the total intervention costs (SEK 6.45 million, in Swedish krona 2004; 1 USD = 7.35 SEK), while participants, i.e. the elderly in the intervention area, contributed 13 per cent and the remainder, 37 per cent, was paid by project funds. In a subsector financial analysis, the distribution of costs and financial benefits from interventions among different sectors in society is described. The estimated financial benefits in the case were divided between the health-care system (SEK 2.5 million), the local authority (SEK 3.7 million) and the elderly and their relatives (SEK 0.3 million). The only net beneficiary was the local authority. In the case presented here, the health promotion objective of local community participation was achieved as half of the total costs was mobilized from local collaborators. The local community participation objective was supported by financial incentives for at least one key collaborator.

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