What is a national health policy?
Unfortunately, most nation states have taken "health policy" to mean "medical care policy." Medical care, however, is only one variable in a nation's health equation. The article describes what the main components of a national health policy should be, including (1) the political, economic, social, and cultural determinants of health, the most important determinants of health in any country; (2) the lifestyle determinants, which have been the most visible types of public interventions; and (3) the socializing and empowering determinants, which link the first and second components of a national health policy: the individual interventions and the collective interventions. The author discusses the indicators that should be used for each component and for each intervention. The feasibility of this approach depends to a large degree on the political will of the national authorities and the broad understanding of the actual determinants of health. A good first step is the National Health Policy plan developed by the Swedish social democratic government. This article builds on and expands on that model.
Navarro
Vicente
V
Department of Health Policy and Management, Johns Hopkins University, Baltimore, MD 21205, USA. vnavarro@jhsph.edu
D003469:Culture; D006291:Health Policy; D006801:Humans; D008019:Life Style; D011057:Politics; D012924:Social Conditions; D012959:Socioeconomic Factors; D013548:Sweden