title: [Changing structures--Integrating health].
abstract: Changes in (municipal) structures for the improvement of health are often required but, in contrast to behavioural measures, less frequently implemented and scientifically evaluated. Results on this subject for Germany are scarce. In recent years, municipal prevention and health promotion programmes received new impetus from the expansion of the German "Early Assistance" initiative. Early assistance programmes to help children grow up healthy initiated municipal processes such as the establishment of networks between health services and youth welfare services, prevention chains and nationwide initiatives. This has moved issues such as equal opportunities for health into the centre of politically driven structural development efforts. Neighbourhood management groups and municipal round tables on prevention-specific topics etc. have been established throughout Germany. Regarding this structural development, 6 projects from the field of prevention research give a good indication as to how the structure of municipal concepts can be effectively implemented.
authors.affiliation: Institut für Epidemiologie, Sozialmedizin und Gesundheitssystemforschung, Medizinische Hochschule Hannover.
authors.forename: M
authors.initials: M
authors.lastname: Plaumann
authors.affiliation: Bundeszentrale für gesundheitliche Aufklärung.
authors.forename: F
authors.initials: F
authors.lastname: Lehmann
authors.affiliation: Poliklinik und Institut für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf.
authors.forename: S
authors.initials: S
authors.lastname: Pawils
authors.affiliation: Institut für Epidemiologie, Sozialmedizin und Gesundheitssystemforschung, Medizinische Hochschule Hannover.
authors.forename: U
authors.initials: U
authors.lastname: Walter
mesh_terms: D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D017146:Models, Organizational; D009936:Organizational Innovation; D009937:Organizational Objectives; D011314:Preventive Health Services / Q000458:organization & administration*; D058996:Quality Improvement / Q000458:organization & administration*