Naslov
Healthy Counties – a model of competent regional health planning and decision-making

Autori
Šogorić, Selma ; Džakula, Aleksandar ; Vukušić-Rukavina, Tea ; Grozić-Živolić, Sonja ; Lazarić-Zec Danijela ; Lang, Slobodan

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Book of Abstracts. WHO International Healthy Cities Conference, Zagreb, October 2008. / Conference Scientific Steering Committee - Zagreb : WHO, Euro office, 2008, 32-32

Skup
City leadership for health and sustainable development. Health in all local policies

Mjesto i datum
Zagreb, Hrvatska, 15.10.2008. - 18.10.2008

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
decentralization; health policy; health needs; health planning

Sažetak
The theory and practice of health planning and decision-making are marked by two different models: the centralized - one size fits all - model (delivered through state administration) and the decentralized model. In the 1990s, decision making in Croatia was markedly centralized. Currently, as a result, provision of health and social care are not adequately tailored to local needs and preventive and health promotion programs are largely underprovided. The significant rise of health care expenditures has not resulted in adequate improvement of the health of the population. Counties public health capacity building program (Healthy Counties) started in 2002 as a joint project of the Ministry of Health, Ministry of Labour and Social Welfare, Counties, and Andrija Štampar School of Public Health. Its aim was to support regional and local government bodies during the process of decentralisation of health and social welfare systems. Given the change at the head of the Ministry of Health and Social Welfare, and halt in decentralisation process, the project has continued within the framework of the Croatian Healthy Cities Network since 2004. From 2002 to 2007, 18 (out of 20) Counties and the City of Zagreb (about 200 participants) were included in the first (educational) phase of the program. From 20 to 25 February 2006, a series of county evaluation workshops were held and results (success and failures in project implementation) discussed with the counties in late 2006. As a result of it in 2007, through a series of meetings, goals and content of the second (implementation) phase of the Program were agreed on. In 2008 the 2nd round of education modules has started, and simultaneously, training support is assured for the counties that have not yet finished their Health Plans (i.e. complete the first phase of the programme). As a results of the Program (2010) we expect: a) increased public health and managerial capacity of local and regional administration, b) improved cooperation between local key stake holders: political structures (county and city governments and assemblies), executive structures (departments), technical structures (institutes of public health, health and social welfare institutions) and the community (NGOs, charities, interest groups etc.), c) competent professional public health, d) active employment of participative methods in health care needs assessment, e) more efficient health care interventions and f) more efficient systems of health and social care provision.

Izvorni jezik
Engleski

Znanstvena područja
Javno zdravstvo i zdravstvena zaštita

POVEZANOST RADA