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Approaches and Instruments in Health Promotion and the Prevention of Diseases

  • Kathrin LoerEmail author
Chapter
Part of the Palgrave Studies in Public Health Policy Research book series (PSPHPR)

Abstract

Policy instruments do not only express how policymakers expect citizens or corporate actors to behave. The implementation of policy instruments also affects citizens and corporate actors directly and indirectly. The chapter brings together public health discourse, concepts and insights from political science on policy instruments. It enhances the instrument typology in order to understand the influence of behavioural insights on policy instruments. The chapter explains how “classical” instruments can be informed by behavioural science and under which circumstances behavioural insights offer a chance to change both the social environment and the individual behaviour that occurs in that environment, by focusing on building a choice architecture that promotes healthier behaviours.

Keywords

Policy instruments Behavioural insights Public health Choice architecture 

References

  1. Asch, S. M., Stoto, M., Mendes, M., Valdez, R. B., Gallagher, M. E., Halverson, P., et al. (2005). A review of instruments assessing public health preparedness. Public Health Reports, 120(5), 532–542.CrossRefGoogle Scholar
  2. Böcher, M. (2012). A theoretical framework for explaining the choice of instruments in environmental policy. Forest Policy and Economics, 16, 14–22.CrossRefGoogle Scholar
  3. Böcher, M., & Töller, A. E. (2016). Inherent dynamics and chance as drivers in environmental policy? An approach to explaining environmental policy decisions. submitted to Environmental Politics, 1–27. Google Scholar
  4. Braithwaite, J., Churruca, K., Long, J. C., Ellis, L. A., & Herkes, J. (2018). When complexity science meets implementation science: A theoretical and empirical analysis of systems change. BMC Medicine, 16(63), 1–14.Google Scholar
  5. Brownell, K. D., & Warner, K. E. (2009). The perils of ignoring history: Big Tobacco played dirty and millions died. How similar is big food? The Milbank Quarterly, 87(1), 259–294.  https://doi.org/10.1111/j.1468-0009.2009.00555.x.CrossRefGoogle Scholar
  6. Brownson, R. C., Chriqui, J. F., & Stamatakis, K. A. (2009). Understanding evidence-based public health policy. American Journal of Public Health, 99(9), 1576–1583.CrossRefGoogle Scholar
  7. Erwin, P. C., & Brownson, R. C. (2017). Macro trends and the future of public health practice. Annual Review of Public Health, 38, 393–412.CrossRefGoogle Scholar
  8. Evans, R. G., Barer, M. L., & Marmor, T. R. (1994). Why are some people healthy and others not? The determinants of the health of populations. Berlin/New York: Walter de Gruyter.Google Scholar
  9. Hood, C. C. (1983). The tools of government. London: Palgrave Macmillan.CrossRefGoogle Scholar
  10. Hood, C. C., & Margetts, H. Z. (2007). The tools of government in the digital age. Basingstoke: Palgrave Macmillan.CrossRefGoogle Scholar
  11. Howlett, M. (1991). Policy instruments, policy styles, and policy implementation. Policy Studies Journal, 19(2), 1–21.CrossRefGoogle Scholar
  12. Howlett, M. (2000). Managing the “hollow state”: Procedural policy instruments and modern governance. Canadian Public Administration, 43(4), 412–431.CrossRefGoogle Scholar
  13. Howlett, M. (2016). Policy tools & their targets: Beyond nudges and utility maximization in policy compliance. IPSA, 2016, 1–30.Google Scholar
  14. Jann, W., & Wegrich, K. (2007). Theories of the policy cycle. In F. Fischer, G. J. Miller, & M. S. Sidney (Eds.), Handbook of public policy analysis: Theory, politics, and methods (pp. 43–62). Boca Raton: Taylor & Francis.Google Scholar
  15. John, P. (2013). All tools are informational now: How information and persuasion define the tools of government. Policy & Politics, 41(4), 605–620.CrossRefGoogle Scholar
  16. Jordan, A., Wurzel, R. K., & Zito, A. (2005). The rise of ‘new’ policy instruments in comparative perspective: Has governance eclipsed government? Political studies, 53(3), 477–496.CrossRefGoogle Scholar
  17. Kickbusch, I. (2007). Responding to the health society. Health Promotion International, 22(2), 89–91.CrossRefGoogle Scholar
  18. Kingdon, J. W. (1995). Agenda’s, alternatives, and public policies. Michigan: Harper Collins College Publishers.Google Scholar
  19. Kirschen, E.-S. (1969). Financial integration in Western Europe. New York: Columbia University Press.Google Scholar
  20. Knai, C., James, L., Petticrew, M., Eastmure, E., Durand, M., & Mays, N. (2017). An evaluation of a public–private partnership to reduce artificial trans fatty acids in England, 2011–16. The European Journal of Public Health, 27(4), 605–608.CrossRefGoogle Scholar
  21. Knill, C., & Lenschow, A. (2005). Compliance, competition and communication: Different approaches of European governance and their impact on national institutions. JCMS: Journal of Common Market Studies, 43(3), 583–606.Google Scholar
  22. Lascoumes, P., & Le Galès, P. (2007). Introduction: Understanding public policy through its instruments – From the nature of instruments to the sociology of public policy instrumentation. Governance, 20(1), 1–21.CrossRefGoogle Scholar
  23. de Leeuw, E. (2017). Engagement of sectors other than health in integrated health governance, policy, and action. Annual Review of Public Health, 28, 329–349.CrossRefGoogle Scholar
  24. de Leeuw, E., Hoeijmakers, M., & Peters, D. T. (2016). Juggling multiple networks in multiple streams. European Policy Analysis, 2, 196–217.  https://doi.org/10.18278/epa.2.1.13.CrossRefGoogle Scholar
  25. Lehner, M., Mont, O., & Heiskanen, E. (2015). Nudging: A promising tool for sustainable consumption behaviour? Journal of Cleaner Production, 134(Part A), 166–177.  https://doi.org/10.1016/j.jclepro.2015.11.086.CrossRefGoogle Scholar
  26. Loer, K. (2018). The enzymatic effect of behavioural sciences – What about policy-maker’s expectations? In S. Beck & H. Strassheim (Eds.), Handbook on behavioural change and public policy. Cheltenham: Edward Elgar. Online: https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3193655
  27. Loewenstein, G., & Chater, N. (2017). Putting nudges in perspective. Behavioural Public Policy, 1(1), 26–53.CrossRefGoogle Scholar
  28. Lowi, T. (1972). Four systems of policy, politics, and choice. Public Administration Review, 32(4), 298–310.CrossRefGoogle Scholar
  29. Milio, N. (1981). Promoting health through public policy. Philadelphia: F. A. Davis Company.Google Scholar
  30. Nathanson, C. A. (1999). Social movements as catalysts for policy change: The case of smoking and guns. Journal of Health Politics, Policy & Law, 24(3), 421–488.CrossRefGoogle Scholar
  31. Purnell, J. Q., Simon, S., Zimmermann, E. B., Camberos, G. J., & Fields, R. (2016). Policy implications of social determinants of health. In A. A. Eyler, J. F. Chriqui, S. Moreland-Russel, & R. C. Brownson (Eds.), Prevention, policy, and public health (pp. 93–114). New York: Oxford University Press.CrossRefGoogle Scholar
  32. Reisch, L. A., & Zhao, M. (2017). Behavioural economics, consumer behaviour and consumer policy: State of the art. Behavioural Public Policy, 1(2), 190–206.CrossRefGoogle Scholar
  33. Richardson, B. (2015). Sugar. Cambridge/Malden: Polity Press.Google Scholar
  34. Rosen, G. (2015). A history of public health. Baltimore: Johns Hopkins University Press.Google Scholar
  35. Schneider, A., & Ingram, H. (1990). Behavioral assumptions of policy tools. The Journal of Politics, 52(02), 510–529.CrossRefGoogle Scholar
  36. Sunstein, C. R. (2014). Simpler: The future of government. New York: Simon and Schuster.Google Scholar
  37. Sunstein, C. R. (2017). Misconceptions about nudges. Available at SSRN: https://ssrn.com/abstract=3033101 or  https://doi.org/10.2139/ssrn.3033101
  38. Thaler, R. H., & Sunstein, C. R. (2008). Nudge: Improving decisions about health, wealth, and happiness. New Haven: Yale University Press.Google Scholar
  39. Thaler, R. H., & Sunstein, C. R. (2009). Nudge. Improving decisions about health, wealth, and happiness. New York: Penguin.Google Scholar
  40. Töller, A. E. (2013). The rise and fall of voluntary agreements in German environmental policy. German Policy Studies, 9(2), 49.Google Scholar
  41. Töller, A. E. (2017). Voluntary regulation by the pharmaceutical industry – Which role for the shadow of hierarchy and social pressure? European Policy Analysis, 3(1), 48–80.Google Scholar
  42. Vedung, E. (2003). Policy instruments: Typologies and theories. In M.-L. Bemelmans-Videc, R. C. Rist, & E. Vedung (Eds.), Carrots, sticks & sermons. Policy instruments and their evaluation. (pp. 21–58). New Brunswick/New Jersey: Transaction Publishers. http://www.gbv.de/dms/bowker/toc/9780765805461.pdf.
  43. Verweij, M. F., & Houweling, H. (2014). What is the responsibility of national government with respect to vaccination? Vaccine, 32(52), 7163–7166.CrossRefGoogle Scholar
  44. Weaver, R. K. (2016). Encouraging longer working lives: A behavioural perspective. Paper for ECPR Joint Sessions, Pisa 2016. Georgetown University and the Brookings Institution.Google Scholar

Copyright information

© The Author(s) 2019

Authors and Affiliations

  1. 1.FernUniversität in HagenHagenGermany

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