Evaluation of Croatian model of polycentric health planning and decision making

Šogorić, Selma and Džakula, Aleksandar and Vukušić Rukavina, Tea and Grozić-Živolić, Sonja and Lazarić-Zec, Danijela and Džono-Boban, Ankica and Brborović, Ognjen and Lang, Slobodan and Vuletić, Silvije (2009) Evaluation of Croatian model of polycentric health planning and decision making. Health Policy, 89 (3). pp. 271-278. ISSN 0168-8510

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Objective: To determine the progress in the development and implementation of health policies on a county level resulting from the learning-by-doing training provided through the County Public Health Capacity Building Program started in 2001 in Croatia. ----- Methods: Modular training using management tools, public health theory and practice, and SMDP's Healthy Plan-it™ tool, followed by the self-evaluation of the progress made by county teams in health needs assessment and health policy development, implementation, and assurance. Fifteen county teams consisting of politicians, executive officers, public health professionals, and community members.----- Results: Twelve of 15 county teams completed the program. The teams made progress in the evaluated areas, although to a different extent, which did not depend on the amount of time they had or the governance experience. The differences in improvement depended on the differences in the strength of political, executive, and professional components of the teams. Teams with a strong political and/or executive component, but weak public health professional and community components made major improvements in policy development and/or assurance function, but performed less well in the health needs assessment and constituency building. The reversed was also true. ----- Conclusion: Learning-by-doing training program improved public health practices on a county level in Croatia.

Item Type: Article
MeSH: Community Health Planning ; Croatia ; Decision Making ; Health Policy ; Health Priorities ; Health Services Needs and Demand ; Humans ; Models, Theoretical ; Politics
Departments: Katedra za socijalnu medicinu i organizaciju zdravstvene zaštite
Depositing User: Marijan Šember
Status: Published
Džakula, AleksandarUNSPECIFIED
Vukušić Rukavina, TeaUNSPECIFIED
Grozić-Živolić, SonjaUNSPECIFIED
Lazarić-Zec, DanijelaUNSPECIFIED
Džono-Boban, AnkicaUNSPECIFIED
Brborović, OgnjenUNSPECIFIED
Vuletić, SilvijeUNSPECIFIED
Date: March 2009
Date Deposited: 29 Sep 2009
Last Modified: 23 Sep 2011 16:10
Subjects: /
Related URLs:
    URI: http://medlib.mef.hr/id/eprint/599

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