Public Health Policy
October 2003, Polity
In this book, David Hunter explains that, while they are
important, health-care services are not the principal determinants
of health. Why then, do they absorb the bulk of resources and
attention of policy-makers? The reasons for the extraordinary
difficulties encountered in putting health before health care are
multiple and complex. Separate chapters cover a range of issues,
including: the relationship between health and health care,
health-care management and the powerful interests at work which
prevent policy aspiration from becoming reality, attempts in the UK
since 1992 to pay greater attention to health issues, and examples
from Europe and Canada, where a similar policy imbalance exists. In
conclusion, Hunter sets out the policy implications for the future
and offers a way forward based on the concept of managing for
The approach throughout the book is accessible and user-friendly. It will be essential reading for students of public policy, health studies, social policy and sociology, and will also be invaluable to scholars, policy-makers, and health professionals interested in public health policy in the UK.
1. Introduction And Approach:.
Some ‘Simple Truths’ About Health Systems.
Policy Dilemmas And ‘Wicked Issues’.
The Politics Of Health Policy.
The Depoliticisation Of Health Policy.
Plan Of Book.
2. The Relationship Between Health And Health Care:.
The Emergence Of The New Public Health.
Barriers To Progress.
Some Lessons From Lalonde.
The Post-Lalonde Era.
The UK Experience.
3. Managing Medicine:.
Managing For What?.
The New Rationalism And Health.
The Rise Of Managerialism In Health Policy.
Criticisms Of New Public Management.
Implications For Health Policy.
Last Word: Medicine, Management And Health.
4. Managing For Health:.
What Is Public Health?.
The Evolution Of The Public Health Function.
Public Health: A Specialty Or An Arena?.
A Response To Implementation Failure.
Approaches To Joined-Up Policy And Practice.
5. Health Policy In A Devolved Polity Within Europe:.
The Impact Of Devolution.
The Impact Of Europe.
6. Moving Out Of The Ghetto:.
That Is To Be Done?.
Towards Implementing A Policy For Health.
Managerial Capacity Building.
- A timely and innovative overview of the key debates relating to
public health policy in the UK.
- explains that health-care services are not the principal
determinants of health, and asks why, therefore, they absorb the
bulk of resources and attention of policy-makers.
- Argues that a paradigm shift is needed if current health policy
biases are to be confronted.
- Uses examples from Europe and Canada, where a similar policy
- Sets out the policy implications for the future and offers a way forward based on the concept of managing for health.
Sian Griffiths, University of Oxford
"Thoughtful, analytic and tough minded. David Hunter’s
feeling for what makes health policy tick has been successfully
applied to public health. Recommended reading for everyone
interested in making health policy work for the better."
Geof Rayner, Chairman of the UK Public Health Association