Konferens Program Kraftsamling For Okad Halsa 180605

Agenda in progress! A final version will be completed about 10 days prior to the seminar.
Seminar
A revitalized commitment to health promotion and
prevention in Swedish health care
Stockholm, 5 June 2018 (09.30-16.00)
Venue: City Conference Centre
Scope and purpose

Background
Many countries in Europe are trying to improve the performance and sustainability of
their health systems by expanding and better integrating their health promotion and
disease prevention activities. These strategies include the development of new
services, new health care professionals, new skills and new coordination mechanisms.
They also include reaching out to other sectors and communities to tackle the social
determinants of health.
Health promotion and disease prevention can make a significant contribution towards
a more effective and efficient health service and one which could better address the
needs of society. This is important as it leads to better health outcomes for patients.
Integrating health promotion and disease prevention activities optimizes the effects of
medical interventions, and leads to fewer complications, shorter lengths of stay in
hospital, better restitution and to better somatic outcomes and better quality of life for
patients. Furthermore, health care organizations have an important role in
strengthening public health activities, as they have the knowledge, networks and
authority. This concept, that health promotion and disease prevention should be
integrated in all health services, was already formulated in the 1980s when WHO
launched an international network of Health Promoting Hospitals. This has since
developed into a network for Health Promoting Hospitals and Health Service.
The health of Swedes is good, but there are some developing and important health
challenges. Life expectancy in Sweden is among the highest in the EU, both for men
and women. Risk factors such as smoking and obesity in general are on the decline.
Seminar, Stockholm, 05 June 2018
This, however, is not the case for all population groups and for all risk factors. It is a
persistent challenge that, in a welfare state like Sweden, health inequities not only
remain, but are widening. For example depending on the level of education, or on
income level, life expectancy can differ by up to almost 5 years. An increase in alcohol
consumption and the rising percentage of binge-drinking in adults is also worrying.
There is also a concern about growing obesity rates amongst adolescents and at the
same time declining rates of physical activity and stubborn inequities persist in most
risk factors. These examples are a clear indication that alongside the positive trends
there are important challenges that need to be faced.
In this situation it is worthwhile reviewing policies and interventions that work. There is
now a very strong (economic) case for promoting health and preventing disease.
There is also an economic case for investing in health, raising the efficiency of public
health and health systems. There is strong evidence for many policy areas and
populations which is relevant to Sweden. This includes interventions tackling alcohol-
related harm, promoting physical activity, improving the quality of nutrition, and
acting during early childhood development and education to promote health. There
is also an urging need to, more actively, address inequalities.
The 2030 Agenda on sustainable development is a good starting point for such a
review as it is very comprehensive. It includes the Sustainable Development Goals
(SDGs), 17 global goals set by the
United Nations. The broad goals are
interrelated, though each has its
own targets to achieve. Many
countries are attempting to tailor
those goals to their own specific
needs and circumstances, using
them as a driving force to design
different health services, discussing
effective interventions and
improving governance across
sectors and between levels.
Sustainable development in general
contributes to respecting human
needs, and the building of a sustainable society is to meet these needs - health
promotion processes are central to this.
An increased awareness of the importance of health promotion processes for a
sustainable society makes it reasonable to expect increased interest in identifying,
strengthening and developing these processes further. It creates a virtuous circle in
the drive for a sustainable society. Health promotion processes as well as increased
focus on prevention as the driving force for sustainable development creates an
inclusive approach for future leadership to rally around common objectives. In such a
context, health care is a core sustainability actor and factor. The SDGs can, through
health promotion, develop into a real commitment.
In the context of the European Commission’s the State of Health in the EU cycle,
Sweden is hosting a voluntary exchange in form of a seminar on revitalizing the
commitment to health promotion and prevention in the Swedish health system.
2
The State of Health in the EU is a two-year initiative undertaken by the European

Commission that provides policy-makers, interest groups, and health practitioners
with factual, comparative data and insights into health and health systems in EU
countries. The Country Health Profiles are the joint work of the OECD and the
European Observatory on Health Systems and Policies, in cooperation with the
European Commission and are designed to support the efforts of Member States in
their evidence-based policy-making.
Objectives
The overall aim of this seminar is to mobilize Swedish health care for action for a
stronger emphasis on health promotion and prevention. One step towards this aim is
to develop a common understanding among key stakeholders on the evidence and
the governance relating to more clearly prioritizing health promotion and prevention.
To this end we want to address the following questions:
• How can the health care sector take the lead in health promotion and
prevention? What are the barriers for action?
• What health promotion and prevention strategies and intervention are
effective when it comes to improving population health and tackling equity in
health?
• What practical governance mechanisms can be used for coordination
between different political levels and across sectors?
Target audience
The seminar will bring together approximately 100-120 policy-makers and stakeholders
from both the regional and national level, including patient representatives and
professional groups.
Format
In order to develop a common understanding of the role of the health care sector,
effective health promotion and prevention interventions and the necessary
governance instruments needed, we want to create an in-depth dialogue between
some of the leading national and international experts, and to review experiences
from Sweden as well as other countries. To this end we will have presentations, panel
discussions and facilitated discussions.
3
Programme (provisional)
A revitalized commitment to health promotion and

prevention in Swedish health care
Stockholm, 5 June 2018
9.30–10.00 Registration at venue + coffee

10.00–11.30 Session 1: The State of health and the current action /reform agenda in
Sweden
Chair: National Board of Health and Welfare
- Welcome, objectives of the workshop, introduction of participants (15-
20min), National Board of Health and Welfare
- Presenting the State of Health in the EU Cycle (10 min)
Martin Seychell, Directorate General for Health and Food Safety
European Commission
- Presentation of the Swedish country health profile, focus on the state of
health (10min) Jens Wilkens OECD, tbc
- Panel with NBHW rep, County councils etc. To what extent does national
analysis and experiences confirm the conclusions from the Swedish
country health profile? What other challenges are on the agenda? How
to we meet these challenges and plan for sustainability? (45min)
Facilitated discussion
Dr Matthias Wismar
11.30–12.00 Break
12.00–13.00 Session 2: How can the health care sector take the lead in in health
promotion and prevention? Which are the barriers for action?
4
Chair: Swedish rep. from Health Promoting Health Care

Facilitator: Matthias Wismar
• Health promotion and prevention: working in health care settings and
reaching out (20 min)
Jan de Maesener, Belgium, tbc
This is followed by a panel which will react to the presentation from the
national perspective. The discussion should include the role of primary care
and hospital care.
Panellists:
• Roanan Toomey, Department of Health Ireland (Irleand)
• Didier Jourdan, Blaise Pascal University and Haut Conseil de la Santé
Publique
• Jan de Maessener, Belgium
• OECD (tbn)
• and participants from Sweden.
The discussion will then be opened to the floor.

13.00–13.45 Lunch
13.45–15.45 Session 3: What are the options for health promotion and prevention in health
care settings for Sweden? Policies, interventions, implementation and
governance
Chair: SALAR
Facilitator: Matthias Wismar
• Investing in health: what health promotion and prevention strategies and
interventions deliver? (15-20min)
David McDaid, LSE, United Kingdom
• Strategy for health ( Rep from SALAR 10-15 min)
• Policies addressing health, poverty and social exclusion in France
(10min)
Didier Jourdan, Blaise Pascal University and Haut Conseil de la Santé
Publique
• Implementation of health promotion and prevention in the Slantecare
reforms in Ireland
Ronan Toomey, Department of Health Ireland
• Regional coordination platforms in the Netherlands (10min)
Francois Schellevis, NIVEL
After the presentations we will start the group discussion at the round tables.
The international experts will mingle with the participants. Each table gets a
specific theme. 30 min discussion time.
All tables are reporting back to the plenary followed by a discussion-
15.45–16.00 Wrapping up and closing the seminar -Ministry of health and Social affairs

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Agenda in progress! A final version will be completed about 10 days prior to the seminar.

Scope and purpose

The State of Health in the EU is a two-year initiative undertaken by the European

A revitalized commitment to health promotion and

Stockholm, 5 June 2018

9.30–10.00 Registration at venue + coffee

Chair: Swedish rep. from Health Promoting Health Care

The discussion will then be opened to the floor.

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