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dc.contributor.authorSchoemaker, Casper G
dc.contributor.authorvan Loon, Jeanne
dc.contributor.authorAchterberg, Peter W
dc.contributor.authorvan den Berg, Matthijs
dc.contributor.authorHarbers, Maartje M
dc.contributor.authorden Hertog, Frank R J
dc.contributor.authorHilderink, Henk
dc.contributor.authorKommer, Geertjan
dc.contributor.authorMelse, Johan
dc.contributor.authorvan Oers, Hans
dc.contributor.authorPlasmans, Marjanne H D
dc.contributor.authorVonk, Robert A A
dc.contributor.authorHoeymans, Nancy
dc.date.accessioned2019-02-19T07:56:48Z
dc.date.available2019-02-19T07:56:48Z
dc.date.issued2018-10-26
dc.identifier.issn1872-6054
dc.identifier.pmid30424887
dc.identifier.doi10.1016/j.healthpol.2018.10.014
dc.identifier.urihttp://hdl.handle.net/10029/622801
dc.description.abstractPolicy-oriented foresight reports aim to inform and advise decision-makers. In value-laden areas such as public health and healthcare, deliberative scenario methods are clearly needed. For the sixth Dutch Public Health Status and Forecasts-report (PHSF-2014), a new approach of co-creation was developed aiming to incorporate different societal norms and values in the description of possible future developments. The major future trends in the Netherlands were used as a starting point for a deliberative dialogue with stakeholders to identify the most important societal challenges for public health and healthcare. Four societal challenges were identified: 1) To keep people healthy as long as possible and cure illness promptly, 2) To support vulnerable people and enable social participation, 3) To promote individual autonomy and freedom of choice, and 4) To keep health care affordable. Working with stakeholders, we expanded these societal challenges into four corresponding normative scenarios. In a survey the normative scenarios were found to be recognizable and sufficiently distinctive. We organized meetings with experts to explore how engagement and policy strategies in each scenario would affect the other three societal challenges. Possible synergies and trade-offs between the four scenarios were identified. Public health foresight based on a business-as-usual scenario and normative scenarios is clearly practicable. The process and the outcomes support and elucidate a wide range of strategic discussions in public health.en_US
dc.language.isoenen_US
dc.subjectForesighten_US
dc.subjectNormative scenariosen_US
dc.subjectPopulation healthen_US
dc.subjectPublic healthen_US
dc.subjectPublic involvementen_US
dc.subjectThe Netherlandsen_US
dc.titleThe Public Health Status and Foresight report 2014: Four normative perspectives on a healthier Netherlands in 2040.en_US
dc.typeArticleen_US
dc.identifier.journalHealth Policy 2019; 123(3):252-59en_US
dc.source.journaltitleHealth policy (Amsterdam, Netherlands)


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