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2015 | 13 | nr 2 | 180--184
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Organization of Public Health in the Netherlands

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The institutional architecture of public health in the Netherlands is regulated by the Public Health Act (2008), based on the principle of state responsibility for collective prevention. Increasingly, responsibilities for public health are laid down at the level of municipalities, making their Community Health Services (CHS's) the central pillar in Dutch public health organization. From the national level municipalities and their CHS's are supported by a National Institute of Public Health and several health promotion knowledge institutes. The implementation of interventions at the local level is orchestrated by the CHS's and requires ample knowledge and organisational skills to collaborate with a large number of stakeholders such as schools and primary health care for positive effects on health risk factors/health determinants. In addition municipalities do influence those health risk factors/health determinants with their local health policies and CHS's with their public health basic tasks as youth health care, infectious disease control, vaccination and health promotion. Actual policy is the alignment of public health with cure, care and social welfare for prevention, and health and social actionon well-known spearheads of lifestyle such as smoking, harmful alcohol consumption and overweight. (original abstract)
Opis fizyczny
  • University Medical Centre, Utrecht, The Netherlands
  • Tilburg University, The Netherlands
  • Jambroes M., M.L., Essink-Bot T., Plochg B., Zaadstra K., Stronks, De Nederlandse publieke gezondheidszorg - 10 kerntaken en een nieuwe definitie, "NederlandsTijdschrift voor Geneeskundeˮ 2013; 157: A6195. For comparison see for example: The 10 Essential Public Health Operations, WHO Europe. See also: Kaiser S., Mackenbach J.P., Public health in eight European countries: an international comparison of terminology, "Public Healthˮ 2008; 122(2): 211-216.
  • Hille G.J.A., Schrijvers A.J.P., Municipal health services, in: E. van Rooij, I. Doryan Kodner, G. Schrijvers (eds), Health and health care in the Netherlands, Elsevier gezondheidszorg, Maarssen, the Netherlands 2002: 45-50.
  • Labour market CHS, Kiwa Prismant, Utrecht 2011.
  • CBS Statline, 2011,; accessed: 02.08.2015
  • Tasks and governance of CHS's anno 2009, Ministry of Health, Welfare and Sports, The Hague 2010: 4-5.
  • A healthier Netherlands; the Dutch 2014 Public health Status Forecasts Report, National Institute for Public Health and the Environment, Bilthoven, The Netherlands 2014.
  • Bruijnzeels M., Primary health care, in: A. Haveman-Nies, S. Jansen, H. van Oers, P. van't Veer (eds), Epidemiology in public health practice, Wageningen Academic Publishers, Wageningen, The Netherlands 2010: 331-346.
  • Boot J.M. (ed.) , Transitions in the social domain: a task for public health as well, "TSGˮ 2013; 91(8): 452-462,; accessed: 13.08.2015
  • National Program Prevention 2014-2016, Ministry of Health, Welfare and Sports, The Hague 2013.
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