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Biomedical subjects

N Milio

Publications and source records attributed to N Milio.

At least 37 records · Page 2Linked to original sources
PubMed1989

Nutrition and health: patterns and policy perspectives in food-rich countries.

Nutrition and health are becoming legitimate policy issues in food-rich countries. Dietary patterns contribute to a large share of the dominant chronic disease profile in advanced industrial nations, burdening the public purse. Major issues facing governments concern decisions about the appropriate goals, scope, and instruments for effective policy, and the apparatus to promote it. Norway, using a long term, explicit and comprehensive public policy, and the U.S., using a market-oriented strategy, illustrate contrasting policy approaches to the issues. The experience of both have implications for current policy-making in other countries and for the kind of research needed to support it.

Feeding Behavior↗
PubMed1988

The profitization of health promotion.

In this article the author argues that not only is the marketplace an ineffective arena for health development, it is currently generating decision-making paths that obscure more effective perspectives and directions to promote Americans' health. To illustrate this premise, available evidence is presented that suggests that the use of "health promotion" by the proprietary sector, as well as the commercialization of health promotion, is creating decision-making processes that are not accountable to those whom they affect. This emerging infrastructure is characterized by organizations, programs, delivery channels, and evaluative criteria that do not give people's health priority over organizational interests. These developments require critical examination and work on alternatives if the promotion of health is to result in more health than hype.

Behavior Control↗
PubMed1987

Making healthy public policy; developing the science by learning the art: an ecological framework for policy studies.

During the 1980s increasing attention has been given to the view that a vast array of public policies have great potential for health promotion and that this potential ought to be developed. After briefly discussing the basis for this concept and its policy implications, this article turns to a major corequisite for making healthy public policy a political reality: learning how to do it. Where healthy public policy exists, how did it happen? This is a question that calls for a new generation of policy studies, one that is relevant to advocates of healthy public policy within and outside governments. An ecological framework of policy-making is proposed for such studies, delineating the social climate, key players, and strategic action. From it, operational indicators and study methods are suggested, in order to learn some general principles, within a real-world context, of how to develop public policies that are healthful.

Ecology↗
PubMed1985

Health policy and the emerging tobacco reality.

Public policy is part of and a creator of modern environments. By intent or neglect, it affects our socially-created and natural worlds. It sets the odds for what organizations and individuals are likely to produce and consume in the form of goods, services and information, and assures how equitably these options for choice-making--and thus for life styles--are dispersed among social and economic groups. Policy is also created by environments: it is influenced by the reality of changing conditions and by the perceptions of those changes by groups who are organized to influence policymakers' views of 'reality'. The direction, humaneness and healthfulness of societal changes--to the extent that they can be guided--depend on whether new and old things are seen by policymakers in new or old ways. Creating environments conducive to health thus requires a two-pronged effort. It means: (1) developing policies that provide incentives to producers and consumers to make more healthful choices than they do today; and (2) creating a social and political climate that will encourage policymakers to choose more healthful policy options. This view point is illustrated here through an analysis of the smoking and health issue, in which changing conditions can potentially be healthfully guided, or alternatively, left to the vagaries of political and economic events. This article outlines the changing economics of tobacco, mainly as seen in its largest form in the U.S.A., its policy implications, and a political strategy to move policy in more healthful directions. Economic data reveal the tobacco sector in affluent nations as one that has been slowly declining, but now at an accelerating rate. At the same time, the tobacco economy is a growing sector in less-industrialized nations. Policy issues involve how to deal with the economic changes in health-promoting ways. Strategically this requires two simultaneous efforts. One is education/informational: posing the smoking/health issue in light of changing conditions, and addressing policy-relevant data (both economic and value-oriented) to the gatekeepers of public action and information (e.g. policymakers and media). The second is environmental/organizational, to improve the feasibility of policy changes by establishing means for transition planning in the tobacco economy.

Cross-Cultural Comparison↗
PubMed1984

The realities of policymaking. Can nurses have an impact?

Nurse executives have the access and organizational support to effectively influence national health policymakers. The author shows how nurses who wish to formulate and change policy should be prepared to forge alliances, do their homework, and bring their case before the public. By analyzing real-life situations in Australia and Michigan, she shows how policymaking actually works, and offers step-by-step guidelines for nurses who wish to assume a leadership role.

Administrative Personnel↗
PubMed1977

Keeping up with ... health policy and women's health.

The author compares current data on women's health with men's, in the early and adult years, noting socioeconomic variations and similarly compares variations in their use of health services. Clues to changes in women's health are described and relevant areas of policy which can affect emerging health problems as women alter their position in society are sketched.

Acute Disease↗