Ilona Kickbusch is known throughout the world for her contributions to innovation in public health, health promotion and global health. She has had a distinguished career with the World Health Organization and Yale University. She is a sought after speaker and advisor on policies and strategies to promote health at the national and international level. She now works as an independent global health consultant based in Brienz, Switzerland.

Acknowledgements 5
Contents 6
to 1 Policy Innovations for Health 7
1.1 Introduction 7
1.2 The Shift to the Health Society 9
1.3 Conceptualizing Health and Well-Being 10
Determinants of Health 10
1.4 Box 1 11
1.5 Box 2Map of the Health and Wellbeing System 11
Understanding of Health 12
1.6 Locating the Interface Between Innovation and Health 14
1.7 Box 3 Health sustainability challenges of 21st century societies 15
1.8 Reconsidering the Territory of Health 15
1.9 Open Innovation: Involving a Broader Range of Actors 17
1.10 Box 4A model of open innovation for health 11
"Health in All Policies" 18
Innovation Clusters 19
1.11 Box 5 The Nordic region as a global health lab 19
Platforms 20
1.12 The Democratization of Innovation: The Co-Production of Health 20
1.13 Outlook 22
1.14 Box 6 Health in All Policies: the ten principles 24
1.15 Note by the author 25
to 2 Intelligence for Health Governance: Innovation in the Monitoring of Health and Well-Being 28
2.16 Introduction 29
2.17 Part I: Health Information for Governance Innovation 31
From Ottawa Charter to Health in All Policies 31
Initiatives on Health Information Management 32
Space for Innovation in Health Information 33
2.18 Box 1. Accountability and transparency 33
2.19 Health information and accountability 33
2.20 Health information and transparency 34
2.21 Box 2. Health information bases for policy innovation 35
Advocacy Through Innovative Health Information Framing and New Indicators 35
2.22 Box 3. Advocacy 36
2.23 Advocacy and health information 36
The Value of Well-Being for the Attainment of Many Societal Objectives 36
Measuring Outcomes That Are Relevant to Non-health Policies 37
Accountability: Can Single Indicators Make Policies More Accountable? 38
2.24 Part II: Health Information Today: Current Strategies and Proposals for Health Indicators 40
Conceptual Framework 40
Health Information at Regional Level 40
Health Information at National Level 43
Summary Health Indicators: Strengths and Limitations 45
Comparative Risk Assessment 52
2.25 Box 4. The Global Burden of Disease Project 52
2.26 Key Points: 53
Health Impact Assessment 54
2.27 Box 5. Health Impact Assessment 54
2.28 Key Points 55
2.29 Part III: Outlook: How Can We Meet the Expectations of Intelligence for Better Governance? 56
Requirements of Useful Indicators 56
Indicators Addressing the Social Determinants of Health 57
Reframing Health Information for Better Governance 59
Supporting Investment on Health 65
2.30 Conclusions 65
to 3 Financing for Health in All Policies 72
3.31 Introduction 73
3.32 Background 74
3.33 Why It Is Important to Engage in New Ways to Finance Public Health Policy Innovations 77
We Classify Public Health Policies That Attempt to Reduce Health Inequities by Target and Instruments 77
The Appropriate Policy Level Needs To Be Defined 79
Past Policies Have Not Been Uniformly Successful in Reducing the Negative Impact of Social Determinants on Health 80
3.34 Why Is It Difficult to Finance Innovative Public Health Policies 81
There Is Too Much To Do and Not Enough Policy Support from the Highest Government Levels 82
The Joint Interests of Bureaucracies and Various Interest Groups Oppose Innovations That Upset Habits or Rents 83
Financing Health Policy Innovation Requires Changes in the Process of Resource Allocation 85
3.35 Financing for Innovative Health Policies 85
Role of the Health/Health Care Financing Model: Bismarck or Beveridge 86
The Geographical Level: National (Federal) or Local 87
The Stakeholders and Their Rationality: What Are the Facilitating Factors for Successful Financing of Policy Innovation 88
Politics and Majority Voting Models 88
Interest Groups 89
Bureaucraties 90
Rent Seeking 91
3.36 Case Study 91
Examples from the French Public Health and Health Care Financing Reform Laws 91
For Health Care, the Programs and Targets Are '133 50 '135: 93
Safety in the Workplace 95
Retirement Pensions 95
Family Benefits 95
Funding and Financing 95
Solidarity to Sustain Autonomy 95
3.37 Conclusion: New Modes of Producing Health 96
to 4 Health as a Driving Economic Force 100
4.38 Starting Point: The Downsides of Cost Increases and the Upsides of Growth Effects with Regard to Health 101
4.39 Theoretical Considerations: Health as a Component of Human Capital 103
4.40 Overview of Existing Empirical Evidence 106
4.41 Macroeconomics and Health 108
4.42 Expanding Understanding of Health: The First and the Second Sector for Health Care and for Health 111
4.43 Labor Market Implications 113
4.44 On the Growth-Related Effects of Health Promotion 115
4.45 Berlins Health care Market as a Driving Economic Force: A Regional Case Study 123
Abstract 123
4.46 Turnover and Gross Value Added of Berlins Health care Market 123
4.47 Health-Related Spending in the Capital 124
4.48 Employment Potential in the Berlin Region 125
4.49 Monitoring Growth and Employment in Berlin 127
4.50 Berlin An Expanding Health Care Metropolis 127
4.51 References 129
to 5 Integrating Health in All Policies at the Local Level: Using Network Governance to Create _Virtual Reorganization by Design_ 130
5.52 Introduction 131
5.53 Health in All Policies 132
Obstacles 133
Driving Forces 133
Health in All Policies and the Determinants of Health -- From Dahlgren and Whitehead to Modern Sweden 133
5.54 Box 1: Swedish public health objectives 134
5.55 The Challenges to Local Policy Innovation 135
Stakeholder Positions 136
The Need for Virtual Neutral Space 137
5.56 Network Development 137
Network Formation and Emergence 138
5.57 Box 2: Partnerships and networks What is the difference? 140
Network Structures 141
The Descriptive Typology 141
The Technical Classification 141
Network Governance 144
Constructing the Network Design 145
Linking the Components 145
5.58 Virtual Coordination 147
The Integration Challenge 147
Boundary Spanning and Virtual Coordination 147
5.59 Conclusions 150
5.60 A Health in All Policies Case Study at the Local Level: Project CHAIN (Community Health Alliances Through Integrated Networks) 152
Project Setting and Background 152
The Concept 153
Development Processes 154
Defining the Cast of Stakeholders 154
The Proposed Integrated Network Activity 155
Income Improvement 155
Reducing the Fear of Crime 156
Mobility 156
Unified Assessment 157
Managing Medication in the Community 157
The Virtual Organization Coordinator (VOC) 158
Identifying Coordination Processes Necessary for Managing 159
Mainstreaming -- The Concluding Phase 161
5.61 Box 3: Virtual organizations 164
5.62 Conclusion 164
to 6 Knowledge-Centered Health Innovation: The Case for Citizen Health Information Systems 169
6.63 Health Systems in Transition: Are Health Literacy and Citizen-Centered Information Systems the Critical Change Engines of the Health System? 170
Health Systems in Transition and the Citizen 171
Health Governance in the Knowledge Society 172
6.64 Innovation in the Knowledge Society 174
A New World: Technology and Innovation 174
Understanding Health Innovation 176
Health Policy Innovations 178
Practice-Driven Innovation 179
Health Innovation Systems 181
6.65 Citizen-Centered Information Systems 181
Different Contributions Towards More Citizen-Centered Information Systems 181
Development of Electronic Health Records 182
Enter New, Big Players 186
6.66 From Personal Health Record to Personal Health Information Systems as Collaborative Innovation Systems 187
Objectives and Expected Benefits of ePHIS 187
Personal Health Information Systems as Customized Developmental Undertakings 188
Basic Module 190
Information Export/Import Communication Platform 190
Financing and Expenditure Information 190
Family Health Profile and Personal Health Risk Profile 190
Choice and Voice Opportunities 190
Personal Health Statements 190
Personal Health Management 190
6.67 Personal Health Information Systems as Collaborative Innovation Systems 190
Technologic Platforms 191
Professional Health Information and Science Systems 192
Relational Localities and Local Health Innovation Systems 193
Health Information Governance 194
Alternative Configurations for Electronic Personal Health Information Systems 195
6.68 The Story of Maria Esperana 197
6.69 Barreiros i- citizen project 199
Project development steps 174
Index 206