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The European Journal of Public Health 1992 2(1):54-59; doi:10.1093/eurpub/2.1.54
© 1992 by European Journal of Public Health
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Future Scenarios for Public Health in Europe

J. Ashton

Department of Public Health, Whelan Building, University of Liverpool Liverpool L69 3BX

The public health task is determined by a combination of demography, patterns of ill-health and the availability of policies and interventions which can make an impact on health outcomes. The changing political and administrative environment provides both opportunities and threats for the public health enterprise in Europe. If we are to optimize our contribution public health practitioners must acquire a strategic overview of the issues which need to be addressed. There are tools available which can help in the process of strategic analysis which come from the world of business. Such tools may not seem initially attractive to those working in the public sector, however, they should be judged by their utility in generating understanding and indicating appropriate policy directions. The application of some such tools would seem to indicate a mismatch and a tension between the old and new public health agendas and the institutional arrangements which support them. This paper is intended to stimulate a debate about the most effective way forward whereby a wide range of energies can achieve the greatest synergy.

Keywords: public health, futures, Europe, strategic analysis


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