A Heuristic Governance Framework for the Implementation of Child Primary Health Care Interventions in Different Contexts in the European Union

Peter Schroder-Back*, Tamara Schloemer, Timo Clemens, Denise Alexander, Helmut Brand, Kyriakos Martakis, Michael Rigby, Ingrid Wolfe, Kinga Zdunek, Mitch Blair

*Corresponding author for this work

Research output: Contribution to journal(Systematic) Review article peer-review


To adopt and implement innovative good practices across the European Union requires developing policies for different political and constitutional contexts. Health policies are mostly decided by national political processes at different levels. To attain effective advice for policy making and good practice exchange, one has to take different models of governance for health into account. We aimed to explore which concepts of governance research are relevant for implementing child health policies in a European Union context. We argue that taking into account the insights of good intersectoral and multilevel governance in research and practice is essential and promising for future analyses. These governance concepts help to understand what actors and institutions are potentially of relevance for developing and implementing child-centric health care approaches not only within health care but also outside health care. The framework we developed has the potential to advise on and thus support effectively the spreading and implementation of good practices of child-centric health policy approaches across the European Union. With this heuristic framework, the variety of relevant stakeholders and institutions can better be mapped and taken into account in implementation processes. Also, the normative side-particularly stressing values that make governance "good governance"-is to be taken into account.

Original languageEnglish
Article number0046958019833869
Number of pages9
JournalInquiry-The Journal of Health Care Organization Provision and Financing
Publication statusPublished - 8 Mar 2019


  • governance
  • child health
  • primary health care
  • health policy
  • policy making
  • implementation
  • European Union

Cite this