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Health Promotion International, Vol. 8, No. 1, 49-52, 1993
© Oxford University Press 1993

research-article

Health policy, epidemiology and power: the interest web

EVELYNE DELEEUW

Department of Health Ethics and Philosophy, University of Limburg Maastricht, The Netherlands

Address for correspondence: Address for correspondence: Evelyne de Leeuw, Department of Health Ethics and Philosophy, Section Health Promotion, University of Limburg, PO Box 616, 6200 MID Maastricht, The Netherlands

The relation between epidemiological research results and policy-ma king is reviewed. Apparently, traditional models of policy-making (incrementalism, mixed scanning synoptic planning) do not explain why research findings are hardly used in policy-making procedures.

It is suggested that this phenomenon is related to three determinants of policy-making: (i) a bias stemming from sets of causal, final and normative assumptions and presuppositions; (ii) interest webs of groups in certain domains; and (iii) the power of organizations to monitor and communicate. The conclusion is that epidemiologists should engage in the policy-making process more consciously and conscientiously.

Key words: epidemiology; health policy and planning; power and planning


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