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Targets as a tool in health policy. Part I: Lessons learned.

L M van Herten1, L J Gunning-Schepers

  • 1TNO Prevention and Health, PO Box 2215, 2301 CE, Leiden, The Netherlands. lm.vanherten@pg.tno.nl

Health Policy (Amsterdam, Netherlands)
|August 15, 2000
PubMed
Summary

Health targets, rooted in management by objectives, guide public health policy. Setting specific, measurable, achievable, realistic, and time-bound (SMART) health targets is crucial for successful implementation and improved health outcomes.

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Area of Science:

  • Public Health Policy
  • Health Management
  • Epidemiology

Background:

  • The use of targets in health policy originated from the 'management by objectives' approach.
  • Advances in epidemiology facilitated the application of targets in public health.
  • The World Health Organization (WHO) adopted new health targets in 1998.

Purpose of the Study:

  • To review the historical use of targets in health policy.
  • To summarize the benefits and drawbacks of health target setting.
  • To propose conditions for successful health target implementation.

Main Methods:

  • Literature review of health target setting.
  • Analysis of the 'management by objectives' approach in public health.
  • Discussion of benefits, drawbacks, and conditions for success.

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Main Results:

  • Health targets provide government leadership and strategic direction for the health sector.
  • Common objections include political accountability and societal limitations.
  • Successful target setting requires overcoming these objections.

Conclusions:

  • Implementing SMART (Specific, Measurable, Achievable, Realistic, Time-bound) conditions is key to successful health target setting.
  • Political will and courage are essential for an effective health target approach.
  • Well-defined targets can drive improvements in public health outcomes.