Finland as an example for integrative prevention and health promotion - a qualitative study

Introduction: The Finnish prevention policy as well as the Finnish preventative interventions are widely recognized as a model for other countries. This qualitative interview study has the objective of shedding light on the political, organizational and scientific framework of their success. Methods: In 2008, qualitative interviews with twelve experts from political institutions and research institutes from all over Finland were conducted in Helsinki and Tampere. Results: Experts point out the close interaction between science and policy as the key element for the success of regional and national prevention campaigns. Furthermore, they refer to the institutional structure as its base, i.e. institutions focus on the prevention and promotion of health under the joint patronage of the Finnish Ministry of Social Affairs and Health. Researchers, health politicians and representatives from the food industry promote dietary recommendations conjointly under the auspices of the National Nutrition Council. Experts also point out a lack of coordination among projects. They regret that too often, projects are done side by side without any coordination. Especially with regard to prevention, experts regret that current campaigns are not tailored to target groups. For the future, experts stress the importance of evaluation and coordination in the area of prevention. Conclusions: The administrative structure of health care in Finland facilitates an extensive collaboration of public health policy and public health research. Experts press for a strategy of multisectorial collaboration and connection of existing projects to strengthen prevention at national level. In addition, information material should be tailored to individual target groups. (C) 2009 Elsevier GmbH. All rights reserved.