HPH2013 - 21st HPH Conference Gothenburg 2013 - Welcome to HPH 2013

Plenary 5

Plenary 5 

Friday, May 24, 16:00-17:00

Enabling More Health Oriented Health Services Through More Health Oriented Health Systems

Making Health Promotion Your Daily Business - A Case Study Of Health Oriented Healthcare Management In An Hmo


PhD, MPH, CHES, Clalit Health Services (ISR)

Dr. Levin-Zamir is Director of the National Department of Health Education and  Promotion  of Clalit, Israel's largest health service organization,  and lecturer  in health promotion in the Schools of Public Health in Haifa, Tel Aviv and Hebrew Universities. Diane is a summa cum laude graduate of Tufts University in Boston, and earned a MPH and PhD from the Braun School of Public Health of Hadassah Hospital and  Hebrew University Faculty of Medicine in Jerusalem.
Diane specializes in action research in health promotion in community primary care, hospital and  media settings, media health literacy, measuring health literacy,  and currently leads the Israel National Health Literacy Survey. She has specialized in  health promotion among special groups: children and adolescents, elderly, people with chronic conditions, and  health promotion in multi-cultural settings. She is active in promoting comprehensive and sustainable health promotion implementation on national and local levels. She teaches health promotion planning, evaluation and health literacy in medical, public health and health professionals training frameworks. Diane has published extensively on various aspects of health literacy and health promotion. She is one of the founding members of the Israel Association of Health Promoters and Educators and is an active member of the National Council for Health Promotion  of Israel's  Ministry of Health. 
Diane has fulfilled a number of leadership roles  in  International Union of Health Education and Promotion,  is chairperson of the Global Working Group on Health Literacy, and serves on  the editorial board of the Global Health Promotion Journal as well as editor of the HP-Source.com for building capacity in health promotion.

Abstract summary:

In order for Health Promotion to be effective,  it must be an integral part of an organization's policy and daily activity. Clalit Health Services, Israel's largest health service organization and the second largest non-governmental health service organization in the world, has positioned health promotion as part of its national policy, practice and research agendas. Health Promotion in Clalit,  is based on the WHO definition - the process of enabling people to increase control over their health and its determinants, and thereby improve their health. Physical, mental and social health are all included within this definition.

Beginning with a mission statement of contributing to a "Healthy Israel", Clalit revisits its national strategy every three years for update and renewal. Health Promotion in Clalit  supports and is supported by all of the organization's  strategic  pillars:


  • Health/medical quality: reducing health disparities in chronic disease, disease prevention and early detection;
  • Excellence in service: providing a variety of accessible and culturally appropriate health promotion services;
  • Innovation: Using technological innovation and public /professional participation for innovative approaches to health promotion, communication and research;
  • Cost containment: creative use of available in-kind budget and  developing outside resources (income from services beyond the basket of services, grants etc);

Health promotion in healthcare is not merely an abundance of projects,  but rather part of the organic make-up of the organization, even during periods of financial crisis in the healthcare system. To demonstrate this, health promotion investment in the following topics will be presented: pre-diabetes and diabetes, capacity building for promoting healthy lifestyles, and smoking cessation services.  Emphasis will be placed on integration of  hospital and primary care services,  adapting initiatives to the health literacy needs  of the public  as well as how  a whole  patient  perspective has been adopted in action planning, implementation and evaluation.

A Whole Patient Pathway Perspective - Past Traditions And Future Trends In Västra Götaland


Västra Götland Health Services (SWE)


Born in Mölndal, Sweden, 10th of April 1953; married; five children

Work and Leadership

2007 -

Healthcare Services Director of Västra Götalandsregion

2006 - 2007

Södra Älvsborgs Sjukhus
pision Manager Medical Specialities

2000 - 2006

Södra Älvsborgs Sjukhus
pision Manager Surgical Specialities

1998 - 2000

Södra Älvsborgs Sjukhus
Senior medical advisor

1995 - 2000

Borås Lasarett
Head of Dept. of Anaesthesia and Intensive Care

1991 - 1995

Borås Lasarett
Assistant head of Dept. of Anaesthesia and Intensive Care

Clinical experience

1985 - 2004

Senior Consultant in Anaesthesia and Intensive Care

1980 - 1985

Resident in Anaesthesia and Intensive Care

Teaching and Lecturing

1995 - 2009

Handbook of Intravenous Anaesthesia volumes 1-4: Author and editor

1995 - 2003

Swedish Society of Anaesthesia and Intensive Care: Scientific editor and lecturer in postgraduate course of Intravenous Anaesthesia. The PGA course is arranged by the department of Anaesthesiology at the University of Uppsala and accredited by the
Swedish Society of Anaesthesia and Intensive Care.

1995 - 2003

PGA-courses in anaesthesia and intensive care: Lectures at medical schools and nursing schools in Sweden


Norwegian Society of Anaesthetic Nurses annual meeting: Intravenous anaesthesia


Swedish Society of Anaesthesia and Intensive Care annual meeting: Managing Day Case Surgery


2nd Congress of the European Society of Anaesthesiologists (ESA) Amsterdam: How do I administer intravenous anaesthesia


International Symposium on Thoracoscopic Sympathicotomy: Total Intravenous Anaesthesia for thoracoscopic sympathicotomy


Swedish Society of Anaesthetic Nurses annual meeting: Intravenous Anaesthesia


2003 - 2004

Cognitive psychotherapy


Specialist in Anaesthesia and Intensive Care



1973 - 1979

Gothenburg University Medical School


Göteborgs Högre Samskola (High School)


Ball High School, Galveston, Texas, USA (Exchange student)

Abstract summary:

Well-integrated care pathways are essential in a successful health care organization. This requires that costs are controlled and that personnel effectively coordinate the planning of the whole patient pathway, but also requires a positive perception of the care by patients. Much of the philosophy behind effective organizations such as lean management is based on experience from industrial processes. The health care market differs from other markets in a number of aspects. One such aspect is its relationship to the patient who acts in true self-interest in consuming this subsidised public service, having little knowledge of the correlation of need versus care, but whose perception of the care is essential for a successful treatment.

Historically, this may have been a minor challenge as the health care service was rather authoritarian and not questioned. However, times have changed, luckily for the better. The involvement of the patient in the process has given us a broader perspective - from the single diagnosis to a whole patient perspective over a longer period. This has also provided an opportunity to move from disease management and sometimes disease prevention to health promotion. Health-promoting goals and activities have a prominent place in primary care, dental care and hospital care in the region of Västra Götaland nowadays. The primary care centres as well as all the hospitals are certified in health promotion. Continuing this health-promoting approach through the whole patient pathway is a very strong trend for the future. However, patient power continues to increase, not least through reforms, making further demands on the health care services. The inclusion of the societal preferences in the prioritisation is one such challenge and in order to achieve this we have to liaise with the patient even further. A number of initiatives in Swedish health care and in the region of Västra Götaland are now implemented. A further development that includes bilateral contracts and agreements on patient responsibility is not far away. How this will tap into health promotion is still to be seen but further opportunities are likely.

Towards A More Health Oriented Health Service In Sweden


MD PhD, Director, Department of Knowledge Based Policy and Guidance at the Swedish National Board of Health and Welfare (SWE)

Background as MD and PhD from the Karolinska Institute, Stockholm, Sweden, with the completion of a thesis on immunosuppressive drugs during the service as a transplantation surgeon. To date approximately 30 scientific publications. In 1993 Joined the pharmaceutical company Astra, later AstraZeneca, and held various R&D leadership positions in this global company over a period of 19 years. This included positions as Medical Adviser in Drug Safety, Department Director in Clinical R&D, Infection & Immunology and Regional Director of the Clinical Project Management function in Sweden. The service at AstraZeneca also included international assignments to Japan (2001-2003) and Singapore (2008-2011). In Japan R&D holding a variety of leadership positions within the CNS/Pain/Infection areas including Department Director, Japan Therapeutic Area Head, Head of Clinical Project Management and working with the globalization of the Japan organization. In Singapore based at the AstraZeneca Regional Asia Pacific Office holding the position as Regional Director of Clinical Study Operations Asia, responsible for all of the company’s global clinical studies in Asia. After returning to Sweden appointed as Director, Department of Knowledge Based Policy and Guidance at the Swedish National Board of Health and Welfare in 2012.

Abstract summary:

Socialstyrelsen, the Swedish National Board of Health and Welfare, work to ensure good health, social welfare and high-quality health and social care on equal terms for the whole Swedish population. The National Board of Health and Welfare is a government agency under the Ministry of Health and Social Affairs. The majority of our activities focus on staff, managers and decision-makers in the above-mentioned areas.

The National Board of Health and Welfare compiles and develops knowledge in health and social care, disease control, and environ¬mental health. The goal is to steer towards increased welfare and good health, as well as treatment and care based on science and proven experience. All citizens have the right to treatment and care that is founded on respect for people’s self-determination and that is knowledge-based, appropriate, safe, patient-focused, effective, equal, and provided in reasonable time.

The National Board of Health and Welfare issues national guidelines for dental, health and social care. The guidelines describe which treatments and methods build on sci¬ence and proven experience. The guidelines are a support for politicians and executives so that they can best allocate public resources. Examples include national guidelines for diabetes care, cardiac care, dental care and disease prevention methods.

Dr Ohlman will address trends in Swedish health service and focus on the concept Health promoting health services.