Title: Regional strategies for sustainable healthcare - the winding path of UN SDGs into Swedish regional healthcare systems

Authors: Elin Wihlborg; Mattias Örnerheim; Carl-Johan Sommar

Addresses: Department of Management and Engineering, Political Science, Linköping University, Sweden ' Department of Criminology and Police Work, Linnæus University, Sweden ' Department of Management and Engineering, Political Science, Linköping University, Sweden

Abstract: Sustainable development has been defined by 17 UN goals, with the third goal (SDG3) focusing on a universal healthcare system that ensures healthy lives and wellbeing. To implement these ambitions, the goal needs to fit a regional setting before it can achieve and support healthy lives and wellbeing amongst the population. This article analyses how four Swedish regions incorporate SDG target 3.4 on non-communicable diseases and mental health into their respective healthcare organisations. The comparative analysis applies the lens of normative institutional theory to policy documents and interviews. All the regions recognise SDG3.4 by acknowledging the need for health promotion. The results show a general absence of similarities in organisational practices and policy outcomes, which is explained by region-specific factors and a lack of governmental coordination. The analysis shows that local policy core values and the related logic of appropriateness predict local outcomes of implementation of general global policies.

Keywords: normative institutionalism; UN Sustainable Development Goals; sustainable healthcare; regional healthcare; implementation; mental health; non-communicable diseases; health promotion.

DOI: 10.1504/IJPP.2022.124780

International Journal of Public Policy, 2022 Vol.16 No.2/3/4, pp.187 - 203

Accepted: 31 Mar 2022
Published online: 08 Aug 2022 *