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Abstract：
BACKGROUND: There is growing interest from health researchers in the governance of Health in All Policies (HiAP). Furthermore, the COVID-19 pandemic has re-ignited managers\' interest in HiAP governance and in health prevention activities that involve actors from outside health ministries. Since the dynamics of these multi-actor, multi-sectoral policies are complex, the use of systems theory is a promising avenue toward understanding and improving HiAP governance. We focus on the concept of equilibrium within systems theory, especially as it points to the need to strike a balance between actors that goes beyond synergies or mimicry-a balance that is essential to HiAP governance.
METHODS: We mobilized two sources of data to understand how the concept of equilibrium applies to HiAP governance. First, we reviewed the literature on existing frameworks for collaborative governance, both in general and for HiAP specifically, in order to extract equilibrium-related elements. Second, we conducted an in-depth case study over three years of an HiAP implemented in Quebec, Canada.
RESULTS: In total, we identified 12 equilibrium-related elements relevant to HiAP governance and related to knowledge, actors, learning, mindsets, sustainability, principles, coordination, funding and roles. The equilibria were both operational and conceptual in nature.
CONCLUSIONS: We conclude that policy makers and policy implementers could benefit from mobilizing these 12 equilibrium-related elements to enhance HiAP governance. Evaluators of HiAP may also want to consider and integrate them into their governance assessments.
METHODS: We mobilized two sources of data to understand how the concept of equilibrium applies to HiAP governance. First, we reviewed the literature on existing frameworks for collaborative governance, both in general and for HiAP specifically, in order to extract equilibrium-related elements. Second, we conducted an in-depth case study over three years of an HiAP implemented in Quebec, Canada.
RESULTS: In total, we identified 12 equilibrium-related elements relevant to HiAP governance and related to knowledge, actors, learning, mindsets, sustainability, principles, coordination, funding and roles. The equilibria were both operational and conceptual in nature.
CONCLUSIONS: We conclude that policy makers and policy implementers could benefit from mobilizing these 12 equilibrium-related elements to enhance HiAP governance. Evaluators of HiAP may also want to consider and integrate them into their governance assessments.
摘要：
背景：卫生研究人员对所有政策中的健康管理（HiAP）越来越感兴趣。此外，COVID-19大流行重新点燃了管理人员对HiAP治理和涉及卫生部外部行为者的健康预防活动的兴趣。由于这些多角色的动态，多部门政策复杂，系统论的使用是理解和改进HiAP治理的有希望的途径。我们专注于系统理论中的均衡概念，特别是因为它指出需要在参与者之间达成超越协同作用或模仿的平衡——这种平衡对HiAP治理至关重要。
方法：我们调动了两个数据来源，以了解平衡的概念如何适用于HiAP治理。首先,我们回顾了现有的合作治理框架的文献，无论是在一般情况下，特别是对于HiAP，以提取与平衡相关的元素。第二,我们进行了深入的案例研究，三年来在魁北克实施了HiAP，加拿大。
结果：总计，我们确定了12个与HiAP治理相关和与知识相关的均衡相关元素，演员,学习,思维定势，可持续性原则,协调,资金和角色。均衡本质上是可操作的和概念性的。
结论：我们得出的结论是，政策制定者和政策实施者可以从动员这12个与平衡相关的要素来加强HiAP治理中受益。HiAP的评估人员可能还希望考虑并将其整合到其治理评估中。
方法：我们调动了两个数据来源，以了解平衡的概念如何适用于HiAP治理。首先,我们回顾了现有的合作治理框架的文献，无论是在一般情况下，特别是对于HiAP，以提取与平衡相关的元素。第二,我们进行了深入的案例研究，三年来在魁北克实施了HiAP，加拿大。
结果：总计，我们确定了12个与HiAP治理相关和与知识相关的均衡相关元素，演员,学习,思维定势，可持续性原则,协调,资金和角色。均衡本质上是可操作的和概念性的。
结论：我们得出的结论是，政策制定者和政策实施者可以从动员这12个与平衡相关的要素来加强HiAP治理中受益。HiAP的评估人员可能还希望考虑并将其整合到其治理评估中。
