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STUDY PROTOCOL article

Front. Public Health
Sec. Health Economics
Volume 12 - 2024 | doi: 10.3389/fpubh.2024.1426863

A protocol for mobilising novel finance models for collaborative health promotion and disease prevention initiatives: Taking a Smart Capacitating Investment (SCI) approach in the Invest4Health project

Provisionally accepted
Joanna Lane Joanna Lane 1,2Rhiannon T. Edwards Rhiannon T. Edwards 3*Balázs Babarczy Balázs Babarczy 4Holly Whiteley Holly Whiteley 3Vidya Oruganti Vidya Oruganti 5Maureen Rutten-van Mölken Maureen Rutten-van Mölken 6Caroline Costongs Caroline Costongs 7Anant R. Jani Anant R. Jani 8Sarah Wordsworth Sarah Wordsworth 9Alison Maassen Alison Maassen 7Apostolos Tsiachristas Apostolos Tsiachristas 9Jacob Davies Jacob Davies 3Bengt Stavenow Bengt Stavenow 10Jolanda Van Vliet Jolanda Van Vliet 11Steve Wright Steve Wright 1,12Lina Papartyte Lina Papartyte 7Jennifer Catherine Camaradou Jennifer Catherine Camaradou 1Rositsa Koleva-Kolarova Rositsa Koleva-Kolarova 9
  • 1 Other, Amsterdam, Netherlands
  • 2 University of South-Eastern Norway (USN), Kongsberg, Vestfold, Norway
  • 3 Bangor University, Bangor, United Kingdom
  • 4 Syreon Research Institute, Budapest, Hungary
  • 5 Norwegian School of Economics, Bergen, Hordaland, Norway
  • 6 Erasmus University Rotterdam, Rotterdam, Netherlands
  • 7 EuroHealthNet, Brussels, Belgium
  • 8 Heidelberg University, Heidelberg, Baden-Württemberg, Germany
  • 9 University of Oxford, Oxford, England, United Kingdom
  • 10 Innovation Scania, Lund, Sweden
  • 11 Other, Kristianstad, Sweden
  • 12 Bartlett Faculty of the Built Environment, University College London, London, England, United Kingdom

The final, formatted version of the article will be published soon.

    The prevalence of preventable non-communicable disease (NCD) underpins the need for a lifecourse and cross-sectoral approach to population health that is grounded in health promotion and disease prevention. European Union (EU) countries typically spend 6% to 13% of gross domestic product (GDP) on health care, yet less than 3% of this is dedicated to prevention. The extent to which spending in other sectors prevents avoidable ill-health is largely unknown. The lack of fiscal space post-COVID-19 means shifting from models of care built around treatment to those with greater emphasis on prevention will require innovative, evidence-based investment within and between sectors. The term "smart capacitating investment" (SCI) has previously been used to understand how to best boost social infrastructure investment in education, health, transport and housing across the EU. Here we take that idea further by exploring the applicability of SCI to public health financing to improve population health and well-being.To explore and develop innovative SCI models and tools that enable collaboration and investment across health ecosystems for enhanced health promotion and disease prevention, test them in diverse real-world settings, and create a roadmap for large-scale implementation.The Invest4Health (I4H) project brings together transdisciplinary expertise in epidemiology, public health, health economics, population science, business management, finance, implementation and social sciences, digital health innovation, and regional health systems. The project consists of eight work packages which span the exploration and conceptualisation of SCI in public health; the characterisation of SCI-compatible business and finance models; piloting and evaluation of these models in four European testbeds (Sweden, Germany, Spain and Wales); and exploring the opportunities for sustainable replication and scaling of SCI and future research.We present an introduction to the I4H project, the concept of SCI applied to public health, plus key points for discussion internationally.

    Keywords: Health Economics, Public Health, smart capacitating investment, prevention, Innovative financing mechanisms

    Received: 02 May 2024; Accepted: 30 Dec 2024.

    Copyright: © 2024 Lane, Edwards, Babarczy, Whiteley, Oruganti, Rutten-van Mölken, Costongs, Jani, Wordsworth, Maassen, Tsiachristas, Davies, Stavenow, Van Vliet, Wright, Papartyte, Camaradou and Koleva-Kolarova. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Rhiannon T. Edwards, Bangor University, Bangor, United Kingdom

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.