Print Email Facebook Twitter Targets as a tool in health policy: Part I: Lessons learned Title Targets as a tool in health policy: Part I: Lessons learned Author van Herten, L.M. Gunning-Schepers, L.J. Publication year 2000 Abstract This article reviews the start of the use of targets as a tool in health policy, summarises the fruitful uses and frequently-heard objections, and proposes some conditions for successful health target setting. Targets as tool in health policy are based on the 'management by objectives' approach (1954). The use in health policy was possible due to advances in the use of epidemiology for public health purposes. It provisionally ends with the new health targets adopted by WHO in 1998. The setting and monitoring of health targets is one way in which a government can provide leadership, guidance and strategic direction for the health sector. These benefits, and others, will also be reviewed. Drawbacks - such as political accountability and the limited malleability of society - will also be discussed. To overcome most of the objections, the article ends with some SMART conditions for successful health target setting: specific, measurable, achievable, realistic and time- bound. When SMART conditions are met, political will and daring are the recipe for a successful health target approach. (C) 2000 Elsevier Science Ireland Ltd. Subject HealthHealth planningReviewHealth care planningHealth care policyLeadershipCommunity Health PlanningDeveloped CountriesGuidelinesHealth PolicyHealth PrioritiesHealth Status IndicatorsNetherlandsOrganizational ObjectivesPolicy MakingWorld Health Organization To reference this document use: http://resolver.tudelft.nl/uuid:bffa8af4-ee75-40c6-a7f5-935fed3f60d4 DOI https://doi.org/10.1016/s0168-8510(00)00081-6 TNO identifier 235630 ISSN 0168-8510 Source Health Policy, 53 (1), 1-11 Document type article Files To receive the publication files, please send an e-mail request to TNO Library.