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Abstract
Tackling complex system challenges like creating healthy environments requires understanding priorities and structures affecting multiple actors. This qualitative study, involving 132 multi-sectoral stakeholders spanning the urban development decision-making system, explores how to influence healthier place-making. Using thematic analysis we develop themes around competing stakeholder priorities; structural ‘rules’ and influential relationships; and justifying a focus on health, requiring greater clarity and consensus around definitions of ‘healthy’ urban development. Building on the socio-ecological model we highlight how a multi-faceted approach is required for change at multiple levels in the complex system to target individual actor motivations, organisational priorities and structural ‘rules’.
Original language | English |
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Article number | 103023 |
Journal | Health & Place |
Volume | 81 |
Early online date | 18 Apr 2023 |
DOIs | |
Publication status | Published - 31 May 2023 |
Bibliographical note
This work was supported by the UK Prevention Research Partnership (award reference: MR/S037586/1), which is funded by the British Heart Foundation, Cancer Research UK, Chief Scientist Office of the Scottish Government Health and Social Care Directorates, Engineering and Physical Sciences Research Council, Economic and Social Research Council, Health and Social Care Research and Development Division (Welsh Government), Medical Research Council, National Institute for Health Research, Natural Environment Research Council, Public Health Agency (Northern Ireland), The Health Foundation and Wellcome.Data availability
Data will be made available on request.
Keywords
- Public health
- Urban
- Qualitative
- complex systems
- Decision-making
- Urban development
- Environmental determinants
- System
- Population health
ASJC Scopus subject areas
- Health(social science)
- Life-span and Life-course Studies
- Sociology and Political Science
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Tackling the Root Causes of Unhealthy Planning, Economics and Decision-making: An Urban Systems Approach
Hunt, A. (PI), Fichera, E. (CoI), Pearce, N. (CoI) & Bates, G. (Researcher)
1/10/19 → 30/09/25
Project: Research council