Understanding how to create healthier places: A qualitative study exploring the complex system of urban development decision-making.

Autor: Le Gouais A; University of Bristol, Bristol Medical School (Population Health Sciences), UK. Electronic address: Anna.legouais@bristol.ac.uk., Bates G; University of Bath, Institute for Policy Research, UK., Callway R; University of Bristol, Bristol Medical School (Population Health Sciences), UK., Kwon HR; University of Reading, Henley Business School, UK., Montel L; University of Bristol Law School, Centre for Health, Law and Society, UK., Peake-Jones S; University of Manchester, Manchester Urban Institute, UK., White J; University of the West of England, Centre for Public Health and Wellbeing, UK., Hasan MN; University of Bath, School of Management, UK., Koksal C; University of Manchester, Manchester Urban Institute, UK., Barnfield A; University of Bristol, School for Policy Studies, UK., Bondy K; University of Bath, School of Management, UK., Ayres S; University of Bristol, School for Policy Studies, UK.
Jazyk: angličtina
Zdroj: Health & place [Health Place] 2023 May; Vol. 81, pp. 103023. Date of Electronic Publication: 2023 Apr 18.
DOI: 10.1016/j.healthplace.2023.103023
Abstrakt: 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'.
Competing Interests: Declaration of competing interest None.
(Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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