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Local Authorities and the Social Determinants of Health最新文献

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The Human, Learning, Systems approach to commissioning in complexity 以人、学习、系统为基础的复杂性委托方法
Local Authorities and the Social Determinants of Health Pub Date : 2020-10-14 DOI: 10.1332/POLICYPRESS/9781447356233.003.0014
Toby Lowe, Max French, Melissa Hawkins
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引用次数: 2
Strictly Come Partnering: Are Health and Wellbeing Boards the Answer? 严格的合作伙伴关系:健康和福利委员会是答案吗?
Local Authorities and the Social Determinants of Health Pub Date : 2020-10-14 DOI: 10.46692/9781447356257.008
D. Hunter
{"title":"Strictly Come Partnering: Are Health and Wellbeing Boards the Answer?","authors":"D. Hunter","doi":"10.46692/9781447356257.008","DOIUrl":"https://doi.org/10.46692/9781447356257.008","url":null,"abstract":"This chapter highlights the need for partnership working, which has been a long-standing objective of health and social policy. For many years, the National Health Service (NHS) and local authorities have been attempting to deal with 'wicked issues'. Issues such as homelessness, disaffection of young people, and the ageing society that have complex multiple causes require joined-up approaches by the statutory and third sectors at national and local levels. In 2012, at the time when Public Health responsibilities were transferred from the NHS to local authorities, health and wellbeing boards (HWBs) were established in England. With few exceptions, HWBs punch below their weight and are not the powerful system leaders that were hoped for. Evidence of their value and impact is negligible, with poor-performance indicators, and the difficulties in overcoming deep-seated departmentalism and a silo approach prevalent in government and public services, leaving 'wicked issues' as deep-seated as ever.","PeriodicalId":442386,"journal":{"name":"Local Authorities and the Social Determinants of Health","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131033105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Devolution and localism: 权力下放和地方主义:
Local Authorities and the Social Determinants of Health Pub Date : 2020-10-14 DOI: 10.2307/j.ctv177tgp0.15
Paul Dennett, J. Russell
{"title":"Devolution and localism:","authors":"Paul Dennett, J. Russell","doi":"10.2307/j.ctv177tgp0.15","DOIUrl":"https://doi.org/10.2307/j.ctv177tgp0.15","url":null,"abstract":"","PeriodicalId":442386,"journal":{"name":"Local Authorities and the Social Determinants of Health","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133035208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Appendix: 附录:
Local Authorities and the Social Determinants of Health Pub Date : 2020-10-14 DOI: 10.2307/j.ctv177tgp0.36
{"title":"Appendix:","authors":"","doi":"10.2307/j.ctv177tgp0.36","DOIUrl":"https://doi.org/10.2307/j.ctv177tgp0.36","url":null,"abstract":"","PeriodicalId":442386,"journal":{"name":"Local Authorities and the Social Determinants of Health","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114770497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Conclusion 结论
Local Authorities and the Social Determinants of Health Pub Date : 2020-10-14 DOI: 10.46692/9781447356257.030
Adrian Bonner
{"title":"Conclusion","authors":"Adrian Bonner","doi":"10.46692/9781447356257.030","DOIUrl":"https://doi.org/10.46692/9781447356257.030","url":null,"abstract":"","PeriodicalId":442386,"journal":{"name":"Local Authorities and the Social Determinants of Health","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129412475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health and social care systems 卫生和社会保健系统
Local Authorities and the Social Determinants of Health Pub Date : 2020-10-14 DOI: 10.2307/j.ctv177tgp0.12
A. Coleman, J. Shields, Tim Gilling
{"title":"Health and social care systems","authors":"A. Coleman, J. Shields, Tim Gilling","doi":"10.2307/j.ctv177tgp0.12","DOIUrl":"https://doi.org/10.2307/j.ctv177tgp0.12","url":null,"abstract":"This chapter reviews the organisational changes in the delivery of health and social care. These significant system changes provide a backdrop to current challenges in moving towards an integrated system of health and social care. The chapter discusses challenges related to NHS services being free at the point of use and their integration with means-tested social care. Working in Greater Manchester, the authors show how one of the first UK regions in which health budgets have been devolved to the local authority has allowed the development of governance arrangements and agreed strategic plans across the health and social care sector to promote relationship building. These developments have been underpinned by politically driven reorganisation. The Greater Manchester Partnership has increased the possibility of dealing with the complexity of 'wicked issues' (related to individual and community needs), supported by a Transformational Fund. The wider determinants of health perspective, as proposed by Dahlgren and Whitehead's 'rainbow' model, have been useful in developing holistic responses; these include considerations of transport, housing, and unemployment, among other determinants.","PeriodicalId":442386,"journal":{"name":"Local Authorities and the Social Determinants of Health","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130468958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The Cost of Care if You Don’s Own Your Home 如果你没有自己的房子，你的护理成本
Local Authorities and the Social Determinants of Health Pub Date : 2020-10-14 DOI: 10.2307/j.ctv177tgp0.23
G. Roberts
{"title":"The Cost of Care if You Don’s Own Your Home","authors":"G. Roberts","doi":"10.2307/j.ctv177tgp0.23","DOIUrl":"https://doi.org/10.2307/j.ctv177tgp0.23","url":null,"abstract":"This chapter addresses the complex set of issues when a person does not own their home. It has been acknowledged and debated for a long time that the social care funding system is not fit for purpose, and in its current form is untenable both monetarily and politically. The focus of the funding debate continues to be on those individuals who do own their own home and how they make a valuable contribution to maintaining the current system. There is consideration that this system is unfair on individuals who are deemed to have provided for their future, but little consideration of the implications for individuals who, whether through choice or circumstance, have no assets to use towards the cost of their care. Despite one in four people over the age of 75 not owning their own home, they have been largely ignored as part of the deliberations. Disappointingly, the interpretation of what is fair seems based on what can be contributed in financial terms. Unfairness should also be measured morally and ethically: people who do not own their own home also face an unfair system, one of limited choice and delayed access to care.","PeriodicalId":442386,"journal":{"name":"Local Authorities and the Social Determinants of Health","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130503645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Index 指数
Local Authorities and the Social Determinants of Health Pub Date : 2020-10-14 DOI: 10.2307/j.ctv177tgp0.37
{"title":"Index","authors":"","doi":"10.2307/j.ctv177tgp0.37","DOIUrl":"https://doi.org/10.2307/j.ctv177tgp0.37","url":null,"abstract":"","PeriodicalId":442386,"journal":{"name":"Local Authorities and the Social Determinants of Health","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123363373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A place-based approach to healthy, happy lives 以地方为基础的健康快乐生活方法
Local Authorities and the Social Determinants of Health Pub Date : 2020-10-14 DOI: 10.2307/j.ctv177tgp0.16
Ruth Dombey, A. Bonner
{"title":"A place-based approach to healthy, happy lives","authors":"Ruth Dombey, A. Bonner","doi":"10.2307/j.ctv177tgp0.16","DOIUrl":"https://doi.org/10.2307/j.ctv177tgp0.16","url":null,"abstract":"This chapter outlines innovative approaches to maintain a healthy, happy, and safe community. The wider determinants of health — housing, environment, leisure, income, and education — are well recognised and are just as important as access to good health care. If we want to develop long-term strategies to enable social and cultural change with new models of care, more community-based responsibility for our neighbours and more freedoms and flexibilities to help us make better choices, then the role of place is key. place-based approaches, involving health and social care integration and outcome commissioning, have been developed with a view to a consideration of 'health' in all council planning. This reflects the place-based approach that is being promoted by the London Borough of Sutton as it delegates its statutory duties across the range of services it manages, collaborating with other statutory and third sector organisations within and beyond the two parliamentary constituencies of Sutton and Cheam, and Carshalton and Wallington. A place-based approach to health and wellbeing, in its widest sense, can bring together all parts of the public sector to focus on positive outcomes.","PeriodicalId":442386,"journal":{"name":"Local Authorities and the Social Determinants of Health","volume":"16 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113992364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Public Health and Local Government in Wales: Every Policy A Health Policy – A Collaborative Agenda 威尔士公共卫生和地方政府:每项政策都是一项卫生政策——一项协作议程
Local Authorities and the Social Determinants of Health Pub Date : 2020-10-14 DOI: 10.46692/9781447356257.028
Catherine Farrell, Jennifer Law, S. Thomas
{"title":"Public Health and Local Government in Wales: Every Policy A Health Policy – A Collaborative Agenda","authors":"Catherine Farrell, Jennifer Law, S. Thomas","doi":"10.46692/9781447356257.028","DOIUrl":"https://doi.org/10.46692/9781447356257.028","url":null,"abstract":"This chapter focuses on public health in Wales and the context within which it is delivered. As a devolved service, health policy and the wider public policy legislative framework are the responsibility of the devolved Welsh Government tasked under the Government of Wales Act 2006 with developing and implementing policy, exercising executive functions, and making subordinate legislation. The chapter outlines the organisations involved and the context of the policy in Wales. It also explores the political drive for more collaboration between different organisations as a mechanism for the delivery of better services. The chapter then examines a unique piece of legislation in Wales, the Well-Being of Future Generations Act 2015 (WFG Act), and identifies how this may influence the work of local authorities and other organisations in relation to health and its social determinants. It draws on the available evidence on how this is working so far and looks at two key policy areas jointly driven by the Cymru Well Wales partnership: 'Adverse Childhood Experiences' and 'The first 1,000 days'.","PeriodicalId":442386,"journal":{"name":"Local Authorities and the Social Determinants of Health","volume":"37 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132829532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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