发布求助
文献互助 智能选刊 最新文献

Local Authorities and the Social Determinants of Health最新文献

筛选
英文 中文
Commissioning and social determinants: evidence and opportunities 委托和社会决定因素:证据和机会
Local Authorities and the Social Determinants of Health Pub Date : 2020-10-14 DOI: 10.46692/9781447356257.021
C. O’Leary, C. Fox
{"title":"Commissioning and social determinants: evidence and opportunities","authors":"C. O’Leary, C. Fox","doi":"10.46692/9781447356257.021","DOIUrl":"https://doi.org/10.46692/9781447356257.021","url":null,"abstract":"This chapter argues that local authorities can and should use their purchasing power strategically to address the social determinants of health that affect their local area. It examines commissioning and procurement as local authority functions, defining these concepts and exploring the conceptual confusion between the two. The chapter then looks at the evidence of current practice of local authorities (with a particular focus on local authorities in the UK) in strategic use of their purchasing power. Core to the argument is the role of local voluntary organisations and small and medium-sized enterprises (SMEs), so there is a particular focus on the commissioning experience of these types of organisations. Finally, the chapter makes the case for the role that voluntary sector organisations can play in addressing social determinants of health, before drawing some broad conclusions about the way forward.","PeriodicalId":442386,"journal":{"name":"Local Authorities and the Social Determinants of Health","volume":"54 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":"130853713","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
The role of English local authorities in addressing the social determinants of health: 英国地方当局在处理健康的社会决定因素方面的作用:
Local Authorities and the Social Determinants of Health Pub Date : 2020-10-14 DOI: 10.2307/j.ctv177tgp0.11
Jeanelle de Gruchy, J. Mcmanus
{"title":"The role of English local authorities in addressing the social determinants of health:","authors":"Jeanelle de Gruchy, J. Mcmanus","doi":"10.2307/j.ctv177tgp0.11","DOIUrl":"https://doi.org/10.2307/j.ctv177tgp0.11","url":null,"abstract":"This chapter examines the changing positioning of public health, moving between the National Health Service (NHS) and local government. The strategic movement, across both developed and developing countries, from concentrating health resources on communicable disease to a focus on non-communicable disease, is a response to modern epidemics of obesity, alcohol-related diseases, and the politics of health care. However, communicable diseases can still have major health, social, and economic impacts, as demonstrated by the potential pandemic caused by the rapid global of COVID-19 (Coronavirus). Clearly, austerity budgets have an effect on the health of particular segments of the population, with those people at the lower end of the social gradient being most affected by both quality of the environment and availability of health and social care. Public Health was incorporated into the NHS in 1974, and then, influenced by the Marmot Review (2010), it was returned to local authorities in 2013. Building on the 'science' of public health, public health professionals have been challenged to develop skills in the 'art' of public health that are required to influence policy change and systems leadership within their wider remit in local authorities.","PeriodicalId":442386,"journal":{"name":"Local Authorities and the Social Determinants of Health","volume":"86 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":"123311370","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
Cultural change and the evolution of community governance: 文化变迁与社区治理的演变:
Local Authorities and the Social Determinants of Health Pub Date : 2020-10-14 DOI: 10.2307/j.ctv177tgp0.18
K. Arden, K. Cunliffe, P. Cook
{"title":"Cultural change and the evolution of community governance:","authors":"K. Arden, K. Cunliffe, P. Cook","doi":"10.2307/j.ctv177tgp0.18","DOIUrl":"https://doi.org/10.2307/j.ctv177tgp0.18","url":null,"abstract":"","PeriodicalId":442386,"journal":{"name":"Local Authorities and the Social Determinants of Health","volume":"29 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":"124868898","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
The role of the third sector working with the hard and soft structures of public–private partnerships to promote individual health and reinvigorated, healthier communities 第三部门与公私伙伴关系的硬结构和软结构合作，促进个人健康和恢复活力、更健康的社区的作用
Local Authorities and the Social Determinants of Health Pub Date : 2020-10-14 DOI: 10.2307/j.ctv177tgp0.28
Tony Chasteauneuf, Tonya Thornton, Dean Pallant
{"title":"The role of the third sector working with the hard and soft structures of public–private partnerships to promote individual health and reinvigorated, healthier communities","authors":"Tony Chasteauneuf, Tonya Thornton, Dean Pallant","doi":"10.2307/j.ctv177tgp0.28","DOIUrl":"https://doi.org/10.2307/j.ctv177tgp0.28","url":null,"abstract":"This chapter discusses the role of the third sector working with the hard and soft structures of public–private partnerships to promote healthier individuals and communities. It considers how a recommitment to the 'local authority' of citizens and beneficiaries offers the possibility of revitalised and healthier individuals and reinvigorated and healthier communities, which are unachievable through the hard and soft structures of the commissioner/provider statutory approach. The chapter then identifies the pivotal dynamic of one-to-one relationships in these processes and their association with health outcomes (emotional, physical, and spiritual) alongside the opportunities and challenges in agencies engaging/re-engaging with the agency of citizens and beneficiaries. It explores the tension between the 'agency' of citizens and beneficiaries that constitutes bottom-up power and 'agencies' with top-down power. The chapter also looks at the benefits of embracing the expertise and investment of individuals and their communities in their personal and shared lives, how this can be supported and how it can be undermined.","PeriodicalId":442386,"journal":{"name":"Local Authorities and the Social Determinants of Health","volume":"18 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":"130355516","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
The Changing Landscape of Local Authority Commissioning 不断变化的地方当局委托景观
Local Authorities and the Social Determinants of Health Pub Date : 2020-10-14 DOI: 10.2307/j.ctv177tgp0.20
D. Ayre
{"title":"The Changing Landscape of Local Authority Commissioning","authors":"D. Ayre","doi":"10.2307/j.ctv177tgp0.20","DOIUrl":"https://doi.org/10.2307/j.ctv177tgp0.20","url":null,"abstract":"This chapter assesses the history of the relationship between public and private sectors and the extent to which the political and regulatory environment of governments and institutions such as the European Union (EU) can help or hinder the efforts of public bodies in seeking to deliver services that determine the health and quality of life for communities. The relationship of public and private sectors in the United Kingdom (UK) and the commissioning, procurement, and development of public–private partnerships is driven by the prevailing political and economic environment. However, rigorous academic research on the benefits of partnering to organisations, societies and between countries is limited. Evidence is needed to fill the policy vacuum. A bolder approach is necessary to work with public and private sectors to develop and implement successful partnering alternatives to the outsourcing of public services. The growing catalogue of outsourcing failures in construction, probation, rail franchising, health, and social care is creating an appetite for change, and the exit of the UK from the EU provides the opportunity.","PeriodicalId":442386,"journal":{"name":"Local Authorities and the Social Determinants of Health","volume":"22 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":"123537896","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
The challenges facing local authorities in supporting children and families 地方当局在支持儿童和家庭方面面临的挑战
Local Authorities and the Social Determinants of Health Pub Date : 2020-10-14 DOI: 10.2307/j.ctv177tgp0.22
G. Munro, K. Clements
{"title":"The challenges facing local authorities in supporting children and families","authors":"G. Munro, K. Clements","doi":"10.2307/j.ctv177tgp0.22","DOIUrl":"https://doi.org/10.2307/j.ctv177tgp0.22","url":null,"abstract":"This chapter evaluates some of the challenges for local authorities providing services to children, young people, and their families. It considers the impact upon the health of those young people seeking support and the intersection with the work of the voluntary sector. This discussion draws upon the research and policy work of the National Children's Bureau (NCB), which works with children, young people, and their families through research, advocacy, the delivery of training, and the facilitation of learning and development across a range of child-focused programmes. The overall aim of the body of work across the fields of early years, education, health, and participation is to support those who work with children and young people to achieve better outcomes and a better childhood for all children. The chapter provides a brief outline of some of the background to the financial pressures under which services find themselves working before focusing on some of the implications for social care and health outcomes for children and young people.","PeriodicalId":442386,"journal":{"name":"Local Authorities and the Social Determinants of Health","volume":"1 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":"128417188","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
The power and value of relationships in local authorities’ and central government funding encouraging culture change 地方政府和中央政府资助鼓励文化变革的关系的力量和价值
Local Authorities and the Social Determinants of Health Pub Date : 2020-10-14 DOI: 10.2307/j.ctv177tgp0.21
Richard Smith
{"title":"The power and value of relationships in local authorities’ and central government funding encouraging culture change","authors":"Richard Smith","doi":"10.2307/j.ctv177tgp0.21","DOIUrl":"https://doi.org/10.2307/j.ctv177tgp0.21","url":null,"abstract":"This chapter describes the emergence and development of the Centre for Partnering (CfP), a think tank that has been formed to explore the role and effect of partnering between different kinds of organisations from within the public, private, and voluntary sectors. The research projects that the CfP will undertake include an examination of the role that procurement and commissioning of services has played and could play in the future of partnering. The research agenda is also focused on the value of partnering as it could impact on large-scale infrastructure projects where social and other community (local and national) issues are addressed. The CfP agenda also addresses 'wicked issues', as identified as part of the consideration of the social determinants of health. The focus of this research is upon the value of establishing a legal framework through which prospective partners can enter into a dialogue to build trust and a relationship ahead of formal contract relationships.","PeriodicalId":442386,"journal":{"name":"Local Authorities and the Social Determinants of Health","volume":"39 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":"123993033","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
Steadying the swinging pendulum – how might we accommodate competing approaches to public service delivery? 稳定摇摆的钟摆-我们如何容纳提供公共服务的竞争方法?
Local Authorities and the Social Determinants of Health Pub Date : 2020-10-14 DOI: 10.2307/j.ctv177tgp0.34
Nigel R. Ball
{"title":"Steadying the swinging pendulum – how might we accommodate competing approaches to public service delivery?","authors":"Nigel R. Ball","doi":"10.2307/j.ctv177tgp0.34","DOIUrl":"https://doi.org/10.2307/j.ctv177tgp0.34","url":null,"abstract":"This chapter reflects on the challenge of accommodating competing approaches to public service delivery. Discourse around the social determinants of health is skewed towards the parts of the population whose adverse social circumstances harm their health the most. Local authorities are much closer to the complexities of service delivery than central government departments, and thus have an instrumental role to play in efforts to support these groups. They do not play this role alone — it is shared with other local delivery agencies, such as Sustainability and Transformation Partnerships in the National Health Service (NHS), as well as private providers and local community groups. There has always been much debate around what role each of these actors should play, and how they might interact with one another so as to create masterful theatre rather than a depressing farce. This question continues to be the focus of much policymaking, experimentation, and debate. The chapter then considers the West London Zone for Children and Young People, a cross-sector delivery partnership. It also explores some of the intersecting themes across other efforts, drawing on research from the Government Outcomes Lab.","PeriodicalId":442386,"journal":{"name":"Local Authorities and the Social Determinants of Health","volume":"1 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":"130808794","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: 10.1332/policypress/9781447356233.003.0023
A. Bonner
{"title":"Conclusion","authors":"A. Bonner","doi":"10.1332/policypress/9781447356233.003.0023","DOIUrl":"https://doi.org/10.1332/policypress/9781447356233.003.0023","url":null,"abstract":"This concluding chapter explains that in order to develop interrelationships and interdependencies across the various domains within a social determinants of health rainbow model, there needs to be a good understanding and respect for each of these contributions to the health and wellbeing of people and their communities. In the ten-year period of austerity preceding the COVID-19 crisis, many local authorities have radically reduced their social and health services for children and families and young people, concentrating solely on those with the most acute need, those whom they have a legal obligation to support. Indeed, local government has 'retreated from its historical position as the front-line of defence against social evils'. There remain major concerns about local authorities' ability to support their communities in the post-COVID-19 period. Ultimately, although there are large numbers of reports and reviews aimed at local commissioning policies and practices, there is very little evidence to support the interrelated and interdependent approaches utilising a social determinants of health model that specifically addresses 'wicked issues'.","PeriodicalId":442386,"journal":{"name":"Local Authorities and the Social Determinants of Health","volume":"20 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":"127734623","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
Inequalities in health and wellbeing across the UK: a local North-East perspective 英国健康和福利的不平等:东北地方视角
Local Authorities and the Social Determinants of Health Pub Date : 2020-10-14 DOI: 10.2307/j.ctv177tgp0.17
Edward Kunonga, G. Gibson, C. Parker
{"title":"Inequalities in health and wellbeing across the UK: a local North-East perspective","authors":"Edward Kunonga, G. Gibson, C. Parker","doi":"10.2307/j.ctv177tgp0.17","DOIUrl":"https://doi.org/10.2307/j.ctv177tgp0.17","url":null,"abstract":"This chapter identifies the challenges facing the North-East from a population health perspective, and the implications for the area of the contemporary context of the reductions in funding that widen health inequalities and create challenges in the labour market. It considers the potential benefits of building new approaches that address these challenges using community assets, place-based, targeted, collaborative approaches and are based heavily on community ownership, participation, and voice. The chapter then reviews the responses of local authorities in the North-East to reduced central government funding, examining key issues such as supporting vulnerable groups. It also highlights local authority and community responses and innovation approaches to supporting people via health and wellbeing strategies. This review takes account of the critical socio-economic issues arising from the Brexit process and during the 'end of austerity', particularly with respect to the North-East region of the United Kingdom.","PeriodicalId":442386,"journal":{"name":"Local Authorities and the Social Determinants of Health","volume":"261 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":"127368565","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
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：604180095
Book学术官方微信