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

Anna Le Gouais(University of Bristol), Geoff Bates(University of Bath), Rosalie Callway(University of Bristol), Heeseo Rain Kwon(University of Reading), Lisa Montel(University of Bristol), Sian Peake-Jones(University of Manchester), Jo White(University of the West of England), Md Nazmul Hasan(University of Bath), Caglar Koksal(University of Manchester), Andrew Barnfield(University of Bristol), Krista Bondy(University of Bath), Sarah Ayres(University of Bristol)
Health & Place
April 18, 2023
10.1016/j.healthplace.2023.103023
Cited by 57Open Access
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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'.

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