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Politics, policies and processes: a multidisciplinary and multimethods research programme on policies on the social determinants of health inequity in Australia
INTRODUCTION: The development and implementation of multisectoral policy to improve health and reduce health inequities has been slow and uneven. Evidence is largely focused on the facts of health inequities rather than understanding the political and policy processes. This 5-year funded programme o...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BMJ Publishing Group
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5778301/ https://www.ncbi.nlm.nih.gov/pubmed/29273655 http://dx.doi.org/10.1136/bmjopen-2017-017772 |
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author | Baum, Fran Friel, Sharon |
author_facet | Baum, Fran Friel, Sharon |
author_sort | Baum, Fran |
collection | PubMed |
description | INTRODUCTION: The development and implementation of multisectoral policy to improve health and reduce health inequities has been slow and uneven. Evidence is largely focused on the facts of health inequities rather than understanding the political and policy processes. This 5-year funded programme of research investigates how these processes could function more effectively to improve equitable population health. METHODS AND ANALYSIS: The programme of work is organised in four work packages using four themes (macroeconomics and infrastructure, land use and urban environments, health systems and racism) related to the structural drivers shaping the distribution of power, money and resources and daily living conditions. Policy case studies will use publicly available documents (policy documents, published evaluations, media coverage) and interviews with informants (policy-makers, former politicians, civil society, private sector) (~25 per case). NVIVO software will be used to analyse the documents to see how ‘social and health equity’ is included and conceptualised. The interview data will include qualitative descriptive and theory-driven critical discourse analysis. Our quantitative methodological work assessing the impact of public policy on health equity is experimental that is in its infancy but promises to provide the type of evidence demanded by policy-makers. ETHICS AND DISSEMINATION: Our programme is recognising the inherently political nature of the uptake, formulation and implementation of policy. The early stages of our work indicate its feasibility. Our work is aided by a Critical Policy Reference Group. Multiple ethics approvals have been obtained with the foundation approval from the Social and Behavioural Ethics Committee, Flinders University (Project No: 6786). The theoretical, methodological and policy engagement processes established will provide improved evidence for policy-makers who wish to reduce health inequities and inform a new generation of policy savvy knowledge on social determinants. |
format | Online Article Text |
id | pubmed-5778301 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-57783012018-01-31 Politics, policies and processes: a multidisciplinary and multimethods research programme on policies on the social determinants of health inequity in Australia Baum, Fran Friel, Sharon BMJ Open Public Health INTRODUCTION: The development and implementation of multisectoral policy to improve health and reduce health inequities has been slow and uneven. Evidence is largely focused on the facts of health inequities rather than understanding the political and policy processes. This 5-year funded programme of research investigates how these processes could function more effectively to improve equitable population health. METHODS AND ANALYSIS: The programme of work is organised in four work packages using four themes (macroeconomics and infrastructure, land use and urban environments, health systems and racism) related to the structural drivers shaping the distribution of power, money and resources and daily living conditions. Policy case studies will use publicly available documents (policy documents, published evaluations, media coverage) and interviews with informants (policy-makers, former politicians, civil society, private sector) (~25 per case). NVIVO software will be used to analyse the documents to see how ‘social and health equity’ is included and conceptualised. The interview data will include qualitative descriptive and theory-driven critical discourse analysis. Our quantitative methodological work assessing the impact of public policy on health equity is experimental that is in its infancy but promises to provide the type of evidence demanded by policy-makers. ETHICS AND DISSEMINATION: Our programme is recognising the inherently political nature of the uptake, formulation and implementation of policy. The early stages of our work indicate its feasibility. Our work is aided by a Critical Policy Reference Group. Multiple ethics approvals have been obtained with the foundation approval from the Social and Behavioural Ethics Committee, Flinders University (Project No: 6786). The theoretical, methodological and policy engagement processes established will provide improved evidence for policy-makers who wish to reduce health inequities and inform a new generation of policy savvy knowledge on social determinants. BMJ Publishing Group 2017-12-21 /pmc/articles/PMC5778301/ /pubmed/29273655 http://dx.doi.org/10.1136/bmjopen-2017-017772 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Public Health Baum, Fran Friel, Sharon Politics, policies and processes: a multidisciplinary and multimethods research programme on policies on the social determinants of health inequity in Australia |
title | Politics, policies and processes: a multidisciplinary and multimethods research programme on policies on the social determinants of health inequity in Australia |
title_full | Politics, policies and processes: a multidisciplinary and multimethods research programme on policies on the social determinants of health inequity in Australia |
title_fullStr | Politics, policies and processes: a multidisciplinary and multimethods research programme on policies on the social determinants of health inequity in Australia |
title_full_unstemmed | Politics, policies and processes: a multidisciplinary and multimethods research programme on policies on the social determinants of health inequity in Australia |
title_short | Politics, policies and processes: a multidisciplinary and multimethods research programme on policies on the social determinants of health inequity in Australia |
title_sort | politics, policies and processes: a multidisciplinary and multimethods research programme on policies on the social determinants of health inequity in australia |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5778301/ https://www.ncbi.nlm.nih.gov/pubmed/29273655 http://dx.doi.org/10.1136/bmjopen-2017-017772 |
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