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

Le Gouais, A., Bates, G., Callway, R., Kwon, H. R. ORCID: https://orcid.org/0000-0003-1780-2328, Montel, L., Peake-Jones, S., White, J., Hasan, M. N., Koksal, C., Barnfield, A., Bondy, K. and Ayres, S. (2023) Understanding how to create healthier places: a qualitative study exploring the complex system of urban development decision-making. Health & Place, 81. 103023. ISSN 1353-8292 doi: 10.1016/j.healthplace.2023.103023

Abstract/Summary

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'.

Item Type	Article
URI	https://reading-clone.eprints-hosting.org/id/eprint/111851
Identification Number/DOI	10.1016/j.healthplace.2023.103023
Refereed	Yes
Divisions	Henley Business School > Real Estate and Planning
Uncontrolled Keywords	Decision-making, Qualitative, Population health, System, Urban development, Environmental determinants
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