ArticleJournal of urban health : bulletin of the New York Academy of Medicine2021
Overcoming Systemic Barriers Preventing Healthy Urban Development in the UK: Main Findings from Interviewing Senior Decision-Makers During a 3-Year Planetary Health Pilot.
Article in Journal of urban health : bulletin of the New York Academy of Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Evaluating changes and predictors of intention to act on health in urban development: a single-arm pre-post mixed-methods study of the changing mindsets intervention.Archives of public health = Archives belges de sante publique · 2026Article
- Development and optimisation of an intervention to increase the intention to act on health and health equity within the private sector of urban development: an evidence, theory and Person-Based Approach.BMC public health · 2025Article
- Stakeholder analysis in urban-planetary health research: The Key Group Approach.Frontiers in public health · 2025Article
- Short-termism in urban development: The commercial determinants of planetary health.Earth system governance · 2024Article
- Local government interventions for improving the health and wellbeing of tenants in private rented housing: developing initial program theory to inform evaluation in the United Kingdom.BMC public health · 2024Article
- Constructing causal loop diagrams from large interview data sets.System dynamics review · 2024Article
- Understanding how to create healthier places: A qualitative study exploring the complex system of urban development decision-making.Health & place · 2023Article
- Integrating Health into Local Plans: A Comparative Review of Health Requirements for Urban Development in Seven Local Planning Authorities in England.International journal of environmental research and public health · 2023Review
- 'Harnessing the power of the law': a qualitative analysis of the legal determinants of health in English urban planning and recommendations for fairer and healthier decision-making.BMC public health · 2023Article
- Developing and testing an environmental economics approach to the valuation and application of urban health externalities.Frontiers in public health · 2023Article
- The Application of 'Elite Interviewing' Methodology in Transdisciplinary Research: a Record of Process and Lessons Learned during a 3-Year Pilot in Urban Planetary Health Research.Journal of urban health : bulletin of the New York Academy of Medicine · 2021Article
- Toward Urban Planetary Health Solutions to Climate Change and Other Modern Crises.Journal of urban health : bulletin of the New York Academy of Medicine · 2021Article
- Pandemics, vulnerability, and prevention: time to fundamentally reassess how we value and communicate risk?: CITIES, HEALTH and COVID-19: Initial reflections and future challenges.Cities & health · 2021Article
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Authors and funding
8 authors.
Funding
Abstract
This paper sets out the main findings from two rounds of interviews with senior representatives from the UK's urban development industry: the third and final phase of a 3-year pilot, Moving Health Upstream in Urban Development' (UPSTREAM). The project had two primary aims: firstly, to attempt to value economically the health cost-benefits associated with the quality of urban environments and, secondly, to interview those in control of urban development in the UK in order to reveal the potential barriers to, and opportunities for, the creation of healthy urban environments, including their views on the use of economic valuation of (planetary) health outcomes. Much is known about the 'downstream' impact of urban environments on human and planetary health and about how to design and plan healthy towns and cities ('midstream'), but we understand relatively little about how health can be factored in at key governance tipping points further 'upstream', particularly within dominant private sector areas of control (e.g. land, finance, delivery) at sub-national level. Our findings suggest that both public and private sector appeared well aware of the major health challenges posed by poor-quality urban environments. Yet they also recognized that health is not factored adequately into the urban planning process, and there was considerable support for greater use of non-market economic valuation to help improve decision-making. There was no silver bullet however: 110 barriers and 76 opportunities were identified across a highly complex range of systems, actors and processes, including many possible points of targeted intervention for economic valuation. Eight main themes were identified as key areas for discussion and future focus. This findings paper is the second of two on this phase of the project: the first sets out the rationale, approach and methodological lessons learned.
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