Evidence map›Paper›PMID 38676341›Full record

ArticlePerspectives in public health2024

Addressing health inequalities in times of austerity: implementation of a place-based approach in multitiered local government.

C Lee, M Buswell, J Coker, S Buckner, A Cowan, M Lhussier

Open access · hybridAbstract read
In one paragraph

Article in Perspectives in public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

C LeeCambridge Public Health, Interdisciplinary Research Centre, Department of Engineering, University of Cambridge, and Cambridge Institute for Sustainability Leadership, Trumpington Street, Cambridge, CB2 1PZ, UK.ORCID 0000-0002-5730-4350
M BuswellCambridge Public Health, Interdisciplinary Research Centre, University of Cambridge, Cambridge, UK.
J CokerCambridge Public Health, Interdisciplinary Research Centre, University of Cambridge, Cambridge, UK.
S BucknerCambridge Public Health, Interdisciplinary Research Centre, University of Cambridge, Cambridge, UK.
A CowanCambridge Public Health, Interdisciplinary Research Centre, University of Cambridge, Cambridge, UK.ORCID 0000-0002-8981-5673
M LhussierDirector, Centre for Health and Social Equity (CHASE), Northumbria University, Newcastle upon Tyne, UK.
University of Cambridge · GBNorthumbria University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThis article focuses on how local authorities in England are tackling wider determinants of health and inequalities in their population's outcomes while budgets for public services are diminishing.

methodsIt reports the experience from one case study engaged in rolling out a devolved, place- and asset-based strategy over multiple tiers of local government. Relating these findings to relevant social theory, we draw out aspects of context and mechanisms of change. We offer plausible hypotheses for the experiences observed, which supports transferability and implementation of place-based strategies in other local authority areas struggling with similar challenges.

resultsFindings highlight the importance of high-level and political buy-in, as well as the role of the COVID-19 pandemic as a potential catalyst to rollout. Creating the foundations for a new, place-based working was important for achieving coherence among partners around what local government was trying to achieve. These included investment in infrastructure, both relational and tangible inputs such as organisational and human resources, to establish the conditions for systemic change towards early intervention and prevention.

conclusionThis study identified clear foundations for place-based action, plus enablers and barriers to significant transformation of practice towards asset-based approaches between local authorities, partners and the public.

Indexed as

COVID-19Local GovernmentEnglandHealth InequitiesHealth Status DisparitiesHumansPandemicsSARS-CoV-2asset-basedinequalitiesplace-basedrealist theorysystem-change

Identifiers

PMID38676341
PMCPMC11103920
OpenAlexW4395695003

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.