Geographically-based approaches to the integration of health promotion into health systems: a comparative study of two Health Action zones in the UK

Health Action Zones (HAZs) were introduced in the UK in the late 1990s as a whole system approach to public health and health care. Resources were targeted in historically deprived subregional units of England. Based on process evaluations undertaken in their fourth year of operation, the approaches taken by two HAZs were compared. Each had different histories of intersectoral cooperation and strategic approaches to integration. Both operated in a rapidly changing policy and organizational environment. This undermined attempts to sustain a consistent vision and eventually led to the demise of HAZs as subregional units. The approaches chosen by these two HAZs to integrate health promotion into health systems cannot be divorced from the political, historical and geographical contexts in which they were initiated. What the experiences of the two HAZs demonstrate is that while subregions and localities can potentially benefit from a whole systems perspective, there are deep-seated structural problems that constrain progress. Their experience demonstrates that context is of key importance in understanding the outcomes of any intervention aimed at promoting health.

Download Full-text

Whole Systems Thinking and Modelling in the UK

10.1007/978-3-030-88455-0_2 ◽

2021 ◽

pp. 23-47

Author(s):

Antti Silvast ◽

Chris Foulds

Keyword(s):

Systems Thinking ◽

Energy Demand ◽

Computer Modelling ◽

Research Programme ◽

Academic Disciplines ◽

Systems Perspective ◽

The Social ◽

The Uk ◽

Policy And Planning ◽

Whole Systems

AbstractUK academic researchers have been vying for a ‘whole’ systems perspective on energy issues for more than a decade. This research programme has exposed challenges in complex systems thinking and in the dialogue between academic disciplines and epistemic cultures that is needed to mediate the social, technological, and environmental impacts of energy systems. This chapter examines these efforts starting from existing studies that include detailed reports on experiences of interdisciplinary research. By extending these findings via interviews and ethnographic research, this chapter pays particular attention to the role of interdisciplinary computer modelling that was expected to represent complex energy transitions and energy infrastructures of the future. In doing so, this chapter demonstrates how interdisciplinarity has actually worked in three exemplary areas: the diversity of computer models that seek to represent everyday energy demand and how they simplify both demand and other disciplines in so doing; the need for collaborative, cross-cutting research in foresight of future energy scenarios; and how modelling scholars strongly envision their models should become ‘useful’ for imagined policy and planning stakeholders.

Download Full-text

Care and treatment for people with chronic conditions: What can we learn from the HIV experience? A health systems perspective

PsycEXTRA Dataset ◽

10.1037/e628452012-021 ◽

2012 ◽

Keyword(s):

Health Systems ◽

Chronic Conditions ◽

Systems Perspective ◽

Care And Treatment

Download Full-text

Menelaah Lebih Dekat “Post Factual/Post Truth Politics, Studi Kasus Brexit” (Analsis Resensi Media)

Nyimak (Journal of Communication) ◽

10.31000/nyimak.v1i1.272 ◽

2017 ◽

Vol 1 (1) ◽

Author(s):

Eko Wahyono ◽

Rizka Amalia ◽

Ikma Citra Ranteallo

Keyword(s):

United States ◽

Mass Media ◽

New Media ◽

The United States ◽

The Political ◽

Political Struggle ◽

The Real ◽

The Mass Media ◽

The Uk ◽

The Way

This research further examines the video entitled “what is the truth about post-factual politics?” about the case in the United States related to Trump and in the UK related to Brexit. The phenomenon of Post truth/post factual also occurs in Indonesia as seen in the political struggle experienced by Ahok in the governor election (DKI Jakarta). Through Michel Foucault's approach to post truth with assertive logic, the mass media is constructed for the interested parties and ignores the real reality. The conclusion of this study indicates that new media was able to spread various discourses ranging from influencing the way of thoughts, behavior of society to the ideology adopted by a society.Keywords: Post factual, post truth, new media

Download Full-text

Exploring the role of gender and women in the political economy of health in armed conflict: a narrative review

Globalization and Health ◽

10.1186/s12992-021-00738-9 ◽

2021 ◽

Vol 17 (1) ◽

Author(s):

Kristen Meagher ◽

Bothaina Attal ◽

Preeti Patel

Keyword(s):

Political Economy ◽

Health Systems ◽

Armed Conflict ◽

Narrative Review ◽

Health Systems Strengthening ◽

The Political ◽

Systems Research ◽

Political Economy Of Health ◽

And Gender

Abstract Background The ripple effects of protracted armed conflicts include: significant gender-specific barriers to accessing essential services such as health, education, water and sanitation and broader macroeconomic challenges such as increased poverty rates, higher debt burdens, and deteriorating employment prospects. These factors influence the wider social and political determinants of health for women and a gendered analysis of the political economy of health in conflict may support strengthening health systems during conflict. This will in turn lead to equality and equity across not only health, but broader sectors and systems, that contribute to sustainable peace building. Methods The methodology employed is a multidisciplinary narrative review of the published and grey literature on women and gender in the political economy of health in conflict. Results The existing literature that contributes to the emerging area on the political economy of health in conflict has overlooked gender and specifically the role of women as a critical component. Gender analysis is incorporated into existing post-conflict health systems research, but this does not extend to countries actively affected by armed conflict and humanitarian crises. The analysis also tends to ignore the socially constructed patriarchal systems, power relations and gender norms that often lead to vastly different health system needs, experiences and health outcomes. Conclusions Detailed case studies on the gendered political economy of health in countries impacted by complex protracted conflict will support efforts to improve health equity and understanding of gender relations that support health systems strengthening.

Download Full-text

Back to the Westminster model? The Brexit process and the UK political system

International Political Science Review ◽

10.1177/0192512120967375 ◽

2021 ◽

pp. 019251212096737

Author(s):

Gianfranco Baldini ◽

Edoardo Bressanelli ◽

Emanuele Massetti

Keyword(s):

Political System ◽

Party System ◽

Political Process ◽

Three Dimensions ◽

Executive Power ◽

The Political ◽

Westminster Model ◽

The Uk ◽

Quantitative Indicators ◽

The Impact

This article investigates the impact of Brexit on the British political system. By critically engaging with the conceptualisation of the Westminster model proposed by Arend Lijphart, it analyses the strains of Brexit on three dimensions developed from from Lijphart’s framework: elections and the party system, executive– legislative dynamics and the relationship between central and devolved administrations. Supplementing quantitative indicators with an in-depth qualitative analysis, the article shows that the process of Brexit has ultimately reaffirmed, with some important caveats, key features of the Westminster model: the resilience of the two-party system, executive dominance over Parliament and the unitary character of the political system. Inheriting a context marked by the progressive weakening of key majoritarian features of the political system, the Brexit process has brought back some of the traditional executive power-hoarding dynamics. Yet, this prevailing trend has created strains and resistances that keep the political process open to different developments.

Download Full-text

Europe and/or the UK: Post-Brexit urban and regional development futures – A special issue

European Urban and Regional Studies ◽

10.1177/0969776420982742 ◽

2021 ◽

Vol 28 (1) ◽

pp. 3-7

Author(s):

Nick Henry ◽

Adrian Smith

Keyword(s):

Regional Development ◽

Policy Development ◽

The Political ◽

Regional Studies ◽

Intellectual Life ◽

Cultural Economic ◽

Epochal Change ◽

Urban And Regional Development ◽

The Uk ◽

Political Economic

It was over 25 years ago that European Urban and Regional Studies was launched at a time of epochal change in the composition of the political, economic and social map of Europe. Brexit has been described as an epochal moment – and at such a moment, European Urban and Regional Studies felt it should offer the space for short commentaries on Brexit and its impact on the relationships of place, space and scale across the cultural, economic, social and political maps of the ‘new Europes’. Seeking contributions drawing on the theories, processes and patterns of urban and regional development, the following provides 10 contributions on Europe, the UK and/or their relational geographies in a post-Brexit world. What the drawn-out and highly contested process of Brexit has done for the populace, residents and ex-pats of the UK is to reveal the inordinate ways in which our mental, everyday and legal maps of the regions, nations and places of the UK in Europe are powerful, territorially and rationally inconsistent, downright quirky at times but also intensely unequal. First, as the UK exits the Single Market, the nature of the political imagination needed to create alternatives to the construction of new borders and new divisions, even within a discourse of creating a ‘global Britain’, remains uncertain. European Urban and Regional Studies has always been a journal dedicated to the importance of pan-European scholarly integration and solidarity and we hope that it will continue to intervene in debates over what alternative imaginings to a more closed and introverted future might look like. Second, as the impacts of COVID-19 continue to change in profound ways how we think, work and travel across European space, we will need to find new forms of integration and new forms of engagament in intellectual life and policy development. European Urban and Regional Studies remains commited to forging such forms.

Download Full-text

(In)coherent subjects? The politics of conceptualising resistance in the UK asylum system

Environment and Planning C Politics and Space ◽

10.1177/23996544211033872 ◽

2021 ◽

pp. 239965442110338

Author(s):

Sarah M Hughes

Keyword(s):

Political Action ◽

Political Agency ◽

The Political ◽

Ethnographic Research ◽

Sovereign Power ◽

Subject Formation ◽

Grounding Resistance ◽

Migration Control ◽

The Uk

Many accounts of resistance within systems of migration control pivot upon a coherent migrant subject, one that is imbued with political agency and posited as oppositional to particular forms of sovereign power. Drawing upon ethnographic research into the role of creativity within the UK asylum system, I argue that grounding resistance with a stable, coherent and agentic subject, aligns with oppositional narratives (of power vs resistance), and thereby risks negating the entangled politics of the (in)coherence of subject formation, and how this can contain the potential to disrupt, disturb or interrupt the practices and premise of the UK asylum system. I suggest that charity groups and subjects should not be written out of narratives of resistance apriori because they engage with ‘the state’: firstly, because to argue that there is a particular form that resistance should take is to place limits around what counts as the political; and secondly, because to ‘remain oppositional’ is at odds with an (in)coherent subject. I show how accounts which highlight a messy and ambiguous subjectivity, could be bought into understandings of resistance. This is important because as academics, we too participate in the delineation of the political and what counts as resistance. In predetermining what subjects, and forms of political action count as resistance we risk denying recognition to those within this system.

Download Full-text

Losing the Discursive Battle but Winning the Ideological War: Who Holds Thatcherite Values Now?

Political Studies ◽

10.1177/0032321720986701 ◽

2021 ◽

pp. 003232172098670

Author(s):

Stephen Farrall ◽

Emily Gray ◽

Phil Mike Jones ◽

Colin Hay

Keyword(s):

Survey Data ◽

Prime Minister ◽

Public Attitudes ◽

New Right ◽

The Political ◽

Political Leaders ◽

Margaret Thatcher ◽

The Uk

In what ways, if at all, do past ideologies shape the values of subsequent generations of citizens? Are public attitudes in one period shaped by the discourses and constructions of an earlier generation of political leaders? Using Thatcherism – one variant of the political New Right of the 1980s – as the object of our enquiries, this article explores the extent to which an attitudinal legacy is detectable among the citizens of the UK some 40 years after Margaret Thatcher first became Prime Minister. Our article, drawing on survey data collected in early 2019 (n = 5781), finds that younger generations express and seemingly embrace key tenets of her and her governments’ philosophies. Yet at the same time, they are keen to describe her government’s policies as having ‘gone too far’. Our contribution throws further light on the complex and often covert character of attitudinal legacies. One reading of the data suggests that younger generations do not attribute the broadly Thatcherite values that they hold to Thatcher or Thatcherism since they were socialised politically after such values had become normalised.

Download Full-text

Resituating the political in cultural intermediary work: Charity sector public relations and communication

European Journal of Cultural Studies ◽

10.1177/1367549421994239 ◽

2021 ◽

pp. 136754942199423

Author(s):

Anne M Cronin ◽

Lee Edwards

Keyword(s):

Public Relations ◽

Power Relations ◽

Party Politics ◽

The Political ◽

Depth Analysis ◽

Cultural Intermediary ◽

Cultural Intermediaries ◽

The Uk ◽

The Relationship

Drawing on a case study of public relations in the UK charity sector, this article argues that cultural intermediary research urgently requires a more sustained focus on politics and the political understood as power relations, party politics and political projects such as marketization and neoliberalism. While wide-ranging research has analysed how cultural intermediaries mediate the relationship between culture and economy, this has been at the expense of an in-depth analysis of the political. Using our case study as a prompt, we highlight the diversity of ways that the political impacts cultural intermediary work and that cultural intermediary work may impact the political. We reveal the tensions that underpin practice as a result of the interactions between culture, the economy and politics, and show that the tighter the engagement of cultural intermediation with the political sphere, the more tensions must be negotiated and the more compromised practitioners may feel.

Download Full-text