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GOOD PLACES BETTER HEALTH A New Approach for a New Era

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GOOD PLACES BETTER HEALTH A New Approach for a New Era. George Morris and Lorraine Tulloch. Why did we initiate a process of change in the way we looked at environment and human health in Scotland, a process which has led to Good Places Better Health?. In Short, What needed fixing?. - PowerPoint PPT Presentation
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GOOD PLACES BETTER HEALTH A New Approach for a New Era George Morris and Lorraine Tulloch
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Page 1: GOOD PLACES BETTER HEALTH A New Approach for a New Era

GOOD PLACES BETTER HEALTHA New Approach for a New EraGeorge Morris and Lorraine Tulloch

Page 2: GOOD PLACES BETTER HEALTH A New Approach for a New Era

Why did we initiate a process of change in the way we looked at environment and

human health in Scotland, a process which has led to Good Places Better Health?

In Short, What needed fixing?

Page 3: GOOD PLACES BETTER HEALTH A New Approach for a New Era

• A disarticulation at the level of policy and amongst practitioners

• Policy and practice in environmental health which was narrow, compartmentalised and still had a very strong (although huely important) hazard focus

• A sense, that despite their importance activities in environmental health had become slightly removed from the ‘big issues’ in public health

• Policy and action on environment was not fully exploited for better more equal health

Page 4: GOOD PLACES BETTER HEALTH A New Approach for a New Era

Env and human health had become a little old fashioned and was not serving public health and the wider policy constituency as well as

it might

Page 5: GOOD PLACES BETTER HEALTH A New Approach for a New Era

We believed a modern policy-relevant approach on E & H would require to:

• reflect the complex interaction of physical environment with socio-demographic factors

• represent the psychosocial dimension to the relationship between people and places

• exploit the close articulation between public health and sustainability

• consider the health promoting potential of the environment

Page 6: GOOD PLACES BETTER HEALTH A New Approach for a New Era

Success, we believed, could deliver some fairly alluring benefits.

• reinforce concern for environment and the wider concept of place at the heart of the public health agenda

• Extend the reach of environment to the health improvement agenda

• Make explicit the relevance of environment to health inequalities

• Offer some generic pointers on stakeholder engagement and cross-sectoral working

• Re-energise and develop new approaches for health protection

Page 7: GOOD PLACES BETTER HEALTH A New Approach for a New Era

5 KEY PILLARS OF A NEW APPROACH

1.Holistic problem framing

2.Wide stakeholder engagement

3.Exploitation of a mixed economy of evidence

4.Qualitative synthesis of evidence to develop key messages

5.Consistent challenge to professional institutional and policy silos

Page 8: GOOD PLACES BETTER HEALTH A New Approach for a New Era

We are in an Era of Ecological Public Health and we need to engineer an appropriate response

across the board.

Page 9: GOOD PLACES BETTER HEALTH A New Approach for a New Era

An ecological approach implies we must:

“..comprehend the composite interactions between the physical, physiological, social and cognitive worlds that determine health outcomes in order to intervene, alter or ameliorate the population’s health by shaping society and framing public and private choices to deliver sustainable planetary, economic, societal and human health”

Source: Lang and Rayner – Expert submission to Foresight obesity project (published in Obesity Reviews, January 2007)

Page 10: GOOD PLACES BETTER HEALTH A New Approach for a New Era

Exposure(or Experience)

EnvironmentalHazard or

‘Good’

HealthEffect

We need to consider more

carefully the way those (hazards or

good) environments translate to disease

or better health?

Page 11: GOOD PLACES BETTER HEALTH A New Approach for a New Era

Exposure(or

Experience)Exposure

EnvironmentalHazard or ‘Good’

HealthEffect

ContextSocial and economic factors, cultural influences, factors relating to the individual

A more realistic representation!

Page 12: GOOD PLACES BETTER HEALTH A New Approach for a New Era

Exposure

EnvironmentalHazard or

‘Good’

HealthEffect

ContextInfluences risk for the individual

Policy and

Action

A more realisticand policy-relevant representation

The Drivers that shape environment

or place


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