A good investment

Local administration is responsible for health-related areas, and evidence of the health impact of urban policies is available. Barriers and recommendations for the full implementation of health promotion in cities and neighbourhoods have been described. The barriers to the promotion of urban health...

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Detalles Bibliográficos
Autores: Diez, Elia|||0000-0002-0353-3916, Aviñó, Dory, Paredes-Carbonell, Joan J., Segura, Javier, Suárez, Óscar, Gerez, Maria Dolores, Pérez Giménez, Anna|||0000-0003-3205-935X, Daban Aguilar, Ferran|||0000-0001-7303-9086, Camprubí, Lluís
Tipo de recurso: artículo
Fecha de publicación:2016
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:español
OAI Identifier:oai:ddd.uab.cat:290014
Acceso en línea:https://ddd.uab.cat/record/290014
https://dx.doi.org/urn:doi:10.1016/j.gaceta.2016.04.015
Access Level:acceso abierto
Palabra clave:Cities
Ciudades
Determinantes sociales
Equidad
Equity
Gobernanza
Gobernance
Health promotion
Promoción de salud
Salud urbana
Social determinants
Urban health
Descripción
Sumario:Local administration is responsible for health-related areas, and evidence of the health impact of urban policies is available. Barriers and recommendations for the full implementation of health promotion in cities and neighbourhoods have been described. The barriers to the promotion of urban health are broad: the lack of leadership and political will, reflectes the allocation of health outcomes to health services, as well as technical, political and public misconceptions about the root causes of health and wellbeing. Ideologies and prejudices, non-evidence-based policies, narrow sectoral cultures, short political periods, lack of population-based health information and few opportunities for participation limit the opportunities for urban health. Local policies on early childhood, healthy schools, employment, active transport, parks, leisure and community services, housing, urban planning, food protection and environmental health have great positive impacts on health. Key tools include the political prioritisation of health and equity, the commitment to «Health in All Policies» and the participation of communities, social movements and civil society. This requires well organised and funded structures and processes, as well as equity-based health information and capacity building in the health sector, other sectors and society. We conclude that local policies have a great potential for maximising health and equity and equity. The recommendations for carrying them out are increasingly solid and feasible.