City deals and health equity in Sydney, Australia.

Australia Cities Health Equity Humans Policy Making Urban Health
Cities City deals Equity Governance Health Infrastructure Place Policy

Journal

Health & place
ISSN: 1873-2054
Titre abrégé: Health Place
Pays: England
ID NLM: 9510067

Informations de publication

Date de publication:
01 2022
Historique:
received: 26 08 2021
revised: 03 11 2021
accepted: 08 11 2021
pubmed: 24 11 2021
medline: 15 3 2022
entrez: 23 11 2021
Statut: ppublish

Résumé

'City Deals' are new governance instruments for urban development. Vast evidence exists on the relationship between urban factors and health equity, but little research applies a health equity lens to urban policy-making. This paper does precisely that for the Western Sydney City Deal (WSCD) in Australia. We conducted a critical discourse analysis of publicly available documents and interviews with the WSCD's main architects, applying insights from relevant theories. We find 'pro-growth' discourse to encourage economic investment dominates any references to disadvantage. Interviewees maintained the WSCDs fundamental purpose is to rebalance urban investment toward the historically disadvantaged West. However, the WSCD makes limited reference to health and none to equity. Institutionalised governance practices that favour private investments in infrastructure remain the dominant force behind the WSCD. We document how a shift to 'place-based' infrastructure has promise for equity but struggles to overcome institutionalised approaches to urban investments.

Identifiants

DOI: 10.1016/j.healthplace.2021.102711 PMID: 34814070
pubmed: 34814070
pii: S1353-8292(21)00207-0
doi: 10.1016/j.healthplace.2021.102711
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Pagination

102711

Informations de copyright

Copyright © 2021 Elsevier Ltd. All rights reserved.

Auteurs

Patrick Harris (P)

Centre for Health Equity Training, Research & Evaluation (CHETRE), Part of the UNSW Australia Research Centre for Primary Health Care & Equity, A Unit of Population Health, South Western Sydney Local Health District, NSW Health A Member of the Ingham Institute, Liverpool Hospital Locked Bag 7103, Liverpool BC, NSW, 1871, Australia. Electronic address: patrick.harris@unsw.edu.au.

Matt Fisher (M)

Southgate Institute for Health, Society and Equity, Flinders University, Australia.

Sharon Friel (S)

REGNET, Australian National University Sydney University, School of Public Health, Australia.

Peter Sainsbury (P)

Centre for Health Equity Training, Research & Evaluation (CHETRE), Part of the UNSW Australia Research Centre for Primary Health Care & Equity, A Unit of Population Health, South Western Sydney Local Health District, NSW Health A Member of the Ingham Institute, Liverpool Hospital Locked Bag 7103, Liverpool BC, NSW, 1871, Australia.

Elizabeth Harris (E)

Health and Equity Research and Development Unit, Sydney Local Health District and Centre for Primary Health Care and Equity, UNSW, Australia.

Evelyne De Leeuw (E)

Centre for Health Equity Training, Research & Evaluation (CHETRE), Part of the UNSW Australia Research Centre for Primary Health Care & Equity, A Unit of Population Health, South Western Sydney Local Health District, NSW Health A Member of the Ingham Institute, Liverpool Hospital Locked Bag 7103, Liverpool BC, NSW, 1871, Australia.

Fran Baum (F)

Southgate Institute for Health, Society and Equity, Flinders University, Australia.

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Classifications MeSH

questionsmedicales.fr › Régions géographiques › Océanie › Australasie › Australie › City deals and health equity in Sydney, Australia.
questionsmedicales.fr › Régions géographiques › Villes › City deals and health equity in Sydney, Australia.
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Accessibilité des services de santé › Équité en santé › City deals and health equity in Sydney, Australia.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › City deals and health equity in Sydney, Australia.
questionsmedicales.fr › Organisations et économie des soins de santé › Contrôle social formel › Processus politique › City deals and health equity in Sydney, Australia.
questionsmedicales.fr › Caractéristiques de la population › Santé › Santé de la population › Santé en zone urbaine › City deals and health equity in Sydney, Australia.