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What are the elements of a whole system approach to community-centred public health? A qualitative study with public health leaders in England's local authority areas.


ABSTRACT:

Objectives

The aim of the study was to identify key elements of whole system approaches to building healthy communities and putting communities at the heart of public health with a focus on public health practice to reduce health inequalities.

Design

A mixed-method qualitative study was undertaken. The primary method was semi-structured interviews with 17 public health leaders from 12 local areas. This was supplemented by a rapid review of literature, a survey of 342 members of the public via Public Health England's (PHE) People's Panel and a round-table discussion with 23 stakeholders.

Setting

Local government in England.

Results

Eleven elements of community-centred public health practice that constitute taking a whole system approach were identified. These were grouped into the headings of involving, strengthening, scaling and sustaining. The elements were underpinned by a set of values and principles.

Conclusion

Local public health leaders are in a strong position to develop a whole system approach to reducing health inequalities that puts communities at its heart. The elements, values and principles summarise what a supportive infrastructure looks like and this could be further tested with other localities and communities as a framework for scaling community-centred public health.

SUBMITTER: Stansfield J 

PROVIDER: S-EPMC7451485 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature

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Publications

What are the elements of a whole system approach to community-centred public health? A qualitative study with public health leaders in England's local authority areas.

Stansfield Jude J   South Jane J   Mapplethorpe Tom T  

BMJ open 20200826 8


<h4>Objectives</h4>The aim of the study was to identify key elements of whole system approaches to building healthy communities and putting communities at the heart of public health with a focus on public health practice to reduce health inequalities.<h4>Design</h4>A mixed-method qualitative study was undertaken. The primary method was semi-structured interviews with 17 public health leaders from 12 local areas. This was supplemented by a rapid review of literature, a survey of 342 members of th  ...[more]

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