Perceptions and beliefs of public policymakers in a Southern European city

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  • dc.contributor.author Morrison Esteve, Joana, 1977-ca
  • dc.contributor.author Pons i Vigués, Marionaca
  • dc.contributor.author Díez, Eliaca
  • dc.contributor.author Pasarín i Rua, M. Isabelca
  • dc.contributor.author Salas Nicás, Sergioca
  • dc.contributor.author Borrell i Thió, Carmeca
  • dc.date.accessioned 2015-03-26T09:48:16Z
  • dc.date.available 2015-03-26T09:48:16Z
  • dc.date.issued 2015ca
  • dc.description.abstract Introduction: Socio-economic inequalities in health are large in urban areas; however, local municipal governments may plan, manage and provide services and policies which can reduce these. The objective of this study was to describe the beliefs and perceptions of public policymakers in a European city, Barcelona. They are the key actors in designing and implementing urban public policies. Methods: A qualitative research study describing policymakers’ beliefs on health inequalities. The study population were twelve policymakers. These were politicians or officers from the city council. Informant profiles were selected using a theoretical sample. Semi-structured individual interviews were performed to collect the data and a thematic content analysis was carried out. Results: Politicians were aware of health inequalities in their city and identified diverse social causes. They viewed reducing inequalities as a priority for the city’s government. Officers were less knowledgeable and described less efforts in addressing health inequalities. It was stated by some that reducing inequalities in non-health sectors helped to reduce health inequalities indirectly and there was some collaboration between two sectors. The most frequent barriers encountered when implementing policies were funding and the cities’ limited authority. Conclusions: Officers and policymakers had different levels of awareness and access to information on health and its socials determinants. Officers referred to specific causes of health inequalities and policies which related to their sectors and politicians were more familiar with upstream determinants and policies. Some participants explained that policies and programmes needed to be evaluated and very little intersectoral action was said to be carried out. More efforts should be made to provide all policymakers with information on the social determinants of health inequalities. Research on health inequalities and policy should engage with policymakers and promote health as a cross cutting issue in the city council in liaison with the third sector.en
  • dc.description.sponsorship This article has been partially funded by the project INEQ-CITIES, “Socioeconomic inequalities in mortality: evidence and policies of cities of Europe”; project funded by the Executive Agency for Health and Consumers-DG SANCO (Commission of the European Union), project n°2008 12 13 and CIBER Epidemiología y Salud Públicaen
  • dc.format.mimetype application/pdfca
  • dc.identifier.citation Morrison J, Pons-Vigués M, Díez E, Pasarin MI, Salas-Nicás S, Borrell C. Perceptions and beliefs of public policymakers in a Southern European city. International Journal for Equity in Health. 2015;14:18. DOI: 10.1186/s12939-015-0143-5ca
  • dc.identifier.doi http://dx.doi.org/10.1186/s12939-015-0143-5
  • dc.identifier.issn 1475-9276ca
  • dc.identifier.uri http://hdl.handle.net/10230/23282
  • dc.language.iso engca
  • dc.publisher BioMed Centralca
  • dc.relation.ispartof International Journal for Equity in Health. 2015;14:18
  • dc.rights © 2015 Morrison et al.; licensee BioMed Central. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.ca
  • dc.rights.accessRights info:eu-repo/semantics/openAccessca
  • dc.rights.uri http://creativecommons.org/licenses/by/4.0
  • dc.subject.keyword Health inequalitiesen
  • dc.subject.keyword Public policiesen
  • dc.subject.keyword Urban healthen
  • dc.subject.keyword Policymakeren
  • dc.subject.keyword Perceptionen
  • dc.subject.keyword Knowledgeen
  • dc.subject.keyword Qualitative researchen
  • dc.subject.other Salut pública -- Administració -- Catalunya -- S. XXIca
  • dc.subject.other Política pública -- Europaca
  • dc.title Perceptions and beliefs of public policymakers in a Southern European cityen
  • dc.type info:eu-repo/semantics/articleca
  • dc.type.version info:eu-repo/semantics/publishedVersionca