Next steps in the development of the social determinants of health approach: the need for a new narrative

Lundberg, Olle

doi:10.1177/1403494819894789

Cited by 40 publications

(34 citation statements)

References 13 publications

(9 reference statements)

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“…Such a grammar could be advanced by developing a relational approach to welfare, adopting principles from co-creation and HP, and placing accountability for outcomes in the public sector and political leaders. We suggest that the presented framework for developing relational welfare could serve as a viable response to the recent call of Lundberg [103] for reframing and rethinking common beliefs and practices to tackle the social determinants of health.…”

Section: Closing Reflectionsmentioning

confidence: 99%

Relational welfare: a socially just response to co-creating health and wellbeing for all

Heimburg

Ness

2020

Scand J Public Health

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Aims: Contemporary approaches to pursuing public value and the vision of health and wellbeing for all have evolved notably in the past few decades, with distinct approaches termed ‘co-creation’ and ‘health promotion’ gaining traction. This article explores a critique of ongoing paradigmatic shifts in public health and the public sector, focusing on cross-fertilisation between co-creation and the promotion of health and wellbeing. Drawing on Nancy Fraser’s claims for social justice through redistribution, recognition and representation to achieve participatory parity, we discuss a need for transformative change to achieve societal goals of creating health and wellbeing for all, leaving no one behind. Conclusions: Health promotion and co-creation converge in a quest for active citizenship through participation, as well as embracing a whole-of-government and whole-of-society approach. However, inequity in such processes, as well as health and wellbeing outcomes, are still persistent and contradictory to health promotion aims. This article argues that radically attending to human relationships and our dependency on other humans as a ‘collective’ need to be placed at the core of future-forming social construction of public and democratic institutions to allow the ongoing cross-fertilisation between health promotion and co-creation to work. Responding to this calls for transformation, the article presents a framework for developing a relational approach to welfare. The framework advocates for ‘relational welfare’, which captures the intersection of the welfare state, democracy and human relationships attending to social justice, capabilities and health and wellbeing for all as key public values in societal development.

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Section: Closing Reflectionsmentioning

confidence: 99%

Relational welfare: a socially just response to co-creating health and wellbeing for all

Heimburg

Ness

2020

Scand J Public Health

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“…Intersectionality takes as its starting point the recognition that social positions and identities are multiple and seeks to reveal the interconnected systems of subordination that together influence people's life chances. There have been growing calls to find new ways of 'framing' health inequalities; to refresh current approaches to theorising and communicating their nature, causes and potential solutions within academic, public and policy arenas (20)(21)(22).…”

Section: Introductionmentioning

confidence: 99%

Can Intersectionality Help with Understanding and Tackling Health Inequalities? Perspectives of Professional Stakeholders

Holman

Salway

Bell

et al. 2020

Preprint

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Background: The concept of ‘intersectionality’ is increasingly employed within public health arenas, particularly in North America, and is often heralded as offering great potential to advance health inequalities research and action. Given persistently poor progress towards tackling health inequalities, and recent calls to reframe this agenda in the UK and Europe, the possible contribution of intersectionality deserves attention. Yet, no existing research has examined professional stakeholder understandings and perspectives on applying intersectionality to this field. In this paper we seek to address that gap. Methods: drawing upon a consultation survey and workshop undertaken in the UK. The survey included both researchers (n=53) and practitioners (n=20) with varied roles and levels of engagement in research and evaluation. Topics included: familiarity with the term and concept ‘intersectionality’, relevance to health inequalities work, and issues shaping its uptake. Respondents were also asked to comment on two specific policy suggestions; targeting and tailoring interventions to intersectional sub-groups, and evaluating the intersectional effects of policies. 23 people attended the face-to-face workshop. The aims of the workshop were to: share examples of applying intersectionality within health inequalities research and practice; understand the views of research and practice colleagues on potential contributions and challenges; and identify potential ways to promote intersectional approachesResults: Findings indicated a generally positive response to the concept and a cautiously optimistic assessment that intersectional approaches could be valuable. However, opinions were mixed and various challenges were raised, especially around whether intersectionality research is necessarily critical and transformative and, accordingly, how it should be operationalised methodologically. Nonetheless, there was general agreement that intersectionality is concerned with diverse inequalities and the systems of power that shape them.Conclusions: In the UK health inequalities policy and practice context there are a number of potential ways forward for intersectionality in helping to understand and tackle such inequalities.

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“…Intersectionality takes as its starting point the recognition that social positions and identities are multiple and seeks to reveal the interconnected systems of subordination that together influence people’s life chances. There have been growing calls to find new ways of ‘framing’ health inequalities; to refresh current approaches to theorising and communicating their nature, causes and potential solutions within academic, public and policy arenas (Lundberg, 2020; Scambler, 2012; Smith and Schrecker, 2015).…”

Section: Introductionmentioning

confidence: 99%

Can intersectionality help with understanding and tackling health inequalities? Perspectives of professional stakeholders

Holman

Salway

Bell

et al. 2020

Preprint

View full text Add to dashboard Cite

The concept of intersectionality is increasingly employed within public health arenas, particularly in North America, and is often heralded as offering great potential to advance health inequalities research and action. Given persistently poor progress towards tackling health inequalities, and recent calls to reframe this agenda in the UK and Europe, the possible contribution of intersectionality deserves attention. Yet, no existing research has examined professional stakeholder understandings and perspectives on applying intersectionality to this field. In this paper we seek to address that gap, drawing upon a consultation survey and workshop undertaken in the UK. The survey included both researchers (n=53) and practitioners (n=20) with varied roles and levels of engagement in research and evaluation. Topics included: familiarity with the term and concept intersectionality, relevance to health inequalities work, and issues shaping its uptake. Respondents were also asked to comment on two specific policy suggestions; targeting and tailoring interventions to intersectional sub-groups, and evaluating the intersectional effects of policies. 23 people attended the face-to-face workshop. The aims of the workshop were to: share examples of applying intersectionality within health inequalities research and practice; understand the views of research and practice colleagues on potential contributions and challenges; and identify potential ways to promote intersectional approaches. Findings indicated a generally positive response to the concept and a cautiously optimistic assessment that intersectional approaches could be valuable. However, opinions were mixed and various challenges were raised, especially around whether intersectionality research is necessarily critical and transformative and, accordingly, how it should be operationalised methodologically. Nonetheless, there was general agreement that intersectionality is concerned with diverse inequalities and the systems of power that shape them. We position intersectionality within the wider context of health inequalities policy and practice, suggesting potential ways forward for the approach in the UK context.

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Next steps in the development of the social determinants of health approach: the need for a new narrative

Cited by 40 publications

References 13 publications

Relational welfare: a socially just response to co-creating health and wellbeing for all

Relational welfare: a socially just response to co-creating health and wellbeing for all

Can Intersectionality Help with Understanding and Tackling Health Inequalities? Perspectives of Professional Stakeholders

Can intersectionality help with understanding and tackling health inequalities? Perspectives of professional stakeholders

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