Local government policymaking environment for Health in All Policies: a case study research investigation

The local level of government is identified as being well placed to address the determinants of health due to their flatter governance structure and proximity to the community. Research has identified multiple factors that influence local governments to act on these health determinants, although few...

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Main Authors: Lilly, Kara, Robinson, Suzanne, Selvey, L.A., Hallett, Jonathan
Format: Journal Article
Published: 2024
Online Access:http://hdl.handle.net/20.500.11937/96522
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author Lilly, Kara
Robinson, Suzanne
Selvey, L.A.
Hallett, Jonathan
author_facet Lilly, Kara
Robinson, Suzanne
Selvey, L.A.
Hallett, Jonathan
author_sort Lilly, Kara
building Curtin Institutional Repository
collection Online Access
description The local level of government is identified as being well placed to address the determinants of health due to their flatter governance structure and proximity to the community. Research has identified multiple factors that influence local governments to act on these health determinants, although few have applied theories of the policy process to understand the policymaking environment. Using two Australian local government case study sites, we explored the policymaking environment regarding policy decisions to address health determinants using the lens of four theories of the policy process. We conducted 20 interviews and one focus group with elected members and staff in local government, along with an analysis of 12 policy documents and participation in a policy reference group. Following thematic analysis, 13 factors influencing policy addressing health determinants were identified, mostly confirming previous research from within Australia and globally. New themes have emerged regarding the limited range of policy actors involved and the lack of advocacy, particularly by community or media, who have an identified influence over decision-making in a local government context. Applying theories of the policy process also demonstrates how they can be used to add meaning to the interconnectedness of influences in unique local government policymaking environments.
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spelling curtin-20.500.11937-965222025-01-17T01:19:13Z Local government policymaking environment for Health in All Policies: a case study research investigation Lilly, Kara Robinson, Suzanne Selvey, L.A. Hallett, Jonathan The local level of government is identified as being well placed to address the determinants of health due to their flatter governance structure and proximity to the community. Research has identified multiple factors that influence local governments to act on these health determinants, although few have applied theories of the policy process to understand the policymaking environment. Using two Australian local government case study sites, we explored the policymaking environment regarding policy decisions to address health determinants using the lens of four theories of the policy process. We conducted 20 interviews and one focus group with elected members and staff in local government, along with an analysis of 12 policy documents and participation in a policy reference group. Following thematic analysis, 13 factors influencing policy addressing health determinants were identified, mostly confirming previous research from within Australia and globally. New themes have emerged regarding the limited range of policy actors involved and the lack of advocacy, particularly by community or media, who have an identified influence over decision-making in a local government context. Applying theories of the policy process also demonstrates how they can be used to add meaning to the interconnectedness of influences in unique local government policymaking environments. 2024 Journal Article http://hdl.handle.net/20.500.11937/96522 10.1080/09581596.2024.2334364 http://creativecommons.org/licenses/by-nc/4.0/ fulltext
spellingShingle Lilly, Kara
Robinson, Suzanne
Selvey, L.A.
Hallett, Jonathan
Local government policymaking environment for Health in All Policies: a case study research investigation
title Local government policymaking environment for Health in All Policies: a case study research investigation
title_full Local government policymaking environment for Health in All Policies: a case study research investigation
title_fullStr Local government policymaking environment for Health in All Policies: a case study research investigation
title_full_unstemmed Local government policymaking environment for Health in All Policies: a case study research investigation
title_short Local government policymaking environment for Health in All Policies: a case study research investigation
title_sort local government policymaking environment for health in all policies: a case study research investigation
url http://hdl.handle.net/20.500.11937/96522