Insights into local health and wellbeing policy process in Australia

To investigate factors that enable or challenge the initiation and actioning of health and wellbeing policy in Australian local governments using political science frameworks. An online survey was distributed to staff and elected members of Australian local governments. The survey sought responses t...

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Main Authors: Lilly, Kara, Hallett, Jonathan, Robinson, Suzanne, Selvey, Linda A.
Format: Journal Article
Language:English
Published: OXFORD UNIV PRESS 2020
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/96528
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author Lilly, Kara
Hallett, Jonathan
Robinson, Suzanne
Selvey, Linda A.
author_facet Lilly, Kara
Hallett, Jonathan
Robinson, Suzanne
Selvey, Linda A.
author_sort Lilly, Kara
building Curtin Institutional Repository
collection Online Access
description To investigate factors that enable or challenge the initiation and actioning of health and wellbeing policy in Australian local governments using political science frameworks. An online survey was distributed to staff and elected members of Australian local governments. The survey sought responses to a range of variables as informed by political science frameworks. Data were analysed using descriptive statistics and results were compared between local governments of different geographical sizes and locations using Kruskal-Wallis non-parametric testing. There were 1825 survey responses, including 243 CEOs, representing 45% of Australian local governments. Enablers for local government policy initiation and action included the high priority given to health and wellbeing (44%), local leadership (56%) and an organizational (70%) and personal obligation (68%) to the community to act. Less true is a favourable legislative environment (33%), leadership from higher levels of government (29%) and sufficient financial capacity (22%). Cities are better positioned to initiate and action health policy, regardless of the broader legislative environment. Health and wellbeing is a high priority for Australian local governments, despite lack of funding and limited lobbying and support from other sectors and higher levels of government. The insights from political science frameworks assist to understand the policy process, including the interrelatedness of enablers and challenges to initiating and actioning health and wellbeing policy. Further understanding the policy drivers would support practitioners and researchers advocating to influence local health and wellbeing policy.
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spelling curtin-20.500.11937-965282025-01-16T05:23:17Z Insights into local health and wellbeing policy process in Australia Lilly, Kara Hallett, Jonathan Robinson, Suzanne Selvey, Linda A. Science & Technology Life Sciences & Biomedicine Health Policy & Services Public, Environmental & Occupational Health Health Care Sciences & Services local government health policy determinants of health SOCIAL DETERMINANTS INTERSECTORAL ACTION IMPLEMENTATION GOVERNMENT EQUITY determinants of health health policy local government Australia Health Policy Humans Local Government Policy Making Humans Local Government Health Policy Policy Making Australia To investigate factors that enable or challenge the initiation and actioning of health and wellbeing policy in Australian local governments using political science frameworks. An online survey was distributed to staff and elected members of Australian local governments. The survey sought responses to a range of variables as informed by political science frameworks. Data were analysed using descriptive statistics and results were compared between local governments of different geographical sizes and locations using Kruskal-Wallis non-parametric testing. There were 1825 survey responses, including 243 CEOs, representing 45% of Australian local governments. Enablers for local government policy initiation and action included the high priority given to health and wellbeing (44%), local leadership (56%) and an organizational (70%) and personal obligation (68%) to the community to act. Less true is a favourable legislative environment (33%), leadership from higher levels of government (29%) and sufficient financial capacity (22%). Cities are better positioned to initiate and action health policy, regardless of the broader legislative environment. Health and wellbeing is a high priority for Australian local governments, despite lack of funding and limited lobbying and support from other sectors and higher levels of government. The insights from political science frameworks assist to understand the policy process, including the interrelatedness of enablers and challenges to initiating and actioning health and wellbeing policy. Further understanding the policy drivers would support practitioners and researchers advocating to influence local health and wellbeing policy. 2020 Journal Article http://hdl.handle.net/20.500.11937/96528 10.1093/heapro/daz082 English OXFORD UNIV PRESS restricted
spellingShingle Science & Technology
Life Sciences & Biomedicine
Health Policy & Services
Public, Environmental & Occupational Health
Health Care Sciences & Services
local government
health policy
determinants of health
SOCIAL DETERMINANTS
INTERSECTORAL ACTION
IMPLEMENTATION
GOVERNMENT
EQUITY
determinants of health
health policy
local government
Australia
Health Policy
Humans
Local Government
Policy Making
Humans
Local Government
Health Policy
Policy Making
Australia
Lilly, Kara
Hallett, Jonathan
Robinson, Suzanne
Selvey, Linda A.
Insights into local health and wellbeing policy process in Australia
title Insights into local health and wellbeing policy process in Australia
title_full Insights into local health and wellbeing policy process in Australia
title_fullStr Insights into local health and wellbeing policy process in Australia
title_full_unstemmed Insights into local health and wellbeing policy process in Australia
title_short Insights into local health and wellbeing policy process in Australia
title_sort insights into local health and wellbeing policy process in australia
topic Science & Technology
Life Sciences & Biomedicine
Health Policy & Services
Public, Environmental & Occupational Health
Health Care Sciences & Services
local government
health policy
determinants of health
SOCIAL DETERMINANTS
INTERSECTORAL ACTION
IMPLEMENTATION
GOVERNMENT
EQUITY
determinants of health
health policy
local government
Australia
Health Policy
Humans
Local Government
Policy Making
Humans
Local Government
Health Policy
Policy Making
Australia
url http://hdl.handle.net/20.500.11937/96528