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Studying health inequalitiesAn applied approach$
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Jonathan Wistow, Tim Blackman, David Byrne, and Gerald Wistow

Print publication date: 2015

Print ISBN-13: 9781447305286

Published to University Press Scholarship Online: May 2016

DOI: 10.1332/policypress/9781447305286.001.0001

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date: 19 August 2017

Health inequalities: adopting a whole system approach

Health inequalities: adopting a whole system approach

Chapter:
(p.49) Three Health inequalities: adopting a whole system approach
Source:
Studying health inequalities
Author(s):

Jonathan Wistow

Tim Blackman

David Byrne

Gerald Wistow

Publisher:
Policy Press
DOI:10.1332/policypress/9781447305286.003.0003

Health inequality outcomes in local systems reflect the design of services, interactions between agents and contextual attributes. This chapter outlines an approach to understanding health inequalities by adopting a whole systems approach that firstly focuses on different types of policy and practice, ways of working and types of interventions adopted in local health systems. Secondly, a range of contextual conditions, such as levels of deprivation, crime rates, demographics and educational attainment are outlined. Together these ‘conditions’ form a longlist of factors potentially influencing progress towards narrowing of health inequalities gaps. The chapter concludes with a discussion about how binary approaches to causation can be complex by reflecting the transition from one type of system to another e.g., the difference between a local authority area narrowing it’s health inequalities gap and one that is not.

Keywords:   whole systems approach, local systems, policy and practice, contextual conditions, complex binary causation

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