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Utility-driven evidence for healthy cities

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Authors:
  • de Leeuw, Evelyne ;
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    unknown
  • Skovgaard, Thomas
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    Orcid logo0000-0001-6729-4988
    Health Promotion, Department of Public Health, Faculty of Health Sciences, University of Southern Denmark
Subtitle:
problems with evidence generation and application
DOI:
10.1016/j.socscimed.2005.01.028
Abstract:
The question whether the WHO Healthy Cities project 'works' has been asked ever since a number of novel ideas and actions related to community health, health promotion and healthy public policy in the mid 1980s came together in the Healthy Cities Movement initiated by the World Health Organization. The question, however, has become more urgent since we have entered an era in which the drive for 'evidence' seems all-pervasive. The article explores the nature of evidence, review available evidence on Healthy Cities accomplishments, and discusses whether enough evidence has been accumulated on different performances within the realm of Healthy Cities. A main point of reference is the European Healthy Cities Project (E-HCP). Building on the information gathered through documentary research on the topic, it is concluded that there is fair evidence that Healthy Cities works. However, the future holds great challenges for further development and evidence-oriented evaluations of Healthy Cities. There are problems with (1) the communication of evidence, (2) the tension between the original intention of the Healthy Cities Movement and its current operations, and (3) the complex nature of Healthy Cities and the methodological tools currently available.
Type:
Journal article
Language:
English
Published in:
Social Science and Medicine, 2005, Vol 61, Issue 6, p. 1331-41
Keywords:
Cities; Europe; Health Promotion; Humans; Program Evaluation; World Health Organization
Main Research Area:
Medical science
Publication Status:
Published
Review type:
Peer Review
Submission year:
2005
Scientific Level:
Scientific
ID:
116363513

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