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Do healthy cities work? A logic of method for assessing impact and outcome of healthy cities

de Leeuw, Evelyne 2012, Do healthy cities work? A logic of method for assessing impact and outcome of healthy cities, Journal of urban health, vol. 89, no. 2, pp. 217-231, doi: 10.1007/s11524-011-9617-y.

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Title Do healthy cities work? A logic of method for assessing impact and outcome of healthy cities
Author(s) de Leeuw, Evelyne
Journal name Journal of urban health
Volume number 89
Issue number 2
Start page 217
End page 231
Total pages 15
Publisher Springer New York LLC
Place of publication New York, N. Y.
Publication date 2012
ISSN 1099-3460
1468-2869
Keyword(s) Healthy cities
Methodology
Summary In this article, we discuss an appropriate methodology for assessing complex urban programs such as the WHO European Healthy Cities Network. The basic tenets and parameters for this project are reviewed, and situated in the broader urban health tradition. This leads to a delineation of the types of questions researchers can address when looking at a complex urban health program. Such questions reach appropriately beyond traditional public health concepts involving proximal and distal determinants of health (and associated upstream, midstream, and downstream rhetoric). Espousing a multi-level, reciprocal pathways perspective on Healthy Cities research, we also adopt a distinction between impacts and outcomes of Healthy Cities. The former are value driven, the latter intervention-driven. These approaches lead to the acknowledgment of a logic of method that includes situational and contextual appreciation of unique Healthy City experiences in a Realist Evaluation paradigm. The article concludes with a reflection of evaluation and assessment procedures applied to Phase IV (2003-2008) of the WHO European Healthy Cities Network and an interpretation of response rates to the range of methods that have been adopted.
Language eng
DOI 10.1007/s11524-011-9617-y
Field of Research 111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2011, The New York Academy of Medicine
Persistent URL http://hdl.handle.net/10536/DRO/DU:30039352

Document type: Journal Article
Collection: School of Medicine
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Citation counts: TR Web of Science Citation Count  Cited 13 times in TR Web of Science
Scopus Citation Count Cited 21 times in Scopus
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Created: Tue, 25 Oct 2011, 09:41:58 EST by Evelyne de Leeuw

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