A Framework for Improving Health in Cities: A Discussion Paper

This paper considers health in cities from the perspective of complex adaptive systems. This approach has a number of important implications for intervention that do not emerge in traditional accounts of cities and health. The paper reviews various accounts of the nature of cities and of health as well as the traditional urban health and Healthy Cities movements. It then provides a framework for intervention and tests it against an actual case study. It concludes that a complex adaptive systems framework opens up fresh possibilities for improving health in urban contexts.

[1]  I. Tabibzadeh,et al.  Spotlight on the Cities: Improving Urban Health in Developing Countries , 1989 .

[2]  M. Lagory,et al.  Unhealthy Places: The Ecology of Risk in the Urban Landscape , 2000 .

[3]  T. Hancock,et al.  The Evolution, Impact and Significance of the Health Cities/Healthy Communities Movement , 1993, Journal of public health policy.

[4]  M. Mitchell Waldrop,et al.  Complexity : the emerging science and the edge of order and chaos , 1992 .

[5]  J. Duffin.  History of Medicine: A Scandalously Short Introduction , 1999 .

[6]  T. Parsons,et al.  Illness and the role of the physician: a sociological perspective. , 1951, The American journal of orthopsychiatry.

[7]  Nadia Hamel.  Edgeware: Insights From Complexity Science for Health Care Leaders , 2004 .

[8]  Michael X Cohen,et al.  Harnessing Complexity: Organizational Implications of a Scientific Frontier , 2000 .

[9]  S. Glouberman.  Complicated and Complex Systems: What Would Successful Reform of Medicare Look Like? , 2002 .

[10]  Richard G. Wilkinson,et al.  Social Determinants of Health: The Solid Facts , 1998 .

[11]  I. Hiscock.  Mustard's Introduction to Public Health , 1969, The Yale Journal of Biology and Medicine.

[12]  A. Greer,et al.  Cities and sickness: health care in urban America , 1983 .

[13]  M. Scott,et al.  Clustering of Ascaris lumbricoides and Trichuris trichiura infections within households. , 1988, Transactions of the Royal Society of Tropical Medicine and Hygiene.

[14]  R. Wilkinson.  Unhealthy Societies: The Afflictions of Inequality , 1996 .

[15]  De Greene,et al.  A Systems-Based Approach to Policymaking , 1993, Springer US.

[16]  Richard Sennett,et al.  Classic Essays on the Culture of Cities , 1969 .

[17]  S. Houston.  Social Determinants of Health: Canadian Perspectives , 2005 .

[18]  E. Howard.  Garden Cities Of To-Morrow , 1903 .

[19]  D. Clairmont,et al.  Africville: The life and death of a Canadian black community , 1974 .

[20]  L. Duhl.  An Ecohistory of Health: The Role of ‘Healthy Cities’ , 1996, American journal of health promotion : AJHP.

[21]  G. Omenn.  Health status and its deter minants in urban populations , 1998, Journal of urban health : bulletin of the New York Academy of Medicine.

[22]  M. Marmot,et al.  Contribution of job control and other risk factors to social variations in coronary heart disease incidence , 1997, The Lancet.

[23]  S. J. Atkinson,et al.  Immunization in urban areas: issues and strategies. , 1994, Bulletin of the World Health Organization.

[24]  Perspectives on Urban Health , 1991 .

[25]  C. Moreira,et al.  [Our planet, our habitat, our health. Promoting health in the urban context]. , 1991, Servir.

[26]  N. Anderson,et al.  Toward understanding the association of socioeconomic status and health: a new challenge for the biopsychosocial approach. , 1995, Psychosomatic medicine.

[27]  S. Kauffman.  At Home in the Universe: The Search for the Laws of Self-Organization and Complexity , 1995 .

[28]  A. Antonovsky.  Health, stress, and coping , 1979 .

[29]  L. Mumford,et al.  The City in History. Its Origins, Its Transformations, and Its Prospects , 1961 .

[30]  H Labelle,et al.  A new perspective on the health of Canadians. , 1976, AARN news letter.

[31]  J. Jacobs.  Dark Age Ahead , 2004 .

[32]  Healthy cities: a guide to the literature , 1999 .

[33]  L. S. King.  The Story of Medicine , 1969 .

[34]  E. A. Underwood,et al.  A short history of medicine , 1929 .

[35]  U. Jain.  Effects of Population Density and Resources on the Feeling of Crowding and Personal Space , 1987 .

[36]  I. Prigogine.  The end of certainty , 1997 .

[37]  H. Lasswell.  The decision process : seven categories of functional analysis , 1956 .

[38]  J. Jacobs.  The Death and Life of Great American Cities , 1962 .

[39]  D. Dennis,et al.  Seeing Like a State: How Certain Schemes to Improve the Human Condition Have Failed , 1998 .

[40]  James C. Scott,et al.  Seeing Like a State: How Certain Schemes to Improve the Human Condition Have Failed , 1999 .