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Framing health inequalities for local intervention: comparative case studies

Blackman, Tim; Harrington, Barbara; Elliott, Eva; Greene, Alex; Hunter, David J; Marks, Linda; McKee, Lorna; Williams, Gareth

Authors

Tim Blackman

Barbara Harrington

Eva Elliott

Alex Greene

David J Hunter

Linda Marks

Lorna McKee

Gareth Williams



Abstract

This article explores how health inequalities are constructed as an object for policy intervention by considering four framings: politics, audit, evidence and treatment. A thematic analysis of 197 interviews conducted with local managers in England, Scotland and Wales is used to explore how these framings emerge from local narratives. The three different national policy regimes create contrasting contexts, especially regarding the different degrees of emphasis in these regimes on audit and performance management. We find that politics dominates how health inequalities are framed for intervention, affecting their prioritisation in practice and how audit, evidence and treatment are described as deployed in local strategies.

Citation

Blackman, T., Harrington, B., Elliott, E., Greene, A., Hunter, D. J., Marks, L., …Williams, G. (2012). Framing health inequalities for local intervention: comparative case studies. Sociology of Health & Illness, 34(1), 49-63. https://doi.org/10.1111/j.1467-9566.2011.01362.x

Journal Article Type Article
Publication Date Jan 1, 2012
Deposit Date Apr 16, 2012
Journal Sociology of Health & Illness
Print ISSN 0141-9889
Electronic ISSN 1467-9566
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 34
Issue 1
Pages 49-63
DOI https://doi.org/10.1111/j.1467-9566.2011.01362.x
Keywords Health inequality, United Kingdom, Framing, Narratives.


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