Framing health inequalities for local intervention: comparative case studies

T. Blackman, B. Harrington, E. Elliott, A. Greene, D. J. Hunter, L. Marks, L. McKee, G. Williams

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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.
Original languageEnglish
Pages (from-to)49-63
Number of pages15
JournalSociology of Health & Illness
Volume34
Issue number1
Early online date10 Jun 2011
DOIs
Publication statusPublished - Jan 2012

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Keywords

  • health inequality
  • United Kingdom
  • framing
  • narratives

Cite this

Blackman, T., Harrington, B., Elliott, E., Greene, A., Hunter, D. J., Marks, L., McKee, 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